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 |
|---|---|---|---|---|
| #creutz-prot.,western blot CPT 84182 | $45.85 | $131.00 | $21.03 – $131.00 | 40 |
| Critical care 30-74 minutes CPT 99291 | $2,335.20 | $6,672.00 | $427.04 – $5,338.00 | 24 |
| Critical care each additional 30 minutes CPT 99292 | $70.35 | $201.00 | $16.08 – $1,240.20 | 24 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $6,154.92 | $17,585.47 | $148.57 – $17,585.47 | 24 |
| Cromolyn sodium noncomp unit HCPCS J7631 | $4.83 | $13.79 | $0.30 – $4.93 | 18 |
| Crotalidae poly immune fab HCPCS J0840 | $11,925.85 | $34,073.83 | $2,541.33 – $34,073.83 | 24 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $2,423.75 | $6,925.00 | $554.00 – $6,925.00 | 22 |
| Cryocautery of cervix 57511 CPT 57511 | $116.55 | $333.00 | $89.91 – $333.00 | 19 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $21.35 | $61.00 | $10.18 – $61.00 | 40 |
| Cryoprecipitate each unit HCPCS P9012 | $122.15 | $349.00 | $88.00 – $349.00 | 15 |
| Crystal identification light microscopy CPT 89060 | $56.00 | $160.00 | $5.28 – $160.00 | 41 |
| Csf leakage imaging CPT 78650 | $564.55 | $1,613.00 | $129.04 – $1,613.00 | 24 |
| CT 3d report other modality w/workstation CPT 76377 | $833.35 | $2,381.00 | $44.71 – $2,381.00 | 20 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,101.00 | $8,860.00 | $175.06 – $8,860.00 | 25 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $4,274.55 | $12,213.00 | $175.06 – $12,213.00 | 25 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,600.80 | $10,288.00 | $175.06 – $10,288.00 | 25 |
| Cta neck without &/or w/contrast CPT 70498 | $3,731.00 | $10,660.00 | $175.06 – $10,660.00 | 25 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,027.10 | $11,506.00 | $366.42 – $11,506.00 | 25 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,421.25 | $9,775.00 | $175.06 – $9,775.00 | 25 |
| CT Angiogram of the Head CPT 70496 | $3,731.00 | $10,660.00 | $175.06 – $10,660.00 | 25 |
| CT angio hrt w/3d image CPT 75574 | $1,514.10 | $4,326.00 | $175.06 – $4,326.00 | 25 |
| CT angio pelvis CPT 72191 | $1,253.00 | $3,580.00 | $175.06 – $3,580.00 | 25 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,546.90 | $10,134.00 | $175.06 – $10,134.00 | 25 |
| CT colonography dx CPT 74261 | $409.85 | $1,171.00 | $93.68 – $1,171.00 | 25 |
| CT colonography dx w/dye CPT 74262 | $471.45 | $1,347.00 | $107.76 – $1,347.00 | 25 |
| CT colonography screening CPT 74263 | $962.50 | $2,750.00 | $507.00 – $2,750.00 | 20 |
| CT guidance for needle placement CPT 77012 | $1,570.80 | $4,488.00 | $100.00 – $4,488.00 | 21 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,502.90 | $4,294.00 | $89.94 – $3,350.00 | 19 |
| CT guid parench tis ablat CPT 77013 | $1,290.80 | $3,688.00 | $100.00 – $3,688.00 | 20 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $469.70 | $1,342.00 | $86.58 – $1,342.00 | 25 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,423.45 | $4,067.00 | $175.06 – $4,067.00 | 25 |
| CT hrt w/3d image CPT 75572 | $1,075.20 | $3,072.00 | $175.06 – $3,072.00 | 25 |
| CT limited or localized follow-up study CPT 76380 | $562.80 | $1,608.00 | $86.58 – $1,608.00 | 25 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,280.25 | $6,515.00 | $171.41 – $6,515.00 | 25 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,767.50 | $5,050.00 | $104.75 – $5,050.00 | 25 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,669.10 | $7,626.00 | $175.06 – $7,626.00 | 25 |
| CT neck soft tissue w/contrast CPT 70491 | $2,452.80 | $7,008.00 | $175.06 – $7,008.00 | 25 |
| CT neck soft tissue without contrast CPT 70490 | $1,986.95 | $5,677.00 | $104.75 – $5,677.00 | 25 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,943.50 | $8,410.00 | $175.06 – $8,410.00 | 25 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,569.05 | $4,483.00 | $175.06 – $4,483.00 | 25 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,344.70 | $3,842.00 | $175.06 – $3,842.00 | 25 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,179.50 | $3,370.00 | $104.75 – $3,370.00 | 25 |
| CT scan for therapy guide CPT 77014 | $1,665.65 | $4,759.00 | $108.74 – $4,759.00 | 20 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $7,343.00 | $20,980.00 | $350.18 – $20,980.00 | 25 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $6,736.45 | $19,247.00 | $312.08 – $19,247.00 | 25 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $5,658.80 | $16,168.00 | $188.11 – $16,168.00 | 25 |
| CT thoracic spine w/contrast CPT 72129 | $4,334.05 | $12,383.00 | $174.75 – $12,383.00 | 25 |
| CT thoracic spine without contrast CPT 72128 | $3,308.20 | $9,452.00 | $104.75 – $9,452.00 | 25 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $127.05 | $363.00 | $29.04 – $1,154.70 | 25 |
