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 |
|---|---|---|---|---|
| Tc-99m oxidronate HCPCS A9561 | $63.70 | $182.00 | $47.32 – $182.00 | 17 |
| Tc-99m pentetate dtpa HCPCS A9539 | $426.65 | $1,219.00 | $34.02 – $1,219.00 | 17 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $634.90 | $1,814.00 | $29.10 – $1,814.00 | 15 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $9.10 | $26.00 | $4.28 – $26.00 | 17 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $109.90 | $314.00 | $54.28 – $314.00 | 17 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $199.85 | $571.00 | $100.00 – $571.00 | 18 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $306.95 | $877.00 | $100.00 – $877.00 | 17 |
| Tc-99m sulfur colloid HCPCS A9541 | $313.60 | $896.00 | $58.05 – $714.00 | 17 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $119.00 | $340.00 | $88.40 – $340.00 | 17 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,279.60 | $3,656.00 | $100.00 – $3,656.00 | 17 |
| Tcd emboli detect w/inj CPT 93893 | $315.70 | $902.00 | $72.16 – $902.00 | 22 |
| Tcd emboli detect without inj CPT 93892 | $309.75 | $885.00 | $70.80 – $885.00 | 22 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $376.25 | $1,075.00 | $33.83 – $1,075.00 | 40 |
| T cells absolute cd 4 count CPT 86361 | $197.05 | $563.00 | $19.28 – $563.00 | 40 |
| T cells total count CPT 86359 | $199.50 | $570.00 | $27.17 – $570.00 | 40 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $10,547.78 | $30,136.51 | $6,630.04 – $30,136.51 | 22 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $591.50 | $1,690.00 | $100.00 – $1,690.00 | 17 |
| Telavancin injection HCPCS J3095 | $693.04 | $1,980.11 | $6.26 – $1,980.11 | 24 |
| Telehealth original site facility fee HCPCS Q3014 | $22.75 | $65.00 | $14.91 – $65.00 | 16 |
| Telethx isodose plan cplx CPT 77307 | $2,987.25 | $8,535.00 | $205.20 – $8,535.00 | 19 |
| Telethx isodose plan simple CPT 77306 | $3,902.50 | $11,150.00 | $113.65 – $11,150.00 | 19 |
| Temozolomide HCPCS J8700 | $12.72 | $36.33 | $0.39 – $24.74 | 24 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $4,837.48 | $13,821.36 | $42.15 – $13,821.36 | 24 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $17,652.73 | $50,436.37 | $131.62 – $26,333.54 | 24 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $25.46 | $72.74 | $3.01 – $55.20 | 24 |
| Teriparatide injection HCPCS J3110 | $9,913.94 | $28,325.53 | $62.25 – $28,325.53 | 24 |
| Testicular imaging w/vasc flow CPT 78761 | $913.85 | $2,611.00 | $200.15 – $2,611.00 | 24 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $75.95 | $217.00 | $38.25 – $217.00 | 17 |
| Test stress cardiovascular tracing only CPT 93017 | $1,909.95 | $5,457.00 | $100.00 – $5,457.00 | 18 |
| Test urine urobilinogen CPT 84578 | $8.75 | $25.00 | $3.22 – $25.00 | 40 |
| Tetanus immune globulin inj HCPCS J1670 | $811.66 | $2,319.01 | $510.19 – $2,319.01 | 24 |
| Theophylline therapeutic drug level CPT 80198 | $42.70 | $122.00 | $10.18 – $122.00 | 40 |
| Therapeutic procd strg endur HCPCS G0237 | $32.90 | $94.00 | $14.21 – $94.00 | 17 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $37.45 | $107.00 | $17.55 – $112.32 | 37 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $25.20 | $72.00 | $19.44 – $97.95 | 37 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $20.51 | $58.59 | $2.51 – $56.91 | 24 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,662.85 | $4,751.00 | $1,282.77 – $4,751.00 | 19 |
| Thoracotomy w/expl CPT 32100 | $181.30 | $518.00 | $41.44 – $518.00 | 24 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,133.95 | $6,097.00 | $487.76 – $6,097.00 | 18 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $18,447.80 | $52,708.00 | $14,231.16 – $52,708.00 | 16 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $35,500.15 | $101,429.00 | $27,385.83 – $101,429.00 | 16 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $56,583.10 | $161,666.00 | $43,649.82 – $161,666.00 | 16 |
| Thrombin time CPT 85670 | $60.90 | $174.00 | $4.15 – $174.00 | 40 |
| Thromboendarterectomy common femoral CPT 35371 | $9,124.15 | $26,069.00 | $2,085.52 – $26,069.00 | 22 |
| Thromboendarterectomy sfa CPT 35302 | $7,990.15 | $22,829.00 | $1,826.32 – $22,829.00 | 22 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $77.35 | $221.00 | $4.66 – $221.00 | 40 |
| Thyroglobulin antibody CPT 86800 | $50.75 | $145.00 | $11.46 – $145.00 | 40 |
| Thyroid imaging CPT 78013 | $568.75 | $1,625.00 | $130.00 – $1,625.00 | 24 |
| Thyroid met imaging CPT 78015 | $838.25 | $2,395.00 | $191.60 – $2,395.00 | 24 |
| Thyroid mets imag whole body CPT 78018 | $1,269.80 | $3,628.00 | $290.24 – $3,628.00 | 24 |
