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 |
|---|---|---|---|---|
| C motor evoked lwr limbs CPT 95929 | $571.20 | $1,632.00 | $100.00 – $1,632.00 | 17 |
| C motor evoked uppr limbs CPT 95928 | $525.00 | $1,500.00 | $100.00 – $1,500.00 | 17 |
| C motor evoked upr&lwr limbs CPT 95939 | $446.25 | $1,275.00 | $100.00 – $1,275.00 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $17.50 | $50.00 | $13.50 – $63.57 | 40 |
| Cmv pcr-sendout CPT 87496 | $256.55 | $733.00 | $25.26 – $733.00 | 40 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $27,822.92 | $79,494.05 | $1.78 – $369.21 | 41 |
| Coagulation time activated teg CPT 85347 | $155.40 | $444.00 | $3.08 – $239.00 | 40 |
| Cocaine 4 % nasal solution HCPCS C9046 | $88.14 | $251.81 | $1.32 – $164.23 | 24 |
| Cold agglutinin screen (arc) CPT 86156 | $55.65 | $159.00 | $5.81 – $159.00 | 40 |
| Cold agglutinin titer CPT 86157 | $52.50 | $150.00 | $5.80 – $150.00 | 40 |
| Colistimethate sodium inj HCPCS J0770 | $31.96 | $91.30 | $14.89 – $67.67 | 24 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $140.35 | $401.00 | $32.08 – $401.00 | 23 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $149.10 | $426.00 | $34.08 – $426.00 | 21 |
| Collection of venous blood by venipuncture CPT 36415 | $22.05 | $63.00 | $4.50 – $56.00 | 36 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $528.50 | $1,510.00 | $407.70 – $1,510.00 | 19 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $2,068.15 | $5,909.00 | $1,595.43 – $5,909.00 | 19 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $79.10 | $226.00 | $61.02 – $226.00 | 19 |
| Colposcopy vulva 56820 CPT 56820 | $74.20 | $212.00 | $57.24 – $212.00 | 19 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $264.60 | $756.00 | $204.12 – $756.00 | 19 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $264.60 | $756.00 | $204.12 – $756.00 | 19 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $249.55 | $713.00 | $90.04 – $713.00 | 18 |
| Compatibility test each unit electronic CPT 86923 | $249.55 | $713.00 | $67.74 – $713.00 | 18 |
| Compatibility test each unit immediate spin technique CPT 86920 | $249.55 | $713.00 | $84.26 – $713.00 | 18 |
| Compatibility test incubate CPT 86921 | $133.70 | $382.00 | $76.00 – $382.00 | 18 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $339.50 | $970.00 | $261.90 – $970.00 | 19 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $1,099.00 | $3,140.00 | $847.80 – $3,140.00 | 19 |
| Complement antigen each component c3 CPT 86160 | $121.45 | $347.00 | $8.64 – $347.00 | 40 |
| Complex cystometrogram 51726 CPT 51726 | $474.95 | $1,357.00 | $366.39 – $1,357.00 | 16 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $643.65 | $1,839.00 | $496.53 – $1,839.00 | 16 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $518.00 | $1,480.00 | $399.60 – $1,480.00 | 16 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $266.35 | $761.00 | $205.47 – $761.00 | 18 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $534.45 | $1,527.00 | $412.29 – $1,527.00 | 16 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $643.65 | $1,839.00 | $496.53 – $1,839.00 | 16 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $163.10 | $466.00 | $125.82 – $466.00 | 16 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $518.00 | $1,480.00 | $399.60 – $1,480.00 | 16 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $67.90 | $194.00 | $15.52 – $194.00 | 21 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $66.85 | $191.00 | $15.28 – $191.00 | 21 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $170.80 | $488.00 | $39.04 – $488.00 | 21 |
| Comprehensive hearing test CPT 92557 | $126.70 | $362.00 | $97.74 – $362.00 | 17 |
| Concentration infection agents any type CPT 87015 | $64.75 | $185.00 | $4.81 – $185.00 | 40 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $3,982.05 | $11,377.28 | $234.60 – $7,822.00 | 26 |
| Condylomata destruction 56420 CPT 56420 | $98.35 | $281.00 | $75.87 – $281.00 | 19 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $2,068.15 | $5,909.00 | $1,595.43 – $5,909.00 | 16 |
| Conization of cervix CPT 57520 | $2,068.15 | $5,909.00 | $1,595.43 – $5,909.00 | 16 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $515.34 | $1,472.40 | $323.51 – $1,472.40 | 24 |
| Connect omega .5mm HCPCS L8613 | $1,854.12 | $5,297.46 | $313.78 – $1,494.15 | 24 |
| Connector tis 2x10mm HCPCS C9352 | $6,638.97 | $18,968.46 | $2,990.99 – $13,595.40 | 22 |
