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 |
|---|---|---|---|---|
| Transcath occlusion cns CPT 61624 | $1,606.50 | $4,590.00 | $305.24 – $3,442.50 | 10 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $1,342.22 | $3,834.90 | $255.03 – $2,876.18 | 9 |
| Transferrin CPT 84466 | $82.95 | $237.00 | $10.18 – $177.75 | 25 |
| Transfusion blood/blood component(s) CPT 36430 | $560.51 | $1,601.45 | $960.60 – $1,200.75 | 8 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $191.10 | $546.00 | $100.00 – $409.50 | 6 |
| Treat ankle dislocation CPT 27842 | $461.16 | $1,317.60 | $790.56 – $988.20 | 7 |
| Treat elbow dislocation CPT 24605 | $1,071.32 | $3,060.90 | $1,836.54 – $2,295.68 | 7 |
| Treat elbow fracture CPT 24620 | $1,416.24 | $4,046.40 | $2,427.84 – $3,034.80 | 7 |
| Treat finger fracture each CPT 26742 | $465.57 | $1,330.20 | $798.12 – $997.65 | 7 |
| Treat foot dislocation CPT 28540 | $79.07 | $225.90 | $135.54 – $169.43 | 8 |
| Treat foot dislocation CPT 28545 | $1,647.14 | $4,706.10 | $2,823.66 – $3,529.58 | 7 |
| Treat fracture of radius CPT 25505 | $465.57 | $1,330.20 | $798.12 – $997.65 | 7 |
| Treat fracture of ulna CPT 25535 | $137.03 | $391.50 | $234.90 – $293.63 | 7 |
| Treat hip dislocation CPT 27252 | $797.90 | $2,279.70 | $1,367.82 – $1,709.78 | 7 |
| Treat hip socket fracture CPT 27222 | $77.49 | $221.40 | $14.73 – $166.05 | 12 |
| Treat humerus fracture CPT 24535 | $465.57 | $1,330.20 | $798.12 – $997.65 | 7 |
| Treat humerus fracture CPT 24565 | $74.66 | $213.30 | $127.98 – $159.98 | 7 |
| Treat kneecap dislocation CPT 27562 | $311.22 | $889.20 | $533.52 – $666.90 | 7 |
| Treat knee dislocation CPT 27552 | $461.16 | $1,317.60 | $790.56 – $988.20 | 7 |
| Treat knee fracture CPT 27535 | $2,740.50 | $7,830.00 | $520.70 – $5,872.50 | 12 |
| Treat knee fracture 27530 CPT 27530 | $131.67 | $376.20 | $225.72 – $282.15 | 7 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $169.16 | $483.30 | $100.00 – $978.00 | 9 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $147.42 | $421.20 | $24.73 – $978.00 | 9 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $208.60 | $596.00 | $100.00 – $978.00 | 9 |
| Treatment of ankle fracture 27786 CPT 27786 | $138.29 | $395.10 | $237.06 – $296.33 | 7 |
| Treatment of fibula fracture 27780 CPT 27780 | $126.95 | $362.70 | $217.62 – $272.03 | 7 |
| Treatment of heel fracture 28400 CPT 28400 | $128.21 | $366.30 | $219.78 – $274.73 | 7 |
| Treatment of thigh fracture CPT 27508 | $120.02 | $342.90 | $205.74 – $257.18 | 7 |
| Treatment of thigh fracture CPT 27510 | $461.16 | $1,317.60 | $790.56 – $988.20 | 7 |
| Treatment of toe fracture 28510 CPT 28510 | $80.01 | $228.60 | $137.16 – $171.45 | 8 |
| Treat midfoot fracture each CPT 28455 | $86.94 | $248.40 | $149.04 – $186.30 | 8 |
| Treat thigh fracture CPT 27230 | $120.02 | $342.90 | $205.74 – $257.18 | 7 |
| Treat thigh fracture CPT 27236 | $1,389.15 | $3,969.00 | $2,381.40 – $2,976.75 | 8 |
| Treat thigh fracture CPT 27238 | $120.02 | $342.90 | $205.74 – $257.18 | 7 |
| Treat thigh fracture CPT 27246 | $120.02 | $342.90 | $205.74 – $257.18 | 7 |
| Treat ulnar fracture CPT 24675 | $74.97 | $214.20 | $128.52 – $160.65 | 7 |
| Treat vaginal bleeding CPT 57180 | $238.46 | $681.30 | $408.78 – $510.98 | 7 |
| Treat wrist bone fracture CPT 25635 | $461.16 | $1,317.60 | $790.56 – $988.20 | 7 |
| Treponema pallidum antibody CPT 86780 | $25.83 | $73.80 | $10.56 – $55.35 | 25 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $14.70 | $42.00 | $1.29 – $42.00 | 11 |
| Trichinella antibody CPT 86784 | $66.47 | $189.90 | $10.02 – $142.43 | 25 |
| Triglycerides CPT 84478 | $75.60 | $216.00 | $4.58 – $138.38 | 25 |
| Trim nondyst nails CPT 11719 | $38.43 | $109.80 | $7.31 – $82.35 | 12 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $120.02 | $342.90 | $205.74 – $257.18 | 7 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $2,647.58 | $7,564.50 | $100.00 – $5,673.38 | 8 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $2,912.49 | $8,321.40 | $100.00 – $6,241.05 | 10 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $5,625.27 | $16,072.20 | $9,643.32 – $12,054.15 | 8 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $1,672.34 | $4,778.10 | $2,866.86 – $3,583.58 | 8 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $2,198.70 | $6,282.00 | $3,769.20 – $4,711.50 | 8 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,309.77 | $3,742.20 | $248.86 – $2,806.65 | 10 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $983.12 | $2,808.90 | $186.80 – $2,106.68 | 10 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,556.42 | $4,446.90 | $2,668.14 – $3,335.18 | 8 |
