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 |
|---|---|---|---|---|
| Dalteparin sodium HCPCS J1645 | $124.09 | $354.53 | $19.79 – $101.95 | 24 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,150.92 | $3,288.33 | $0.06 – $55.27 | 24 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $27,169.47 | $77,627.03 | $53.21 – $77,627.03 | 24 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $3,903.74 | $11,153.52 | $2.03 – $843.79 | 24 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $26,349.55 | $75,284.41 | $209.54 – $66,655.79 | 24 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $419.11 | $1,197.44 | $33.59 – $804.24 | 24 |
| Dch validity tests CPT 81002 | $13.65 | $39.00 | $2.51 – $39.00 | 40 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $518.00 | $1,480.00 | $399.60 – $1,480.00 | 19 |
| Debridement (>20 cm) charge pt CPT 97598 | $286.65 | $819.00 | $16.83 – $819.00 | 20 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,955.05 | $8,443.00 | $2,279.61 – $8,443.00 | 16 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $688.80 | $1,968.00 | $36.00 – $1,968.00 | 21 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,220.45 | $3,487.00 | $36.00 – $3,487.00 | 21 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $778.05 | $2,223.00 | $600.21 – $2,223.00 | 16 |
| Debride nail1-5 11720 CPT 11720 | $37.80 | $108.00 | $29.16 – $108.00 | 19 |
| Debride nail6 or more 11721 CPT 11721 | $58.10 | $166.00 | $44.82 – $166.00 | 19 |
| Debride skin bone at fx site CPT 11012 | $2,342.90 | $6,694.00 | $1,807.38 – $6,694.00 | 16 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $336.00 | $960.00 | $36.00 – $960.00 | 21 |
| Debr inf skin add-on 11001 CPT 11001 | $64.40 | $184.00 | $14.72 – $184.00 | 24 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,977.15 | $5,649.00 | $1,525.23 – $5,649.00 | 16 |
| Decalcification CPT 88311 | $127.05 | $363.00 | $13.15 – $363.00 | 19 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $2,903.28 | $8,295.08 | $3.33 – $623.17 | 24 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $274.40 | $784.00 | $211.68 – $784.00 | 19 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $1,780.10 | $5,086.00 | $1,373.22 – $5,086.00 | 16 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $241.97 | $691.32 | $7.76 – $91.06 | 24 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,354.83 | $3,870.94 | $6.11 – $3,870.94 | 24 |
| Delivery of placenta 59414 CPT 59414 | $1,294.65 | $3,699.00 | $998.73 – $3,699.00 | 19 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $54.95 | $157.00 | $12.56 – $157.00 | 19 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $172.55 | $493.00 | $100.00 – $493.00 | 17 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $7,933.81 | $22,668.02 | $20.21 – $12,485.34 | 24 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $90.65 | $259.00 | $20.72 – $259.00 | 21 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $6,288.45 | $17,967.00 | $1,437.36 – $17,967.00 | 22 |
| Design mlc device for imrt CPT 77338 | $7,167.30 | $20,478.00 | $408.30 – $20,478.00 | 19 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $820.41 | $2,344.02 | $2.35 – $62.77 | 24 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $87.85 | $251.00 | $20.08 – $251.00 | 22 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $6,783.35 | $19,381.00 | $1,550.48 – $19,381.00 | 22 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $383.25 | $1,095.00 | $87.60 – $1,095.00 | 22 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,033.20 | $2,952.00 | $797.04 – $2,952.00 | 19 |
| Destruction anal lesion(s) CPT 46910 | $1,563.45 | $4,467.00 | $1,206.09 – $4,467.00 | 19 |
| Destruction anal lesion(s) CPT 46924 | $2,327.85 | $6,651.00 | $1,795.77 – $6,651.00 | 16 |
| Device ablt adv novasure HCPCS C1886 | $8,530.41 | $24,372.60 | $100.00 – $1,593.90 | 15 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,265.58 | $12,187.35 | $13.07 – $12,187.35 | 17 |
| Device intraute mirena HCPCS J7298 | $2,900.62 | $8,287.48 | $0.01 – $0.01 | 24 |
| Device sut capio slim opn HCPCS C2631 | $2,028.09 | $5,794.53 | $429.98 – $2,047.50 | 24 |
| Device tiss remov myosure reach HCPCS C1782 | $2,229.99 | $6,371.40 | $100.00 – $2,230.20 | 15 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $888.47 | $2,538.47 | $146.83 – $2,538.47 | 24 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $14.82 | $42.32 | $0.01 – $0.25 | 24 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $32.21 | $92.02 | $0.02 – $1.30 | 24 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $221.36 | $632.44 | $96.79 – $439.93 | 24 |
