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Chi St Luke's Health Brazosport

100 Medical Drive, Lake Jackson, TX 77566 · (979) 297-4411

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Houston, TX metroPart of ST. Lukes Health System · 5 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-02-28

7,791 price rows for 60 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 6 lines · metro median $380

$243
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 6 lines · metro median $2,362

$7,068
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 6 lines · metro median $1,120

$2,521
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines · metro median $1,124

$3,688
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines · metro median $35

$112
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 12 lines · metro median $94

$83
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 6 lines · metro median $473

$306
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 6 lines · metro median $771

$815
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 12 lines · metro median $310

$159
cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $35

$100
cash
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Left heart catheterization

CPT 93452 · lowest of 6 lines · metro median $4,753

$4,122
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $13

$103
cash
Liver function panel

CPT 80076 · lowest of 6 lines · metro median $327

$216
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 12 lines · metro median $1,616

$4,339
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $1,244

$2,604
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 6 lines · metro median $1,056

$4,113
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 6 lines · metro median $1,408

$3,453
cash
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cash
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cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 12 lines · metro median $272

$159
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 12 lines · metro median $313

$193
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 12 lines · metro median $336

$226
cash
PSA test (prostate)

CPT 84153 · lowest of 6 lines · metro median $74

$126
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 12 lines · metro median $35

$9
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 18 lines · metro median $123

$102
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 6 lines · metro median $1,089

$1,221
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 18 lines · metro median $135

$9
cash
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cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 6 lines · metro median $330

$330
cash
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Sleep study (overnight, attended)

CPT 95810 · lowest of 6 lines · metro median $2,949

$1,601
cash
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TSH test (thyroid)

CPT 84443 · lowest of 6 lines · metro median $17

$100
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 6 lines · metro median $741

$741
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 6 lines · metro median $1,812

$1,650
cash
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Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $92

$49
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 6 lines · metro median $927

$757
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.