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 |
|---|---|---|---|---|
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,127.65 | $6,079.00 | $355.19 – $6,079.00 | 24 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,425.55 | $4,073.00 | $235.56 – $4,073.00 | 24 |
| Radphm quant measure sgl area add-on CPT 78835 | $553.35 | $1,581.00 | $89.21 – $1,581.00 | 24 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $18,487.61 | $52,821.72 | $64.83 – $10,868.83 | 24 |
| Ranibizumab injection HCPCS J2778 | $3,072.80 | $8,779.41 | $177.04 – $8,779.41 | 24 |
| Rapid Strep Test CPT 87880 | $34.65 | $99.00 | $11.90 – $99.00 | 41 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,602.39 | $4,578.23 | $291.98 – $4,578.23 | 24 |
| Rbc count only automated CPT 85041 | $11.20 | $32.00 | $2.17 – $32.00 | 40 |
| Rbc deglycerolized each unit HCPCS P9039 | $635.25 | $1,815.00 | $88.00 – $1,815.00 | 19 |
| Rbc irradiated each unit HCPCS P9038 | $443.10 | $1,266.00 | $88.00 – $1,266.00 | 19 |
| Rbc serum pretx incubj drugs CPT 86975 | $170.10 | $486.00 | $47.70 – $486.00 | 18 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $9,706.55 | $27,733.00 | $2,218.64 – $27,733.00 | 22 |
| Red blood cells each unit HCPCS P9021 | $277.20 | $792.00 | $88.00 – $792.00 | 15 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $369.25 | $1,055.00 | $88.00 – $1,055.00 | 15 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $516.95 | $1,477.00 | $88.00 – $1,477.00 | 19 |
| Red blood cells washed each unit HCPCS P9022 | $812.35 | $2,321.00 | $88.00 – $2,321.00 | 15 |
| Red cell mass multiple CPT 78121 | $345.10 | $986.00 | $76.85 – $986.00 | 24 |
| Redo endovas vena cava filtr CPT 37192 | $3,962.70 | $11,322.00 | $905.76 – $11,322.00 | 22 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $293.66 | $839.02 | $5.44 – $63.88 | 24 |
| Relocation skin pocket aicd CPT 33223 | $673.05 | $1,923.00 | $519.21 – $1,923.00 | 16 |
| Relocation skin pocket pm CPT 33222 | $565.60 | $1,616.00 | $436.32 – $1,616.00 | 16 |
| Rem/biv cast full arm/leg CPT 29705 | $221.55 | $633.00 | $170.91 – $633.00 | 19 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $902.44 | $2,578.38 | $493.64 – $2,243.78 | 22 |
| Rem endovas vena cava filter CPT 37193 | $3,962.70 | $11,322.00 | $905.76 – $11,322.00 | 22 |
| Rem interrog dev eval icpms CPT 93297 | $440.65 | $1,259.00 | $39.46 – $1,259.00 | 17 |
| Rem interrog dev eval scrms CPT 93298 | $440.65 | $1,259.00 | $39.46 – $1,259.00 | 17 |
| Rem interrog evl pm/ids CPT 93296 | $440.65 | $1,259.00 | $52.93 – $1,259.00 | 17 |
| Removal biliary drg cath CPT 47537 | $2,574.25 | $7,355.00 | $1,985.85 – $7,355.00 | 16 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,184.70 | $6,242.00 | $1,685.34 – $6,242.00 | 16 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,036.95 | $8,677.00 | $2,342.79 – $8,677.00 | 16 |
| Removal cerclage w/anes CPT 59871 | $2,786.70 | $7,962.00 | $2,149.74 – $7,962.00 | 16 |
| Removal cerumen impacted (both sides) CPT 69210 | $104.65 | $299.00 | $23.92 – $299.00 | 24 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $92.75 | $265.00 | $61.83 – $229.00 | 19 |
