Procedures & surgery prices at Chi St. Luke's Health Brazosport

Lake Jackson, TX · every code in this section with a posted price and a Medicare benchmark.

220 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,321.43 $3,775.50 1.5×
Anoscopy diagnostic (46600) $95.13 $271.80 0.7×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $322.35 $921 2.0×
Application Finger Splint Dynamic (29131) $51.10 $146 0.9×
Application finger splint static (29130) $106.75 $305 0.8×
Application halo type body cast (29000) $181.13 $517.50 0.6×
Application long arm splint shoulder hand (29105) $68.04 $194.40 0.4×
Application Of Rigid Total Contact Leg Cast (29445) $214.90 $614 0.8×
Application Short Arm Splint Dynamic (29126) $106.75 $305 0.8×
Application short arm splint forearm-hand static (29125) $106.75 $305 0.8×
Application short leg splint calf foot (29515) $193.90 $554 1.2×
Apply multlay comprs arm/hand (29584) $138.60 $396 0.8×
Arterial puncture (36600) $78.54 $224.40 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $430.15 $1,229 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $436.10 $1,246 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $423.50 $1,210 1.4×
Avulsion nail plate partial/complete simple 1 (11730) $54.18 $154.80 0.3×
Biopsy bone open superficial (20240) $1,400.70 $4,002 0.5×
Biopsy bone trocar/needle deep (20225) $1,428 $4,080 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $673.16 $1,923.30 0.4×
Biopsy muscle percutaneous needle (20206) $634.10 $1,811.70 0.4×
Biopsy of uterus lining (58100) $60.48 $172.80 0.3×
Bladder Instillation Anticarcinogenic Agent (51720) $227.15 $649 0.3×
Bladder Irrigation Simple (51700) $167.27 $477.90 0.7×
Blood patch (62273) $784.35 $2,241 1.1×
Blood transfusion service (36430) $239.25 $683.55 0.5×
Bone Marrow Biopsy (38221) $737.10 $2,106 0.4×
Bx abdl/retroperitoneal mass prq needle (49180) $595.98 $1,702.80 0.4×
Bx breast 1st lesion us imag (19083) $1,029.70 $2,942 0.6×
Bx/exc lymph node needle superficial (38505) $1,075.55 $3,073 0.6×
Catheter Aspiration Nasotracheal Spx (31720) $73.15 $209 0.3×
Chemical Cautery Tissue (17250) $109.20 $312 0.5×
Chest tube placement (32551) $230.58 $658.80 0.1×
Cholecystostomy,Percutaneous, Complete (47490) $2,310 $6,600 0.6×
Circumcision Neonate (54160) $231.70 $661.98 0.3×
Cisternal/Lateral C1-C2 Puncture W/Injection (61055) $201.29 $575.10 0.7×
Complex Drainage, Wound (10180) $330.75 $945 0.1×
Control Nasal Hemorrhage Anterior Simple (30901) $440.36 $1,258.17 3.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,164.87 $3,328.20 0.7×
Debride nail 1-5 (11720) $53.55 $153 0.9×
Debride nail 6 or more (11721) $51.98 $148.50 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $682.50 $1,950 1.7×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,733.55 $4,953 2.3×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,593.50 $7,410 1.6×
Declot vascular device (36593) $172.94 $494.10 0.5×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $925.75 $2,645 1.3×
Drainage of hematoma/fluid (10140) $111.51 $318.60 0.1×
Draw blood off venous device (36591) $100.80 $288 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $504.09 $1,440.24 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $252.81 $722.30 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $246.40 $704 1.2×
Dx bone marrow bx & aspir (38222) $1,365.70 $3,902 0.5×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $680.40 $1,944 1.0×
Fluoro exam of g/colon tube (49465) $188.20 $537.71 0.8×
Gastric Intubation/Aspiration, Therapeutic (43753) $182.70 $522 0.8×
I&d abscess simple (10060) $251.82 $719.50 1.2×
Image Cath Fluid Peri/Retro (49406) $1,678.01 $4,794.30 1.0×
Incision & drainage abscess complicated/multiple (10061) $186.55 $533 0.5×
Incisional biopsy skin single lesion (11106) $524.30 $1,498 0.7×
Initial tx 1st degree burn local tx (16000) $150.89 $431.10 0.7×
Injection anes other peripheral nerve/branch (64450) $606.20 $1,732 0.9×
Injection Rx Extremity Pseudoaneurysm (36002) $128.21 $366.30 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $133.88 $382.50 0.4×
Ins cath ren art 1st bilat (36252) $2,672.46 $7,635.60 0.8×
Ins cath ren art 1st unilat (36251) $2,238.39 $6,395.40 0.7×
Ins endovas vena cava filtr (37191) $4,586.05 $13,103 0.8×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207)
unusually low: confirm this is the full procedure
$4,407.80 $12,593.70 0.4×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
unusually low: confirm this is the full procedure
$4,933.53 $14,095.80 0.5×
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) $6,533.75 $18,667.85 0.6×
Insert Drug Implant Device (11981) $54.50 $155.70 0.4×
Insert Gastrostomy Tube Percutaneous (49440) $1,255.45 $3,587 0.7×
Insert non-tunnel cv cath (36556) $693.63 $1,981.80 0.2×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $421.16 $1,203.30 0.1×
