Colonoscopy Cost in Houston, TX

A colonoscopy is an endoscopic examination where a physician inserts a flexible tube with a camera through the rectum to visualize the entire colon and rectum. The procedure produces direct visual images of the colon lining and allows for tissue sampling when abnormalities are identified. Hospital facility fees cover the use of the procedure room, endoscopic equipment, monitoring devices, nursing staff, sedation administration, and recovery room services. The pricing data presented comes from CMS-mandated hospital transparency files that hospitals must publish annually. Two main billing codes apply: HCPCS 45378 for screening colonoscopy and HCPCS 45380 for colonoscopy with biopsy, which involves additional tissue sampling and pathology processing during the same procedure session.

Data last updated: 2026-02-28

Screening Colonoscopy (HCPCS 45378)

Hospital Cash Price
Baylor St Luke's Medical $0 Schedule →
Harris Health $1,835.24 Schedule →
HCA Clear Lake $0 Schedule →
HCA Conroe $0 Schedule →
HCA Kingwood $0 Schedule →
HCA Mainland $0 Schedule →
HCA Medical Center $0 Schedule →
HCA North Cypress $0 Schedule →
HCA Northwest $0 Schedule →
HCA Pearland $0 Schedule →
HCA Southeast $0 Schedule →
HCA Tomball $0 Schedule →
HCA West $0 Schedule →
Houston Methodist $519 Schedule →
MH Cypress $1,541.44 Schedule →
MH Greater Heights $1,468.16 Schedule →
MH Katy $1,468.16 Schedule →
MH Memorial City $1,468.16 Schedule →
MH Northeast $1,468.16 Schedule →
MH Pearland $1,468.16 Schedule →
MH Southeast $1,468.16 Schedule →
MH Southwest $1,468.16 Schedule →
MH Sugar Land $1,468.16 Schedule →
Memorial Hermann TMC $1,541.44 Schedule →
MH Woodlands $1,468.16 Schedule →
St Luke's Brazosport $0 Schedule →
St Luke's Lakeside $0 Schedule →
St Luke's Patients Medica $1,375.92 Schedule →
St Luke's Springwoods Vil $0 Schedule →
St Luke's Sugar Land $0 Schedule →
St Luke's The Vintage $0 Schedule →
St Luke's The Woodlands $0 Schedule →

Colonoscopy with Biopsy (HCPCS 45380)

Hospital Cash Price
Baylor St Luke's Medical $0 Schedule →
Harris Health $1,835.24 Schedule →
HCA Clear Lake $0 Schedule →
HCA Conroe $0 Schedule →
HCA Kingwood $0 Schedule →
HCA Mainland $0 Schedule →
HCA Medical Center $0 Schedule →
HCA North Cypress $0 Schedule →
HCA Northwest $0 Schedule →
HCA Pearland $0 Schedule →
HCA Southeast $0 Schedule →
HCA Tomball $0 Schedule →
HCA West $0 Schedule →
Houston Methodist $462 Schedule →
MH Cypress $1,541.44 Schedule →
MH Greater Heights $1,468.16 Schedule →
MH Katy $1,468.16 Schedule →
MH Memorial City $1,468.16 Schedule →
MH Northeast $1,468.16 Schedule →
MH Pearland $1,468.16 Schedule →
MH Southeast $1,468.16 Schedule →
MH Southwest $1,468.16 Schedule →
MH Sugar Land $1,468.16 Schedule →
Memorial Hermann TMC $1,541.44 Schedule →
MH Woodlands $1,468.16 Schedule →
St Luke's Brazosport $0 Schedule →
St Luke's Lakeside $0 Schedule →
St Luke's Patients Medica $1,521.45 Schedule →
St Luke's Springwoods Vil $0 Schedule →
St Luke's Sugar Land $0 Schedule →
St Luke's The Vintage $0 Schedule →
St Luke's The Woodlands $0 Schedule →

