St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $112.70 | $322.00 | $41.57 – $322.00 | 17 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $98.00 | $280.00 | $59.45 – $280.00 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $141.40 | $404.00 | $34.21 – $404.00 | 17 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $148.75 | $425.00 | $35.26 – $425.00 | 17 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $122.50 | $350.00 | $45.77 – $350.00 | 17 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $112.70 | $322.00 | $52.09 – $322.00 | 17 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $81.20 | $232.00 | $51.04 – $232.00 | 19 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $48.86 | $139.59 | $1.53 – $55.12 | 24 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $346.65 | $990.41 | $0.11 – $427.68 | 24 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $36.72 | $104.89 | $0.59 – $32.74 | 24 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $88,200.00 | $252,000.00 | $15,435.00 – $73,500.00 | 24 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $322.77 | $922.19 | $0.16 – $389.46 | 24 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,072.50 | $11,635.71 | $14.87 – $10,063.17 | 24 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $7,874.22 | $22,497.75 | $1,027.97 – $12,080.20 | 24 |
| Palonosetron hcl HCPCS J2469 | $354.74 | $1,013.52 | $0.84 – $65.41 | 24 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $99.46 | $284.16 | $9.00 – $89.11 | 24 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $16,565.51 | $47,330.02 | $134.78 – $12,118.03 | 24 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $26.50 | $75.69 | $12.09 – $54.95 | 22 |
| Papaverin hcl injection HCPCS J2440 | $76.40 | $218.26 | $26.01 – $118.20 | 24 |
| Parathormone (pth) intact CPT 83970 | $165.20 | $472.00 | $29.72 – $472.00 | 40 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,641.50 | $4,690.00 | $458.35 – $4,690.00 | 19 |
| Parathyroid planar imaging CPT 78070 | $430.85 | $1,231.00 | $98.48 – $1,231.00 | 24 |
| Parathyroid planar img w/tomo spect CPT 78071 | $859.25 | $2,455.00 | $196.40 – $2,455.00 | 24 |
| Paricalcitol HCPCS J2501 | $24.47 | $69.89 | $1.29 – $62.26 | 24 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $145.95 | $417.00 | $112.59 – $417.00 | 19 |
| Passy muir valve metal trach HCPCS L8501 | $274.40 | $784.00 | $164.64 – $784.00 | 21 |
| Pegaspargase injection HCPCS J9266 | $47,943.02 | $136,980.03 | $19,098.10 – $88,910.23 | 24 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $11,457.16 | $32,734.73 | $7,201.65 – $32,734.73 | 22 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $8,134.93 | $23,242.64 | $193.57 – $13,147.76 | 24 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $5,713.45 | $16,324.13 | $3,591.31 – $16,324.13 | 22 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,012.46 | $11,464.16 | $178.93 – $11,375.07 | 24 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $1,194.98 | $3,414.21 | $751.13 – $3,414.21 | 22 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,005.80 | $8,588.00 | $175.06 – $8,588.00 | 25 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,722.65 | $7,779.00 | $175.06 – $7,779.00 | 25 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,573.60 | $4,496.00 | $104.75 – $4,496.00 | 25 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,936.05 | $14,103.00 | $347.16 – $14,103.00 | 25 |
| Pelvic MRI (with contrast) CPT 72196 | $3,949.05 | $11,283.00 | $276.66 – $11,283.00 | 25 |
| Pelvic MRI (without contrast) CPT 72195 | $3,356.85 | $9,591.00 | $233.47 – $9,591.00 | 25 |
| Pelvic Ultrasound (complete) CPT 76856 | $989.80 | $2,828.00 | $96.28 – $2,828.00 | 24 |
| Pelvic Ultrasound (limited) CPT 76857 | $435.40 | $1,244.00 | $50.79 – $1,244.00 | 24 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $14,703.02 | $42,008.62 | $52.32 – $42,008.62 | 24 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $10,212.37 | $29,178.18 | $7.53 – $455.73 | 24 |
| Peng benzathine/procaine inj HCPCS J0558 | $168.10 | $480.27 | $5.01 – $480.27 | 24 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $785.09 | $2,243.11 | $13.73 – $620.23 | 24 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $25.24 | $72.11 | $1.07 – $70.07 | 24 |
| Penicillin g procaine inj HCPCS J2510 | $5.67 | $16.19 | $3.57 – $16.19 | 24 |
| Penile injection CPT 54235 | $233.10 | $666.00 | $179.82 – $666.00 | 19 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $36,719.87 | $104,913.90 | $10.50 – $50.00 | 24 |
| Penile vascular study CPT 93980 | $242.20 | $692.00 | $55.36 – $692.00 | 22 |
| Pentobarbital sodium inj HCPCS J2515 | $4,370.93 | $12,488.37 | $39.80 – $4,207.81 | 24 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $6,112.62 | $17,464.62 | $2,477.03 – $17,464.62 | 24 |