Insert picc cath (36569) $1,336.65 $3,819 0.8×
Insert Temp Bladder Cath (51702) $287.35 $821 2.2×
Insert tunneled cv cath (36561) $2,929.82 $8,370.90 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $80.01 $228.60 0.6×
Insertion indwelling tunneled pleural catheter (32550) $813.65 $2,324.70 0.2×
Insertion of cannula (36810) $2,089.08 $5,968.80 0.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $6,420.02 $18,342.90 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,660.35 $7,601 0.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$1,302.84 $3,722.40 0.2×
Intro cath dialysis circuit w/trluml balo angiop (36902) $6,638 $18,965.70 1.2×
Intro Gastrointestinal Tube (44500) $151.83 $433.80 0.2×
Intubation endotracheal emergency procedure (31500) $437.15 $1,249 1.8×
Laryngoscopy Flexible Diagnostic (31575) $806.05 $2,303 4.0×
Late closure of wound (13160) $1,503.60 $4,296 0.4×
Lithotripsy (50590) $7,302.75 $20,865 2.1×
Liver Biopsy (47000) $781.20 $2,232 0.5×
Myelography Lumbar Injection (62305) $1,474.20 $4,212 1.9×
Myelography Lumbar Injection (62304) $1,131.83 $3,233.79 1.4×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $1,125.55 $3,215.84 1.4×
Myelography via lumbar injection rs&i thoracic (62303) $1,138.10 $3,251.70 1.4×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $1,087.80 $3,108 1.6×
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure
$3,233.79 $9,239.40 0.3×
Open/Perq Placement Intravascular Stent Initial (37236)
likely a partial charge, not the full procedure
$2,951.55 $8,433 0.3×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $382.10 $1,091.70 0.3×
Perc Radiofreq Ablate Renal Tumor (50592)
unusually low: confirm this is the full procedure
$1,943.24 $5,552.10 0.3×
Percut Cath Occlusn Non Cns Lesn (61626)
likely a partial charge, not the full procedure
$3,086.69 $8,819.10 0.3×
Percut Drain/Inject Renal Cyst (50390) $438.80 $1,253.70 0.6×
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure
$2,524.73 $7,213.50 0.2×
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,524.73 $7,213.50 0.8×
Perq dev breast 1st us imag (19285) $73.08 $208.80 0.1×
Perq device breast 1st imag (19281) $104.90 $299.70 0.1×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $461.48 $1,318.50 0.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $8,804.88 $25,156.80 0.8×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $2,217.60 $6,336 0.7×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $2,118.06 $6,051.60 0.6×
Place Cath Subclavian Art (36225) $3,032.75 $8,665 1.0×
Place Cath Thoracic Aorta (36221) $2,660.35 $7,601 0.8×
Place Cath Vertebral Art (36226) $4,586.40 $13,104 0.8×
Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) $1,156.40 $3,304 0.8×
Placement of needle for intraosseous infusion (36680) $126.95 $362.70 0.3×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure
$2,524.73 $7,213.50 0.1×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $380.98 $1,088.50 0.5×
Punch biopsy skin single lesion (11104) $332.85 $951 0.8×
Puncture Aspiration (10160) $136.71 $390.60 0.3×
Puncture Aspiration Cyst Breast (19000) $405.72 $1,159.20 0.6×
Rem endovas vena cava filter (37193) $2,660 $7,600 0.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $33.71 $96.30 0.6×
Removal Implantable Defib Pulse Generator Only (33241) $985.64 $2,816.10 0.3×
Removal of nail bed (11750) $393.40 $1,124 1.0×
Removal ppm generator only (33233) $5,672.45 $16,207 0.7×
Removal subq cardiac rhythm monitor (33286) $871.61 $2,490.30 1.2×
Removal Tunneled Intraperitoneal Catheter (49422) $919.80 $2,628 0.3×
Remove drug implant device (11982) $54.50 $155.70 0.1×
Remove intrvas foreign body (37197) $1,772.51 $5,064.30 0.6×
Remove&replace pm gen singl (33227) $4,325.58 $12,358.80 0.5×
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure
$5,054.81 $14,442.30 0.5×
Renal biopsy (50200) $823.90 $2,354 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $290.85 $831 0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $247.45 $707 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $163.10 $466 0.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $186.90 $534 0.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $168.35 $481 0.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $192.50 $550 0.5×
Repair complex trunk 1.1-2.5 cm (13100) $147.35 $421 0.2×
