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 |
|---|---|---|---|---|
| Assay of procainamide w/metab CPT 80192 | $42.70 | $122.00 | $12.06 – $122.00 | 40 |
| Assay of PSA complexed CPT 84152 | $43.40 | $124.00 | $13.24 – $124.00 | 40 |
| Assay of urine sulfate CPT 84392 | $9.45 | $27.00 | $3.95 – $27.00 | 40 |
| Assay toxin or antitoxin CPT 87230 | $144.20 | $412.00 | $14.21 – $412.00 | 40 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $182.35 | $521.00 | $100.00 – $521.00 | 15 |
| Assess cyst contrast inject CPT 49424 | $101.50 | $290.00 | $78.30 – $290.00 | 19 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $103.60 | $296.00 | $3.07 – $296.00 | 41 |
| Ast/sgot CPT 84450 | $35.00 | $100.00 | $3.73 – $100.00 | 40 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $27,392.86 | $78,265.29 | $82.31 – $78,265.29 | 24 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $16,141.30 | $46,118.00 | $12,451.86 – $46,118.00 | 19 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $7,073.15 | $20,209.00 | $5,456.43 – $20,209.00 | 19 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $39.46 | $112.73 | $0.05 – $10.00 | 24 |
| Augment injectable kit 3.0cc HCPCS C1734 | $11,025.00 | $31,500.00 | $6,615.00 – $31,500.00 | 24 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $4,288.90 | $12,254.00 | $3,308.58 – $12,254.00 | 16 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $6,917.40 | $19,764.00 | $5,336.28 – $19,764.00 | 16 |
| Autologous blood process CPT 86890 | $112.00 | $320.00 | $86.40 – $320.00 | 18 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $142.10 | $406.00 | $32.48 – $406.00 | 24 |
| Azacitidine injection HCPCS J9025 | $1,637.42 | $4,678.32 | $0.41 – $508.24 | 24 |
| Azathioprine 50 mg tablet HCPCS J7500 | $0.20 | $0.56 | $0.11 – $0.49 | 24 |
| Azathioprine parenteral HCPCS J7501 | $86.14 | $246.11 | $54.15 – $246.11 | 24 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $27.34 | $78.11 | $3.04 – $54.70 | 24 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $99.28 | $283.64 | $23.69 – $107.67 | 22 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $2,505.95 | $7,159.85 | $145.62 – $686.12 | 24 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $161.17 | $460.47 | $35.94 – $460.47 | 24 |
| Bacterial meningitis antigen CPT 86403 | $144.20 | $412.00 | $8.31 – $412.00 | 41 |
| Bacterial vaginosis pcr CPT 87801 | $152.95 | $437.00 | $50.54 – $437.00 | 40 |
| Bactericidal level serum CPT 87197 | $114.45 | $327.00 | $10.81 – $327.00 | 40 |
| Balloon dilate urtrl strix CPT 50706 | $1,874.25 | $5,355.00 | $100.00 – $5,355.00 | 16 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $2,222.50 | $6,350.00 | $1,714.50 – $6,350.00 | 16 |
| Basiliximab HCPCS J0480 | $10,838.84 | $30,968.09 | $3,998.20 – $30,968.09 | 24 |
| Bausch health Ultrasound surg HCPCS V2788 | $3,730.13 | $10,657.50 | $100.00 – $1,325.50 | 22 |
| B cells total count CPT 86355 | $199.50 | $570.00 | $27.17 – $570.00 | 40 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $517.26 | $1,477.88 | $3.31 – $1,229.00 | 24 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $1,572.29 | $4,492.24 | $4.12 – $3,571.79 | 24 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $5,274.97 | $15,071.34 | $46.42 – $4,768.31 | 24 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $2,652.30 | $7,577.98 | $2.57 – $7,577.98 | 24 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $5,428.90 | $15,511.12 | $19.21 – $15,511.12 | 24 |
| Benign lesion paring 2-4 CPT 11056 | $206.50 | $590.00 | $159.30 – $590.00 | 19 |
| Benign lesion paring 4+ CPT 11057 | $270.20 | $772.00 | $208.44 – $772.00 | 19 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $93.28 | $266.50 | $19.58 – $98.09 | 24 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $70.35 | $201.00 | $18.32 – $201.00 | 40 |
| Beta-2 microglobulin CPT 82232 | $96.25 | $275.00 | $11.65 – $275.00 | 40 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $75.12 | $214.61 | $6.03 – $189.48 | 24 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $8,326.49 | $23,789.96 | $86.26 – $6,232.95 | 24 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $6,638.94 | $18,968.38 | $41.03 – $5,027.67 | 24 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $5,463.59 | $15,610.23 | $32.84 – $4,188.01 | 24 |
| Bevacizumab injection HCPCS C9257 | $214.18 | $611.93 | $2.61 – $611.93 | 22 |
| Bilateral n block inj occipital 64405 CPT 64405 | $186.55 | $533.00 | $143.91 – $533.00 | 19 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $494.55 | $1,413.00 | $381.51 – $1,413.00 | 19 |
| Biliary endo perq dx w/speci CPT 47552 | $6,238.05 | $17,823.00 | $4,812.21 – $17,823.00 | 16 |