What These Prices Mean

Understanding the price columns: The gross charge represents the hospital's list price before any discounts. Houston Methodist shows a gross charge of $1,038 for screening colonoscopy but offers a cash price of $519, representing a 50% discount. Memorial Hermann hospitals show higher gross charges of $4,588 but provide larger percentage discounts of 68%, resulting in cash prices of $1,468.16. However, the larger discount still produces a higher final cash price due to the significantly higher starting gross charge. Patients with high-deductible insurance plans who have not met their deductible will owe the negotiated insurance rate rather than the cash price. Code variations and cost differences: Code 45378 covers screening colonoscopy with visual examination only, while code 45380 includes tissue biopsy collection and processing. At Houston Methodist, the biopsy version costs $57 less in cash ($462 vs $519), while Memorial Hermann hospitals charge identical cash prices of $1,468.16 for both procedures, showing no price differentiation between the screening and biopsy versions.

Why Colonoscopy Prices Vary

Hospital pricing structures: Gross charges range from $1,038 at Houston Methodist to $4,817 at Memorial Hermann TMC, a gap of nearly $3,800. However, cash prices narrow this gap significantly, ranging from $462 to $1,541.44, a difference of about $1,080. Houston Methodist applies a 50% cash discount, while Memorial Hermann hospitals offer 68% discounts, and St. Luke's facilities provide 65% discounts. The varying discount percentages reflect different pricing philosophies and market positioning strategies among hospital systems. Facility type and alternatives: The data includes academic medical centers, community hospitals, and specialty facilities within major health systems. Academic medical centers like Houston Methodist often have different cost structures due to teaching programs and specialized services. Outpatient endoscopy centers and ambulatory surgery centers, which are not included in this hospital-focused dataset, typically charge lower facility fees for the same procedures. Cash prices in this dataset range from $462 to $1,541.44 across all Houston area hospitals reporting complete pricing data.
$

Paying cash? Health insurance could lower your Colonoscopy cost.

Published cash prices on this page range from $462 to $1,835.24. Insurers on this page have negotiated rates starting from $321.93, many times lower than cash prices at the same hospitals. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

What Insurers Actually Pay

Published negotiated rates for Screening Colonoscopy (HCPCS 45378) at HCA Clear Lake, outpatient facility fee:

