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 |
|---|---|---|---|---|
| Phentolaine mesylate inj HCPCS J2760 | $494.38 | $1,412.49 | $118.39 – $538.10 | 24 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $48.86 | $139.59 | $11.68 – $56.74 | 39 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $23.15 | $66.13 | $0.36 – $54.80 | 24 |
| Phenytoin total therapeutic drug level CPT 80185 | $151.55 | $433.00 | $9.54 – $433.00 | 40 |
| Phlebotomy therapeutic CPT 99195 | $198.10 | $566.00 | $100.00 – $566.00 | 16 |
| Phosphorus CPT 84100 | $161.70 | $462.00 | $3.41 – $462.00 | 40 |
| Phosphorus 24 hour urine CPT 84105 | $29.75 | $85.00 | $4.16 – $85.00 | 40 |
| Phys blood bank serv authrj CPT 86079 | $102.55 | $293.00 | $67.05 – $293.00 | 18 |
| Phys blood bank serv reactj CPT 86078 | $255.50 | $730.00 | $75.14 – $730.00 | 18 |
| Phys blood bank serv xmatch CPT 86077 | $43.40 | $124.00 | $33.48 – $124.00 | 18 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $35.26 | $100.73 | $0.83 – $3.73 | 24 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $8,175.50 | $23,358.57 | $100.00 – $23,358.57 | 15 |
| Pin caspar distraction 12mm HCPCS C1821 | $33,075.00 | $94,500.00 | $5,777.31 – $27,511.00 | 24 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $45.05 | $128.69 | $1.63 – $60.02 | 24 |
| Place cath intracranial art CPT 36228 | $4,482.80 | $12,808.00 | $3,458.16 – $12,808.00 | 19 |
| Place cath xtrnl carotid CPT 36227 | $2,329.60 | $6,656.00 | $1,797.12 – $6,656.00 | 19 |
| Place device/marker, non pro HCPCS C9728 | $1,514.45 | $4,327.00 | $100.00 – $4,327.00 | 16 |
| Place duod/jej tube perc CPT 49441 | $1,751.40 | $5,004.00 | $1,351.08 – $5,004.00 | 19 |
| Place gastrostomy tube perc CPT 49440 | $1,471.75 | $4,205.00 | $1,135.35 – $4,205.00 | 19 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,803.15 | $8,009.00 | $2,162.43 – $8,009.00 | 18 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,009.40 | $2,884.00 | $100.00 – $2,884.00 | 18 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,183.00 | $3,380.00 | $912.60 – $3,380.00 | 18 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,479.00 | $9,940.00 | $2,683.80 – $9,940.00 | 16 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $138.25 | $395.00 | $31.60 – $395.00 | 19 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $5,520.55 | $15,773.00 | $4,258.71 – $15,773.00 | 18 |
| Place needles pelvic for right CPT 55920 | $4,198.95 | $11,997.00 | $959.76 – $11,997.00 | 22 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,812.20 | $10,892.00 | $2,940.84 – $10,892.00 | 19 |
| Place right device/marker pros CPT 55876 | $1,607.55 | $4,593.00 | $1,240.11 – $4,593.00 | 19 |
| Place slctv cath carotd art uni CPT 36224 | $7,129.85 | $20,371.00 | $5,500.17 – $20,371.00 | 19 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $5,506.20 | $15,732.00 | $4,247.64 – $15,732.00 | 19 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,353.55 | $18,153.00 | $4,425.84 – $16,392.00 | 19 |
| Place slctv cath subclavian art CPT 36225 | $6,282.85 | $17,951.00 | $4,846.77 – $17,951.00 | 19 |
| Place slctv cath vertebral art uni CPT 36226 | $7,059.15 | $20,169.00 | $5,445.63 – $20,169.00 | 19 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $140.35 | $401.00 | $50.67 – $401.00 | 19 |
| Platelet aggregation each agent teg CPT 85576 | $73.15 | $209.00 | $17.94 – $105.00 | 40 |
| Platelet automated CPT 85049 | $99.40 | $284.00 | $3.23 – $284.00 | 41 |
| Platelet pheresis each unit HCPCS P9034 | $657.30 | $1,878.00 | $88.00 – $1,878.00 | 19 |
| Platelet pheresis irr ea HCPCS P9036 | $1,144.50 | $3,270.00 | $88.00 – $3,270.00 | 19 |
| Platelets each unit HCPCS P9019 | $133.00 | $380.00 | $88.00 – $380.00 | 15 |
| Platelets irradiated ea unit HCPCS P9032 | $273.35 | $781.00 | $69.63 – $781.00 | 19 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $266.00 | $760.00 | $67.85 – $760.00 | 19 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $472.85 | $1,351.00 | $88.00 – $1,351.00 | 19 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $963.90 | $2,754.00 | $88.00 – $2,754.00 | 19 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,373.40 | $3,924.00 | $88.00 – $3,924.00 | 19 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,126.30 | $3,218.00 | $88.00 – $3,218.00 | 17 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,780.40 | $7,944.00 | $2,144.88 – $7,944.00 | 16 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $4,019.75 | $11,485.00 | $100.00 – $11,485.00 | 16 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,092.95 | $8,837.00 | $2,385.99 – $8,837.00 | 16 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $5,165.30 | $14,758.00 | $3,984.66 – $14,758.00 | 16 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $2,811.55 | $8,033.00 | $642.64 – $8,033.00 | 19 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,172.50 | $3,350.00 | $904.50 – $3,350.00 | 16 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $823.90 | $2,354.00 | $100.00 – $2,354.00 | 16 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $51.80 | $148.00 | $11.84 – $148.00 | 19 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $436.45 | $1,247.00 | $100.00 – $1,247.00 | 18 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,409.80 | $4,028.00 | $100.00 – $4,028.00 | 18 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $544.25 | $1,555.00 | $100.00 – $1,555.00 | 18 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $632.80 | $1,808.00 | $100.00 – $1,808.00 | 17 |
