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 |
|---|---|---|---|---|
| Treat hip socket fracture CPT 27222 | $192.15 | $549.00 | $43.92 – $549.00 | 24 |
| Treat humerus fracture CPT 24535 | $1,325.10 | $3,786.00 | $1,022.22 – $3,786.00 | 16 |
| Treat knee dislocation CPT 27552 | $1,325.10 | $3,786.00 | $1,022.22 – $3,786.00 | 16 |
| Treat knee fracture 27530 CPT 27530 | $133.00 | $380.00 | $102.60 – $380.00 | 16 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $247.10 | $706.00 | $100.00 – $706.00 | 17 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $193.90 | $554.00 | $24.73 – $554.00 | 17 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $203.35 | $581.00 | $100.00 – $581.00 | 17 |
| Treatment of ankle fracture 27786 CPT 27786 | $130.20 | $372.00 | $100.44 – $372.00 | 16 |
| Treatment of fibula fracture 27780 CPT 27780 | $128.10 | $366.00 | $98.82 – $366.00 | 16 |
| Treatment of heel fracture 28400 CPT 28400 | $128.10 | $366.00 | $98.82 – $366.00 | 16 |
| Treatment of thigh fracture CPT 27510 | $1,325.10 | $3,786.00 | $1,022.22 – $3,786.00 | 16 |
| Treatment of toe fracture 28510 CPT 28510 | $80.15 | $229.00 | $61.83 – $229.00 | 19 |
| Treatment radiation delivery level 2 CPT 77407 | $421.40 | $1,204.00 | $325.08 – $1,204.00 | 19 |
| Treat ulnar fracture CPT 24675 | $1,255.10 | $3,586.00 | $968.22 – $3,586.00 | 16 |
| Treat wrist bone fracture CPT 25635 | $1,325.10 | $3,786.00 | $1,022.22 – $3,786.00 | 16 |
| Treat wrist dislocation CPT 25675 | $125.30 | $358.00 | $96.66 – $358.00 | 16 |
| Treponema pallidum antibody CPT 86780 | $56.70 | $162.00 | $9.53 – $162.00 | 40 |
| Treprostinil injection HCPCS J3285 | $23,471.48 | $67,061.35 | $45.57 – $1,783.30 | 24 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $36.78 | $105.07 | $1.29 – $62.40 | 24 |
| Triamcinolone a inj prs-free HCPCS J3300 | $40.43 | $115.49 | $4.10 – $115.49 | 24 |
| Triglycerides CPT 84478 | $91.35 | $261.00 | $4.13 – $261.00 | 40 |
| Trimethobenzamide hcl inj HCPCS J3250 | $84.51 | $241.45 | $36.01 – $241.45 | 24 |
| Trim nondyst nails CPT 11719 | $34.30 | $98.00 | $7.84 – $98.00 | 24 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $4,196.85 | $11,991.00 | $959.28 – $11,991.00 | 22 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $5,910.80 | $16,888.00 | $1,351.04 – $16,888.00 | 22 |
| Trnscath plc stnt ante carotid art CPT 37218 | $6,046.25 | $17,275.00 | $1,382.00 – $17,275.00 | 19 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $2,484.30 | $7,098.00 | $100.00 – $7,098.00 | 18 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $2,769.55 | $7,913.00 | $100.00 – $7,913.00 | 18 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $6,294.40 | $17,984.00 | $4,855.68 – $17,984.00 | 18 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $1,960.70 | $5,602.00 | $1,512.54 – $5,602.00 | 19 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $2,649.85 | $7,571.00 | $2,044.17 – $7,571.00 | 19 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,590.05 | $4,543.00 | $363.44 – $4,543.00 | 22 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $1,192.45 | $3,407.00 | $272.56 – $3,407.00 | 22 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,881.60 | $5,376.00 | $1,451.52 – $5,376.00 | 19 |
| Troponin quantitative CPT 84484 | $135.45 | $387.00 | $8.98 – $387.00 | 40 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,739.10 | $7,826.00 | $100.00 – $7,826.00 | 17 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $575.40 | $1,644.00 | $100.00 – $1,644.00 | 17 |
| Tx atrial fib pulm vein isol CPT 93656 | $26,592.65 | $75,979.00 | $6,078.32 – $75,979.00 | 19 |
| Tx closed hip disl traumatic without anes CPT 27250 | $180.60 | $516.00 | $139.32 – $516.00 | 16 |
| Tx closed tib shaft fx without manip CPT 27750 | $133.35 | $381.00 | $102.87 – $381.00 | 16 |
| Tx l/r atrial fib addl CPT 93657 | $8,509.90 | $24,314.00 | $651.39 – $24,314.00 | 21 |
| Ugt1a1 gene analy common variants CPT 81350 | $300.30 | $858.00 | $168.48 – $858.00 | 41 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $698.25 | $1,995.00 | $104.75 – $1,995.00 | 24 |
| Ultrasound breast complete CPT 76641 | $980.35 | $2,801.00 | $102.91 – $2,801.00 | 24 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $754.95 | $2,157.00 | $85.20 – $2,157.00 | 24 |
| Ultrasound chest CPT 76604 | $612.15 | $1,749.00 | $56.80 – $1,749.00 | 24 |
| Ultrasound elastography ea l target les CPT 76983 | $54.25 | $155.00 | $12.40 – $155.00 | 24 |
| Ultrasound elastography parenchyma CPT 76981 | $899.85 | $2,571.00 | $104.59 – $2,571.00 | 24 |
