St. Luke's Health - Patients Medical Center
4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Insertion of catheter vein CPT 36481 | $537.39 | $1,535.40 | $100.00 – $1,151.55 | 10 |
| Insertion of heart electrode 33211 CPT 33211 | $2,877.53 | $8,221.50 | $4,932.90 – $6,166.13 | 8 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $5,896.10 | $16,846.00 | $10,107.60 – $12,634.50 | 8 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $5,424.65 | $15,499.00 | $9,299.40 – $11,624.25 | 8 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $4,360.86 | $12,459.60 | $828.57 – $9,344.70 | 10 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,310.00 | $6,600.00 | $3,959.88 – $4,949.85 | 7 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,310.00 | $6,600.00 | $90.00 – $4,950.00 | 9 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $14,192.33 | $40,549.50 | $24,329.70 – $30,412.13 | 8 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $2,697.03 | $7,705.80 | $4,623.48 – $5,779.35 | 8 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $3,086.37 | $8,818.20 | $5,290.92 – $6,613.65 | 8 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $2,322.81 | $6,636.60 | $3,981.96 – $4,977.45 | 7 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $3,120.39 | $8,915.40 | $5,349.00 – $6,686.25 | 7 |
| Insert pessary/other device CPT 57160 | $93.24 | $266.40 | $159.84 – $199.80 | 8 |
| Insert pm/icd lead dual CPT 33217 | $2,826.18 | $8,074.80 | $4,844.88 – $6,056.10 | 8 |
| Insert/repl sq defib w/eltrd CPT 33270 | $11,058.08 | $31,594.50 | $18,956.70 – $23,695.88 | 7 |
| Insert sq defib electrode CPT 33271 | $2,863.35 | $8,181.00 | $4,908.60 – $6,135.75 | 7 |
| Insert swan-ganz cath CPT 93503 | $369.50 | $1,055.70 | $70.21 – $791.78 | 11 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $779.00 | $2,225.70 | $1,335.42 – $1,669.28 | 7 |
| Insert vad art access left hrt arterial access CPT 33990 | $2,514.65 | $7,184.70 | $477.79 – $5,388.53 | 10 |
| Ins icd gen exist mlt leads CPT 33231 | $11,089.26 | $31,683.60 | $19,010.16 – $23,762.70 | 8 |
| Ins icd gen exist sgl lead CPT 33240 | $7,903.98 | $22,582.80 | $13,549.68 – $16,937.10 | 8 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $138.29 | $395.10 | $193.77 – $296.33 | 11 |
| Ins lv lead exist pm/icd CPT 33224 | $4,578.84 | $13,082.40 | $7,849.44 – $9,811.80 | 8 |
| Ins picad w subq port 5yr> CPT 36571 | $4,596.90 | $13,134.00 | $7,880.40 – $9,850.50 | 7 |
| Ins pm gen exist dual lead CPT 33230 | $7,751.21 | $22,146.30 | $13,287.78 – $16,609.73 | 8 |
| Ins pm gen w/exist mlt leads CPT 33221 | $6,063.12 | $17,323.20 | $10,393.92 – $12,992.40 | 8 |
| Ins pq tunnld ip cath w/img CPT 49418 | $1,709.19 | $4,883.40 | $2,930.04 – $3,662.55 | 8 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $7,149.24 | $20,426.40 | $1,358.36 – $15,319.80 | 9 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $4,155.80 | $11,873.70 | $7,124.22 – $8,905.28 | 7 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $4,138.47 | $11,824.20 | $7,094.52 – $8,868.15 | 7 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $5,188.75 | $14,825.00 | $8,895.00 – $11,118.75 | 8 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $5,942.65 | $16,979.00 | $10,187.32 – $12,734.15 | 7 |
| Insulin total CPT 83525 | $51.10 | $146.00 | $9.12 – $109.50 | 25 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $9,384.12 | $26,811.75 | $1,786.49 – $20,108.82 | 14 |
| Integra meshed bil wound mat HCPCS C9363 | $36.75 | $105.00 | $22.05 – $78.75 | 14 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $2,442.41 | $6,978.30 | $1,465.45 – $5,233.73 | 14 |
| Interdiscal perq aspir dx CPT 62267 | $376.60 | $1,076.00 | $645.30 – $806.63 | 8 |
| Interrog evl pm/ldls pm ip CPT 93288 | $140.49 | $401.40 | $26.70 – $301.05 | 10 |
| Intracard echo interv w/s&i CPT 93662 | $2,951.87 | $8,433.90 | $100.00 – $6,325.43 | 11 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $378.00 | $1,080.00 | $648.00 – $810.00 | 8 |
| Intrinsic factor antibody CPT 86340 | $27.09 | $77.40 | $12.04 – $58.05 | 25 |
| Intro cath dialysis circuit CPT 36901 | $3,323.88 | $9,496.80 | $5,698.08 – $7,122.60 | 7 |
| Intro cath dialysis circuit w/pta CPT 36902 | $5,882.94 | $16,808.40 | $10,085.04 – $12,606.30 | 7 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $8,038.80 | $22,968.00 | $13,780.80 – $17,226.00 | 7 |
| Intro catheter aorta CPT 36200 | $1,063.13 | $3,037.50 | $100.00 – $2,278.13 | 10 |
| Intro cath svc/ivc CPT 36010 | $715.75 | $2,045.00 | $100.00 – $1,533.75 | 10 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,523.03 | $4,351.50 | $100.00 – $3,263.63 | 9 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,627.61 | $4,650.30 | $100.00 – $3,487.73 | 9 |