| CT t-spine w /wo contrast CPT 72130 | $5,094.95 | $14,557.00 | $175.06 – $14,557.00 | 25 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,965.95 | $5,617.00 | $206.49 – $5,617.00 | 25 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,572.55 | $4,493.00 | $104.75 – $4,493.00 | 25 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,437.75 | $6,965.00 | $175.06 – $6,965.00 | 25 |
| Culture aerobic additional method definitive id each CPT 87077 | $139.65 | $399.00 | $5.82 – $399.00 | 40 |
| Culture afb any source CPT 87116 | $110.60 | $316.00 | $7.78 – $316.00 | 40 |
| Culture anaerobic additional method definitive id each CPT 87076 | $93.10 | $266.00 | $5.82 – $266.00 | 40 |
| Culture anaerobic except blood CPT 87075 | $143.50 | $410.00 | $6.82 – $410.00 | 40 |
| Culture bact stool aero addl path ea CPT 87046 | $97.65 | $279.00 | $6.80 – $279.00 | 40 |
| Culture body fluid CPT 87070 | $263.55 | $753.00 | $6.21 – $753.00 | 41 |
| Culture fungi definitive id mold CPT 87107 | $115.15 | $329.00 | $7.43 – $329.00 | 40 |
| Culture fungi definitive id yeast CPT 87106 | $79.10 | $226.00 | $7.43 – $226.00 | 40 |
| Culture fungi other (except blood) CPT 87102 | $135.80 | $388.00 | $6.06 – $388.00 | 40 |
| Culture mycoplasma any source CPT 87109 | $40.25 | $115.00 | $11.08 – $115.00 | 40 |
| Culture quantitative aerobic other source CPT 87071 | $14.00 | $40.00 | $7.12 – $40.00 | 40 |
| Culture screening strep group a CPT 87081 | $110.60 | $316.00 | $4.77 – $316.00 | 41 |
| Culture typing immunologic CPT 87147 | $77.70 | $222.00 | $3.73 – $222.00 | 40 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $437.15 | $1,249.00 | $25.26 – $1,249.00 | 40 |
| Cutter lead HCPCS C1773 | $6,829.20 | $19,512.00 | $29.49 – $5,096.00 | 24 |
| Cv line/pic reposition CPT 36597 | $1,410.50 | $4,030.00 | $1,088.10 – $4,030.00 | 19 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $25.90 | $74.00 | $10.31 – $74.00 | 40 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $19.46 | $55.58 | $1.81 – $55.01 | 24 |
| Cyclic citrullinated peptide antibody CPT 86200 | $119.70 | $342.00 | $9.32 – $342.00 | 40 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $779.37 | $2,226.77 | $226.43 – $1,029.19 | 22 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $1.81 | $5.17 | $0.35 – $1.57 | 24 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $101.89 | $291.11 | $29.46 – $177.35 | 24 |
| Cyclosporine 2 hour CPT 80158 | $143.50 | $410.00 | $13.00 – $410.00 | 40 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.50 | $4.27 | $0.11 – $0.48 | 24 |
| Cyclosporine oral 100 mg HCPCS J7502 | $938.25 | $2,680.71 | $0.21 – $0.92 | 24 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $55,839.42 | $159,541.20 | $242.55 – $1,155.00 | 24 |
| Cyp2c9 gene com variants CPT 81227 | $275.10 | $786.00 | $125.86 – $786.00 | 41 |
| Cystatin c CPT 82610 | $36.05 | $103.00 | $13.33 – $103.00 | 40 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $480.90 | $1,374.00 | $41.44 – $1,374.00 | 24 |
| Cystometrogram w/up 51727 CPT 51727 | $306.25 | $875.00 | $236.25 – $875.00 | 19 |
| Cystoscopy and treatment CPT 52310 | $2,703.05 | $7,723.00 | $2,085.21 – $7,723.00 | 16 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,101.80 | $3,148.00 | $849.96 – $3,148.00 | 16 |
| Cystoscopy removal of clots CPT 52001 | $2,499.35 | $7,141.00 | $1,928.07 – $7,141.00 | 16 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $968.45 | $2,767.00 | $747.09 – $2,767.00 | 16 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $177.55 | $507.28 | $0.72 – $414.79 | 24 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $217.00 | $620.00 | $10.36 – $620.00 | 41 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $217.70 | $622.00 | $12.13 – $622.00 | 41 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $3,857.81 | $11,022.29 | $1,260.59 – $11,022.29 | 24 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $160.65 | $459.00 | $47.70 – $459.00 | 19 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $68.95 | $197.00 | $47.70 – $197.00 | 19 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $120.75 | $345.00 | $10.53 – $345.00 | 19 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $249.55 | $713.00 | $46.98 – $713.00 | 19 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $186.20 | $532.00 | $67.05 – $532.00 | 19 |
| Cytotoxic antibody screening CPT 86807 | $180.95 | $517.00 | $56.63 – $517.00 | 40 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $160.26 | $457.88 | $5.95 – $414.21 | 24 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $5,912.84 | $16,893.81 | $463.81 – $2,732.37 | 24 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,021.94 | $11,491.24 | $16.73 – $10,628.16 | 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.