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 |
|---|---|---|---|---|
| Warde bile acids CPT 82239 | $31.50 | $90.00 | $12.33 – $90.00 | 40 |
| Warde calcitonin CPT 82308 | $53.90 | $154.00 | $19.29 – $154.00 | 40 |
| Warde calculus (stone) infrared CPT 82365 | $76.65 | $219.00 | $9.29 – $219.00 | 40 |
| Warde complement total hemolytic CPT 86162 | $61.95 | $177.00 | $14.63 – $177.00 | 40 |
| Warde copper CPT 82525 | $58.45 | $167.00 | $8.94 – $167.00 | 40 |
| Warde cryoglobulin CPT 82595 | $58.80 | $168.00 | $4.66 – $168.00 | 40 |
| Warde erythropoietin CPT 82668 | $90.30 | $258.00 | $13.53 – $258.00 | 40 |
| Warde folic acid rbc CPT 82747 | $85.05 | $243.00 | $12.71 – $243.00 | 40 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $24.15 | $69.00 | $6.98 – $69.00 | 40 |
| Warde gastrin CPT 82941 | $75.25 | $215.00 | $12.69 – $215.00 | 41 |
| Warde growth hormone (hgh) CPT 83003 | $33.60 | $96.00 | $12.00 – $96.00 | 40 |
| Warde helminth antibody strongyloides igg CPT 86682 | $83.65 | $239.00 | $9.37 – $239.00 | 41 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $131.60 | $376.00 | $9.27 – $376.00 | 40 |
| Warde hepatitis a antibody CPT 86708 | $63.00 | $180.00 | $8.92 – $180.00 | 41 |
| Warde hepatitis be antibody CPT 86707 | $78.05 | $223.00 | $8.33 – $223.00 | 41 |
| Warde hepatitis delta agent antibody CPT 86692 | $109.20 | $312.00 | $12.36 – $312.00 | 41 |
| Warde immunofixation electrophoresis urine CPT 86335 | $86.45 | $247.00 | $21.13 – $247.00 | 40 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $87.15 | $249.00 | $8.30 – $249.00 | 40 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $527.10 | $1,506.00 | $185.36 – $1,506.00 | 41 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $77.00 | $220.00 | $16.97 – $220.00 | 40 |
| Warde lipoprotein (a) CPT 83695 | $70.70 | $202.00 | $10.31 – $202.00 | 40 |
| Warde protein c antigen CPT 85302 | $126.35 | $361.00 | $8.65 – $361.00 | 40 |
| Warde sex hormone binding globulin CPT 84270 | $43.75 | $125.00 | $15.65 – $125.00 | 40 |
| Warde somatomedin CPT 84305 | $52.85 | $151.00 | $15.31 – $151.00 | 40 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $23.80 | $68.00 | $3.96 – $68.00 | 40 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $31.15 | $89.00 | $11.35 – $89.00 | 40 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $156.10 | $446.00 | $36.62 – $446.00 | 40 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $96.60 | $276.00 | $18.77 – $276.00 | 41 |
| Warde viscosity CPT 85810 | $22.40 | $64.00 | $8.40 – $64.00 | 40 |
| Warde vitamin a CPT 84590 | $47.25 | $135.00 | $8.36 – $135.00 | 40 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $71.05 | $203.00 | $15.29 – $203.00 | 40 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $125.65 | $359.00 | $27.72 – $359.00 | 40 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $42.00 | $120.00 | $10.21 – $120.00 | 40 |
| Warde zinc CPT 84630 | $41.65 | $119.00 | $8.20 – $119.00 | 40 |
| Wbc automated CPT 85048 | $38.85 | $111.00 | $1.83 – $111.00 | 40 |
| Wedging of cast CPT 29740 | $221.55 | $633.00 | $170.91 – $633.00 | 19 |
| Whole blood for transfusion HCPCS P9010 | $413.70 | $1,182.00 | $88.00 – $1,182.00 | 19 |
| Who nontorsion jnts pre ots HCPCS L3916 | $154.17 | $440.48 | $92.51 – $440.48 | 21 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $371.00 | $1,060.00 | $34.21 – $1,060.00 | 19 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $371.00 | $1,060.00 | $38.41 – $1,060.00 | 19 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $186.20 | $532.00 | $90.00 – $532.00 | 19 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $187.95 | $537.00 | $90.00 – $537.00 | 19 |
| Wrist X-ray CPT 73110 | $462.35 | $1,321.00 | $41.10 – $1,321.00 | 24 |
| Xe133 xenon 10mci HCPCS A9558 | $336.00 | $960.00 | $100.00 – $960.00 | 17 |
| Xm archive tissue molec anal CPT 88363 | $13.30 | $38.00 | $10.26 – $38.00 | 19 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $103.60 | $296.00 | $23.68 – $296.00 | 19 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $122.15 | $349.00 | $27.92 – $349.00 | 22 |
| X-ray abdomen 1 view CPT 74018 | $456.40 | $1,304.00 | $30.08 – $1,304.00 | 24 |
| X-ray abdomen 2 views CPT 74019 | $552.30 | $1,578.00 | $36.75 – $1,578.00 | 24 |
| X-ray abdomen >=3 views CPT 74021 | $552.30 | $1,578.00 | $43.10 – $1,578.00 | 24 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $552.30 | $1,578.00 | $50.13 – $1,578.00 | 24 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $270.20 | $772.00 | $28.74 – $772.00 | 24 |
