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 |
|---|---|---|---|---|
| Vaccine influenza inactivated adjuvant im CPT 90653 | $56.80 | $162.26 | $12.86 – $162.26 | 41 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $40.93 | $116.94 | $6.67 – $84.21 | 41 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $91.88 | $262.49 | $18.33 – $258.62 | 41 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $37.52 | $107.18 | $6.76 – $85.26 | 41 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $34.70 | $99.12 | $7.86 – $99.12 | 41 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $248.38 | $709.64 | $156.13 – $709.64 | 24 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $227.19 | $649.10 | $142.81 – $649.10 | 24 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $170.53 | $487.22 | $59.61 – $270.93 | 24 |
| Vaccine mmr live subcutaneous CPT 90707 | $135.59 | $387.40 | $76.58 – $387.40 | 24 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $161.19 | $460.54 | $7.65 – $96.56 | 41 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $303.17 | $866.18 | $63.65 – $803.63 | 41 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $350.27 | $1,000.77 | $213.85 – $972.03 | 22 |
| Vaccine rabies im CPT 90675 | $580.99 | $1,659.95 | $76.40 – $942.21 | 29 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $712.46 | $2,035.59 | $447.83 – $2,035.59 | 22 |
| Vaccine tdap >=7 years im CPT 90715 | $80.78 | $230.79 | $39.81 – $180.92 | 24 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $67.30 | $192.28 | $20.21 – $139.50 | 24 |
| Vaccine varicella live subcutaneous CPT 90716 | $45.80 | $130.83 | $28.79 – $130.83 | 24 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $2,072.35 | $5,921.00 | $1,243.41 – $5,921.00 | 21 |
| Vad cable power module dc input HCPCS Q0478 | $915.95 | $2,617.00 | $549.57 – $2,617.00 | 21 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $24,020.50 | $68,630.00 | $6,530.16 – $31,096.00 | 21 |
| Valproic acid total therapeutic drug level CPT 80164 | $129.85 | $371.00 | $9.75 – $371.00 | 40 |
| Valvuloplasty aortic CPT 92986 | $2,723.35 | $7,781.00 | $622.48 – $7,781.00 | 19 |
| Valvuloplasty mitral CPT 92987 | $9,070.95 | $25,917.00 | $2,073.36 – $25,917.00 | 19 |
| Valvuloplasty pulmonary CPT 92990 | $9,070.95 | $25,917.00 | $2,073.36 – $25,917.00 | 19 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $138.69 | $396.23 | $0.08 – $0.33 | 22 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $32.19 | $91.95 | $20.23 – $91.95 | 22 |
| Vancomycin hcl injection HCPCS J3370 | $49.78 | $142.22 | $1.55 – $54.72 | 24 |
| Vancomycin peak therapeutic drug level CPT 80202 | $169.75 | $485.00 | $9.75 – $485.00 | 40 |
| Vanomycin dna amp probe CPT 87500 | $78.40 | $224.00 | $25.26 – $224.00 | 40 |
| Varicella zoster antibody igg CPT 86787 | $87.85 | $251.00 | $9.27 – $251.00 | 40 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $14,458.50 | $41,310.00 | $100.00 – $41,310.00 | 15 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $309.00 | $882.85 | $21.52 – $97.78 | 22 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $21,970.87 | $62,773.90 | $23.27 – $62,773.90 | 24 |
| Veeg cont 2-12 hrs CPT 95713 | $2,060.80 | $5,888.00 | $100.00 – $5,888.00 | 17 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,089.40 | $11,684.00 | $100.00 – $11,684.00 | 17 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $945.35 | $2,701.00 | $100.00 – $2,701.00 | 17 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,813.00 | $5,180.00 | $100.00 – $5,180.00 | 17 |
| Veeg unmon 2-12 hrs CPT 95711 | $945.35 | $2,701.00 | $100.00 – $2,701.00 | 17 |
| Vein x-ray kidney CPT 75831 | $3,288.25 | $9,395.00 | $119.63 – $9,395.00 | 24 |
| Vein x-ray liver CPT 75891 | $3,148.25 | $8,995.00 | $124.30 – $8,995.00 | 24 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,288.25 | $9,395.00 | $136.66 – $9,395.00 | 24 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,116.75 | $8,905.00 | $123.63 – $8,905.00 | 24 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,067.50 | $3,050.00 | $120.94 – $3,050.00 | 24 |
| Vein x-ray skull CPT 75870 | $3,573.15 | $10,209.00 | $140.00 – $10,209.00 | 24 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $62.30 | $178.00 | $14.08 – $178.00 | 20 |
| Venogram ext bil s&i CPT 75822 | $1,512.70 | $4,322.00 | $112.31 – $4,322.00 | 24 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $957.60 | $2,736.00 | $107.93 – $2,736.00 | 24 |
| Venous mech thrombectomy CPT 37187 | $4,499.95 | $12,857.00 | $3,471.39 – $12,857.00 | 19 |
| Venous m-thrombectomy add-on CPT 37188 | $2,070.25 | $5,915.00 | $1,597.05 – $5,915.00 | 19 |