| Removal duct glbldr calculi CPT 47544 | $994.35 | $2,841.00 | $100.00 – $2,841.00 | 16 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $650.65 | $1,859.00 | $148.72 – $1,859.00 | 24 |
| Removal foreign body foot cmplx CPT 28193 | $1,336.65 | $3,819.00 | $1,031.13 – $3,819.00 | 16 |
| Removal foreign body foot subcutaneous right CPT 28190 | $596.05 | $1,703.00 | $459.81 – $1,703.00 | 19 |
| Removal foreign body mouth CPT 40805 | $1,375.15 | $3,929.00 | $1,060.83 – $3,929.00 | 19 |
| Removal of artery clot 34101 CPT 34101 | $2,966.60 | $8,476.00 | $678.08 – $8,476.00 | 22 |
| Removal of breast lesion CPT 19120 | $3,114.30 | $8,898.00 | $2,402.46 – $8,898.00 | 16 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $7,735.00 | $22,100.00 | $5,967.00 – $22,100.00 | 19 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $74.20 | $212.00 | $16.96 – $212.00 | 24 |
| Removal sutr or stapl no anes CPT 15853 | $280.70 | $802.00 | $74.00 – $802.00 | 15 |
| Removal tunnled intprtnl cath CPT 49422 | $1,113.70 | $3,182.00 | $859.14 – $3,182.00 | 16 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $329.00 | $940.00 | $253.80 – $940.00 | 19 |
| Remove cva lumen obstruct CPT 75902 | $1,814.05 | $5,183.00 | $85.38 – $5,183.00 | 19 |
| Remove ext hem groups 2+ CPT 46250 | $2,327.85 | $6,651.00 | $1,795.77 – $6,651.00 | 16 |
| Remove in/ex hem groups 2+ CPT 46260 | $2,327.85 | $6,651.00 | $1,795.77 – $6,651.00 | 16 |
| Remove renal tube w/fluoro CPT 50389 | $290.50 | $830.00 | $224.10 – $830.00 | 19 |
| Remove ureter stent percut CPT 50384 | $1,039.85 | $2,971.00 | $802.17 – $2,971.00 | 19 |
| Renal venogram bil s&i CPT 75833 | $4,055.45 | $11,587.00 | $140.00 – $11,587.00 | 24 |
| Repair blood vessel dir lower extr CPT 35226 | $4,079.95 | $11,657.00 | $932.56 – $11,657.00 | 22 |
| Repair blood vessel dir upper extr CPT 35206 | $4,133.50 | $11,810.00 | $944.80 – $11,810.00 | 22 |
| Repair blood vessel lesion CPT 35261 | $3,454.15 | $9,869.00 | $789.52 – $9,869.00 | 22 |
| Repair cardiac wound without bypass CPT 33300 | $7,369.60 | $21,056.00 | $1,684.48 – $21,056.00 | 22 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $714.35 | $2,041.00 | $551.07 – $2,041.00 | 16 |
| Repair extns tendon finger without grft ea CPT 26418 | $1,614.90 | $4,614.00 | $1,245.78 – $4,614.00 | 16 |
| Repair eyelid wound CPT 67935 | $2,118.55 | $6,053.00 | $1,634.31 – $6,053.00 | 16 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $388.15 | $1,109.00 | $299.43 – $1,109.00 | 16 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $1,257.55 | $3,593.00 | $970.11 – $3,593.00 | 16 |
| Repair of aneurysm CPT 35141 | $9,704.80 | $27,728.00 | $2,218.24 – $27,728.00 | 22 |
| Repair pm/icd lead dual CPT 33220 | $2,394.70 | $6,842.00 | $1,847.34 – $6,842.00 | 19 |
| Repair pm/icd lead sgl CPT 33218 | $3,237.85 | $9,251.00 | $2,497.77 – $9,251.00 | 19 |
| Repair rectum & vagina CPT 57250 | $4,198.95 | $11,997.00 | $3,239.19 – $11,997.00 | 16 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $311.85 | $891.00 | $240.57 – $891.00 | 16 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $462.35 | $1,321.00 | $356.67 – $1,321.00 | 16 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $1,949.85 | $5,571.00 | $1,504.17 – $5,571.00 | 16 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $311.85 | $891.00 | $240.57 – $891.00 | 16 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | $24,500.00 | $70,000.00 | $5,600.00 – $70,000.00 | 22 |