Screening Colonoscopy (45378), HCA Clear Lake Payer Rates

Insurance Payer Plan Type Negotiated Rate
Texas Health Network MCD $321.93
UTMB MGMCD $328.5
Amerigroup MGMCD $344.93
Amerigroup MGMCD $344.93
Amerigroup MGMCD $344.93
Amerigroup MGMCD $344.93
Amerigroup MGMCD $344.93
Amerigroup MGMCD $344.93
Amerigroup MGMCD $344.93
United MGMCD $352.49
United MGMCD $352.49
United MGMCD $352.49
United MGMCD $352.49
United MGMCD $352.49
United MGMCD $352.49
United MGMCD $352.49
United MGMCD $352.49
Molina Healthcare CHIP $361.35
Molina Healthcare STAR $361.35
Molina Healthcare STARKIDS $361.35
Molina Healthcare STARPLUS $361.35
Community Health Choice MCD CHIP $367.92
Community Health Choice MCD CHIPPerinatal $367.92
Community Health Choice MCD STAR $367.92
Community Health Choice MCD STAR+PLUS $367.92
Humana MCD $410.63
Aetna Better Health MGMCD $414.7
Aetna Better Health MGMCD $414.7
Aetna Better Health MGMCD $414.7
Superior Health Plan CHIP $948
Superior Health Plan CHPFC $948
Superior Health Plan STAR $948
Superior Health Plan STARKids $948
Superior Health Plan STARPLUS $948
Superior Health Plan CHIP $948
Superior Health Plan CHPFC $948
Superior Health Plan STAR $948
Superior Health Plan STARKids $948
Superior Health Plan STARPLUS $948
Superior Health Plan CHIP $948
Superior Health Plan CHPFC $948
Superior Health Plan STAR $948
Superior Health Plan STARKids $948
Superior Health Plan STARPLUS $948
Superior Health Plan CHIP $948
Superior Health Plan CHPFC $948
Superior Health Plan STAR $948
Superior Health Plan STARKids $948
Superior Health Plan STARPLUS $948
BCBS MyBlueHealth $1,222.21
BCBS MyBlueHealth $1,222.21
BCBS MyBlueHealth $1,222.21
BCBS MyBlueHealth $1,222.21
BCBS MyBlueHealth $1,222.21
BCBS MyBlueHealth $1,222.21
BCBS MyBlueHealth $1,222.21
BCBS BAV $1,382.62
BCBS BAV $1,382.62
BCBS BAV $1,382.62
BCBS BAV $1,382.62
BCBS BAV $1,382.62
BCBS BAV $1,382.62
BCBS BAV $1,382.62
Aetna QHPExchange $1,579
Aetna QHPExchange $1,579
Aetna QHPExchange $1,579
Aetna QHPExchange $1,579
Aetna QHPExchange $1,579
Aetna QHPExchange $1,579
Aetna QHPExchange $1,579
Aetna QHPExchange $1,579
BCBS EPOSOA $1,581.23
BCBS HMO $1,581.23
BCBS PPO $1,581.23
BCBS EPOSOA $1,581.23
BCBS HMO $1,581.23
BCBS PPO $1,581.23
BCBS PPO $1,581.23
BCBS EPOSOA $1,581.23
BCBS HMO $1,581.23
BCBS PPO $1,581.23
BCBS EPOSOA $1,581.23
BCBS HMO $1,581.23
BCBS PPO $1,581.23
BCBS EPOSOA $1,581.23
BCBS HMO $1,581.23
BCBS PPO $1,581.23
BCBS EPOSOA $1,581.23
BCBS HMO $1,581.23
BCBS PPO $1,581.23
BCBS EPOSOA $1,581.23
BCBS HMO $1,581.23
BCBS PPO $1,581.23
United SmallGroup $2,030
United SmallGroup $2,030
United SmallGroup $2,030
United SmallGroup $2,030
United SmallGroup $2,030
