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 |
|---|---|---|---|---|
| Cardiolipin antibody iga CPT 86147 | $68.67 | $196.20 | $20.31 – $147.15 | 25 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $864.36 | $2,469.60 | $100.00 – $1,852.20 | 8 |
| Cardioversion/elective/internal 92961 CPT 92961 | $706.86 | $2,019.60 | $100.00 – $1,514.70 | 9 |
| Carotene CPT 82380 | $34.34 | $98.10 | $7.35 – $73.58 | 25 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,661.80 | $4,748.00 | $181.89 – $3,561.00 | 13 |
| Car outp meas drg cath chd CPT 93598 | $216.09 | $617.40 | $41.06 – $463.05 | 8 |
| Carpal Tunnel Release Surgery CPT 64721 | $1,465.70 | $4,187.70 | $2,512.62 – $3,140.78 | 7 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $1,011.00 | $2,888.55 | $100.00 – $2,166.42 | 7 |
| Cataract Surgery CPT 66984 | $2,734.57 | $7,813.05 | $4,687.83 – $5,859.79 | 7 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $368.97 | $1,054.20 | $100.00 – $392.97 | 14 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $1,730.19 | $4,943.40 | $100.00 – $559.92 | 14 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $0.35 | $1.00 | $0.22 – $0.75 | 14 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $4,573.54 | $13,067.25 | $17.64 – $145.38 | 14 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $1,157.63 | $3,307.50 | $100.00 – $2,480.63 | 6 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $12,321.54 | $35,204.40 | $0.01 – $1,655.07 | 14 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $4,865.81 | $13,902.30 | $924.51 – $10,426.73 | 9 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $2,121.95 | $6,062.70 | $6.30 – $492.77 | 14 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,004.01 | $2,868.60 | $100.00 – $623.70 | 6 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,623.99 | $4,639.95 | $154.35 – $551.25 | 14 |
| Catheter insert artery CPT 36625 | $68.99 | $197.10 | $13.11 – $147.83 | 12 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $25.20 | $72.00 | $4.50 – $54.00 | 21 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $543.90 | $1,554.00 | $100.00 – $648.12 | 14 |
| Cath hawkone s directional HCPCS C1714 | $8,073.24 | $23,066.40 | $4,633.81 – $16,549.32 | 14 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $1,691.97 | $4,834.20 | $100.00 – $3,142.23 | 14 |
| Cath left heart/lv gram CPT 93452 | $3,621.24 | $10,346.40 | $688.04 – $7,759.80 | 9 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $2,507.46 | $7,164.15 | $25.83 – $427.25 | 14 |
| Cath place 1st order venous 36011 CPT 36011 | $355.01 | $1,014.30 | $67.46 – $760.73 | 10 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $10,068.80 | $28,768.00 | $1,913.08 – $21,576.00 | 9 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $8,251.95 | $23,577.00 | $1,567.88 – $17,682.75 | 9 |
| Cath plc art/grft/angio right hrt CPT 93457 | $8,933.40 | $25,524.00 | $1,697.35 – $19,143.00 | 9 |
| Cath right heart w/o2 sat & card CPT 93451 | $2,424.56 | $6,927.30 | $460.67 – $5,195.48 | 9 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $266.49 | $761.40 | $50.64 – $571.05 | 10 |
| Cath steerable flex adv 12f HCPCS C1766 | $294.74 | $842.10 | $11.97 – $14.97 | 6 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $1,784.58 | $5,098.80 | $1,070.75 – $3,824.10 | 14 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $289.23 | $826.35 | $3.15 – $58.02 | 14 |
| Cauterization chemical granulation tissue CPT 17250 | $88.52 | $252.90 | $151.74 – $189.68 | 8 |
| #cbg+cort-cbg CPT 84449 | $24.26 | $69.30 | $14.36 – $51.98 | 25 |
| Cdna analysis for variants CPT 81403 | $569.21 | $1,626.30 | $147.79 – $1,219.73 | 26 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $21.69 | $61.95 | $0.41 – $36.23 | 9 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $61.25 | $175.00 | $1.77 – $68.52 | 9 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $48.65 | $139.00 | $4.81 – $100.80 | 9 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $22.40 | $64.00 | $1.83 – $48.00 | 9 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $75.34 | $215.25 | $0.64 – $4.73 | 9 |
| Cell count w differential body fluid CPT 89051 | $190.37 | $543.90 | $4.46 – $274.05 | 26 |
| Cesarean section delivery only 59514 CPT 59514 | $429.98 | $1,228.50 | $81.70 – $921.38 | 12 |
| #cf-97variants CPT 81220 | $37.45 | $107.00 | $63.13 – $834.90 | 26 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,297.17 | $3,706.20 | $2,223.72 – $2,779.65 | 7 |
| Change cystostomy tube simple CPT 51705 | $872.24 | $2,492.10 | $1,495.20 – $1,869.00 | 8 |
| Change g-tube to g-j perc CPT 49446 | $1,905.75 | $5,445.00 | $3,267.00 – $4,083.75 | 8 |
