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 |
|---|---|---|---|---|
| Carboxyhemoglobin quantitative CPT 82375 | $58.10 | $166.00 | $8.87 – $166.00 | 40 |
| Carcinoembryonic ag (cea) CPT 82378 | $211.75 | $605.00 | $13.65 – $605.00 | 40 |
| Cardiac MRI w/stress img CPT 75559 | $1,264.55 | $3,613.00 | $289.04 – $3,613.00 | 25 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $4,876.90 | $13,934.00 | $406.64 – $13,934.00 | 24 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $4,048.10 | $11,566.00 | $272.65 – $11,566.00 | 24 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,048.10 | $11,566.00 | $315.75 – $11,566.00 | 24 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $254.80 | $728.00 | $21.05 – $728.00 | 17 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $247.10 | $706.00 | $13.15 – $706.00 | 17 |
| Cardiolipin antibody iga CPT 86147 | $101.85 | $291.00 | $18.32 – $291.00 | 40 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,519.00 | $4,340.00 | $100.00 – $4,340.00 | 18 |
| Cardioversion/elective/internal 92961 CPT 92961 | $679.70 | $1,942.00 | $100.00 – $1,942.00 | 19 |
| Card MRI veloc flow mapping CPT 75565 | $1,075.55 | $3,073.00 | $58.95 – $3,073.00 | 20 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $74.55 | $213.00 | $57.51 – $213.00 | 15 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $34.30 | $98.00 | $26.46 – $98.00 | 15 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $8,172.53 | $23,350.08 | $42.22 – $4,208.85 | 24 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $573.78 | $1,639.36 | $360.66 – $1,639.36 | 24 |
| Carotene CPT 82380 | $34.30 | $98.00 | $6.64 – $98.00 | 40 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,324.40 | $3,784.00 | $191.46 – $3,784.00 | 22 |
| Car outp meas drg cath chd CPT 93598 | $200.90 | $574.00 | $45.92 – $574.00 | 18 |
| Car seat/bed test 60 minutes CPT 94780 | $141.75 | $405.00 | $48.81 – $405.00 | 17 |
| Car seat/bed test additional 30 minutes CPT 94781 | $42.35 | $121.00 | $12.63 – $121.00 | 17 |
| Car-t admn autologous CPT 38228 | $581.35 | $1,661.00 | $448.47 – $1,661.00 | 15 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | $581.35 | $1,661.00 | $448.47 – $1,661.00 | 15 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | $494.20 | $1,412.00 | $381.24 – $1,412.00 | 15 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | $494.20 | $1,412.00 | $381.24 – $1,412.00 | 15 |
| Caspofungin acetate HCPCS J0637 | $492.20 | $1,406.26 | $7.23 – $1,355.49 | 24 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,033.38 | $2,952.50 | $32.20 – $153.30 | 24 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $6,190.10 | $17,686.00 | $0.27 – $40,285.00 | 19 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $11,963.00 | $34,180.00 | $100.00 – $6,187.00 | 15 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $6,634.25 | $18,955.00 | $100.00 – $3,402.00 | 15 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $5,212.99 | $14,894.25 | $22.06 – $327.60 | 17 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $55,755.00 | $159,300.00 | $9.93 – $5,362.50 | 24 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $6,634.11 | $18,954.60 | $100.00 – $4,142.00 | 15 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $24,845.45 | $70,987.00 | $9.72 – $36.00 | 15 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $4,265.58 | $12,187.35 | $100.00 – $40,285.00 | 19 |
| Cath bi-dir df smarttouch HCPCS C1732 | $8,282.05 | $23,663.00 | $100.00 – $1,092.00 | 15 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $5,061.35 | $14,461.00 | $100.00 – $928.00 | 15 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $6,032.95 | $17,237.00 | $1,378.96 – $17,237.00 | 19 |
| Cath council tip 16fr 5cc HCPCS A4344 | $12.87 | $36.75 | $9.93 – $36.75 | 17 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $12,321.54 | $35,204.40 | $8.64 – $244.40 | 24 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $4,265.58 | $12,187.35 | $100.00 – $928.00 | 15 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $3,505.95 | $10,017.00 | $9.93 – $3,787.88 | 24 |
| Catheter declot mechanical CPT 36596 | $745.15 | $2,129.00 | $574.83 – $2,129.00 | 19 |
| Catheter insert artery CPT 36625 | $485.45 | $1,387.00 | $100.00 – $1,387.00 | 24 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $26.95 | $77.00 | $4.50 – $77.00 | 35 |
| Catheter stripping venous CPT 36595 | $1,664.95 | $4,757.00 | $1,284.39 – $4,757.00 | 19 |
| Cath follower heyman 20f HCPCS A4352 | $12.87 | $36.75 | $8.10 – $36.75 | 17 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $53,846.10 | $153,846.00 | $224.91 – $1,071.00 | 24 |