United SmallGroup $2,030
United SmallGroup $2,030
United SmallGroup $2,030
Aetna NBHMO $2,098
Aetna NBPOS $2,098
Aetna NBHMO $2,098
Aetna NBPOS $2,098
Aetna NBHMO $2,098
Aetna NBPOS $2,098
Aetna NBHMO $2,098
Aetna NBPOS $2,098
Aetna NBHMO $2,098
Aetna NBPOS $2,098
Aetna NBHMO $2,098
Aetna NBPOS $2,098
Aetna NBHMO $2,098
Aetna NBPOS $2,098
Aetna NBHMO $2,098
Aetna NBPOS $2,098
Fidelis SecureCare of TX MGMCR $2,115
Fidelis SecureCare of TX MGMCR $2,115
Fidelis SecureCare of TX MGMCR $2,115
Fidelis SecureCare of TX MGMCR $2,115
United NarrowNetworkIndivExchange $2,130
United NarrowNetworkIndivExchange $2,130
United NarrowNetworkIndivExchange $2,130
United NarrowNetworkIndivExchange $2,130
United NarrowNetworkIndivExchange $2,130
United NarrowNetworkIndivExchange $2,130
United NarrowNetworkIndivExchange $2,130
United NarrowNetworkIndivExchange $2,130
Aetna COMMHMO $2,229
Aetna COMMPOS $2,229
Aetna COMMHMO $2,229
Aetna COMMPOS $2,229
Aetna COMMHMO $2,229
Aetna COMMPOS $2,229
Aetna COMMHMO $2,229
Aetna COMMPOS $2,229
Aetna COMMHMO $2,229
Aetna COMMPOS $2,229
Aetna COMMHMO $2,229
Aetna COMMPOS $2,229
Aetna COMMHMO $2,229
Aetna COMMPOS $2,229
Aetna COMMHMO $2,229
Aetna COMMPOS $2,229
Aetna NBPPO $2,299
Aetna NBPPO $2,299
Aetna NBPPO $2,299
Aetna NBPPO $2,299
Aetna NBPPO $2,299
Aetna NBPPO $2,299
Aetna NBPPO $2,299
Aetna NBPPO $2,299
Evry Health BroadNetwork $2,431
Evry Health BroadNetwork $2,431
Evry Health BroadNetwork $2,431
Evry Health BroadNetwork $2,431
Evry Health BroadNetwork $2,431
Evry Health BroadNetwork $2,431
Evry Health BroadNetwork $2,431
Evry Health BroadNetwork $2,431
Healthcare Highways NarrowNetwork $2,434
Healthcare Highways NarrowNetwork $2,434
Healthcare Highways NarrowNetwork $2,434
Healthcare Highways NarrowNetwork $2,434
Healthcare Highways NarrowNetwork $2,434
Healthcare Highways NarrowNetwork $2,434
Healthcare Highways NarrowNetwork $2,434
Healthcare Highways NarrowNetwork $2,434
Aetna COMMPPO $2,444
Aetna COMMPPO $2,444
Aetna COMMPPO $2,444
Aetna COMMPPO $2,444
Aetna COMMPPO $2,444
Aetna COMMPPO $2,444
Aetna COMMPPO $2,444
Aetna COMMPPO $2,444
Curative Administrators COMM $2,613
Curative Administrators COMM $2,613
Curative Administrators COMM $2,613
Curative Administrators COMM $2,613
Curative Administrators COMM $2,613
Curative Administrators COMM $2,613
Curative Administrators COMM $2,613
Curative Administrators COMM $2,613
Aetna OONHMO $2,623
Aetna OONPOS $2,623
Aetna OONHMO $2,623
Aetna OONPOS $2,623
Aetna OONHMO $2,623
Aetna OONPOS $2,623
Aetna OONHMO $2,623
Aetna OONPOS $2,623
Aetna OONHMO $2,623
Aetna OONPOS $2,623
Aetna OONHMO $2,623
Aetna OONPOS $2,623
Aetna OONHMO $2,623
Aetna OONPOS $2,623
