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 |
|---|---|---|---|---|
| Blood typing abo CPT 86900 | $180.25 | $515.00 | $2.51 – $515.00 | 23 |
| Blood typing ag donor ea ag CPT 86902 | $493.15 | $1,409.00 | $5.33 – $1,409.00 | 23 |
| Blood typing patient serum CPT 86904 | $40.25 | $115.00 | $13.73 – $115.00 | 23 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $591.85 | $1,691.00 | $3.22 – $1,691.00 | 23 |
| Blood typing rh (d) CPT 86901 | $64.40 | $184.00 | $2.51 – $184.00 | 23 |
| Blood volume CPT 78122 | $361.20 | $1,032.00 | $82.56 – $1,032.00 | 24 |
| Bone biopsy open superficial CPT 20240 | $1,920.10 | $5,486.00 | $1,481.22 – $5,486.00 | 16 |
| Bone Density Scan (DEXA) CPT 77080 | $416.50 | $1,190.00 | $38.09 – $1,190.00 | 24 |
| Bone filler cerament 10cc HCPCS C1602 | $27,330.98 | $78,088.50 | $9,089.01 – $43,281.00 | 24 |
| Bone imaging multiple areas CPT 78305 | $1,819.30 | $5,198.00 | $257.95 – $5,198.00 | 24 |
| Bone/joint imaging ltd area CPT 78300 | $1,506.40 | $4,304.00 | $212.18 – $4,304.00 | 24 |
| Bone marrow;aspiration only 38220 CPT 38220 | $3,768.80 | $10,768.00 | $2,907.36 – $10,768.00 | 19 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $3,768.80 | $10,768.00 | $2,907.36 – $10,768.00 | 19 |
| Bone marrow imaging body CPT 78104 | $759.15 | $2,169.00 | $173.52 – $2,169.00 | 24 |
| Bone marrow imaging ltd CPT 78102 | $340.20 | $972.00 | $77.76 – $972.00 | 24 |
| Bone marrow imaging mult CPT 78103 | $340.20 | $972.00 | $77.76 – $972.00 | 24 |
| Bone survey-lead poisoning CPT 77074 | $777.70 | $2,222.00 | $65.15 – $2,222.00 | 24 |
| Bone tendon board add on HCPCS C9356 | $12,740.24 | $36,400.67 | $320.87 – $23,950.19 | 22 |
| Bone void filler nanoss 10cc HCPCS C9362 | $3,307.50 | $9,450.00 | $150.09 – $6,300.00 | 26 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $163.54 | $467.25 | $98.13 – $467.25 | 21 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $40.95 | $117.00 | $12.26 – $117.00 | 41 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $4,253.30 | $12,152.26 | $3.17 – $576.83 | 24 |
| (both sides) smear without diff wbc count CPT 85008 | $9.10 | $26.00 | $2.47 – $26.00 | 41 |
| Bowel imaging CPT 78290 | $501.55 | $1,433.00 | $114.64 – $1,433.00 | 24 |
| Brace ank air stirrup univ HCPCS L4350 | $92.05 | $263.00 | $55.23 – $263.00 | 21 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $239.65 | $684.71 | $143.79 – $684.71 | 21 |
| Brace wrist classic lft sm HCPCS L3908 | $165.55 | $473.00 | $11.34 – $54.00 | 21 |
| Brach/thor cath 1st CPT 36215 | $2,296.00 | $6,560.00 | $100.00 – $6,560.00 | 22 |
| Brach/thor cath 2nd CPT 36216 | $756.70 | $2,162.00 | $100.00 – $2,162.00 | 22 |
| Brach/thor cath 3rd CPT 36217 | $1,778.35 | $5,081.00 | $100.00 – $5,081.00 | 22 |
| Brach/thor cath addl CPT 36218 | $295.40 | $844.00 | $67.52 – $844.00 | 22 |
| Brachy source yttrium-90 HCPCS C2616 | $58,300.55 | $166,573.00 | $17,470.44 – $79,411.06 | 24 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $220.50 | $630.00 | $138.60 – $630.00 | 24 |
