Supplies, drugs & other prices at St. Luke's The Woodlands Hospital

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,191.35 $6,261 2.8×
2d tte w or w/o fol w/con,co (C8923) $526.75 $1,505 0.7×
2d tte w or w/o fol w/con,fu (C8924) $462 $1,320 1.3×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $3,745 $10,700 1.0×
Adm of soc dtr assess 5-15 m (G0136) $9.47 $27.04 0.3×
Adm tocilizu covid-19 1st (M0249) $315 $900 0.7×
Adm tocilizu covid-19 2nd (M0250) $283.50 $810 0.6×
Admin hepatitis b vaccine (G0010) $36.40 $104 0.8×
Admin influenza virus vac (G0008) $46.20 $132 1.0×
Admin pneumococcal vaccine (G0009) $51.80 $148 1.1×
Blind cor sinus reducer impl (C9783) $13,210.40 $37,744 1.1×
Blind interatrial shunt ide (C9758)
unusually low: confirm this is the full procedure
$8,268.75 $23,625 0.5×
Catheterize for urine spec (P9612) $26.95 $77 2.9×
Comm hlth intg svs sdoh 60mn (G0019) $29.40 $84 0.3×
Covid-19 lab test non-cdc (U0002) $89.25 $255 1.7×
Diab manage trn per indiv (G0108) $33.25 $95 0.6×
Diab manage trn ind/group (G0109) $21 $60 1.3×
Direct refer hospital observ (G0379) $545.65 $1,559 0.9×
Drug test def 1-7 classes (G0480) $72.98 $208.50 0.6×
Elec stim other than wound (G0283) $99.22 $283.50 7.8×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $23,798.60 $67,996 0.5×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $8,930.25 $25,515 0.8×
Hbot, full body chamber, 30m (G0277) $251.30 $718 1.8×
Heart symp image plnr (0331T) $2,251.20 $6,432 1.7×
Heart symp image plnr spect (0332T) $2,693.25 $7,695 2.1×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $15,337.70 $43,822 0.9×
Inj for sacroiliac jt anesth (G0260) $2,160.20 $6,172 3.0×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $6,327.30 $18,078 0.6×
Insertion perm ccm-d system pulse generator only (0916T) $20,300 $58,000 0.9×
Insertion wrls car stimulator lv pacg compl sys (0515T) $18,804.80 $53,728 0.8×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $7,241.50 $20,690 0.9×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $7,000 $20,000 0.8×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $28,000 $80,000 0.9×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
unusually low: confirm this is the full procedure
$14,252.35 $40,721 0.5×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T)
unusually low: confirm this is the full procedure
$3,523.45 $10,067 0.4×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T)
unusually low: confirm this is the full procedure
$3,523.45 $10,067 0.4×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T)
unusually low: confirm this is the full procedure
$8,222.55 $23,493 0.4×
Instlj fecal microbiota ssp (0780T) $1,312.15 $3,749 9.8×
Interro Device Evaluation Cardiac Modulj System (0418T) $143.85 $411 3.8×
Interrog dev eval impl ccm-d system in person (0927T) $350 $1,000 9.3×
Mra w/cont, abd (C8900) $1,509.90 $4,314 4.3×
Mra w/cont, chest (C8909) $1,613.15 $4,609 4.6×
Mra w/cont, lwr ext (C8912) $1,607.90 $4,594 4.6×
Mra w/cont, pelvis (C8918) $1,211.35 $3,461 3.5×
Mra w/o cont, abd (C8901) $1,128.05 $3,223 4.7×
Mra w/o cont, chest (C8910) $1,205.05 $3,443 5.0×
Mra w/o cont, lwr ext (C8913) $972.65 $2,779 4.1×
Mra w/o cont, pelvis (C8919) $904.75 $2,585 3.8×
Mra w/o fol w/cont, abd (C8902) $1,818.95 $5,197 5.2×
Mra w/o fol w/cont, chest (C8911) $1,943.20 $5,552 5.5×
Mra w/o fol w/cont, lwr ext (C8914) $1,830.15 $5,229 5.2×
Mra w/o fol w/cont, pelvis (C8920) $1,459.15 $4,169 4.2×
Mra, w/dye, spinal canal (C8931) $316.40 $904 0.9×
Mra, w/o dye, spinal canal (C8932) $192.85 $551 0.8×
Mra, w/o&w/dye, spinal canal (C8933) $316.40 $904 0.9×
Mra, w/o&w/dye, upper extr (C8936) $712.60 $2,036 2.0×
Mri w/cont, breast, bi (C8906) $1,885.45 $5,387 5.4×
Mri w/cont, breast, uni (C8903) $905.10 $2,586 5.1×
Mri w/o fol w/cont, breast, (C8908) $1,885.45 $5,387 5.4×
Mri w/o fol w/cont, brst, un (C8905) $1,885.45 $5,387 5.4×
Nav srv peer sup 60 min pr m (G0140) $73.50 $210 0.7×
Non-ophthalmic fva (C9733) $1,490.65 $4,259 4.3×
Obtaining screen pap smear (Q0091) $21.70 $62 0.7×
Oth resp proc, indiv (G0238) $105.35 $301 3.6×
Pathogen test for platelets (P9100) $75.95 $217 1.3×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$8,930.95 $25,517 0.5×
Perc d-e cor revasc t cabg s (C9604) $10,060.05 $28,743 0.9×
Perc d-e cor stent ather s (C9602) $11,394.60 $32,556 0.6×