Aetna OONHMO $2,623
Aetna OONPOS $2,623
Aetna ASAHMO $2,832
Aetna ASAPOS $2,832
Aetna ASAHMO $2,832
Aetna ASAPOS $2,832
Aetna ASAHMO $2,832
Aetna ASAPOS $2,832
Aetna ASAHMO $2,832
Aetna ASAPOS $2,832
Aetna ASAHMO $2,832
Aetna ASAPOS $2,832
Aetna ASAHMO $2,832
Aetna ASAPOS $2,832
Aetna ASAHMO $2,832
Aetna ASAPOS $2,832
Aetna ASAHMO $2,832
Aetna ASAPOS $2,832
Aetna OONPPO $2,876
Aetna OONPPO $2,876
Aetna OONPPO $2,876
Aetna OONPPO $2,876
Aetna OONPPO $2,876
Aetna OONPPO $2,876
Aetna OONPPO $2,876
Aetna OONPPO $2,876
United AllPayerAppendix $2,900
United AllPayerAppendix $2,900
United AllPayerAppendix $2,900
United AllPayerAppendix $2,900
United AllPayerAppendix $2,900
United AllPayerAppendix $2,900
United AllPayerAppendix $2,900
United AllPayerAppendix $2,900
Cigna CSN $2,915
Cigna CSN $2,915
Cigna CSN $2,915
Cigna CSN $2,915
Cigna CSN $2,915
Cigna CSN $2,915
Cigna CSN $2,915
Oscar HIX $2,979
Oscar HIX $2,979
Oscar HIX $2,979
Oscar HIX $2,979
Oscar HIX $2,979
Oscar HIX $2,979
Oscar HIX $2,979
Oscar HIX $2,979
Aetna ASAPPO $3,106
Aetna ASAPPO $3,106
Aetna ASAPPO $3,106
Aetna ASAPPO $3,106
Aetna ASAPPO $3,106
Aetna ASAPPO $3,106
Aetna ASAPPO $3,106
Aetna ASAPPO $3,106
Cigna OpenAccessPlus $3,158
Cigna OpenAccessPlus $3,158
Cigna OpenAccessPlus $3,158
Cigna OpenAccessPlus $3,158
Cigna OpenAccessPlus $3,158
Cigna OpenAccessPlus $3,158
Cigna OpenAccessPlus $3,158
Cigna PPO $3,755
Cigna PPO $3,755
Cigna PPO $3,755
Cigna PPO $3,755
Cigna PPO $3,755
Cigna PPO $3,755
Cigna PPO $3,755
Kelsey Care (Boon-Chapman) COMM $4,255
Kelsey Care (Boon-Chapman) COMM $4,255
Kelsey Care (Boon-Chapman) COMM $4,255
Kelsey Care (Boon-Chapman) COMM $4,255
Kelsey Care (Boon-Chapman) COMM $4,255
Kelsey Care (Boon-Chapman) COMM $4,255
Kelsey Care (Boon-Chapman) COMM $4,255
Kelsey Care (Boon-Chapman) COMM $4,255
Humana HMO $4,690
Humana PPO $4,690
Humana HMO $4,690
Humana PPO $4,690
Humana HMO $4,690
Humana PPO $4,690
Humana HMO $4,690
Humana PPO $4,690
Humana HMO $4,690
Humana PPO $4,690
Humana HMO $4,690
Humana PPO $4,690
Humana HMO $4,690
Humana PPO $4,690
Humana HMO $4,690
Humana PPO $4,690
Humana HMO $4,690
Humana PPO $4,690
Humana HMO $4,690
Humana PPO $4,690
Multiplan SAVILITYNETWORK $5,350
Multiplan SAVILITYNETWORK $5,350
Multiplan SAVILITYNETWORK $5,350
Multiplan SAVILITYNETWORK $5,350
Multiplan SAVILITYNETWORK $5,350
Multiplan SAVILITYNETWORK $5,350
Multiplan SAVILITYNETWORK $5,350
Multiplan SAVILITYNETWORK $5,350
Multiplan PRIMARYPPO $11,500
Multiplan PRIMARYPPO $11,500
Multiplan PRIMARYPPO $11,500
Multiplan PRIMARYPPO $11,500
Multiplan PRIMARYPPO $11,500
Multiplan PRIMARYPPO $11,500
Multiplan PRIMARYPPO $11,500
Multiplan PRIMARYPPO $11,500