| Cath hawkone s directional HCPCS C1714 | $6,634.25 | $18,955.00 | $100.00 – $1,594.00 | 15 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $915.95 | $2,617.00 | $549.57 – $2,617.00 | 24 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $6,634.11 | $18,954.60 | $100.00 – $928.00 | 15 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $38.22 | $109.20 | $2.30 – $35.00 | 17 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $100.45 | $287.00 | $22.96 – $287.00 | 22 |
| Cath left heart/lv gram CPT 93452 | $4,753.35 | $13,581.00 | $1,086.48 – $13,581.00 | 19 |
| Cath left heart transseptal punc CPT 93462 | $2,202.20 | $6,292.00 | $100.00 – $6,292.00 | 19 |
| Cath lt/rt pulm art CPT 36014 | $708.40 | $2,024.00 | $100.00 – $2,024.00 | 22 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $2,744.00 | $7,840.00 | $8.64 – $1,701.05 | 24 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $36,731.63 | $104,947.50 | $1,246.35 – $5,935.00 | 24 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $38.22 | $109.20 | $9.93 – $36.75 | 17 |
| Cath place 1st order venous 36011 CPT 36011 | $565.60 | $1,616.00 | $100.00 – $1,616.00 | 22 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $11,317.60 | $32,336.00 | $2,586.88 – $32,336.00 | 19 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $9,362.85 | $26,751.00 | $2,140.08 – $26,751.00 | 19 |
| Cath plc art/grft/angio right hrt CPT 93457 | $10,186.05 | $29,103.00 | $2,328.24 – $29,103.00 | 19 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $12,321.54 | $35,204.40 | $100.00 – $35,204.40 | 15 |
| Cath right heart w/o2 sat & card CPT 93451 | $4,570.30 | $13,058.00 | $1,044.64 – $13,058.00 | 19 |
| Cath right hrt mnpul art CPT 36013 | $588.00 | $1,680.00 | $100.00 – $1,680.00 | 22 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $375.90 | $1,074.00 | $100.00 – $1,074.00 | 19 |
| Cath segmntl pulm art CPT 36015 | $807.80 | $2,308.00 | $100.00 – $2,308.00 | 22 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,606.31 | $7,446.60 | $100.00 – $2,869.00 | 15 |
| Cath stripping venous s&i CPT 75901 | $3,728.90 | $10,654.00 | $100.00 – $10,654.00 | 19 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $546.70 | $1,562.00 | $9.72 – $36.00 | 15 |
| Cauterization chemical granulation tissue CPT 17250 | $159.60 | $456.00 | $123.12 – $456.00 | 19 |
| Cdna analysis for variants CPT 81403 | $291.20 | $832.00 | $133.34 – $832.00 | 41 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $43.89 | $125.40 | $0.41 – $50.42 | 24 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $39.60 | $113.14 | $1.77 – $55.28 | 24 |
| Cefotaxime sodium injection HCPCS J0698 | $22.14 | $63.23 | $2.26 – $60.85 | 24 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $33.24 | $94.97 | $4.81 – $55.15 | 24 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $283.59 | $810.25 | $3.50 – $810.25 | 24 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $35.24 | $100.66 | $1.83 – $54.98 | 24 |
| Ceftazidime and avibactam HCPCS J0714 | $445.58 | $1,273.08 | $97.77 – $1,273.08 | 24 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $66.68 | $190.49 | $0.30 – $1.34 | 24 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $31.51 | $90.01 | $1.50 – $62.53 | 24 |
| Cell count w differential body fluid CPT 89051 | $226.45 | $647.00 | $4.03 – $647.00 | 41 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $26,600.97 | $76,002.75 | $29.19 – $76,002.75 | 24 |
| Cerebrospinal fld flw imag CPT 78645 | $397.25 | $1,135.00 | $90.80 – $1,135.00 | 24 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $7,010.94 | $20,031.24 | $5.57 – $20,031.24 | 24 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,182.61 | $11,950.31 | $69.00 – $6,165.46 | 24 |
| Change cystostomy tube simple CPT 51705 | $989.80 | $2,828.00 | $763.56 – $2,828.00 | 19 |
| Change g-tube to g-j perc CPT 49446 | $1,059.80 | $3,028.00 | $817.56 – $3,028.00 | 19 |
| Change nephroureteral cath CPT 50387 | $821.10 | $2,346.00 | $633.42 – $2,346.00 | 19 |
| Change of ureter tube/stent CPT 50688 | $1,679.30 | $4,798.00 | $1,295.46 – $4,798.00 | 16 |
| Change of windpipe airway 31502 CPT 31502 | $138.25 | $395.00 | $106.65 – $395.00 | 19 |
| Change ureter stent percut CPT 50382 | $1,379.00 | $3,940.00 | $1,063.80 – $3,940.00 | 19 |
| Chemo adm cns w/lmbr punct CPT 96450 | $614.95 | $1,757.00 | $119.44 – $1,757.00 | 19 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $395.15 | $1,129.00 | $304.83 – $1,129.00 | 18 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $606.90 | $1,734.00 | $468.18 – $1,734.00 | 18 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $606.90 | $1,734.00 | $468.18 – $1,734.00 | 18 |
| Chemodenervation anal musc CPT 46505 | $830.20 | $2,372.00 | $640.44 – $2,372.00 | 19 |
| Chemo ia infuse each addl hr CPT 96423 | $436.80 | $1,248.00 | $117.87 – $1,248.00 | 19 |
| Chemo ia infusion up to 1 hr CPT 96422 | $941.15 | $2,689.00 | $255.19 – $2,689.00 | 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.