| Thyroid (TSH) Test CPT 84443 | $151.55 | $433.00 | $12.10 – $433.00 | 40 |
| Thyroid Ultrasound CPT 76536 | $1,158.15 | $3,309.00 | $104.75 – $3,309.00 | 24 |
| Thyroid uptake measurement CPT 78012 | $370.30 | $1,058.00 | $80.86 – $1,058.00 | 24 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $5,107.76 | $14,593.60 | $1,671.22 – $7,596.44 | 24 |
| Thyroxine binding globulin (tbg) CPT 84442 | $54.60 | $156.00 | $10.64 – $156.00 | 40 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $11,093.25 | $31,695.00 | $8,557.65 – $31,695.00 | 19 |
| Tib/per revasc stnt & ather CPT 37235 | $3,757.60 | $10,736.00 | $100.00 – $10,736.00 | 22 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $3,315.55 | $9,473.00 | $100.00 – $9,473.00 | 22 |
| Tigecycline injection HCPCS J3243 | $195.70 | $559.12 | $0.90 – $126.28 | 24 |
| Tilt table study CPT 93660 | $2,480.10 | $7,086.00 | $96.81 – $7,086.00 | 17 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $360.60 | $1,030.28 | $5.17 – $56.62 | 24 |
| Tissue culture skin/biopsy CPT 88233 | $236.95 | $677.00 | $101.33 – $677.00 | 41 |
| Tissue exam koh skin/hair/nails CPT 87220 | $13.65 | $39.00 | $3.07 – $39.00 | 41 |
| Tl-201 thallium diag per mci HCPCS A9505 | $28.35 | $81.00 | $21.06 – $538.00 | 18 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $131.70 | $376.28 | $0.49 – $54.75 | 24 |
| Tobramycin peak therapeutic drug level CPT 80200 | $107.45 | $307.00 | $11.61 – $307.00 | 40 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $55.30 | $158.00 | $12.64 – $158.00 | 22 |
| Tomosynthesis breast screen bilateral CPT 77063 | $64.75 | $185.00 | $14.80 – $185.00 | 24 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $3,703.29 | $10,580.82 | $2.54 – $547.01 | 24 |
| Toxoplasma antibody igg CPT 86777 | $118.65 | $339.00 | $10.36 – $339.00 | 40 |
| Toxoplasma antibody igm CPT 86778 | $146.65 | $419.00 | $10.38 – $419.00 | 40 |
| Tp53 gene trgt sequence alys CPT 81352 | $518.35 | $1,481.00 | $237.25 – $1,481.00 | 41 |
| Tpmt gene com vrnts CPT 81335 | $196.00 | $560.00 | $125.86 – $568.13 | 38 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $3,335.50 | $9,530.00 | $2,573.10 – $9,530.00 | 16 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $8,995.31 | $25,700.88 | $334.23 – $21,421.67 | 24 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $33.25 | $95.00 | $25.65 – $168.09 | 37 |
| Transcath biopsy CPT 37200 | $2,479.05 | $7,083.00 | $1,912.41 – $7,083.00 | 19 |
| Transcath closure of asd CPT 93580 | $10,888.85 | $31,111.00 | $2,488.88 – $31,111.00 | 19 |
| Transcath closure of vsd CPT 93581 | $8,408.75 | $24,025.00 | $1,922.00 – $24,025.00 | 19 |
| Transcatheter bx s&i CPT 75970 | $1,411.55 | $4,033.00 | $57.42 – $4,033.00 | 19 |
| Transcath mv repair addl prosthesis CPT 33419 | $2,230.20 | $6,372.00 | $100.00 – $6,372.00 | 19 |
| Transcath mv repair init prosthesis CPT 33418 | $4,460.40 | $12,744.00 | $1,019.52 – $12,744.00 | 19 |
| Transcath occlusion cns CPT 61624 | $14,484.05 | $41,383.00 | $11,173.41 – $41,383.00 | 19 |
| Transcath occlusion non-cns CPT 61626 | $3,621.10 | $10,346.00 | $2,793.42 – $10,346.00 | 19 |
| Trans cath replace aortic valve 33366 CPT 33366 | $8,982.40 | $25,664.00 | $2,053.12 – $25,664.00 | 21 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $15,403.85 | $44,011.00 | $3,520.88 – $44,011.00 | 19 |
| Transferrin CPT 84466 | $99.75 | $285.00 | $9.19 – $285.00 | 40 |
| Transfusion blood/blood component(s) CPT 36430 | $726.60 | $2,076.00 | $560.52 – $2,076.00 | 19 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $10,885.56 | $31,101.60 | $110.03 – $11,824.88 | 24 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $9,010.32 | $25,743.77 | $49.54 – $9,438.98 | 24 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $6,163.72 | $17,610.61 | $27.09 – $17,610.61 | 24 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $1,004.01 | $2,868.60 | $100.00 – $1,092.00 | 15 |
| Treat ankle dislocation CPT 27842 | $1,325.10 | $3,786.00 | $1,022.22 – $3,786.00 | 16 |
| Treat elbow dislocation CPT 24605 | $1,081.85 | $3,091.00 | $834.57 – $3,091.00 | 16 |
| Treat elbow fracture CPT 24620 | $1,429.75 | $4,085.00 | $1,102.95 – $4,085.00 | 16 |
| Treat finger fracture each CPT 26742 | $1,325.10 | $3,786.00 | $1,022.22 – $3,786.00 | 16 |
| Treat foot dislocation CPT 28540 | $80.15 | $229.00 | $61.83 – $229.00 | 19 |
| Treat fracture of radius CPT 25505 | $1,325.10 | $3,786.00 | $1,022.22 – $3,786.00 | 16 |
| Treat fracture of ulna CPT 25535 | $138.25 | $395.00 | $106.65 – $395.00 | 16 |
| Treat hip dislocation CPT 27257 | $984.90 | $2,814.00 | $759.78 – $2,814.00 | 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.