| Ultrasound encephalogram CPT 76506 | $198.10 | $566.00 | $45.28 – $566.00 | 24 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $750.05 | $2,143.00 | $104.75 – $2,143.00 | 24 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $413.70 | $1,182.00 | $71.13 – $1,182.00 | 24 |
| Ultrasound guidance for vascular access CPT 76937 | $952.70 | $2,722.00 | $27.95 – $2,722.00 | 19 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,246.35 | $3,561.00 | $35.57 – $3,561.00 | 20 |
| Ultrasound guide intraoperative CPT 76998 | $788.55 | $2,253.00 | $91.97 – $2,253.00 | 19 |
| Ultrasound guide tissue ablation CPT 76940 | $921.90 | $2,634.00 | $100.00 – $2,634.00 | 19 |
| Ultrasound hips infant dynamic CPT 76885 | $105.35 | $301.00 | $24.08 – $301.00 | 24 |
| Ultrasound joint complete left CPT 76881 | $616.00 | $1,760.00 | $81.81 – $1,760.00 | 24 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $1,044.05 | $2,983.00 | $30.35 – $2,983.00 | 24 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $694.40 | $1,984.00 | $60.98 – $1,984.00 | 24 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $478.80 | $1,368.00 | $30.99 – $1,368.00 | 24 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $329.35 | $941.00 | $75.28 – $941.00 | 24 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $845.95 | $2,417.00 | $104.75 – $2,417.00 | 24 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $618.45 | $1,767.00 | $81.20 – $1,767.00 | 24 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $710.85 | $2,031.00 | $92.89 – $2,031.00 | 24 |
| Ultrasound prostate/transrectal CPT 76872 | $512.75 | $1,465.00 | $104.75 – $1,465.00 | 24 |
| Ultrasound retroperitoneal limited CPT 76775 | $877.10 | $2,506.00 | $59.14 – $2,506.00 | 24 |
| Ultrasound scrotum and contents CPT 76870 | $908.25 | $2,595.00 | $100.24 – $2,595.00 | 24 |
| Ultrasound spinal canal and contents CPT 76800 | $212.80 | $608.00 | $48.64 – $608.00 | 24 |
| Ultrasound transabd ea addl gest CPT 76812 | $261.45 | $747.00 | $59.76 – $747.00 | 24 |
| Ultrasound transvaginal non obstetric CPT 76830 | $705.25 | $2,015.00 | $104.75 – $2,015.00 | 24 |
| Unit mobile power mpu HCPCS Q0479 | $27,224.40 | $77,784.00 | $13,992.72 – $66,632.00 | 21 |
| Unlisted chemotherapy px CPT 96549 | $39.90 | $114.00 | $30.78 – $114.00 | 17 |
| Unlisted CT procedure CPT 76497 | $63.70 | $182.00 | $14.56 – $1,154.70 | 25 |
| Unlisted mr procedure CPT 76498 | $1,262.80 | $3,608.00 | $80.90 – $3,608.00 | 25 |
| Unlisted orl service/px CPT 92700 | $143.85 | $411.00 | $33.57 – $411.00 | 18 |
| Unlisted procedure liver CPT 47399 | $385.35 | $1,101.00 | $297.27 – $1,101.00 | 19 |
| Unlisted procedure rectum CPT 45999 | $349.65 | $999.00 | $79.92 – $999.00 | 23 |
| Unlisted procedure spine CPT 22899 | $107.80 | $308.00 | $83.16 – $308.00 | 19 |
| Unlisted px hands/fingers CPT 26989 | $423.50 | $1,210.00 | $326.70 – $1,210.00 | 19 |
| Unlisted px med radj physics CPT 77399 | $1,106.00 | $3,160.00 | $184.82 – $3,160.00 | 19 |
| Unlisted resp px dx nuc med CPT 78599 | $670.60 | $1,916.00 | $517.32 – $1,916.00 | 19 |
| Unlisted ultrasound procedure CPT 76999 | $113.05 | $323.00 | $25.84 – $323.00 | 24 |
| Upgrade pm system CPT 33214 | $3,911.95 | $11,177.00 | $3,017.79 – $11,177.00 | 19 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,984.45 | $8,527.00 | $330.45 – $8,527.00 | 25 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,536.80 | $7,248.00 | $281.34 – $7,248.00 | 25 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,760.85 | $5,031.00 | $196.14 – $5,031.00 | 25 |
| Urea nitrogen CPT 84520 | $24.50 | $70.00 | $2.84 – $70.00 | 40 |
| Urea nitrogen 24 hour urine CPT 84540 | $71.40 | $204.00 | $4.00 – $204.00 | 40 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $463.75 | $1,325.00 | $81.38 – $1,325.00 | 24 |
| Urethrocystography void s&i CPT 74455 | $463.75 | $1,325.00 | $104.25 – $1,325.00 | 24 |
| Uric acid blood CPT 84550 | $154.00 | $440.00 | $3.25 – $440.00 | 41 |
| Uric acid urine CPT 84560 | $24.15 | $69.00 | $3.66 – $69.00 | 40 |
| Urinalysis microscopic only CPT 81015 | $8.40 | $24.00 | $2.20 – $24.00 | 41 |
| Urinalysis (with microscopy) CPT 81001 | $91.70 | $262.00 | $2.28 – $262.00 | 41 |
| Urinalysis (without microscopy) CPT 81003 | $53.90 | $154.00 | $1.62 – $154.00 | 40 |
| Urine Culture Test CPT 87086 | $173.25 | $495.00 | $5.81 – $495.00 | 41 |
| Urine pregnancy test CPT 81025 | $143.50 | $410.00 | $6.20 – $410.00 | 41 |
| Urography, antegrade CPT 74425 | $1,771.70 | $5,062.00 | $135.99 – $5,062.00 | 24 |
| Use 1st target lesion CPT 76982 | $108.15 | $309.00 | $24.72 – $309.00 | 24 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $5,224.38 | $14,926.80 | $13.04 – $14,926.80 | 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.