| Plmt access bil tree sm bwl CPT 47541 | $2,574.25 | $7,355.00 | $1,985.85 – $7,355.00 | 16 |
| Plmt biliary drainage cath CPT 47534 | $3,892.70 | $11,122.00 | $3,002.94 – $11,122.00 | 16 |
| Plmt nephroureteral catheter CPT 50433 | $3,131.80 | $8,948.00 | $2,415.96 – $8,948.00 | 16 |
| Plmt ureteral stent prq CPT 50694 | $4,021.15 | $11,489.00 | $3,102.03 – $11,489.00 | 16 |
| Pm device progr eval dual CPT 93280 | $269.50 | $770.00 | $52.93 – $770.00 | 17 |
| Pm device progr eval multi CPT 93281 | $304.85 | $871.00 | $52.93 – $871.00 | 17 |
| Pm phone r-strip device eval CPT 93293 | $440.65 | $1,259.00 | $52.93 – $1,259.00 | 17 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $296.10 | $846.00 | $18.77 – $846.00 | 41 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $45,222.84 | $129,208.10 | $137.58 – $129,208.10 | 24 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,928.40 | $11,224.00 | $100.00 – $11,224.00 | 19 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,214.40 | $9,184.00 | $100.00 – $9,184.00 | 19 |
| Potassium 24 hour urine CPT 84133 | $50.40 | $144.00 | $3.41 – $144.00 | 40 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $334.03 | $954.35 | $0.08 – $9.95 | 24 |
| Potassium serum/plasma/whole blood CPT 84132 | $129.50 | $370.00 | $3.43 – $370.00 | 40 |
| Pq biliary strict dil s&i CPT 74363 | $679.35 | $1,941.00 | $62.00 – $1,941.00 | 19 |
| Pq dr cath chg w cont s&i CPT 75984 | $712.60 | $2,036.00 | $96.54 – $2,036.00 | 19 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,087.55 | $17,393.00 | $4,696.11 – $17,393.00 | 16 |
| Pq thr inj ext pse CPT 36002 | $455.70 | $1,302.00 | $351.54 – $1,302.00 | 19 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $963.55 | $2,753.00 | $743.31 – $2,753.00 | 16 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $1,347.85 | $3,851.00 | $1,039.77 – $3,851.00 | 16 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $1,162.70 | $3,322.00 | $896.94 – $3,322.00 | 16 |
| Pr application of long arm splint CPT 29105 | $294.35 | $841.00 | $227.07 – $841.00 | 19 |
| Pr application splint static short arm CPT 29125 | $287.70 | $822.00 | $65.76 – $822.00 | 24 |
| Pr biopsy skin punch single lesion CPT 11104 | $354.55 | $1,013.00 | $90.00 – $1,013.00 | 18 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,273.30 | $3,638.00 | $291.04 – $3,638.00 | 19 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $413.00 | $1,180.00 | $35.78 – $1,180.00 | 20 |
| Prealbumin CPT 84134 | $173.95 | $497.00 | $10.50 – $497.00 | 40 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $25.67 | $73.34 | $0.06 – $0.25 | 24 |
| Prednisone 1 mg tablet HCPCS J7512 | $17.74 | $50.66 | $0.01 – $0.25 | 24 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,088.50 | $3,110.00 | $104.75 – $3,110.00 | 24 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $938.35 | $2,681.00 | $103.66 – $2,681.00 | 24 |
| Pre-plan 3d model w/ccta HCPCS C9793 | $871.50 | $2,490.00 | $100.00 – $2,490.00 | 18 |
| Pressure max expiratory/inspiratory CPT 94799 | $289.80 | $828.00 | $38.07 – $141.00 | 17 |
| Pressure velocity wire add ves CPT 93572 | $568.05 | $1,623.00 | $100.00 – $1,623.00 | 18 |
| Pretreat rbc absorption reference CPT 86978 | $108.15 | $309.00 | $47.70 – $309.00 | 18 |
| Pretreat rbc density gradient separation reference CPT 86972 | $237.30 | $678.00 | $98.32 – $678.00 | 18 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $53.55 | $153.00 | $41.31 – $153.00 | 18 |
| Pretreat rbc w enzyme reference CPT 86971 | $350.70 | $1,002.00 | $56.17 – $1,002.00 | 18 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,358.35 | $3,881.00 | $1,047.87 – $3,881.00 | 19 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $378.70 | $1,082.00 | $292.14 – $1,082.00 | 19 |
| Prgrmg dev eval impltbl sys CPT 93260 | $131.95 | $377.00 | $30.16 – $377.00 | 20 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $234.50 | $670.00 | $52.93 – $670.00 | 17 |
| Prgrmg dev eval scrms ip CPT 93285 | $440.65 | $1,259.00 | $52.93 – $1,259.00 | 17 |
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.