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 |
|---|---|---|---|---|
| Urinalysis microscopic only CPT 81015 | $11.55 | $33.00 | $2.43 – $24.75 | 26 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $54.18 | $154.80 | $1.73 – $116.10 | 26 |
| Urinalysis (with microscopy) CPT 81001 | $141.86 | $405.30 | $2.53 – $186.00 | 26 |
| Urinalysis (without microscopy) CPT 81003 | $64.40 | $184.00 | $1.80 – $84.75 | 25 |
| Urinary bldr retent nuc study CPT 78730 | $572.67 | $1,636.20 | $101.13 – $1,723.00 | 11 |
| Urine Culture Test CPT 87086 | $188.90 | $539.70 | $6.44 – $404.78 | 26 |
| Urine pregnancy test CPT 81025 | $167.65 | $479.00 | $6.87 – $244.50 | 26 |
| Urography, antegrade CPT 74425 | $1,772.40 | $5,064.00 | $129.19 – $3,798.00 | 15 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $176.77 | $505.05 | $50.51 – $378.79 | 26 |
| Vaccine rabies im CPT 90675 | $210.95 | $602.70 | $132.60 – $452.03 | 14 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $64.32 | $183.75 | $18.95 – $64.58 | 14 |
| Valproic acid total therapeutic drug level CPT 80164 | $134.75 | $385.00 | $10.80 – $288.75 | 25 |
| Vancomycin hcl injection HCPCS J3370 | $54.03 | $154.35 | $1.55 – $29.93 | 9 |
| Vancomycin peak therapeutic drug level CPT 80202 | $150.85 | $431.00 | $10.80 – $323.25 | 25 |
| Varicella zoster antibody igg CPT 86787 | $58.91 | $168.30 | $10.28 – $126.23 | 25 |
| Vein x-ray adrenal gland CPT 75840 | $316.58 | $904.50 | $122.21 – $904.50 | 15 |
| Vein x-ray adrenal glands CPT 75842 | $1,340.33 | $3,829.50 | $140.00 – $3,829.50 | 15 |
| Vein x-ray eye socket CPT 75880 | $316.58 | $904.50 | $102.53 – $904.50 | 15 |
| Vein x-ray kidney CPT 75831 | $2,034.59 | $5,813.10 | $113.65 – $4,359.83 | 15 |
| Vein x-ray liver CPT 75891 | $1,064.35 | $3,041.00 | $118.08 – $3,041.00 | 15 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,239.53 | $3,541.50 | $117.45 – $3,541.50 | 15 |
| Vein x-ray skull CPT 75870 | $1,064.35 | $3,041.00 | $140.00 – $2,280.75 | 15 |
| Vein x-ray skull epidural CPT 75872 | $430.29 | $1,229.40 | $122.21 – $922.05 | 15 |
| Vein x-ray spleen/liver CPT 75810 | $1,340.33 | $3,829.50 | $140.00 – $2,872.13 | 15 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $29.93 | $85.50 | $5.69 – $64.13 | 12 |
| Venipuncture <3 yrs other vein CPT 36406 | $73.71 | $210.60 | $14.01 – $157.95 | 12 |
| Venogram ext bil s&i CPT 75822 | $899.50 | $2,570.00 | $112.31 – $1,927.50 | 15 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $719.42 | $2,055.46 | $102.53 – $1,541.60 | 15 |
| Venous mech thrombectomy CPT 37187 | $2,031.75 | $5,805.00 | $3,483.00 – $4,353.75 | 8 |
| Venous m-thrombectomy add-on CPT 37188 | $1,847.16 | $5,277.60 | $3,166.56 – $3,958.20 | 8 |
| Venous thrombosis imaging CPT 78457 | $699.30 | $1,998.00 | $149.19 – $1,723.00 | 15 |
| Ven thrombosis images bilat CPT 78458 | $1,361.75 | $3,890.70 | $185.69 – $2,918.03 | 15 |
| Ventilator each subsequent day CPT 94003 | $1,458.80 | $4,168.00 | $100.00 – $3,126.00 | 9 |
| Ventilator initial day CPT 94002 | $1,517.25 | $4,335.00 | $100.00 – $3,251.25 | 9 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $351.75 | $1,005.00 | $47.40 – $175.00 | 9 |
| Vital capacity test CPT 94150 | $115.29 | $329.40 | $100.00 – $978.00 | 9 |
| Vitamin b-12 CPT 82607 | $70.93 | $202.65 | $12.04 – $151.99 | 25 |
| Vitamin D Test CPT 82306 | $95.80 | $273.70 | $23.62 – $205.28 | 25 |
| Vkorc1 gene CPT 81355 | $257.36 | $735.30 | $70.39 – $551.48 | 26 |
| Volume measurement urine timed CPT 81050 | $18.20 | $52.00 | $2.91 – $33.08 | 25 |
| Warde 1003990 aldosterone CPT 82088 | $123.80 | $353.70 | $32.52 – $265.28 | 25 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $103.95 | $297.00 | $22.18 – $211.95 | 25 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $27.72 | $79.20 | $10.30 – $59.40 | 25 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $77.81 | $222.30 | $20.15 – $166.73 | 25 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $34.65 | $99.00 | $12.37 – $69.53 | 25 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $30.56 | $87.30 | $6.40 – $65.48 | 25 |
| Warde 3008005 oligoclonal bands CPT 83916 | $119.44 | $341.25 | $21.86 – $255.94 | 25 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $57.33 | $163.80 | $11.49 – $115.43 | 25 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $44.45 | $127.00 | $9.78 – $95.25 | 26 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $197.35 | $563.85 | $7.11 – $309.00 | 26 |