| Venous sampling s&i CPT 75893 | $5,580.40 | $15,944.00 | $103.91 – $15,944.00 | 24 |
| Venous thrombosis imaging CPT 78457 | $697.20 | $1,992.00 | $157.04 – $1,992.00 | 24 |
| Ven thrombosis images bilat CPT 78458 | $1,361.85 | $3,891.00 | $195.46 – $3,891.00 | 24 |
| Ventilator each subsequent day CPT 94003 | $1,529.85 | $4,371.00 | $100.00 – $4,371.00 | 17 |
| Ventilator initial day CPT 94002 | $2,172.45 | $6,207.00 | $100.00 – $6,207.00 | 17 |
| Version cephalic external CPT 59412 | $1,331.75 | $3,805.00 | $304.40 – $3,805.00 | 21 |
| Vest large holster HCPCS Q0498 | $14,412.30 | $41,178.00 | $791.28 – $3,768.00 | 21 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $254.89 | $728.25 | $3.25 – $728.25 | 24 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $210.58 | $601.65 | $4.14 – $456.54 | 24 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $254.66 | $727.59 | $9.28 – $476.96 | 24 |
| Visc & infraren abd 1 prosth CPT 34845 | $10,008.95 | $28,597.00 | $2,287.76 – $28,597.00 | 21 |
| Visc & infraren abd 2 prosth CPT 34846 | $11,094.30 | $31,698.00 | $2,535.84 – $31,698.00 | 21 |
| Visc & infraren abd 3 prosth CPT 34847 | $12,058.90 | $34,454.00 | $2,756.32 – $34,454.00 | 21 |
| Visc & infraren abd 4+ prost CPT 34848 | $13,023.85 | $37,211.00 | $2,976.88 – $37,211.00 | 21 |
| Vital capacity test CPT 94150 | $156.45 | $447.00 | $100.00 – $447.00 | 17 |
| Vitamin b-12 CPT 82607 | $71.40 | $204.00 | $10.86 – $204.00 | 40 |
| Vitamin D Test CPT 82306 | $128.80 | $368.00 | $21.31 – $368.00 | 40 |
| Vkorc1 gene CPT 81355 | $275.10 | $786.00 | $63.50 – $786.00 | 41 |
| Vngrph chd anom/persist svc CPT 93584 | $1,492.75 | $4,265.00 | $100.00 – $4,265.00 | 15 |
| Vngrph chd azygs/hemiazygs CPT 93585 | $2,292.15 | $6,549.00 | $100.00 – $6,549.00 | 15 |
| Vngrph chd coronary sinus CPT 93586 | $2,292.15 | $6,549.00 | $100.00 – $6,549.00 | 15 |
| Vngrph chd vnvn cltrl at/abv CPT 93587 | $2,292.15 | $6,549.00 | $100.00 – $6,549.00 | 15 |
| Vngrph chd vnvn cltrl below CPT 93588 | $1,492.75 | $4,265.00 | $100.00 – $4,265.00 | 15 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $284.55 | $813.00 | $100.00 – $813.00 | 19 |
| Volume measurement urine timed CPT 81050 | $22.40 | $64.00 | $2.62 – $64.00 | 40 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | $6,312.65 | $18,036.13 | $1.32 – $367.91 | 41 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $198.99 | $568.54 | $1.39 – $54.73 | 24 |
| Vsrctv std tcd icr art compl CPT 93896 | $242.20 | $692.00 | $100.00 – $692.00 | 15 |
| Vulvectomy simple partial CPT 56620 | $2,561.30 | $7,318.00 | $1,975.86 – $7,318.00 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $147.35 | $421.00 | $29.34 – $421.00 | 40 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $46.90 | $134.00 | $20.02 – $134.00 | 40 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $25.20 | $72.00 | $9.29 – $72.00 | 40 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $87.15 | $249.00 | $18.18 – $249.00 | 40 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $40.95 | $117.00 | $11.16 – $117.00 | 40 |
| Warde 1015200 kappa light chain free CPT 83521 | $22.40 | $64.00 | $17.28 – $64.00 | 15 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $45.50 | $130.00 | $5.77 – $130.00 | 40 |
| Warde 3008005 oligoclonal bands CPT 83916 | $135.45 | $387.00 | $19.72 – $387.00 | 40 |
| Warde 3016000 west nile virus antibody CPT 86788 | $31.15 | $89.00 | $12.13 – $89.00 | 40 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $59.85 | $171.00 | $10.36 – $171.00 | 40 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $35.70 | $102.00 | $8.82 – $102.00 | 41 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $215.60 | $616.00 | $6.41 – $616.00 | 41 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $122.85 | $351.00 | $12.95 – $351.00 | 41 |
| Warde 3400852 arsenic CPT 82175 | $59.85 | $171.00 | $13.66 – $171.00 | 40 |
| Warde 3708165 mercury urine CPT 83825 | $63.70 | $182.00 | $11.71 – $182.00 | 40 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $67.20 | $192.00 | $5.83 – $192.00 | 40 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $191.45 | $547.00 | $27.81 – $547.00 | 40 |
| Warde aldolase CPT 82085 | $45.15 | $129.00 | $6.99 – $129.00 | 40 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $35.00 | $100.00 | $12.15 – $100.00 | 40 |
| Warde analysis gene hfe common variants CPT 81256 | $546.35 | $1,561.00 | $47.06 – $1,561.00 | 41 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $330.40 | $944.00 | $118.05 – $944.00 | 41 |
| Warde apolipoprotein b CPT 82172 | $47.60 | $136.00 | $15.18 – $136.00 | 40 |
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.