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 |
|---|---|---|---|---|
| Antibody id rbc panel CPT 86870 | $493.00 | $1,408.55 | $104.10 – $1,056.42 | 10 |
| Antibody influenza virus CPT 86710 | $141.75 | $405.00 | $10.81 – $303.75 | 26 |
| Antibody screen rbc CPT 86850 | $139.29 | $397.95 | $14.66 – $298.47 | 10 |
| Antibody tetanus CPT 86774 | $71.51 | $204.30 | $11.81 – $153.23 | 25 |
| Antinuclear antibodies CPT 86038 | $52.29 | $149.40 | $9.65 – $112.05 | 25 |
| Antinuclear antibodies titer CPT 86039 | $145.60 | $416.00 | $8.90 – $190.50 | 25 |
| Antiphosphatidylserine antibody CPT 86148 | $47.88 | $136.80 | $12.82 – $102.60 | 25 |
| Antistreptolysin o screen CPT 86063 | $20.16 | $57.60 | $4.61 – $43.20 | 25 |
| Antistreptolysin o titer CPT 86060 | $45.05 | $128.70 | $5.82 – $96.53 | 25 |
| Antithrombin iii activity CPT 85300 | $149.31 | $426.60 | $9.45 – $319.95 | 25 |
| Appendix Removal (Laparoscopic) CPT 44970 | $2,524.41 | $7,212.60 | $479.64 – $5,409.45 | 10 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $575.75 | $1,645.00 | $100.00 – $1,233.75 | 10 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $259.00 | $740.00 | $49.21 – $555.00 | 10 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $2,004.80 | $5,728.00 | $3,436.80 – $4,296.00 | 8 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $460.60 | $1,316.00 | $87.52 – $987.00 | 10 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $172.90 | $494.00 | $32.86 – $370.50 | 10 |
| Appl cast plaster velpeau CPT 29058 | $101.43 | $289.80 | $173.88 – $217.35 | 8 |
| Appl cast shoulder spica CPT 29055 | $101.43 | $289.80 | $173.88 – $217.35 | 8 |
| Application finger splntstatic 29130 CPT 29130 | $55.13 | $157.50 | $10.48 – $118.13 | 12 |
| Application long leg splint 29505 CPT 29505 | $132.93 | $379.80 | $227.88 – $284.85 | 8 |
| Application lower leg splint 29515 CPT 29515 | $163.17 | $466.20 | $279.72 – $349.65 | 8 |
| Application multi layer compression below knee (both sides) CPT 29581 | $378.35 | $1,081.00 | $648.60 – $810.75 | 7 |
| Application of forearm cast 29075 CPT 29075 | $96.25 | $275.00 | $164.70 – $205.88 | 8 |
| Application of long arm cast 29065 CPT 29065 | $105.84 | $302.40 | $181.44 – $226.80 | 8 |
| Application of paste boot 29580 CPT 29580 | $359.80 | $1,028.00 | $411.00 – $513.75 | 7 |
| Application short leg cast 29405 CPT 29405 | $204.12 | $583.20 | $349.92 – $437.40 | 8 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $959.18 | $2,740.50 | $1,644.30 – $2,055.38 | 8 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $863.45 | $2,467.00 | $1,464.00 – $1,830.00 | 8 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $4,537.53 | $12,964.35 | $100.00 – $9,723.27 | 6 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $45.85 | $131.00 | $10.53 – $293.00 | 9 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $34.65 | $99.00 | $18.94 – $293.00 | 9 |
| Apply finger cast 29086 CPT 29086 | $83.79 | $239.40 | $143.64 – $179.55 | 8 |
| Apply forearm splintdynamic 29126 CPT 29126 | $151.83 | $433.80 | $28.85 – $325.35 | 12 |
| Apply hand/wrist cast 29085 CPT 29085 | $83.79 | $239.40 | $143.64 – $179.55 | 8 |
| Apply of finger splint 29131 CPT 29131 | $68.67 | $196.20 | $13.05 – $147.15 | 12 |
| Apply rigid leg cast 29445 CPT 29445 | $194.36 | $555.30 | $333.18 – $416.48 | 7 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $39.38 | $112.50 | $57.87 – $317.00 | 9 |
| Aquatic exercise - group charge CPT 97150 | $40.01 | $114.30 | $27.36 – $293.00 | 9 |
| Arterial blood draw/perc 36620 CPT 36620 | $64.26 | $183.60 | $12.21 – $137.70 | 12 |
| Artery xray each vessel 7577426 CPT 75774 | $819.00 | $2,340.00 | $93.50 – $1,755.00 | 11 |
| Artery xray of abdomen 75726-26 CPT 75726 | $2,816.10 | $8,046.00 | $140.00 – $6,710.44 | 15 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,909.20 | $8,312.00 | $140.00 – $6,234.00 | 15 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,162.03 | $9,034.37 | $154.90 – $6,775.78 | 14 |
| Artery x-rays chest CPT 75756 | $1,020.60 | $2,916.00 | $140.00 – $2,916.00 | 15 |
| Artery x-rays lung CPT 75741 | $1,173.69 | $3,353.40 | $123.48 – $3,353.40 | 15 |
| Artery x-rays lung CPT 75746 | $1,064.35 | $3,041.00 | $128.24 – $2,280.75 | 15 |
| Artery x-rays lungs CPT 75743 | $1,612.17 | $4,606.20 | $140.00 – $4,046.07 | 15 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $1,608.71 | $4,596.30 | $136.50 – $4,596.30 | 15 |