| Troponin quantitative CPT 84484 | $162.05 | $463.00 | $9.95 – $212.25 | 25 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $212.13 | $606.06 | $60.12 – $393.94 | 11 |
| Tx closed hip disl traumatic without anes CPT 27250 | $190.26 | $543.60 | $326.16 – $407.70 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | $131.99 | $377.10 | $226.26 – $282.83 | 7 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $1,395.45 | $3,987.00 | $2,392.20 – $2,990.25 | 7 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $124.74 | $356.40 | $213.84 – $267.30 | 8 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $274.37 | $783.90 | $99.51 – $587.93 | 15 |
| Ultrasound breast complete CPT 76641 | $1,388.45 | $3,967.00 | $97.76 – $1,983.75 | 15 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,101.10 | $3,146.00 | $80.94 – $1,572.75 | 15 |
| Ultrasound chest CPT 76604 | $530.67 | $1,516.20 | $54.28 – $420.75 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $362.25 | $1,035.00 | $71.13 – $776.25 | 15 |
| Ultrasound guidance for vascular access CPT 76937 | $800.05 | $2,285.85 | $27.95 – $1,714.39 | 11 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,240.75 | $3,545.00 | $35.57 – $2,658.75 | 11 |
| Ultrasound guide intraoperative CPT 76998 | $482.16 | $1,377.60 | $91.97 – $1,033.20 | 11 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $980.54 | $2,801.52 | $28.83 – $2,101.14 | 15 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $694.40 | $1,984.00 | $60.98 – $1,488.00 | 15 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $478.80 | $1,368.00 | $30.99 – $1,026.00 | 15 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $581.70 | $1,662.00 | $77.14 – $1,246.50 | 15 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $668.50 | $1,910.00 | $88.25 – $1,432.50 | 15 |
| Ultrasound prostate/transrectal CPT 76872 | $1,034.15 | $2,954.70 | $99.51 – $2,216.03 | 15 |
| Ultrasound retroperitoneal limited CPT 76775 | $473.55 | $1,353.00 | $56.82 – $1,014.75 | 15 |
| Ultrasound scrotum and contents CPT 76870 | $908.17 | $2,594.75 | $95.23 – $1,946.07 | 15 |
| Ultrasound transvaginal non obstetric CPT 76830 | $719.60 | $2,056.00 | $99.51 – $1,542.00 | 15 |
| Ultraviolet therapy CPT 97028 | $25.52 | $72.90 | $12.10 – $317.00 | 9 |
| Umbilical artery cath newborn 36660 CPT 36660 | $47.57 | $135.90 | $9.04 – $101.93 | 12 |
| Unlisted fluoroscopic px CPT 76496 | $185.54 | $530.10 | $82.25 – $397.58 | 15 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $978.71 | $2,796.30 | $1,677.78 – $2,097.23 | 8 |
| Unlisted procedure microbiology CPT 87999 | $125.06 | $357.30 | $53.34 – $267.98 | 9 |
| Unlisted procedure rectum CPT 45999 | $346.19 | $989.10 | $65.78 – $741.83 | 11 |
| Unlisted px casting/strpg CPT 29799 | $69.62 | $198.90 | $13.23 – $149.18 | 11 |
| Unlisted px leg/ankle CPT 27899 | $318.78 | $910.80 | $60.57 – $683.10 | 11 |
| Unlisted surgical path px CPT 88399 | $14.81 | $42.30 | $24.96 – $67.05 | 11 |
| Unlisted ultrasound procedure CPT 76999 | $105.00 | $300.00 | $82.25 – $362.00 | 15 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,125.25 | $3,215.00 | $100.00 – $1,081.65 | 8 |
| Upgrade pm system CPT 33214 | $4,161.78 | $11,890.80 | $7,134.48 – $8,918.10 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,041.45 | $11,547.00 | $313.93 – $8,660.25 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,443.65 | $9,839.00 | $267.27 – $7,379.25 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,391.20 | $6,832.00 | $186.33 – $5,124.00 | 16 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,002.54 | $2,864.40 | $1,718.64 – $2,148.30 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,326.31 | $3,789.45 | $2,273.67 – $2,842.09 | 7 |
| Uppr gi scope w/submuc inj CPT 43236 | $715.05 | $2,043.00 | $1,225.80 – $1,532.25 | 7 |
| Urea nitrogen CPT 84520 | $30.10 | $86.00 | $3.15 – $38.25 | 25 |
| Urea nitrogen 24 hour urine CPT 84540 | $40.32 | $115.20 | $4.44 – $86.40 | 25 |
| Ureteral reflux study CPT 78740 | $826.25 | $2,360.70 | $193.64 – $1,770.53 | 15 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $567.88 | $1,622.50 | $77.31 – $1,216.88 | 15 |
| Urethrocystography void s&i CPT 74455 | $467.78 | $1,336.50 | $99.04 – $1,002.38 | 15 |
| Uric acid blood CPT 84550 | $126.06 | $360.15 | $3.61 – $270.12 | 26 |
| Uric acid urine CPT 84560 | $19.22 | $54.90 | $4.06 – $41.18 | 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.