| Warde 3400852 arsenic CPT 82175 | $53.24 | $152.10 | $15.13 – $114.08 | 25 |
| Warde 3708165 mercury urine CPT 83825 | $56.70 | $162.00 | $12.98 – $121.50 | 25 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $43.79 | $125.10 | $6.46 – $88.43 | 25 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $179.90 | $514.00 | $30.82 – $385.50 | 25 |
| Warde aldolase CPT 82085 | $27.72 | $79.20 | $7.75 – $59.40 | 25 |
| Warde analysis gene hfe common variants CPT 81256 | $464.00 | $1,325.70 | $52.15 – $994.28 | 26 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $228.38 | $652.50 | $130.84 – $489.38 | 26 |
| Warde apolipoprotein b CPT 82172 | $32.76 | $93.60 | $16.83 – $70.20 | 25 |
| Warde bile acids CPT 82239 | $37.17 | $106.20 | $13.66 – $79.65 | 25 |
| Warde cadmium blood CPT 82300 | $57.02 | $162.90 | $18.87 – $122.18 | 25 |
| Warde calcitonin CPT 82308 | $46.61 | $133.15 | $21.38 – $99.87 | 25 |
| Warde calculus (stone) infrared CPT 82365 | $55.76 | $159.30 | $10.30 – $119.48 | 25 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $113.09 | $323.10 | $17.53 – $109.35 | 25 |
| Warde collagen cross links c-telopeptide CPT 82523 | $74.03 | $211.50 | $14.91 – $158.63 | 25 |
| Warde complement total hemolytic CPT 86162 | $57.96 | $165.60 | $16.22 – $124.20 | 25 |
| Warde copper CPT 82525 | $39.38 | $112.50 | $9.90 – $84.38 | 25 |
| Warde cryoglobulin CPT 82595 | $34.97 | $99.90 | $5.16 – $74.93 | 25 |
| Warde erythropoietin CPT 82668 | $58.45 | $167.00 | $14.99 – $125.25 | 25 |
| Warde folic acid rbc CPT 82747 | $63.35 | $181.00 | $14.09 – $135.75 | 25 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $23.00 | $65.70 | $7.74 – $49.28 | 25 |
| Warde gastrin CPT 82941 | $70.88 | $202.50 | $14.07 – $151.88 | 26 |
| Warde growth hormone (hgh) CPT 83003 | $29.93 | $85.50 | $13.30 – $64.13 | 25 |
| Warde helminth antibody strongyloides igg CPT 86682 | $53.87 | $153.90 | $10.38 – $115.43 | 26 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $114.98 | $328.50 | $10.27 – $246.38 | 25 |
| Warde hepatitis a antibody CPT 86708 | $59.85 | $171.00 | $9.89 – $120.83 | 26 |
| Warde hepatitis be antibody CPT 86707 | $62.65 | $179.00 | $9.23 – $134.25 | 26 |
| Warde hepatitis delta agent antibody CPT 86692 | $86.94 | $248.40 | $13.69 – $186.30 | 26 |
| Warde immunofixation electrophoresis urine CPT 86335 | $58.59 | $167.40 | $23.42 – $118.13 | 25 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $42.84 | $122.40 | $9.21 – $91.80 | 25 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $408.87 | $1,168.20 | $205.45 – $876.15 | 26 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $34.65 | $99.00 | $18.81 – $74.25 | 25 |
| Warde lipoprotein (a) CPT 83695 | $35.60 | $101.70 | $11.43 – $76.28 | 25 |
| Warde neutralization rabies CPT 86382 | $179.55 | $513.00 | $13.49 – $384.75 | 25 |
| Warde protein c antigen CPT 85302 | $110.25 | $315.00 | $9.59 – $236.25 | 25 |
| Warde somatomedin CPT 84305 | $46.90 | $134.00 | $16.97 – $90.45 | 25 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $23.63 | $67.50 | $4.39 – $50.63 | 25 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $132.62 | $378.90 | $40.58 – $284.18 | 25 |
| Warde topiramate therapeutic drug level CPT 80201 | $71.19 | $203.40 | $9.51 – $152.55 | 25 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $69.30 | $198.00 | $20.80 – $133.65 | 26 |
| Warde viscosity CPT 85810 | $23.63 | $67.50 | $9.31 – $50.63 | 25 |
| Warde vitamin a CPT 84590 | $47.25 | $135.00 | $9.26 – $101.25 | 25 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $79.38 | $226.80 | $16.94 – $170.10 | 25 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $56.35 | $161.00 | $22.42 – $120.75 | 25 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $68.99 | $197.10 | $7.89 – $147.83 | 25 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $113.05 | $323.00 | $30.72 – $242.25 | 25 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $21.74 | $62.10 | $11.31 – $46.58 | 25 |
| Warde zinc CPT 84630 | $22.37 | $63.90 | $9.09 – $45.23 | 25 |
| Wbc automated CPT 85048 | $22.68 | $64.80 | $2.02 – $48.60 | 25 |
| Wedging of cast CPT 29740 | $82.85 | $236.70 | $142.02 – $177.53 | 8 |
| Western blot test CPT 84181 | $103.32 | $295.20 | $13.59 – $221.40 | 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.