Key finding: Multiplan PRIMARYPPO insurance rates vary dramatically, paying as little as $312.07 for some plans while reaching $11,500 for others at the same hospitals.

How to Use This Information

Our methodology · Medical Disclaimer

What Patients Ask About Colonoscopy Costs

How much does a colonoscopy cost without insurance in Houston?

Cash prices for colonoscopy without insurance in Houston range from $462 to $1,541.44, depending on the hospital and procedure type. Houston Methodist charges $519 for screening colonoscopy and $462 for colonoscopy with biopsy. Memorial Hermann hospitals charge $1,468.16 for most locations, while Memorial Hermann TMC and Cypress charge $1,541.44. St. Luke's facilities charge $1,375.92 for screening and $1,521.45 for biopsy procedures. Many hospitals in the dataset show incomplete cash pricing data with $0 amounts, but their insured rate ranges suggest similar pricing tiers. These facility fees cover only the hospital's services and do not include physician fees, anesthesia services, or pathology fees, which are billed separately by the respective medical professionals.

Why is the gross charge so much higher than the cash price?

The gross charge represents the hospital's published list price before any discounts, but almost no one pays this amount. Houston Methodist's gross charge of $1,038 becomes a $519 cash price with a 50% discount. Memorial Hermann hospitals start with gross charges of $4,588 but apply 68% discounts, resulting in $1,468.16 cash prices. Interestingly, Memorial Hermann's larger percentage discount still produces higher final cash prices because their gross charges are significantly higher to begin with. The gross charge, also called the chargemaster price, serves as the starting point for all other pricing negotiations with insurance companies. These inflated list prices have little relation to actual costs or what patients typically pay, whether through insurance or cash arrangements.

Does insurance cover a colonoscopy?

Insurance coverage for colonoscopy depends on your specific plan benefits and medical necessity determination. Insured rates in Houston range from $312.07 to $11,500, showing dramatic variation even within the same insurance company's different plan types. Most insurance plans cover colonoscopy when medically necessary, but screening procedures may have different coverage rules than diagnostic ones. Many insurers require prior authorization for non-emergency colonoscopies, and Patients may verify coverage before scheduling. Patients with high-deductible health plans who have not yet met their annual deductible will pay the negotiated insurance rate out-of-pocket, not the higher gross charge. The negotiated rates are typically much lower than both gross charges and cash prices.

Are there additional fees beyond the colonoscopy facility charge?

The hospital facility fee covers only the room, equipment, nursing staff, and sedation services. The performing gastroenterologist bills separately for professional services, and an anesthesiologist may bill separately if deeper sedation is used beyond basic conscious sedation. If tissue samples are collected during the procedure, pathology services for analyzing the specimens are billed separately by the pathology laboratory. These professional fees are not included in the hospital's facility charges and can add significant cost to the total procedure. If complications arise requiring additional interventions or extended recovery time, additional facility and professional fees may apply. Patients may request estimates for all components of care, not just the hospital facility fee, to understand their total potential financial responsibility.

Compare Other Procedures in Houston

Data Sources

Baylor St Luke's Medical Center

File updated: 2026-02-28 · Accessed by us: 2026-04-13

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Harris Health - Ben Taub Hospital

File updated: 3/24/2026 · Accessed by us: 2026-04-13

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HCA Houston Healthcare Clear Lake

File updated: 2026-03-01 · Accessed by us: 2026-04-13

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HCA Houston Healthcare Conroe

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HCA Houston Healthcare Kingwood

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HCA Houston Healthcare Mainland

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HCA Houston Healthcare Medical Center

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HCA Houston Healthcare North Cypress

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HCA Houston Healthcare Northwest

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HCA Houston Healthcare Pearland

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HCA Houston Healthcare Southeast

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HCA Houston Healthcare Tomball

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HCA Houston Healthcare West

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Houston Methodist Hospital

File updated: 2026-04-01 · Accessed by us: 2026-04-13

Attested by: Lisa Schillaci

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Memorial Hermann Cypress Hospital

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Memorial Hermann Greater Heights Hospital

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Memorial Hermann Katy Hospital

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Memorial Hermann Memorial City Medical Center

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Memorial Hermann Northeast Hospital

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Memorial Hermann Pearland Hospital

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Memorial Hermann Southeast Hospital

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Memorial Hermann Southwest Hospital

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Memorial Hermann Sugar Land Hospital

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Memorial Hermann, Texas Medical Center

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Memorial Hermann The Woodlands Medical Center

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St Luke's Brazosport

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St Luke's Lakeside

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St Luke's Patients Medical Center

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St Luke's Springwoods Village

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St Luke's Sugar Land

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St Luke's The Vintage

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St Luke's The Woodlands

File updated: 2026-02-28 · Accessed by us: 2026-04-13

We are not affiliated with St Luke's The Woodlands. Published prices may not reflect your actual cost. Disclaimer

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Texas Children's Hospital

File updated: 2026-03-05 · Accessed by us: 2026-04-13

We are not affiliated with Texas Children's Hospital. Published prices may not reflect your actual cost. Disclaimer

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