| Artery x-rays spine CPT 75705 | $1,910.48 | $5,458.50 | $140.00 – $5,458.50 | 15 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $295.47 | $844.20 | $506.52 – $633.15 | 8 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $779.94 | $2,228.40 | $1,337.04 – $1,671.30 | 7 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $738.05 | $2,108.70 | $1,265.22 – $1,581.53 | 7 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $277.83 | $793.80 | $476.28 – $595.35 | 8 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $334.95 | $957.00 | $574.02 – $717.53 | 8 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $755.06 | $2,157.30 | $1,294.38 – $1,617.98 | 7 |
| Ascenda two piece catheter HCPCS C1772 | $18,583.01 | $53,094.30 | $8,030.61 – $28,680.75 | 14 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $258.93 | $739.80 | $49.20 – $554.85 | 11 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,069.60 | $3,056.00 | $1,833.60 – $2,292.00 | 8 |
| Aspirate pleura without imaging 32554 CPT 32554 | $620.55 | $1,773.00 | $1,063.80 – $1,329.75 | 8 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $768.81 | $2,196.60 | $1,317.96 – $1,647.45 | 7 |
| Assay free hydroxyproline CPT 83500 | $116.55 | $333.00 | $18.08 – $249.75 | 25 |
| Assay of adp & amp CPT 82030 | $110.57 | $315.90 | $20.59 – $236.93 | 25 |
| Assay of breath ethanol CPT 82075 | $63.32 | $180.90 | $23.94 – $135.68 | 25 |
| Assay of corticosterone CPT 82528 | $102.06 | $291.60 | $17.97 – $218.70 | 25 |
| Assay of endocrine hormone CPT 84235 | $106.16 | $303.30 | $56.84 – $227.48 | 25 |
| Assay of estrogen CPT 84233 | $203.18 | $580.50 | $70.13 – $435.38 | 25 |
| Assay of methemalbumin CPT 83857 | $48.51 | $138.60 | $8.57 – $103.95 | 25 |
| Assay of osteocalcin CPT 83937 | $114.03 | $325.80 | $23.82 – $244.35 | 25 |
| Assay of pregnanetriol CPT 84138 | $71.19 | $203.40 | $16.80 – $152.55 | 25 |
| Assay of procainamide w/metab CPT 80192 | $45.68 | $130.50 | $13.37 – $97.88 | 25 |
| Assay of prostaglandin CPT 84150 | $173.88 | $496.80 | $33.34 – $372.60 | 25 |
| Assay of PSA complexed CPT 84152 | $39.47 | $112.75 | $14.68 – $84.57 | 25 |
| Assay of thiocyanate CPT 84430 | $119.70 | $342.00 | $9.28 – $256.50 | 25 |
| Assay of tyrosine CPT 84510 | $46.94 | $134.10 | $8.48 – $100.58 | 25 |
| Assay toxin or antitoxin CPT 87230 | $105.84 | $302.40 | $15.75 – $226.80 | 25 |
| Assess cyst contrast inject CPT 49424 | $97.34 | $278.10 | $100.00 – $208.58 | 8 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $54.50 | $155.70 | $3.41 – $116.78 | 26 |
| Ast/sgot CPT 84450 | $18.59 | $53.10 | $4.13 – $39.83 | 25 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $9,754.15 | $27,869.00 | $16,721.40 – $20,901.75 | 8 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $8,765.40 | $25,044.00 | $15,026.40 – $18,783.00 | 8 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $16.91 | $48.30 | $0.05 – $48.30 | 11 |
| Augment injectable kit 3.0cc HCPCS C1734 | $6,415.08 | $18,328.80 | $3,251.50 – $11,612.48 | 14 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $2,178.23 | $6,223.50 | $413.87 – $4,667.63 | 9 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $6,057.80 | $17,308.00 | $10,384.74 – $12,980.93 | 7 |
| Autologous blood process CPT 86890 | $112.46 | $321.30 | $192.78 – $323.15 | 10 |
| Av fusion direct any site CPT 36821 | $3,121.02 | $8,917.20 | $5,350.32 – $6,687.90 | 7 |
| Avul nail plate addl CPT 11732 | $50.40 | $144.00 | $9.58 – $108.00 | 12 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $121.10 | $346.00 | $22.99 – $259.20 | 12 |
| Baclofen eval charges CPT 97750 | $80.64 | $230.40 | $52.09 – $293.00 | 9 |
| Bacterial meningitis antigen CPT 86403 | $72.14 | $206.10 | $9.21 – $154.58 | 26 |
| Bactericidal level serum CPT 87197 | $114.66 | $327.60 | $11.99 – $245.70 | 25 |
| Balloon dilate urtrl strix CPT 50706 | $1,874.25 | $5,355.00 | $100.00 – $4,016.25 | 7 |
| Bausch health Ultrasound surg HCPCS V2788 | $4,055.09 | $11,585.97 | $100.00 – $549.64 | 12 |
| Benign lesion paring 2-4 CPT 11056 | $68.36 | $195.30 | $12.99 – $146.48 | 10 |
| Benign lesion paring 4+ CPT 11057 | $141.75 | $405.00 | $243.00 – $303.75 | 8 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $89.67 | $256.20 | $19.58 – $256.20 | 11 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $56.39 | $161.10 | $20.31 – $81.00 | 25 |
| Beta-2 microglobulin CPT 82232 | $61.25 | $175.00 | $12.91 – $125.55 | 25 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $403.83 | $1,153.80 | $692.28 – $865.35 | 8 |
| Biliary endo perq dx w/speci CPT 47552 | $1,414.67 | $4,041.90 | $2,425.14 – $3,031.43 | 7 |
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.