St. Luke's Health - Patients Medical Center

4600 E. Sam Houston Parkway South, Pasadena, TX · CommonSpirit Health · · NPI 1407990088

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

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
Perq rplcmt g-tube req revsn gstrst trk CPT 43763 $131.99 $377.10 $226.26 – $282.83 7
Pertussis ag if CPT 87265 $63.95 $182.70 $9.56 – $137.03 25
Pfc sigma fem post aug sz3 8mm HCPCS C1776 $28,064.14 $80,183.25 $38.81 – $138.60 14
Ph body fluid CPT 83986 $38.12 $108.90 $2.86 – $76.95 25
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 $38.59 $110.25 $30.44 – $82.69 10
Phenobarbital therapeutic drug level CPT 80184 $34.97 $99.90 $12.21 – $74.93 25
Phenylephrine 10 mg/ml injection solution HCPCS J2371 $6.99 $19.95 $11.97 – $14.97 6
Phenytoin total therapeutic drug level CPT 80185 $152.25 $435.00 $10.57 – $326.25 25
Phlebotomy therapeutic CPT 99195 $205.80 $588.00 $100.00 – $441.00 8
Phosphorus CPT 84100 $162.05 $463.00 $3.78 – $347.25 25
Phosphorus 24 hour urine CPT 84105 $23.63 $67.50 $4.62 – $50.63 25
Phys blood bank serv reactj CPT 86078 $75.29 $215.10 $75.14 – $215.10 10
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 $40.80 $116.55 $1.63 – $30.72 9
Place cath intracranial art CPT 36228 $3,038.00 $8,680.00 $384.78 – $4,339.58 10
Place cath xtrnl carotid CPT 36227 $5,935.30 $16,958.00 $751.78 – $8,478.68 10
Place duod/jej tube perc CPT 49441 $1,905.75 $5,445.00 $3,267.00 – $4,083.75 8
Place gastrostomy tube perc CPT 49440 $1,905.75 $5,445.00 $3,267.00 – $4,083.75 8
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 $1,494.36 $4,269.60 $2,561.76 – $3,202.20 8
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 $1,046.75 $2,990.70 $100.00 – $2,243.03 8
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 $891.14 $2,546.10 $1,527.60 – $1,909.50 8
Placement nephrostomy catheter (both sides) CPT 50432 $5,354.65 $15,299.00 $6,119.40 – $7,649.25 7
Placement occlusive device venous/arterial access site post procedure HCPCS G0269 $68.36 $195.30 $12.99 – $146.48 9
Placement stent(s) intravascular transcatheter artery initial CPT 37236 $3,684.24 $10,526.40 $6,315.84 – $7,894.80 8
Place non-slctv cath thoracic arta CPT 36221 $1,143.14 $3,266.10 $217.20 – $2,449.58 10
Place slctv cath carotd art uni CPT 36224 $14,991.20 $42,832.00 $1,898.87 – $21,415.73 10
Place slctv cath carotid/inom art excrn uni CPT 36222 $7,006.30 $20,018.00 $887.46 – $10,008.90 10
Place slctv cath carotid/inom art intcrn uni CPT 36223 $7,640.15 $21,829.00 $967.72 – $10,914.08 10
Place slctv cath subclavian art CPT 36225 $5,181.75 $14,805.00 $656.32 – $7,402.05 10
Place slctv cath vertebral art uni CPT 36226 $10,284.05 $29,383.00 $1,302.67 – $14,691.75 10
Platelet aggregation each agent teg CPT 85576 $33.08 $94.50 $19.87 – $70.88 25
Platelet automated CPT 85049 $146.65 $419.00 $3.57 – $314.25 26
Platelet pheresis each unit HCPCS P9034 $552.30 $1,578.00 $88.00 – $1,183.50 7
Platelets each unit HCPCS P9019 $112.00 $320.00 $88.00 – $240.00 7
Platelets leukocytes reduced each unit HCPCS P9031 $223.65 $639.00 $88.00 – $479.25 7
Plcmnt biliary drainage cath w/img ext CPT 47533 $2,877.21 $8,220.60 $4,932.36 – $6,165.45 8
Plcmnt ureteral stent pq w/img exstng trct CPT 50693 $2,838.47 $8,109.90 $4,865.94 – $6,082.43 7
Plcmnt ureteral stent pq w/img new w/cath CPT 50695 $1,760.54 $5,030.10 $3,018.06 – $3,772.58 7
Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 $1,175.90 $3,359.70 $2,015.82 – $2,519.78 7
Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 $826.25 $2,360.70 $100.00 – $1,770.53 7
Plc pq device breast ea addl lesion stereo guide CPT 19284 $1,257.17 $3,591.90 $100.00 – $2,693.93 8
Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 $480.38 $1,372.50 $100.00 – $1,029.38 8
Plmt biliary drainage cath CPT 47534 $2,618.28 $7,480.80 $4,488.48 – $5,610.60 8
Plmt nephroureteral catheter CPT 50433 $1,922.55 $5,493.00 $3,295.62 – $4,119.53 7
Plmt ureteral stent prq CPT 50694 $1,688.72 $4,824.90 $2,894.94 – $3,618.68 7
#pnh-flow cytometry interp CPT 88187 $66.47 $189.90 $54.26 – $142.43 11
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 $3,497.20 $9,992.00 $100.00 – $7,494.00 12
Potassium 24 hour urine CPT 84133 $42.00 $120.00 $3.77 – $86.40 25
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 $10.66 $30.45 $0.08 – $15.75 9
