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 |
|---|---|---|---|---|
| Revasc lith-sten-ath tib/per HCPCS C9775 | $9,418.85 | $26,911.00 | $7,265.97 – $26,911.00 | 16 |
| Revision open av fistula without thromb CPT 36832 | $5,427.10 | $15,506.00 | $4,186.62 – $15,506.00 | 16 |
| Revision tips CPT 37183 | $3,603.25 | $10,295.00 | $2,779.65 – $10,295.00 | 19 |
| Revsc opn/prq tib/pero stent CPT 37234 | $2,873.50 | $8,210.00 | $100.00 – $8,210.00 | 22 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $5,186.57 | $14,818.75 | $3,260.13 – $14,818.75 | 22 |
| Rheumatoid factor qualitative CPT 86430 | $44.45 | $127.00 | $4.42 – $127.00 | 40 |
| Rheumatoid factor quantitative CPT 86431 | $73.50 | $210.00 | $4.08 – $210.00 | 40 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $122.27 | $349.33 | $6.98 – $349.33 | 24 |
| Rho d immune globulin inj HCPCS J2790 | $248.15 | $709.00 | $80.56 – $366.17 | 24 |
| R hrt cath chd abnl nt cnj CPT 93594 | $4,608.10 | $13,166.00 | $100.00 – $13,166.00 | 18 |
| R hrt cath chd nml nt cnj CPT 93593 | $2,897.65 | $8,279.00 | $100.00 – $8,279.00 | 18 |
| Right ventric recording CPT 93603 | $1,143.80 | $3,268.00 | $882.36 – $3,268.00 | 16 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,642.59 | $7,550.24 | $81.06 – $386.00 | 24 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $38.22 | $109.20 | $6.45 – $36.75 | 17 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $831.15 | $2,374.71 | $10.21 – $2,374.71 | 24 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $6,940.86 | $19,831.02 | $101.69 – $4,009.91 | 24 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $3,339.13 | $9,540.36 | $45.45 – $1,951.74 | 24 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $3,475.50 | $9,929.99 | $446.54 – $2,029.71 | 22 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $4,304.98 | $12,299.94 | $33.69 – $2,503.70 | 24 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $4,648.35 | $13,281.00 | $100.00 – $13,281.00 | 18 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $4,740.75 | $13,545.00 | $100.00 – $13,545.00 | 18 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $926.80 | $2,648.00 | $714.96 – $2,648.00 | 16 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,336.65 | $3,819.00 | $1,031.13 – $3,819.00 | 19 |
| Rmvl icd by tv extr CPT 33244 | $1,468.25 | $4,195.00 | $335.60 – $4,195.00 | 22 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $12,778.85 | $36,511.00 | $9,857.97 – $36,511.00 | 19 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $19,072.55 | $54,493.00 | $14,713.11 – $54,493.00 | 19 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $12,778.85 | $36,511.00 | $9,857.97 – $36,511.00 | 19 |
| Rmvl icd pulse gen only CPT 33241 | $1,713.60 | $4,896.00 | $1,321.92 – $4,896.00 | 19 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $2,109.80 | $6,028.00 | $1,627.56 – $6,028.00 | 19 |
| Rmvl perm pm pulse gen CPT 33233 | $6,608.00 | $18,880.00 | $5,097.60 – $18,880.00 | 16 |
| Rmvl perq right heart vad CPT 33997 | $2,355.85 | $6,731.00 | $538.48 – $6,731.00 | 19 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $9,900.80 | $28,288.00 | $7,637.76 – $28,288.00 | 19 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $6,574.75 | $18,785.00 | $5,071.95 – $18,785.00 | 19 |
| Rmvl pq iabp CPT 33968 | $294.00 | $840.00 | $67.20 – $840.00 | 22 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $2,722.30 | $7,778.00 | $622.24 – $7,778.00 | 22 |
| Rmvl sq defib electrode CPT 33272 | $3,237.85 | $9,251.00 | $740.08 – $9,251.00 | 19 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,096.55 | $3,133.00 | $845.91 – $3,133.00 | 16 |
| Rmvl tv pm lead dual CPT 33235 | $3,237.85 | $9,251.00 | $2,497.77 – $9,251.00 | 19 |
| Rmvl tv pm lead sgl CPT 33234 | $3,237.85 | $9,251.00 | $2,497.77 – $9,251.00 | 19 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $7,510.72 | $21,459.20 | $4,721.03 – $21,459.20 | 22 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $404.80 | $1,156.57 | $0.03 – $55.29 | 24 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $23,286.44 | $66,532.66 | $14,637.19 – $66,532.66 | 22 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $830.55 | $2,373.00 | $640.71 – $2,373.00 | 16 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,531.95 | $4,377.00 | $255.61 – $4,377.00 | 24 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,659.65 | $7,599.00 | $436.04 – $7,599.00 | 24 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $5,042.80 | $14,408.00 | $823.96 – $14,408.00 | 24 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,171.75 | $6,205.00 | $1,675.35 – $6,205.00 | 16 |
| Rpl tun-cvad w subq port CPT 36582 | $9,171.40 | $26,204.00 | $7,075.08 – $26,204.00 | 16 |