| Biliary endoscopy thru skin CPT 47555 | $1,528.45 | $4,367.00 | $1,179.09 – $4,367.00 | 16 |
| Biliary endoscopy thru skin CPT 47556 | $8,487.50 | $24,250.00 | $6,547.50 – $24,250.00 | 16 |
| Bilicheck CPT 88720 | $3.50 | $10.00 | $2.70 – $16.31 | 41 |
| Bilirubin direct CPT 82248 | $144.20 | $412.00 | $3.61 – $412.00 | 41 |
| Bilirubin total CPT 82247 | $57.05 | $163.00 | $3.61 – $163.00 | 41 |
| Biopsy abdominal mass CPT 49180 | $1,665.30 | $4,758.00 | $1,284.66 – $4,758.00 | 16 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,680.35 | $4,801.00 | $1,296.27 – $4,801.00 | 16 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $637.35 | $1,821.00 | $491.67 – $1,821.00 | 19 |
| Biopsy external ear 69100 CPT 69100 | $198.10 | $566.00 | $152.82 – $566.00 | 19 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,768.80 | $10,768.00 | $2,907.36 – $10,768.00 | 16 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,115.10 | $3,186.00 | $860.22 – $3,186.00 | 16 |
| Biopsy needle liver percutaneous CPT 47000 | $2,251.55 | $6,433.00 | $1,736.91 – $6,433.00 | 16 |
| Biopsy needle lymph node superficial CPT 38505 | $1,520.75 | $4,345.00 | $1,173.15 – $4,345.00 | 16 |
| Biopsy of heart lining CPT 93505 | $3,336.90 | $9,534.00 | $100.00 – $9,534.00 | 19 |
| Biopsy of prostate CPT 55700 | $849.80 | $2,428.00 | $655.56 – $2,428.00 | 16 |
| Biopsy of salivary gland 42400 CPT 42400 | $348.25 | $995.00 | $268.65 – $995.00 | 19 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $4,073.65 | $11,639.00 | $3,142.53 – $11,639.00 | 16 |
| Biopsy skin incisional single lesion CPT 11106 | $427.70 | $1,222.00 | $90.00 – $1,222.00 | 18 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $2,561.30 | $7,318.00 | $1,975.86 – $7,318.00 | 16 |
| Biospy of bladder CPT 53899 | $1,024.45 | $2,927.00 | $361.26 – $1,338.00 | 19 |
| Bivalirudin HCPCS J0583 | $2,412.12 | $6,891.77 | $0.23 – $581.76 | 24 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $145.95 | $417.00 | $112.59 – $417.00 | 19 |
| Bld prd mix CPT 86965 | $92.40 | $264.00 | $71.28 – $264.00 | 18 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $176.05 | $502.98 | $29.86 – $388.57 | 24 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $13,356.14 | $38,160.40 | $122.61 – $38,160.40 | 24 |
| Blind cor sinus reducer impl HCPCS C9783 | $13,210.40 | $37,744.00 | $100.00 – $37,744.00 | 18 |
| Blind interatrial shunt ide HCPCS C9758 | $8,268.75 | $23,625.00 | $1,890.00 – $23,625.00 | 19 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $8,530.55 | $24,373.00 | $0.27 – $40,285.00 | 19 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $10,425.98 | $29,788.50 | $9.72 – $36.00 | 15 |
| Bln dil 900ml preperitnl HCPCS C1727 | $780.57 | $2,230.20 | $100.00 – $1,593.90 | 15 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $6,634.11 | $18,954.60 | $100.00 – $5,415.90 | 15 |
| Bln press regulation 71-80cm HCPCS C1815 | $25,691.75 | $73,404.98 | $1,856.82 – $8,842.00 | 24 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $11,019.40 | $31,484.00 | $96.25 – $458.33 | 24 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,123.50 | $3,210.00 | $238.14 – $882.00 | 19 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,131.20 | $3,232.00 | $386.64 – $1,432.00 | 19 |
| Block paracervical nrv CPT 64435 | $583.80 | $1,668.00 | $450.36 – $1,668.00 | 19 |
| Block tap inj(s) w/wo img bi CPT 64488 | $3,264.45 | $9,327.00 | $100.00 – $9,327.00 | 16 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,951.25 | $5,575.00 | $100.00 – $5,575.00 | 16 |
| Blood Clotting (PT/INR) Test CPT 85610 | $178.15 | $509.00 | $3.09 – $509.00 | 41 |
| Blood Clotting (PTT) Test CPT 85730 | $210.70 | $602.00 | $4.33 – $602.00 | 41 |
| Blood Count (CBC) Test CPT 85025 | $93.80 | $268.00 | $5.59 – $268.00 | 41 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $174.30 | $498.00 | $4.66 – $498.00 | 41 |
| Blood count spun microhematocrit CPT 85013 | $12.60 | $36.00 | $5.04 – $36.00 | 41 |
| Blood Culture Test CPT 87040 | $245.70 | $702.00 | $7.43 – $702.00 | 40 |
| Blood draw capillary 36416 CPT 36416 | $24.50 | $70.00 | $4.32 – $70.00 | 18 |
| Blood gases ph venous CPT 82800 | $41.30 | $118.00 | $7.92 – $118.00 | 41 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $16.45 | $47.00 | $3.05 – $47.00 | 41 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $11.90 | $34.00 | $3.83 – $34.00 | 41 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $24.50 | $70.00 | $2.74 – $70.00 | 41 |
| Blood split unit HCPCS P9011 | $302.75 | $865.00 | $61.20 – $865.00 | 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.