Repair complex trunk 2.6-7.5 cm (13101) $168.35 $481 0.2×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $272.65 $779 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $133 $380 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $217.35 $621 0.5×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $544.25 $1,555 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $316.05 $903 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $320.60 $916 0.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $150.15 $429 0.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $158.20 $452 0.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $141.40 $404 0.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $196 $560 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $162.05 $463 0.2×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $87.15 $249 0.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $167.30 $478 0.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $207.20 $592 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $198.10 $566 0.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $218.75 $625 0.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $167.30 $478 0.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $158.20 $452 0.1×
Replace g/c tube perc (49450) $401.10 $1,146 0.4×
Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) $2,660 $7,600 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,832.04 $5,234.40 1.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $395.96 $1,131.30 0.6×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $54.50 $155.70 0.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,660.35 $7,601 0.8×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $315.70 $902 0.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $582.05 $1,663 1.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $254.10 $726 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $264.25 $755 1.3×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $701.40 $2,004 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $340.55 $973 1.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $429.45 $1,227 2.1×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $787.85 $2,251 3.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $259 $740 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $828.10 $2,366 4.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $424.55 $1,213 2.1×
Skin sub graft face/nk/hf/g (15275) $673.40 $1,924 0.9×
Skin sub graft trnk/arm/leg (15271) $505.05 $1,443 0.7×
Skin Sub Grft T/Arm/Lg Child (15273) $498.40 $1,424 0.2×
Skn sub grft f/n/hf/g child (15277) $485.10 $1,386 0.2×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $2,660.35 $7,601 0.8×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $4,586.40 $13,104 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $339.15 $969 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $543.55 $1,553 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $665 $1,900 1.6×
Spinal puncture lumbar diagnostic (62270) $690.90 $1,974 1.0×
Spinal Puncture Therapeutic (62272) $443.84 $1,268.10 0.6×
Strapping ankle (29540) $43.79 $125.10 0.3×
Strapping elbow/wrist (29260) $38.43 $109.80 0.6×
Strapping hand/finger (29280) $35.60 $101.70 0.6×
Strapping Hip (29520) $41.58 $118.80 0.3×
Strapping knee (29530) $39.38 $112.50 0.3×
Strapping shoulder (29240) $46.94 $134.10 0.4×
Strapping thorax (29200) $41.58 $118.80 0.3×
Strapping toes (29550) $34.02 $97.20 0.6×
Strapping unna boot (29580) $132.65 $379 0.8×
Tangential biopsy skin single lesion (11102) $307.08 $877.35 0.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $749.39 $2,141.10 0.5×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $727.65 $2,079 0.5×
Ther Apheresis,Plasma Pheresis (36514) $3,293.01 $9,408.60 2.1×
Ther Apheresis,Platelets (36513) $1,203.62 $3,438.90 2.7×
Ther Apheresis,Red Blood Cells (36512) $1,364.58 $3,898.80 0.9×
Ther Apheresis,White Blood Cells (36511) $1,024.45 $2,927 0.7×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $524.30 $1,498 0.8×
Thoracentesis needle/cath pleura w/o imaging (32554) $524.30 $1,498 0.8×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure
$2,198.70 $6,282 0.4×
Thrombolytic Venous Therapy (37212) $1,754.87 $5,013.90 0.6×
Thyroid biopsy (60100) $674.10 $1,926 0.9×
Tracheostomy emergency cricothyroid membrane (31605) $469.35 $1,341 2.0×
Trim skin lesion (11055) $167.30 $478 0.8×
Trim skin lesions 2 to 4 (11056) $220.50 $630 1.1×
Trim skin lesions over 4 (11057) $133.70 $382 0.7×
Trimming Of Nondystrophic Nails, Any Number (11719) $40.60 $116 0.7×
Trlml balo angiop open/perq img s&i 1st art (37246) $4,770.15 $13,629 0.8×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $4,770.15 $13,629 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $271.95 $777 0.4×
Unlisted Procedure Vascular Surgery (37799) $6,401.85 $18,291 10.2×
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure
$6,489 $18,540 0.4×
Vasc Embolize/Occlude Bleed (37244)
unusually low: confirm this is the full procedure
$4,178.48 $11,938.50 0.4×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure
$3,793.23 $10,837.80 0.3×
Venipuncture (36415) $21 $60 2.2×
Wound Prep F/N/Hf/G (15004) $150.26 $429.30 0.4×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $563.54 $1,610.10 0.8×