| Brachy src stranded c-131 HCPCS C2642 | $340,488.75 | $972,825.00 | $112.00 – $54,600.00 | 24 |
| Brachytx isodose complex CPT 77318 | $2,342.20 | $6,692.00 | $345.17 – $6,692.00 | 19 |
| Brachytx isodose intermed CPT 77317 | $1,649.20 | $4,712.00 | $254.67 – $4,712.00 | 19 |
| Brachytx isodose plan simple CPT 77316 | $1,253.70 | $3,582.00 | $193.63 – $3,582.00 | 19 |
| Braf gene CPT 81210 | $202.30 | $578.00 | $126.29 – $578.00 | 41 |
| Brain flow imaging only CPT 78610 | $232.75 | $665.00 | $53.20 – $665.00 | 24 |
| Brain image w/flow < 4 views CPT 78601 | $336.35 | $961.00 | $76.88 – $961.00 | 24 |
| Brain image w/flow 4 + views CPT 78606 | $1,168.65 | $3,339.00 | $267.12 – $3,339.00 | 24 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,251.55 | $6,433.00 | $340.15 – $6,433.00 | 25 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,545.25 | $4,415.00 | $234.23 – $4,415.00 | 25 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,471.40 | $4,204.00 | $222.20 – $4,204.00 | 25 |
| Brain MRI (with and without contrast) CPT 70553 | $4,119.50 | $11,770.00 | $328.11 – $11,770.00 | 25 |
| Brain MRI (with contrast) CPT 70552 | $2,224.60 | $6,356.00 | $278.66 – $6,356.00 | 25 |
| Brain MRI (without contrast) CPT 70551 | $1,647.80 | $4,708.00 | $202.15 – $4,708.00 | 25 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,854.90 | $11,014.00 | $2,973.78 – $11,014.00 | 18 |
| Breast punct aspir cyst, bil CPT 19000 | $646.10 | $1,846.00 | $498.42 – $1,846.00 | 19 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $29,181.94 | $83,376.96 | $171.79 – $83,376.96 | 24 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $2,998.45 | $8,567.00 | $2,313.09 – $8,567.00 | 16 |
| Br punct aspir ea add, l CPT 19001 | $252.00 | $720.00 | $100.00 – $720.00 | 19 |
| Bundled special stain group 1 microorganisms CPT 88312 | $178.85 | $511.00 | $67.05 – $511.00 | 19 |
| Bundled special stain group 2 CPT 88313 | $187.25 | $535.00 | $47.70 – $535.00 | 19 |
| Bundle his recording CPT 93600 | $6,157.90 | $17,594.00 | $4,750.38 – $17,594.00 | 16 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $34.75 | $99.26 | $11.97 – $54.38 | 22 |
| Buprenorphine hydrochloride HCPCS J0592 | $39.58 | $113.07 | $3.20 – $64.70 | 24 |
| Buprenorphine oral 1mg HCPCS J0571 | $5.25 | $14.99 | $1.20 – $6.65 | 24 |
| Bur rotalink 2.15mm HCPCS C1724 | $8,530.41 | $24,372.60 | $100.00 – $5,935.00 | 15 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $23.21 | $66.31 | $0.99 – $50.53 | 24 |
| Bx bone trocar/ndl deep CPT 20225 | $1,837.50 | $5,250.00 | $1,417.50 – $5,250.00 | 16 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,262.70 | $9,322.00 | $2,516.94 – $9,322.00 | 18 |
| Bx breast 1st lesion strtctc CPT 19081 | $4,840.85 | $13,831.00 | $3,734.37 – $13,831.00 | 18 |
| Bx breast add lesion mr imag CPT 19086 | $1,305.15 | $3,729.00 | $100.00 – $3,729.00 | 18 |
| Bx breast add lesion strtctc CPT 19082 | $2,275.35 | $6,501.00 | $100.00 – $6,501.00 | 18 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,503.60 | $4,296.00 | $100.00 – $4,296.00 | 18 |
