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 |
|---|---|---|---|---|
| Prgrmg eval implantable dfb CPT 93282 | $158.55 | $453.00 | $52.93 – $453.00 | 17 |
| Prgrmg eval implantable dfb CPT 93283 | $375.20 | $1,072.00 | $52.93 – $1,072.00 | 17 |
| Prgrmg eval implantable dfb CPT 93284 | $586.25 | $1,675.00 | $52.93 – $1,675.00 | 17 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,152.45 | $9,007.00 | $100.00 – $9,007.00 | 18 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $10,479.70 | $29,942.00 | $8,084.34 – $29,942.00 | 19 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $3,039.40 | $8,684.00 | $100.00 – $8,684.00 | 22 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $369.95 | $1,057.00 | $285.39 – $1,057.00 | 19 |
| Pr incision & drainage abscess simple/single CPT 10060 | $118.65 | $339.00 | $91.53 – $339.00 | 19 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $182.00 | $520.00 | $140.40 – $520.00 | 19 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $300.30 | $858.00 | $231.66 – $858.00 | 19 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $105.35 | $301.00 | $74.00 – $301.00 | 17 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $788.55 | $2,253.00 | $18.41 – $2,253.00 | 17 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $10,425.98 | $29,788.50 | $9.93 – $36.75 | 15 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $787.61 | $2,250.30 | $17.06 – $77.52 | 24 |
| Procalcitonin CPT 84145 | $134.75 | $385.00 | $19.60 – $385.00 | 40 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $46.39 | $132.52 | $4.21 – $58.92 | 24 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $0.33 | $0.94 | $0.06 – $0.25 | 24 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $631.05 | $1,803.00 | $486.81 – $1,803.00 | 19 |
| Proctosigmoidoscopy removal CPT 45308 | $2,327.85 | $6,651.00 | $1,795.77 – $6,651.00 | 16 |
| Progesterone CPT 84144 | $89.95 | $257.00 | $15.02 – $257.00 | 40 |
| Prolactin CPT 84146 | $158.20 | $452.00 | $13.95 – $452.00 | 40 |
| Promethazine 25 mg tablet HCPCS Q0169 | $13.79 | $39.39 | $0.06 – $0.25 | 24 |
| Promethazine hcl injection HCPCS J2550 | $23.45 | $66.98 | $0.33 – $54.28 | 24 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $61.12 | $174.62 | $0.11 – $53.68 | 24 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $26.63 | $76.07 | $7.59 – $56.23 | 24 |
| Prostate biopsy, any mthd HCPCS G0416 | $408.10 | $1,166.00 | $314.82 – $1,166.00 | 19 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $4,759.13 | $13,597.50 | $911.86 – $4,342.17 | 21 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $63.26 | $180.72 | $1.31 – $59.48 | 24 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $6,700.41 | $19,144.02 | $3,233.94 – $19,144.02 | 22 |
| Protein c activity CPT 85303 | $184.80 | $528.00 | $9.96 – $528.00 | 40 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $91.70 | $262.00 | $7.73 – $262.00 | 40 |
| Protein s total CPT 85305 | $101.15 | $289.00 | $8.36 – $289.00 | 40 |
| Protein total 24 hour urine CPT 84156 | $75.60 | $216.00 | $2.64 – $216.00 | 40 |
| Protein total body fluid CPT 84157 | $68.25 | $195.00 | $2.88 – $195.00 | 40 |
| Protein total serum plasma whole blood CPT 84155 | $72.10 | $206.00 | $2.64 – $206.00 | 40 |
| Prothrombin complex kcentra HCPCS J7168 | $4,730.66 | $13,516.16 | $2,961.44 – $13,461.07 | 22 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $56.00 | $160.00 | $2.84 – $160.00 | 40 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $66.15 | $189.00 | $51.03 – $189.00 | 17 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $14,458.50 | $41,310.00 | $100.00 – $41,310.00 | 18 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $7,747.60 | $22,136.00 | $100.00 – $22,136.00 | 18 |
| Prq cardiac angio addl art CPT 92921 | $1,950.55 | $5,573.00 | $445.84 – $5,573.00 | 19 |
| Prq card revasc chronic addl CPT 92944 | $3,695.65 | $10,559.00 | $844.72 – $10,559.00 | 19 |
| Prq card revasc mi 1 vsl CPT 92941 | $8,828.05 | $25,223.00 | $2,017.84 – $25,223.00 | 19 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $11,086.60 | $31,676.00 | $2,534.08 – $31,676.00 | 19 |
| Prq card stent w/angio addl CPT 92929 | $1,026.55 | $2,933.00 | $234.64 – $2,933.00 | 19 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $3,798.20 | $10,852.00 | $868.16 – $10,852.00 | 19 |
| Prq revasc byp graft addl CPT 92938 | $1,540.00 | $4,400.00 | $352.00 – $4,400.00 | 19 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $4,311.65 | $12,319.00 | $985.52 – $12,319.00 | 19 |
| Prq trlml c athrc st angiop1 CPT 92933 | $5,851.30 | $16,718.00 | $1,337.44 – $16,718.00 | 19 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,953.85 | $17,011.00 | $1,360.88 – $17,011.00 | 19 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $3,695.65 | $10,559.00 | $844.72 – $10,559.00 | 19 |