Potassium serum/plasma/whole blood CPT 84132 $118.34 $338.10 $3.80 – $155.25 25
Pq dr cath chg w cont s&i CPT 75984 $512.19 $1,463.40 $90.00 – $1,097.55 13
Pq kyphplsty 1 bdy lumb w/img CPT 22514 $5,456.85 $15,591.00 $9,354.42 – $11,693.03 7
Pq thr inj ext pse CPT 36002 $245.07 $700.20 $420.12 – $525.15 8
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 $1,058.09 $3,023.10 $1,813.86 – $2,267.33 7
Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 $1,352.30 $3,863.70 $2,318.22 – $2,897.78 7
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 $1,165.82 $3,330.90 $1,998.54 – $2,498.18 7
Pr application of long arm splint CPT 29105 $167.58 $478.80 $287.28 – $359.10 8
Pr application splint static short arm CPT 29125 $197.35 $563.85 $37.50 – $422.89 12
Pr biopsy skin punch single lesion CPT 11104 $318.85 $911.00 $546.60 – $683.25 7
Pr correction hammertoe CPT 28285 $1,028.92 $2,939.76 $1,763.86 – $2,204.82 7
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $14.70 $42.00 $18.41 – $175.00 9
Prcrd drg 6+yr without anomly CPT 33017 $387.14 $1,106.10 $73.56 – $829.58 9
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $244.76 $699.30 $35.78 – $524.48 11
Prealbumin CPT 84134 $144.90 $414.00 $11.65 – $310.50 25
Prednisone 1 mg tablet HCPCS J7512 $2.21 $6.30 $0.01 – $4.20 11
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 $1,068.55 $3,053.00 $1,831.80 – $2,289.75 7
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $1,088.50 $3,110.00 $99.51 – $2,332.50 15
Pregnancy Ultrasound (first trimester) CPT 76801 $938.35 $2,681.00 $99.51 – $2,010.46 15
Prep skin to 100cm2 other CPT 15004 $524.30 $1,498.00 $898.80 – $1,123.50 7
Prep skin to 100cm2 trk/ext CPT 15002 $1,522.15 $4,349.00 $2,609.40 – $3,261.75 7
Prep skn trk/ext adl 100cm2 CPT 15003 $660.87 $1,888.20 $100.00 – $1,416.15 9
Pressure max expiratory/inspiratory CPT 94799 $206.50 $590.00 $100.00 – $597.00 9
Pressure velocity wire add ves CPT 93572 $370.44 $1,058.40 $70.39 – $793.80 8
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 $41.90 $119.70 $71.82 – $193.77 10
Pretreat rbc absorption reference CPT 86978 $89.46 $255.60 $47.70 – $191.70 10
Pretreat rbc density gradient separation reference CPT 86972 $61.43 $175.50 $98.32 – $193.77 10
Pretreat rbc w chem/drugs reference CPT 86970 $45.36 $129.60 $47.70 – $97.20 10
Pretreat rbc w enzyme reference CPT 86971 $79.70 $227.70 $56.17 – $323.15 10
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 $794.75 $2,270.70 $1,362.42 – $1,703.03 7
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 $372.96 $1,065.60 $639.36 – $799.20 8
Prim art mech thrmbc non-intracranial CPT 37184 $2,808.54 $8,024.40 $4,814.64 – $6,018.30 8
Prim art mech thrmbc non-intracranial add-on CPT 37185 $2,507.40 $7,164.00 $100.00 – $5,373.00 10
Pr incision & drainage abscess complicated/multiple CPT 10061 $522.20 $1,492.00 $895.20 – $1,119.00 8
Pr incision & drainage abscess simple/single CPT 10060 $167.30 $478.00 $286.80 – $358.50 8
Pr incision & drainage abscess vulva/perineal CPT 56405 $150.26 $429.30 $257.58 – $321.98 8
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 $178.92 $511.20 $306.72 – $383.40 8
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $857.15 $2,449.00 $18.41 – $1,836.75 8
Probe cryo 1150mm endo flex ster disp HCPCS C2618 $6,634.11 $18,954.60 $100.00 – $7,108.77 6
Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 $111.30 $318.00 $105.76 – $261.37 9
Procalcitonin CPT 84145 $133.35 $381.00 $21.72 – $285.75 25
Proctosigmoidoscopy w/fb remove 45307 CPT 45307 $1,331.51 $3,804.30 $2,282.58 – $2,853.23 7
Progesterone CPT 84144 $75.60 $216.00 $16.64 – $162.00 25
Prolactin CPT 84146 $153.65 $439.00 $15.47 – $329.25 25
Prolonged IV inf, req pump HCPCS C8957 $138.29 $395.10 $90.00 – $296.33 8
Promethazine 25 mg tablet HCPCS Q0169 $27.57 $78.75 $0.07 – $78.75 11
Promethazine hcl injection HCPCS J2550 $1.47 $4.20 $0.33 – $5.10 11
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 $7.88 $22.50 $7.59 – $16.88 9
Protamine 10 mg/ml intravenous solution HCPCS J2720 $19.85 $56.70 $1.31 – $56.70 11
Protector nerve neurawrap 4cm HCPCS C9353 $6,967.44 $19,906.95 $2,197.51 – $7,848.23 14
Protein c activity CPT 85303 $147.42 $421.20 $11.05 – $225.45 25
Protein electrophoretic fractionation & quantitation serum CPT 84165 $109.55 $313.00 $8.57 – $234.75 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.