| Consultation pathology during surgery CPT 88329 | $58.10 | $166.00 | $44.82 – $166.00 | 19 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $848.75 | $2,425.00 | $78.37 – $2,425.00 | 19 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $103.25 | $295.00 | $32.09 – $295.00 | 19 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $288.40 | $824.00 | $99.04 – $824.00 | 19 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $259.35 | $741.00 | $65.17 – $741.00 | 19 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $54.95 | $157.00 | $42.39 – $157.00 | 19 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,124.10 | $8,926.00 | $126.30 – $8,926.00 | 24 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,982.25 | $14,235.00 | $120.63 – $14,235.00 | 24 |
| Contrast x-ray of ankle CPT 73615 | $410.20 | $1,172.00 | $93.76 – $1,172.00 | 24 |
| Contrast x-ray of brain CPT 70015 | $727.65 | $2,079.00 | $140.00 – $2,079.00 | 24 |
| Contrast x-ray of elbow CPT 73085 | $410.20 | $1,172.00 | $93.76 – $1,172.00 | 24 |
| Contrast x-ray of hip CPT 73525 | $1,040.55 | $2,973.00 | $129.31 – $2,973.00 | 24 |
| Contrast x-ray of knee joint CPT 73580 | $603.40 | $1,724.00 | $110.94 – $1,724.00 | 24 |
| Contrast x-ray of wrist CPT 73115 | $366.80 | $1,048.00 | $83.84 – $1,048.00 | 24 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $20,818.35 | $59,481.00 | $8,395.80 – $39,980.00 | 21 |
| Controller infinity pt dbs HCPCS C1787 | $79,380.00 | $226,800.00 | $0.27 – $601.70 | 24 |
| Control nosebleed pack+caut 30905 CPT 30905 | $75.95 | $217.00 | $58.59 – $217.00 | 16 |
| Control of nosebleed ant comp 30903 CPT 30903 | $197.05 | $563.00 | $152.01 – $563.00 | 16 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $128.10 | $366.00 | $29.28 – $366.00 | 24 |
| Conversion ext bil drg cath CPT 47535 | $5,218.50 | $14,910.00 | $4,025.70 – $14,910.00 | 16 |
| Convert nephrostomy catheter CPT 50434 | $7,902.30 | $22,578.00 | $6,096.06 – $22,578.00 | 16 |
| Coombs direct CPT 86880 | $81.90 | $234.00 | $4.53 – $234.00 | 23 |
| Coombs indirect titer reference CPT 86886 | $86.80 | $248.00 | $4.35 – $248.00 | 23 |
| Copper cu 64 dotatate diag HCPCS A9592 | $960.75 | $2,745.00 | $100.00 – $2,745.00 | 15 |
| Core ndl bx lng/med perq CPT 32408 | $3,720.85 | $10,631.00 | $2,870.37 – $10,631.00 | 16 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $18,742.50 | $53,550.00 | $4,539.15 – $21,615.00 | 24 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $9,259.95 | $26,457.00 | $2,116.56 – $26,457.00 | 19 |
| Coronary angio/lv gram/lt heart CPT 93458 | $8,642.55 | $24,693.00 | $1,975.44 – $24,693.00 | 19 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $10,288.60 | $29,396.00 | $2,351.68 – $29,396.00 | 19 |
| Coronary art/grft angio s&i CPT 93455 | $5,654.25 | $16,155.00 | $1,292.40 – $16,155.00 | 19 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,916.45 | $14,047.00 | $1,123.76 – $14,047.00 | 19 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $435.40 | $1,244.00 | $99.52 – $1,244.00 | 19 |
| Cortisol total am CPT 82533 | $130.55 | $373.00 | $11.74 – $373.00 | 40 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $61.91 | $176.87 | $28.97 – $131.68 | 24 |
| Co-treatment - group 15 mins, st CPT 92508 | $13.30 | $38.00 | $10.26 – $38.00 | 17 |
| Counseling smoke cess interm >10mins CPT 99407 | $24.15 | $69.00 | $18.63 – $69.00 | 17 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $14,810.25 | $42,315.00 | $0.27 – $4,170.19 | 28 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.05 | $203.00 | $37.00 – $203.00 | 15 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $315.00 | $900.00 | $37.00 – $900.00 | 15 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $283.50 | $810.00 | $37.00 – $810.00 | 15 |
| Covid-19 lab test non-cdc HCPCS U0002 | $89.25 | $255.00 | $36.94 – $255.00 | 40 |
| #covid19rsv-rsv CPT 87634 | $119.00 | $340.00 | $50.54 – $340.00 | 40 |
| C-peptide CPT 84681 | $72.80 | $208.00 | $14.98 – $208.00 | 40 |
| Crbrospnl fld flw imag cistern CPT 78630 | $773.15 | $2,209.00 | $176.72 – $2,209.00 | 24 |
| C-reactive protein CPT 86140 | $121.45 | $347.00 | $3.73 – $347.00 | 40 |
| C-reactive protein high sensitivity CPT 86141 | $43.05 | $123.00 | $9.32 – $123.00 | 40 |
| C-reactive protein, quantitative CPT 86406 | $56.70 | $162.00 | $7.66 – $162.00 | 40 |
| Creatine kinase CPT 82550 | $83.30 | $238.00 | $4.69 – $238.00 | 40 |
| Creatine kinase mb CPT 82553 | $32.55 | $93.00 | $8.32 – $93.00 | 40 |
| Creatine - sendout CPT 82540 | $37.10 | $106.00 | $3.34 – $106.00 | 40 |
| Creatinine CPT 82565 | $44.10 | $126.00 | $3.69 – $79.00 | 40 |
| Creatinine 24 hour urine CPT 82570 | $71.40 | $204.00 | $3.73 – $204.00 | 40 |
| Creatinine clearance urine CPT 82575 | $142.80 | $408.00 | $6.81 – $408.00 | 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.