| Perc cryo ablate renal tum CPT 50593 | $7,967.40 | $22,764.00 | $6,146.28 – $22,764.00 | 19 |
| Perc d-e cor revasc chro add HCPCS C9608 | $1,745.10 | $4,986.00 | $398.88 – $4,986.00 | 19 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $8,930.95 | $25,517.00 | $2,041.36 – $25,517.00 | 19 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $1,745.10 | $4,986.00 | $398.88 – $4,986.00 | 19 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $10,060.05 | $28,743.00 | $2,299.44 – $28,743.00 | 19 |
| Perc d-e cor stent ather br HCPCS C9603 | $3,182.20 | $9,092.00 | $727.36 – $9,092.00 | 19 |
| Perc d-e cor stent ather s HCPCS C9602 | $11,394.60 | $32,556.00 | $2,604.48 – $32,556.00 | 19 |
| Perc drug-el cor stent bran HCPCS C9601 | $3,079.65 | $8,799.00 | $703.92 – $8,799.00 | 19 |
| Perc drug-el cor stent sing HCPCS C9600 | $10,265.15 | $29,329.00 | $2,346.32 – $29,329.00 | 19 |
| Perc rf ablate renal tumor CPT 50592 | $2,549.75 | $7,285.00 | $1,966.95 – $7,285.00 | 19 |
| Percut ablate liver rf CPT 47382 | $7,889.35 | $22,541.00 | $6,086.07 – $22,541.00 | 19 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $135.10 | $386.00 | $59.42 – $351.43 | 24 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $1,091.30 | $3,118.00 | $249.44 – $3,118.00 | 19 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,212.40 | $3,464.00 | $935.28 – $3,464.00 | 16 |
| Peripheral vascular rehab CPT 93668 | $59.85 | $171.00 | $26.31 – $171.00 | 17 |
| Peri-proc device eval icd CPT 93287 | $440.65 | $1,259.00 | $29.46 – $1,259.00 | 17 |
| Peri-proc device eval pm CPT 93286 | $440.65 | $1,259.00 | $29.46 – $1,259.00 | 17 |
| Peritoneogram rs&i CPT 74190 | $679.70 | $1,942.00 | $81.04 – $1,942.00 | 24 |
| Perphenazine 4mg oral HCPCS Q0175 | $0.56 | $1.58 | $0.07 – $0.28 | 24 |
| Perq art m-thrombect &/nfs CPT 61645 | $5,539.10 | $15,826.00 | $4,273.02 – $15,826.00 | 16 |
| Perq clsr tcat l atr apndge CPT 33340 | $5,035.45 | $14,387.00 | $1,150.96 – $14,387.00 | 19 |
| Perq dev breast 1st mr guide CPT 19287 | $1,768.20 | $5,052.00 | $1,364.04 – $5,052.00 | 18 |
| Perq dev breast 1st strtctc CPT 19283 | $1,879.50 | $5,370.00 | $1,449.90 – $5,370.00 | 18 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $13,233.15 | $37,809.00 | $100.00 – $37,809.00 | 18 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $7,751.10 | $22,146.00 | $100.00 – $22,146.00 | 18 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $11,743.55 | $33,553.00 | $100.00 – $33,553.00 | 18 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $6,261.50 | $17,890.00 | $100.00 – $17,890.00 | 18 |
| Perq p-art revsc each addl CPT 33904 | $4,837.70 | $13,822.00 | $100.00 – $13,822.00 | 18 |
| Perq plmt bile duct stent CPT 47538 | $4,998.35 | $14,281.00 | $3,855.87 – $14,281.00 | 16 |
| Perq plmt bile duct stent CPT 47539 | $9,069.20 | $25,912.00 | $6,996.24 – $25,912.00 | 16 |
| Perq plmt bile duct stent CPT 47540 | $9,341.85 | $26,691.00 | $7,206.57 – $26,691.00 | 16 |
| Perq transcath closure each CPT 93592 | $1,753.15 | $5,009.00 | $400.72 – $5,009.00 | 19 |
| Perq transcath closure pda CPT 93582 | $11,745.65 | $33,559.00 | $2,684.72 – $33,559.00 | 19 |
| Perq transcath cls aortic CPT 93591 | $5,999.70 | $17,142.00 | $4,628.34 – $17,142.00 | 16 |
| Perq transcath cls mitral CPT 93590 | $5,999.70 | $17,142.00 | $4,628.34 – $17,142.00 | 16 |
| Perq transcath septal reduxn CPT 93583 | $4,070.15 | $11,629.00 | $930.32 – $11,629.00 | 19 |
| Perq trluml angp nt/recr coa CPT 33897 | $3,706.85 | $10,591.00 | $100.00 – $10,591.00 | 18 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $16,908.55 | $48,310.13 | $13.39 – $48,310.13 | 24 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,104.45 | $11,727.00 | $938.16 – $11,727.00 | 24 |
| Pet CT whole body initial CPT 78816 | $4,186.70 | $11,962.00 | $956.96 – $11,962.00 | 24 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,805.25 | $8,015.00 | $641.20 – $8,015.00 | 24 |
| Pet image full body CPT 78813 | $2,550.45 | $7,287.00 | $582.96 – $7,287.00 | 24 |
| Pet image ltd area CPT 78811 | $2,243.15 | $6,409.00 | $512.72 – $6,409.00 | 24 |
| Pet image skull-thigh CPT 78812 | $2,108.75 | $6,025.00 | $482.00 – $6,025.00 | 24 |
| Pet image w/ct lmtd CPT 78814 | $3,694.25 | $10,555.00 | $844.40 – $10,555.00 | 24 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $54,059.25 | $154,455.00 | $10.50 – $50.00 | 24 |
| Ph body fluid CPT 83986 | $44.80 | $128.00 | $2.58 – $128.00 | 40 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $71.57 | $204.48 | $25.04 – $113.80 | 24 |
| Phenobarbital therapeutic drug level CPT 80184 | $52.50 | $150.00 | $11.02 – $150.00 | 40 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.