| Replace aortic valve open axillry 33363 CPT 33363 | $13,776.00 | $39,360.00 | $3,148.80 – $39,360.00 | 22 |
| Replace aortic valve open femoral 33362 CPT 33362 | $13,288.10 | $37,966.00 | $3,037.28 – $37,966.00 | 22 |
| Replace aortic valve open iliac 33364 CPT 33364 | $14,751.10 | $42,146.00 | $3,371.68 – $42,146.00 | 22 |
| Replace aortic valve open transaortic 33365 CPT 33365 | $9,252.25 | $26,435.00 | $2,114.80 – $26,435.00 | 22 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | $6,616.75 | $18,905.00 | $1,512.40 – $18,905.00 | 22 |
| Replace duod/jej tube perc CPT 49451 | $632.80 | $1,808.00 | $488.16 – $1,808.00 | 19 |
| Replace g/c tube perc CPT 49450 | $471.10 | $1,346.00 | $363.42 – $1,346.00 | 19 |
| Replace g-j tube perc CPT 49452 | $985.95 | $2,817.00 | $760.59 – $2,817.00 | 19 |
| Replacement pulmonary valve 33475 CPT 33475 | $8,390.55 | $23,973.00 | $1,917.84 – $23,973.00 | 22 |
| Replace picvad cath CPT 36585 | $4,321.80 | $12,348.00 | $3,333.96 – $12,348.00 | 16 |
| Reposition pm/icd lead CPT 33215 | $1,984.85 | $5,671.00 | $1,531.17 – $5,671.00 | 19 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $2,408.35 | $6,881.00 | $550.48 – $6,881.00 | 22 |
| Repos lv lead pm/icd CPT 33226 | $1,908.90 | $5,454.00 | $1,472.58 – $5,454.00 | 19 |
| Repos sq defib eltrd CPT 33273 | $1,642.90 | $4,694.00 | $1,267.38 – $4,694.00 | 16 |
| Reptilase test CPT 85635 | $26.95 | $77.00 | $7.09 – $77.00 | 40 |
| Respirator motion mgmt simul CPT 77293 | $777.70 | $2,222.00 | $529.85 – $2,222.00 | 19 |
| #resp virpnl dfa-adenovirus CPT 87260 | $26.25 | $75.00 | $10.39 – $75.00 | 40 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $26.25 | $75.00 | $11.83 – $75.00 | 40 |
| Resp virus 6-11 targets CPT 87632 | $130.20 | $372.00 | $100.44 – $708.70 | 40 |
| Resuscitation cardiopulmonary CPT 92950 | $734.30 | $2,098.00 | $100.00 – $2,098.00 | 15 |
| Resuscitation delivery/birthing room CPT 99465 | $444.15 | $1,269.00 | $100.00 – $1,269.00 | 24 |
| Reteplase injection HCPCS J2993 | $6,569.09 | $18,768.81 | $2,709.10 – $18,768.81 | 24 |
| Reticulocyte automated CPT 85045 | $40.95 | $117.00 | $2.87 – $117.00 | 40 |
| Reticulocyte direct measurement automated CPT 85046 | $42.70 | $122.00 | $4.01 – $122.00 | 40 |
| Revasc intra lithotrip-ather HCPCS C9766 | $11,265.45 | $32,187.00 | $2,574.96 – $32,187.00 | 19 |
| Revasc intra lithotrip-stent HCPCS C9765 | $11,265.45 | $32,187.00 | $2,574.96 – $32,187.00 | 19 |
| Revasc intravasc lithotripsy HCPCS C9764 | $7,085.05 | $20,243.00 | $1,619.44 – $20,243.00 | 19 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $8,999.90 | $25,714.00 | $6,942.78 – $25,714.00 | 16 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $11,265.45 | $32,187.00 | $2,574.96 – $32,187.00 | 19 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $7,304.85 | $20,871.00 | $5,635.17 – $20,871.00 | 16 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $8,124.55 | $23,213.00 | $6,267.51 – $23,213.00 | 16 |
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.