Texas / St Lukes Lakeside Hospital
CMS certification 670059 · The Woodlands, TX · 2 entries in CMS's price-transparency list
St Lukes Lakeside Hospital: charges and Medicare payments
St Lukes Lakeside Hospital reported 81 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 6.33 times what it was paid. Its most frequent stay was DRG 472, Cervical Spinal Fusion with CC: 30 stays at an average charge of $140,083, 2% below the national average. It also billed 411 outpatient services, charging 8.58 times what Medicare paid.
- 1Medicare inpatient stays 81
- 2Charge ÷ paid, inpatient 6.33×
- 3Rank in TX (highest ratio = 1) –
- 4CMS price-transparency actions 2
Inpatient stays
For the 5 DRGs that can be compared with the national average, St Lukes Lakeside Hospital charged more than the national average in 1 (20%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 472 Cervical Spinal Fusion with CC | 30 | $140,083 | -2% | $20,128 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 15 | $60,449 | -42% | $13,429 |
| 520 Back and Neck Procedures except Spinal Fusion without CC/MCC | 14 | $53,367 | -32% | $10,460 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 11 | $176,942 | -13% | $31,273 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $218,388 | +28% | $28,759 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 104 | $77,236 | $12,085 |
| Level 4 Musculoskeletal Procedures | 59 | $40,190 | $6,521 |
| Level 1 Endovascular Procedures | 55 | $32,205 | $3,026 |
| Level 2 Musculoskeletal Procedures | 51 | $10,827 | $1,491 |
| Level 3 Musculoskeletal Procedures | 40 | $16,694 | $3,001 |
| Level 2 Pacemaker and Similar Procedures | 39 | $72,431 | $7,878 |
| Level 6 Musculoskeletal Procedures | 26 | $137,751 | $17,243 |
| Level 3 Pacemaker and Similar Procedures | 21 | $72,684 | $9,894 |
| Level 1 Nerve Procedures | 16 | $15,650 | $1,701 |
Against the Texas average
For Cervical Spinal Fusion with CC (DRG 472), St Lukes Lakeside Hospital charged $140,083 on average, 22% less than the Texas average of $178,665, and was paid $20,128 against a state average of $25,128. For Back and Neck Procedures except Spinal Fusion with CC (DRG 519), St Lukes Lakeside Hospital charged $60,449 on average, 49% less than the Texas average of $117,694, and was paid $13,429 against a state average of $16,936. For Back and Neck Procedures except Spinal Fusion without CC/MCC (DRG 520), St Lukes Lakeside Hospital charged $53,367 on average, 41% less than the Texas average of $90,877, and was paid $10,460 against a state average of $12,328. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), St Lukes Lakeside Hospital charged $176,942 on average, 34% less than the Texas average of $268,184, and was paid $31,273 against a state average of $39,409. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $77,236 was 22% below the state average of $98,771. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $40,190 was 32% below the state average of $58,833. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $32,205 was 11% below the state average of $36,220. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $10,827 was 35% below the state average of $16,774.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Lukes Lakeside Hospital in The Woodlands, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-05-14 (CMS case 4546)
- Met Requirements — 2026-04-14 (CMS case 7463)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.