Perc drug-el cor stent sing (C9600) $10,265.15 $29,329 0.9×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) $14,458.38 $41,309.65 0.8×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $10,482.15 $29,949 0.9×
Pin service 60m per month (G0023) $29.40 $84 0.3×
Place device/marker, non pro (C9728) $1,514.45 $4,327 1.1×
Pre 3d mdl w/ccta and/or mri (C9793) $871.50 $2,490 1.0×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $155.75 $445 4.2×
Programming device eval impl ccm-d sys in person (0926T) $700 $2,000 18.7×
Prostate biopsy, any mthd (G0416) $408.10 $1,166 1.1×
Qmrcp w/dx MRI same anatomy (0724T) $1,578.85 $4,511 1.7×
Qmrcp w/o dx MRI sm anat ses (0723T) $748.30 $2,138 0.8×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $822.50 $2,350 0.9×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,615.60 $4,616 1.7×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $716.10 $2,046 0.3×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $1,830.50 $5,230 0.9×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $1,830.50 $5,230 0.9×
Relocation skin pocket implanted ccm-d pg (0925T) $1,600.55 $4,573 0.8×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $1,640.45 $4,687 0.4×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $3,237.85 $9,251 0.9×
Removal perm ccm-d system pulse generator only (0919T) $3,184.30 $9,098 0.8×
Removal Pg Wcs Lv Pacing Both Components (0861T) $3,237.85 $9,251 0.9×
Repos Cardiac Modulj Transvenous Electrode (0415T) $1,829.80 $5,228 2.9×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $2,100 $6,000 3.3×
Revasc intra lithotrip-ather (C9766) $11,265.45 $32,187 0.6×
Revasc intra lithotrip-stent (C9765) $11,265.45 $32,187 0.6×
Revasc intravasc lithotripsy (C9764) $7,085.05 $20,243 0.6×
Revasc lith-sten-ath tib/per (C9775) $9,418.85 $26,911 0.5×
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure
$8,999.90 $25,714 0.5×
Revasc lithotr-stent tib/per (C9773)
unusually low: confirm this is the full procedure
$8,124.55 $23,213 0.4×
Revasc lithotrip tibi/perone (C9772) $7,304.85 $20,871 0.6×
Revasc lithotrip-stent-ather (C9767) $11,265.45 $32,187 0.6×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $3,237.85 $9,251 0.9×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $3,237.85 $9,251 0.9×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $3,325 $9,500 0.9×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) $19,640.25 $56,115 0.9×
Sim ang w/prs cath rad emb (C8004) $9,938.95 $28,397 0.9×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $5,019.35 $14,341 1.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $16,066.32 $45,903.75 0.8×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $16,066.32 $45,903.75 0.8×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $16,066.32 $45,903.75 0.8×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $16,066.32 $45,903.75 0.8×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $2,628.21 $7,509.15 0.8×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $2,628.21 $7,509.15 0.8×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $2,628.21 $7,509.15 0.8×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $2,628.21 $7,509.15 0.8×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $16,066.32 $45,903.75 0.8×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $16,066.32 $45,903.75 0.8×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $16,066.32 $45,903.75 0.8×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $16,066.32 $45,903.75 0.8×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $6,881.70 $19,662 1.2×
Tee w or w/o fol w/cont, mon (C8927) $591.50 $1,690 0.8×
Therapeutic procd strg endur (G0237) $32.90 $94 1.1×
Tomosynthesis, mammo (G0279) $55.30 $158 4.4×
Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) $14,458.38 $41,309.65 0.8×
Transcatheter Renal Sympath Denervation Bilat (0339T) $6,002.85 $17,151 1.0×
Transcatheter renal sympath denervation unilat (0338T) $10,691.80 $30,548 1.9×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $6,599.95 $18,857 0.6×
Trluml Perip Athrc Renal Art (0234T) $6,285.65 $17,959 0.5×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$5,430.95 $15,517 0.5×
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure
$6,204.10 $17,726 0.3×
Tte w or w/o contr, cont ecg (C8930) $2,739.10 $7,826 3.5×
Tte w or w/o fol w/cont, f/u (C8922) $575.40 $1,644 0.7×
Tte w or wo fol wcon,doppler (C8929) $3,150 $9,000 4.0×
Vasc emb/occ w/prs cath (C9797) $14,458.50 $41,310 0.8×