| Rpl tun cvc wo subq port CPT 36581 | $5,841.50 | $16,690.00 | $4,506.30 – $16,690.00 | 16 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $3,246.95 | $9,277.00 | $742.16 – $9,277.00 | 22 |
| Rp therapy unlisted px CPT 79999 | $89.95 | $257.00 | $69.39 – $257.00 | 19 |
| Rsv assay w/optic CPT 87807 | $50.75 | $145.00 | $9.43 – $145.00 | 40 |
| Rubella antibody igg CPT 86762 | $104.30 | $298.00 | $10.36 – $298.00 | 40 |
| Rubeola antibody igg CPT 86765 | $42.70 | $122.00 | $9.27 – $122.00 | 40 |
| Russell viper venom diluted CPT 85613 | $77.35 | $221.00 | $6.90 – $221.00 | 40 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $6,466.16 | $18,474.72 | $35.81 – $18,474.72 | 24 |
| Sargramostim injection HCPCS J2820 | $426.68 | $1,219.07 | $55.08 – $1,219.07 | 24 |
| Sarscov coronavirus ag ia CPT 87426 | $73.85 | $211.00 | $25.44 – $211.00 | 41 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $86.10 | $246.00 | $28.46 – $246.00 | 41 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,012.55 | $2,893.00 | $231.44 – $2,893.00 | 22 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $597.45 | $1,707.00 | $106.88 – $1,707.00 | 22 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $921.55 | $2,633.00 | $180.76 – $2,633.00 | 22 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $324.10 | $926.00 | $74.08 – $926.00 | 22 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $331.10 | $946.00 | $75.68 – $946.00 | 22 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $908.95 | $2,597.00 | $106.88 – $2,597.00 | 22 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,085.35 | $3,101.00 | $233.52 – $3,101.00 | 22 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $759.85 | $2,171.00 | $106.88 – $2,171.00 | 22 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $595.35 | $1,701.00 | $106.88 – $1,701.00 | 22 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,336.65 | $3,819.00 | $1,031.13 – $3,819.00 | 16 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $3,317.43 | $9,478.35 | $100.00 – $1,092.00 | 15 |
| Screening Mammogram CPT 77067 | $297.50 | $850.00 | $140.25 – $850.00 | 19 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $78,428.18 | $224,080.50 | $4.15 – $19.74 | 24 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $945.00 | $2,700.00 | $100.00 – $2,700.00 | 22 |
| Sedimentation rate erythrocyte automated CPT 85652 | $48.30 | $138.00 | $1.94 – $138.00 | 41 |
| Serial casting application 97139app CPT 97139 | $57.75 | $165.00 | $22.10 – $165.00 | 17 |
| Serpina1 gene CPT 81332 | $700.70 | $2,002.00 | $31.43 – $2,002.00 | 41 |
| Set radiation therapy field CPT 77280 | $2,797.20 | $7,992.00 | $356.75 – $7,992.00 | 20 |
| Set radiation therapy field CPT 77285 | $4,615.45 | $13,187.00 | $597.72 – $13,187.00 | 19 |
| Set radiation therapy field CPT 77290 | $4,662.00 | $13,320.00 | $636.66 – $13,320.00 | 20 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $143.85 | $411.00 | $110.97 – $411.00 | 19 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $5,212.99 | $14,894.25 | $88.46 – $327.60 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,419.50 | $9,770.00 | $366.42 – $9,770.00 | 25 |
| Shoulder MRI (with contrast) CPT 73222 | $2,775.15 | $7,929.00 | $323.10 – $7,929.00 | 25 |
| Shoulder MRI (without contrast) CPT 73221 | $1,790.25 | $5,115.00 | $209.16 – $5,115.00 | 25 |
| Shoulder X-ray CPT 73030 | $558.60 | $1,596.00 | $34.75 – $1,596.00 | 24 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $9,378.60 | $26,796.00 | $275.63 – $1,312.50 | 24 |
| Sialography s&i CPT 70390 | $348.25 | $995.00 | $79.60 – $995.00 | 24 |
| Sickling rbc CPT 85660 | $48.65 | $139.00 | $3.97 – $139.00 | 41 |
| Sigmoidoscopy and biopsy CPT 45331 | $723.80 | $2,068.00 | $558.36 – $2,068.00 | 16 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $723.80 | $2,068.00 | $558.36 – $2,068.00 | 16 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $279.30 | $798.00 | $28.74 – $798.00 | 22 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $9,938.95 | $28,397.00 | $100.00 – $28,397.00 | 15 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $195.02 | $557.19 | $83.46 – $321.00 | 17 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,822.80 | $5,208.00 | $175.06 – $5,208.00 | 25 |
| Sinus CT scan (with contrast) CPT 70487 | $2,300.90 | $6,574.00 | $156.38 – $6,574.00 | 25 |
| Sinus CT scan (without contrast) CPT 70486 | $2,256.80 | $6,448.00 | $104.75 – $6,448.00 | 25 |
| Sinus/juglr venogram s&i CPT 75860 | $2,881.55 | $8,233.00 | $125.64 – $8,233.00 | 24 |
| Sirolimus, oral HCPCS J7520 | $2,566.06 | $7,331.60 | $1.08 – $4.88 | 24 |
| Skin Biopsy CPT 11102 | $285.95 | $817.00 | $90.00 – $817.00 | 18 |
| Sleep Study (Polysomnography) CPT 95810 | $2,948.75 | $8,425.00 | $100.00 – $8,425.00 | 19 |
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.