| Change nephroureteral cath CPT 50387 | $687.75 | $1,965.00 | $1,178.82 – $1,473.53 | 8 |
| Change of ureter tube/stent CPT 50688 | $590.94 | $1,688.40 | $1,013.04 – $1,266.30 | 7 |
| Change of windpipe airway 31502 CPT 31502 | $122.22 | $349.20 | $209.52 – $261.90 | 8 |
| Change ureter stent percut CPT 50382 | $1,471.05 | $4,203.00 | $2,521.80 – $3,152.25 | 8 |
| Chemo intralesional over 7 CPT 96406 | $179.20 | $512.00 | $68.93 – $384.00 | 12 |
| Chemo intralesional up to 7 96405 CPT 96405 | $58.80 | $168.00 | $88.29 – $126.00 | 12 |
| Chest 2 vws w oblique CPT 71048 | $747.95 | $2,137.00 | $43.49 – $1,602.75 | 15 |
| Chest apical lordotic proj CPT 71047 | $232.05 | $663.00 | $40.32 – $497.25 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $4,399.50 | $12,570.00 | $166.31 – $9,427.50 | 16 |
| Chest CT scan (with contrast) CPT 71260 | $3,760.40 | $10,744.00 | $163.15 – $8,058.00 | 16 |
| Chest CT scan (without contrast) CPT 71250 | $2,970.80 | $8,488.00 | $99.51 – $6,366.00 | 16 |
| Chest X-ray CPT 71046 | $549.85 | $1,571.00 | $32.06 – $1,103.25 | 15 |
| Chest X-ray (single view) CPT 71045 | $466.20 | $1,332.00 | $24.44 – $895.50 | 15 |
| Chg pr pul rehab for copd patients CPT 94626 | $74.55 | $213.00 | $100.00 – $182.00 | 7 |
| Chlamydia culture CPT 87110 | $98.91 | $282.60 | $15.64 – $208.58 | 25 |
| Chlamydia type CPT 87140 | $85.05 | $243.00 | $4.45 – $182.25 | 25 |
| Chloride CPT 82435 | $32.13 | $91.80 | $3.67 – $64.80 | 25 |
| Chloride 24 hour urine CPT 82436 | $29.61 | $84.60 | $4.59 – $59.40 | 25 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $88.94 | $254.10 | $22.69 – $254.10 | 11 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $799.47 | $2,284.19 | $26.42 – $1,713.15 | 11 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,998.05 | $5,708.70 | $3,425.22 – $4,281.53 | 8 |
| Cholesterol CPT 82465 | $57.75 | $165.00 | $3.47 – $123.75 | 25 |
| Cholesterol body fluid CPT 84999 | $136.71 | $390.60 | $53.34 – $275.40 | 8 |
| Cholesterol (Lipid) Test CPT 80061 | $154.00 | $440.00 | $10.69 – $201.75 | 25 |
| Cholinesterase CPT 82480 | $51.35 | $146.70 | $6.28 – $110.03 | 25 |
| Chromatography CPT 83021 | $66.85 | $191.00 | $14.41 – $137.03 | 25 |
| Chromosome analysis 15-20 cell count CPT 88262 | $273.74 | $782.10 | $100.14 – $586.58 | 26 |
| Chromosome analysis 50-100 CPT 88248 | $74.03 | $211.50 | $124.79 – $320.70 | 26 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $7.35 | $21.00 | $1.19 – $15.75 | 9 |
| Clearance of airways CPT 31720 | $65.84 | $188.10 | $112.86 – $141.08 | 7 |
| Clip ligating vesolock lg HCPCS C1760 | $518.91 | $1,482.60 | $100.00 – $600.87 | 14 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $86.31 | $246.60 | $147.96 – $184.95 | 8 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $86.94 | $248.40 | $149.04 – $186.30 | 7 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $77.49 | $221.40 | $14.73 – $166.05 | 12 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $109.31 | $312.30 | $187.38 – $234.23 | 8 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $597.56 | $1,707.30 | $1,024.38 – $1,280.48 | 7 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $126.95 | $362.70 | $217.62 – $272.03 | 8 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $461.16 | $1,317.60 | $790.56 – $988.20 | 7 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $79.07 | $225.90 | $135.54 – $169.43 | 8 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $876.65 | $2,504.70 | $1,502.82 – $1,878.53 | 7 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $86.94 | $248.40 | $149.04 – $186.30 | 8 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $231.21 | $660.60 | $396.36 – $495.45 | 8 |
| Clos txnose fx without stablz 21315 CPT 21315 | $608.90 | $1,739.70 | $1,043.82 – $1,304.78 | 7 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $378.00 | $1,080.00 | $648.00 – $810.00 | 7 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $242.24 | $692.10 | $415.26 – $519.08 | 7 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $126.95 | $362.70 | $217.62 – $272.03 | 7 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $87.57 | $250.20 | $150.12 – $187.65 | 8 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $461.16 | $1,317.60 | $790.56 – $988.20 | 7 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $80.01 | $228.60 | $137.16 – $171.45 | 7 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $79.07 | $225.90 | $135.54 – $169.43 | 8 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $87.57 | $250.20 | $150.12 – $187.65 | 8 |
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.