| Dextran 40 infusion HCPCS J7100 | $49.56 | $141.60 | $26.54 – $120.62 | 24 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $9.19 | $26.24 | $0.59 – $2.64 | 24 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $10.11 | $28.86 | $0.59 – $2.64 | 24 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $22.03 | $62.94 | $0.41 – $1.86 | 24 |
| Dextrose 5 % IV bolus HCPCS J7070 | $10.75 | $30.70 | $1.28 – $5.79 | 24 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $39.20 | $112.00 | $16.01 – $112.00 | 40 |
| Diabetes (HbA1c) Test CPT 83036 | $74.90 | $214.00 | $6.99 – $214.00 | 40 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $9.47 | $27.04 | $7.31 – $27.04 | 15 |
| Diab manage trn ind/group HCPCS G0109 | $21.00 | $60.00 | $10.66 – $60.00 | 37 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $114.45 | $327.00 | $26.16 – $327.00 | 24 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $113.05 | $323.00 | $87.21 – $323.00 | 18 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $123.20 | $352.00 | $95.04 – $352.00 | 19 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $680.75 | $1,945.00 | $148.00 – $1,945.00 | 19 |
| Diagnostic Mammogram (one breast) CPT 77065 | $449.40 | $1,284.00 | $132.62 – $1,284.00 | 19 |
| Diagnostic radio unlisted proc CPT 76499 | $92.75 | $265.00 | $14.64 – $183.00 | 24 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,442.25 | $9,835.00 | $100.00 – $9,835.00 | 16 |
| Dialysis one evaluation CPT 90945 | $776.30 | $2,218.00 | $100.00 – $2,218.00 | 15 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $46.09 | $131.68 | $0.10 – $106.84 | 24 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $65.78 | $187.92 | $6.76 – $65.81 | 24 |
| Dicyclomine injection HCPCS J0500 | $75.79 | $216.54 | $15.41 – $70.04 | 24 |
| Diffusing capacity CPT 94729 | $556.15 | $1,589.00 | $68.40 – $1,589.00 | 17 |
| Digital analysis of eeg CPT 95957 | $713.30 | $2,038.00 | $100.00 – $2,038.00 | 17 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $124.49 | $355.67 | $4.14 – $55.96 | 24 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $10,731.50 | $30,661.41 | $4,164.89 – $30,661.41 | 24 |
| Digoxin total therapeutic drug level CPT 80162 | $166.95 | $477.00 | $9.56 – $477.00 | 40 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $812.39 | $2,321.09 | $34.36 – $156.16 | 24 |
| Dilate biliary duct/ampulla CPT 47542 | $3,228.40 | $9,224.00 | $100.00 – $9,224.00 | 16 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $3,026.10 | $8,646.00 | $2,334.42 – $8,646.00 | 19 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $3,026.10 | $8,646.00 | $2,334.42 – $8,646.00 | 19 |
| Dilate ic vasospasm init CPT 61640 | $4,034.80 | $11,528.00 | $3,112.56 – $11,528.00 | 19 |
| Dilation of cervical canal 57800 CPT 57800 | $2,068.15 | $5,909.00 | $1,595.43 – $5,909.00 | 19 |
| Dilator fascial 10fx20cm HCPCS C2627 | $382.20 | $1,092.00 | $29.49 – $109.20 | 15 |
| Dilat xst trc ndurlgc px CPT 50436 | $1,507.80 | $4,308.00 | $1,163.16 – $4,308.00 | 16 |
| Dilat xst trc new access rcs CPT 50437 | $1,507.80 | $4,308.00 | $1,163.16 – $4,308.00 | 16 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $956.10 | $2,731.71 | $600.98 – $2,731.71 | 24 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.70 | $1.98 | $0.02 – $0.41 | 24 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $20.55 | $58.70 | $0.75 – $54.04 | 24 |
| Dissolve clot heart vessel CPT 92975 | $14.35 | $41.00 | $3.28 – $41.00 | 19 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $663.25 | $1,895.00 | $151.60 – $1,895.00 | 19 |
| Dna antibody native/double stranded CPT 86225 | $166.60 | $476.00 | $9.89 – $476.00 | 40 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $71.44 | $204.09 | $3.11 – $25.00 | 24 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $526.94 | $1,505.52 | $1.04 – $479.97 | 24 |
| Dolasetron mesylate HCPCS J1260 | $76.59 | $218.82 | $5.08 – $202.16 | 24 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $49.33 | $140.94 | $0.27 – $60.15 | 28 |
| Doppler echo complete CPT 93320 | $687.05 | $1,963.00 | $52.09 – $1,963.00 | 17 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,577.80 | $4,508.00 | $100.00 – $4,508.00 | 18 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,284.50 | $3,670.00 | $128.31 – $3,670.00 | 22 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $885.85 | $2,531.00 | $159.18 – $2,531.00 | 17 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $73.80 | $210.83 | $0.78 – $143.72 | 24 |
| Dornhoffer fixed part w/window HCPCS L8614 | $147,735.00 | $422,100.00 | $81.06 – $60,265.95 | 28 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $29,270.33 | $83,629.50 | $18,398.49 – $83,629.50 | 22 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $751.77 | $2,147.90 | $3.80 – $410.94 | 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.