| Prq trluml revsc ch occ ant CPT 92943 | $4,619.65 | $13,199.00 | $1,055.92 – $13,199.00 | 19 |
| Pr removal drug delivery implant CPT 11982 | $342.30 | $978.00 | $264.06 – $978.00 | 19 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $144.90 | $414.00 | $33.12 – $414.00 | 24 |
| Pr removal intrauterine device CPT 58301 | $131.95 | $377.00 | $101.79 – $377.00 | 19 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,857.10 | $5,306.00 | $1,432.62 – $5,306.00 | 19 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $390.60 | $1,116.00 | $89.28 – $1,116.00 | 24 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $406.35 | $1,161.00 | $92.88 – $1,161.00 | 24 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $362.25 | $1,035.00 | $82.80 – $1,035.00 | 24 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $474.60 | $1,356.00 | $108.48 – $1,356.00 | 24 |
| Prtl exchange transfuse nb CPT 36456 | $511.35 | $1,461.00 | $394.47 – $1,461.00 | 16 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,070.25 | $5,915.00 | $1,597.05 – $5,915.00 | 19 |
| PSA (Prostate) Test CPT 84153 | $126.70 | $362.00 | $13.24 – $362.00 | 40 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $103.25 | $295.00 | $22.10 – $295.00 | 17 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $45.85 | $131.00 | $31.04 – $131.00 | 17 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $102.20 | $292.00 | $20.53 – $292.00 | 17 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $66.50 | $190.00 | $51.30 – $190.00 | 17 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $103.25 | $295.00 | $21.05 – $272.00 | 17 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $86.80 | $248.00 | $45.25 – $248.00 | 17 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $33.25 | $95.00 | $25.65 – $95.00 | 17 |
| Pt wheelchair management each 15 minutes CPT 97542 | $70.35 | $201.00 | $49.46 – $201.00 | 19 |
| Pul art balloon repr percut CPT 92997 | $9,070.95 | $25,917.00 | $2,073.36 – $25,917.00 | 19 |
| Pul art balloon repr percut CPT 92998 | $3,222.45 | $9,207.00 | $736.56 – $9,207.00 | 19 |
| Pulmonary vent imaging CPT 78579 | $412.65 | $1,179.00 | $94.32 – $1,179.00 | 24 |
| Pulse ox continuous overnight monitoring CPT 94762 | $239.40 | $684.00 | $100.00 – $684.00 | 17 |
| Pulse ox single CPT 94760 | $52.50 | $150.00 | $3.68 – $1,240.20 | 24 |
| Punc of shunt for asp or inj CPT 61070 | $276.85 | $791.00 | $213.57 – $791.00 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $92.40 | $264.00 | $71.28 – $264.00 | 19 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $172.20 | $492.00 | $132.84 – $492.00 | 19 |
| Puncture spinal lumbar diagnostic CPT 62270 | $913.85 | $2,611.00 | $704.97 – $2,611.00 | 16 |
| Pvb thoracic cont infusion CPT 64463 | $606.90 | $1,734.00 | $468.18 – $1,734.00 | 16 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $24.85 | $70.99 | $8.43 – $70.99 | 24 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,538.60 | $4,396.00 | $282.01 – $4,396.00 | 24 |
| Quant diff pulm perf w/imaging CPT 78597 | $998.90 | $2,854.00 | $188.11 – $2,854.00 | 24 |
| Quinupristin/dalfopristin HCPCS J2770 | $647.41 | $1,849.72 | $6.08 – $1,849.72 | 24 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $682.19 | $1,949.09 | $413.48 – $1,949.09 | 24 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $4,565.02 | $13,042.90 | $353.29 – $2,069.11 | 24 |
| Radiation physics consult CPT 77336 | $741.65 | $2,119.00 | $118.92 – $2,119.00 | 20 |
| Radiation therapy dose plan CPT 77300 | $1,705.90 | $4,874.00 | $50.52 – $4,874.00 | 20 |
| Radiation treatment aid(s) CPT 77332 | $1,036.35 | $2,961.00 | $42.62 – $2,961.00 | 19 |
| Radiation treatment aid(s) CPT 77333 | $3,643.50 | $10,410.00 | $104.19 – $10,410.00 | 19 |
| Radiation treatment aid(s) CPT 77334 | $3,342.50 | $9,550.00 | $101.03 – $9,550.00 | 20 |
| Radiation treatment delivery CPT 77402 | $235.20 | $672.00 | $181.44 – $672.00 | 19 |
| Radiation treatment delivery CPT 77412 | $1,178.80 | $3,368.00 | $354.63 – $3,368.00 | 19 |
| Radiology port images(s) CPT 77417 | $259.70 | $742.00 | $16.83 – $742.00 | 20 |
| Radiotherapy dose plan imrt CPT 77301 | $9,115.75 | $26,045.00 | $2,033.00 – $26,045.00 | 19 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $363.30 | $1,038.00 | $148.72 – $1,038.00 | 17 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,723.40 | $4,924.00 | $288.69 – $4,924.00 | 24 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,595.90 | $10,274.00 | $602.44 – $10,274.00 | 24 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,978.80 | $11,368.00 | $652.23 – $11,368.00 | 24 |
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.