| X-ray ankle 2 views (both sides) CPT 73600 | $260.75 | $745.00 | $32.41 – $745.00 | 24 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $745.50 | $2,130.00 | $131.99 – $2,130.00 | 24 |
| X-ray assay calculus CPT 82370 | $31.85 | $91.00 | $9.01 – $91.00 | 40 |
| X-ray bone age studies CPT 77072 | $210.70 | $602.00 | $26.06 – $602.00 | 24 |
| X-ray bone length studies CPT 77073 | $339.50 | $970.00 | $45.11 – $970.00 | 24 |
| X-ray bone survey complete CPT 77075 | $1,178.10 | $3,366.00 | $99.90 – $3,366.00 | 24 |
| X-ray bone survey infant CPT 77076 | $1,272.60 | $3,636.00 | $104.75 – $3,636.00 | 24 |
| X-ray cervical spine 2-3 views CPT 72040 | $520.80 | $1,488.00 | $39.76 – $1,488.00 | 24 |
| X-ray cervical spine 4-5 views CPT 72050 | $596.05 | $1,703.00 | $53.46 – $1,703.00 | 24 |
| X-ray cervical spine >= 6 views CPT 72052 | $627.20 | $1,792.00 | $62.49 – $1,792.00 | 24 |
| X-ray clavicle complete (both sides) CPT 73000 | $377.65 | $1,079.00 | $32.41 – $1,079.00 | 24 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,031.80 | $2,948.00 | $140.00 – $2,948.00 | 24 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $2,032.10 | $5,806.00 | $140.00 – $5,806.00 | 24 |
| X-ray elbow 2 views (both sides) CPT 73070 | $314.65 | $899.00 | $29.40 – $899.00 | 24 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $491.75 | $1,405.00 | $32.75 – $1,405.00 | 24 |
| Xray endovasc thor ao repr CPT 75956 | $1,016.05 | $2,903.00 | $100.00 – $2,903.00 | 19 |
| Xray endovasc thor ao repr CPT 75957 | $868.35 | $2,481.00 | $100.00 – $2,481.00 | 19 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $1,021.30 | $2,918.00 | $97.56 – $2,918.00 | 24 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $2,237.90 | $6,394.00 | $79.19 – $6,394.00 | 24 |
| X-ray exam entire spi 6/> vw CPT 72084 | $3,060.40 | $8,744.00 | $97.57 – $8,744.00 | 24 |
| X-ray exam of arm infant CPT 73092 | $110.60 | $316.00 | $25.28 – $316.00 | 24 |
| X-ray exam of eye sockets CPT 70200 | $474.25 | $1,355.00 | $48.11 – $1,355.00 | 24 |
| X-ray exam of femur 1 CPT 73551 | $82.25 | $235.00 | $18.80 – $235.00 | 24 |
| X-ray exam of jaw joint CPT 70328 | $91.00 | $260.00 | $20.80 – $260.00 | 24 |
| X-ray exam of sinuses CPT 70210 | $89.60 | $256.00 | $20.48 – $256.00 | 24 |
| X-ray exam si joints CPT 72200 | $420.35 | $1,201.00 | $33.08 – $1,201.00 | 24 |
| X-ray facial bones complete > 3 views CPT 70150 | $467.60 | $1,336.00 | $47.11 – $1,336.00 | 24 |
| X-ray femur >=2 views (both sides) CPT 73552 | $456.05 | $1,303.00 | $35.75 – $1,303.00 | 24 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $275.10 | $786.00 | $38.09 – $786.00 | 24 |
| X-ray foot 2 views (both sides) CPT 73620 | $380.45 | $1,087.00 | $28.40 – $1,087.00 | 24 |
| X-ray forearm 2 views (both sides) CPT 73090 | $410.20 | $1,172.00 | $29.40 – $1,172.00 | 24 |
| X-ray hand 2 views (both sides) CPT 73120 | $329.00 | $940.00 | $31.41 – $940.00 | 24 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $401.10 | $1,146.00 | $28.74 – $883.00 | 24 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $706.65 | $2,019.00 | $59.48 – $2,019.00 | 24 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $487.90 | $1,394.00 | $41.44 – $1,394.00 | 24 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $633.85 | $1,811.00 | $53.80 – $1,811.00 | 24 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $729.05 | $2,083.00 | $60.47 – $2,083.00 | 24 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $387.10 | $1,106.00 | $33.08 – $1,106.00 | 24 |
| X-ray humerus >= 2 views left CPT 73060 | $360.85 | $1,031.00 | $32.08 – $1,031.00 | 24 |
| X-ray joint survey 1 view CPT 77077 | $124.25 | $355.00 | $28.40 – $355.00 | 24 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $417.55 | $1,193.00 | $34.41 – $1,193.00 | 24 |
| X-ray knee 3 views (both sides) CPT 73562 | $504.35 | $1,441.00 | $40.76 – $1,441.00 | 24 |
| X-ray knee ap standing bilateral CPT 73565 | $492.80 | $1,408.00 | $40.10 – $1,408.00 | 24 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $177.45 | $507.00 | $40.56 – $507.00 | 24 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $926.80 | $2,648.00 | $51.45 – $2,648.00 | 24 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,093.75 | $3,125.00 | $61.48 – $3,125.00 | 24 |
| X-ray mandible complete > 4 views CPT 70110 | $679.35 | $1,941.00 | $43.44 – $1,941.00 | 24 |
| X-ray mandible ltd <4 views CPT 70100 | $455.35 | $1,301.00 | $38.76 – $1,301.00 | 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.