| Bx breast perq without image 19100 CPT 19100 | $1,312.15 | $3,749.00 | $1,012.23 – $3,749.00 | 16 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $114.80 | $328.00 | $88.56 – $328.00 | 19 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $3,114.30 | $8,898.00 | $2,402.46 – $8,898.00 | 16 |
| Bx liver with other CPT 47001 | $63.00 | $180.00 | $48.60 – $180.00 | 19 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $2,068.15 | $5,909.00 | $1,595.43 – $5,909.00 | 19 |
| Bx pancreas pq ndl CPT 48102 | $1,336.65 | $3,819.00 | $1,031.13 – $3,819.00 | 16 |
| Bx pleura pq ndl CPT 32400 | $1,169.35 | $3,341.00 | $902.07 – $3,341.00 | 16 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $232.05 | $663.00 | $36.00 – $663.00 | 20 |
| Bx skin punch ea sep/ addl les CPT 11105 | $193.55 | $553.00 | $36.00 – $553.00 | 20 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $166.25 | $475.00 | $36.00 – $475.00 | 20 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $309.40 | $884.00 | $238.68 – $884.00 | 19 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $637.35 | $1,821.00 | $491.67 – $1,821.00 | 19 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $528.50 | $1,510.00 | $407.70 – $1,510.00 | 19 |
| Bypass temp external fem-fem CPT 37799 | $12,058.90 | $34,454.00 | $238.14 – $1,463.28 | 20 |
| Cable cath 22-pin diag HCPCS C1730 | $6,190.10 | $17,686.00 | $68.90 – $255.15 | 15 |
| Cable centrimag pressure HCPCS Q0508 | $17,103.10 | $48,866.00 | $76.65 – $365.00 | 21 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $16,574.15 | $47,354.69 | $6,971.20 – $31,687.27 | 22 |
| Cad breast MRI w/r&i HCPCS C8937 | $78.75 | $225.00 | $26.42 – $1,398.60 | 20 |
| Cadd pump refill CPT 96521 | $274.40 | $784.00 | $100.00 – $784.00 | 19 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $35.31 | $100.86 | $1.28 – $5.80 | 24 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,822.99 | $8,065.68 | $740.83 – $3,367.40 | 24 |
| Calcium 24 hour urine CPT 82340 | $39.20 | $112.00 | $4.34 – $112.00 | 40 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $39.09 | $111.68 | $12.12 – $55.05 | 22 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $43.45 | $124.14 | $12.17 – $55.31 | 22 |
| Calcium ionized CPT 82330 | $182.70 | $522.00 | $9.85 – $522.00 | 40 |
| Calcium total CPT 82310 | $53.20 | $152.00 | $3.72 – $152.00 | 40 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $298,251.98 | $852,148.50 | $0.27 – $4.03 | 24 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $14.53 | $41.49 | $0.27 – $1.22 | 22 |
| Cap nerve 2x15mm HCPCS C1763 | $18,466.88 | $52,762.50 | $146.26 – $696.47 | 24 |
| Cap trach decann 15mm HCPCS C1750 | $9,084.60 | $25,956.00 | $39.69 – $189.00 | 24 |
| Carbamazepine total therapeutic drug level CPT 80156 | $57.75 | $165.00 | $10.49 – $165.00 | 40 |
| Carbohydrate urine - sendout CPT 84377 | $3.85 | $11.00 | $2.97 – $17.88 | 40 |
| Carbon dioxide CPT 82374 | $25.55 | $73.00 | $3.51 – $73.00 | 40 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $390.29 | $1,115.11 | $2.92 – $439.32 | 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.