| Intubation endotracheal emergency procedure CPT 31500 | $238.00 | $680.00 | $408.00 – $510.00 | 8 |
| Ionm in operatng room 15 min CPT 95940 | $53.24 | $152.10 | $48.94 – $876.00 | 9 |
| Ionm remote/>1 pt or per hr CPT 95941 | $285.71 | $816.30 | $100.00 – $612.23 | 9 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $189.27 | $540.75 | $0.20 – $21.27 | 14 |
| Iron CPT 83540 | $91.51 | $261.45 | $5.16 – $120.15 | 25 |
| Iron binding capacity CPT 83550 | $55.76 | $159.30 | $6.97 – $119.48 | 25 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $58.45 | $167.00 | $14.82 – $125.25 | 9 |
| Irradiation of blood product each unit reference CPT 86945 | $42.21 | $120.60 | $47.70 – $90.45 | 10 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $64.89 | $185.40 | $80.31 – $175.00 | 11 |
| Ivc venogram s&i CPT 75825 | $3,491.33 | $9,975.21 | $108.57 – $7,481.41 | 15 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $341.98 | $977.06 | $46.30 – $732.75 | 9 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $216.09 | $617.40 | $31.04 – $463.05 | 9 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $197.75 | $565.00 | $32.09 – $423.75 | 9 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $520.80 | $1,488.00 | $100.00 – $1,116.00 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $850.85 | $2,431.00 | $128.56 – $1,823.25 | 15 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $36.75 | $105.00 | $6.52 – $75.75 | 25 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $9.93 | $28.35 | $0.20 – $28.35 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,595.65 | $4,559.00 | $207.60 – $3,419.25 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,183.35 | $3,381.00 | $99.51 – $2,535.38 | 15 |
| Kit case 4.2mm spinejack HCPCS C1062 | $10,051.86 | $28,719.60 | $6,052.42 – $20,633.25 | 14 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $17,272.50 | $49,350.00 | $100.00 – $32,077.50 | 14 |
| Kit lead specify 5-6-5 HCPCS C1778 | $7,868.91 | $22,482.60 | $75.64 – $270.12 | 14 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $938.60 | $2,681.70 | $26.69 – $95.29 | 14 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $1,865.75 | $5,330.70 | $3,198.42 – $3,998.03 | 7 |
| Knee arthroscopy/surgery CPT 29880 | $1,946.07 | $5,560.20 | $3,336.12 – $4,170.15 | 7 |
| Knee arthroscopy/surgery CPT 29882 | $1,393.25 | $3,980.70 | $2,388.42 – $2,985.53 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $5,673.15 | $16,209.00 | $348.10 – $12,156.75 | 16 |
| Knee MRI (with contrast) CPT 73722 | $5,275.90 | $15,074.00 | $307.27 – $11,305.50 | 16 |
| Knee MRI (without contrast) CPT 73721 | $4,251.10 | $12,146.00 | $198.40 – $9,109.50 | 16 |
| Knee X-ray CPT 73564 | $684.95 | $1,957.00 | $45.08 – $1,467.75 | 15 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $73.71 | $210.60 | $14.01 – $157.95 | 12 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $81.90 | $234.00 | $15.57 – $175.50 | 12 |
| Lactate dehydrogenase (ldh) CPT 83615 | $58.80 | $168.00 | $4.82 – $77.25 | 25 |
| Lactated ringers intravenous solution HCPCS J7120 | $10.66 | $30.45 | $3.44 – $22.84 | 9 |
| Lactic acid CPT 83605 | $97.65 | $279.00 | $9.23 – $127.50 | 25 |
| Lactoferrin fecal qualitative CPT 83630 | $37.05 | $105.84 | $15.72 – $79.38 | 25 |
| Lap sleeve gastrectomy CPT 43775 | $1,800.01 | $5,142.86 | $342.01 – $3,857.15 | 10 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $229.95 | $657.00 | $394.20 – $492.75 | 7 |
| Laser surgery of prostate CPT 52648 | $2,637.50 | $7,535.70 | $4,521.42 – $5,651.78 | 7 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $5,987.68 | $17,107.65 | $1,280.67 – $4,573.80 | 14 |
| Lead capillary CPT 83655 | $41.58 | $118.80 | $9.66 – $89.10 | 25 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,579.12 | $7,368.90 | $33.52 – $119.70 | 14 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $9,703.47 | $27,724.20 | $3,231.87 – $11,542.39 | 14 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,796.90 | $5,134.00 | $179.35 – $3,850.50 | 13 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $3,325.00 | $9,500.00 | $100.00 – $1,228.50 | 12 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,474.15 | $9,926.12 | $100.00 – $486.35 | 12 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $163.45 | $466.99 | $100.00 – $350.25 | 12 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $34.55 | $98.70 | $1.57 – $39.38 | 9 |
| Liberta rc ipg HCPCS C1820 | $41,205.21 | $117,729.15 | $10,411.79 – $37,184.97 | 14 |
| Lidocaine therapeutic drug level CPT 80176 | $58.59 | $167.40 | $11.72 – $125.55 | 25 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $249.54 | $712.95 | $4.26 – $534.72 | 14 |
| Lipase CPT 83690 | $159.87 | $456.75 | $5.50 – $209.25 | 25 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.