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 |
|---|---|---|---|---|
| Coronary angio/lv gram/rt< heart CPT 93460 | $9,084.60 | $25,956.00 | $1,726.08 – $19,467.00 | 9 |
| Coronary art/grft angio s&i CPT 93455 | $4,672.15 | $13,349.00 | $887.71 – $10,011.75 | 9 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,027.52 | $11,507.20 | $765.23 – $8,630.40 | 9 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $436.59 | $1,247.40 | $82.96 – $935.55 | 11 |
| Corrj halux rigdus w/implt CPT 28291 | $2,529.77 | $7,227.90 | $4,336.74 – $5,420.93 | 7 |
| Cortisol total am CPT 82533 | $180.95 | $517.00 | $13.01 – $298.50 | 25 |
| Counseling smoke cess interm >10mins CPT 99407 | $24.57 | $70.20 | $38.41 – $72.00 | 9 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $1,157.63 | $3,307.50 | $100.00 – $2,480.63 | 6 |
| Covid-19 lab test non-cdc HCPCS U0002 | $92.05 | $263.00 | $40.95 – $197.25 | 24 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $85.05 | $243.00 | $10.40 – $182.25 | 26 |
| C-peptide CPT 84681 | $41.58 | $118.80 | $16.61 – $89.10 | 25 |
| Crbrospnl fld flw imag cistern CPT 78630 | $773.01 | $2,208.60 | $298.39 – $1,723.00 | 15 |
| C-reactive protein CPT 86140 | $127.16 | $363.30 | $4.13 – $272.48 | 25 |
| C-reactive protein high sensitivity CPT 86141 | $42.63 | $121.80 | $10.34 – $91.35 | 25 |
| C-reactive protein, quantitative CPT 86406 | $48.65 | $139.00 | $8.49 – $100.58 | 25 |
| Creatine kinase CPT 82550 | $78.75 | $225.00 | $5.20 – $102.75 | 25 |
| Creatine kinase isoenzymes CPT 82552 | $68.25 | $195.00 | $10.69 – $146.25 | 25 |
| Creatine kinase mb CPT 82553 | $65.45 | $187.00 | $9.21 – $85.50 | 25 |
| Creatine - sendout CPT 82540 | $25.52 | $72.90 | $3.70 – $54.68 | 25 |
| Creatinine CPT 82565 | $54.25 | $155.00 | $4.08 – $69.75 | 25 |
| Creatinine 24 hour urine CPT 82570 | $61.95 | $177.00 | $4.13 – $132.75 | 25 |
| Creatinine clearance urine CPT 82575 | $99.86 | $285.30 | $7.55 – $213.98 | 25 |
| #creutz-prot.,western blot CPT 84182 | $178.61 | $510.30 | $23.31 – $382.73 | 25 |
| Critical care 30-74 minutes CPT 99291 | $1,560.51 | $4,458.60 | $296.50 – $3,343.95 | 13 |
| Critical care each additional 30 minutes CPT 99292 | $51.03 | $145.80 | $9.70 – $145.80 | 13 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $1,984.50 | $5,670.00 | $377.06 – $4,252.50 | 10 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $21.42 | $61.20 | $11.29 – $45.90 | 25 |
| Cryoprecipitate each unit HCPCS P9012 | $102.55 | $293.00 | $88.00 – $219.75 | 7 |
| Cryptococcus abs qn - sendout CPT 86641 | $64.26 | $183.60 | $11.49 – $137.70 | 26 |
| Cryptosporidium antigen CPT 87272 | $46.62 | $133.20 | $9.56 – $99.90 | 25 |
| Crystal identification light microscopy CPT 89060 | $40.60 | $116.00 | $5.85 – $86.63 | 26 |
| CT 3d report other modality w/workstation CPT 76377 | $306.81 | $876.60 | $44.71 – $1,315.00 | 12 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,294.90 | $9,414.00 | $166.31 – $7,060.50 | 16 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,346.12 | $6,703.20 | $166.31 – $5,027.40 | 16 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,286.50 | $9,390.00 | $166.31 – $7,041.75 | 16 |
| Cta neck without &/or w/contrast CPT 70498 | $3,731.16 | $10,660.44 | $166.31 – $7,995.00 | 16 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,118.80 | $11,768.00 | $348.10 – $8,826.00 | 16 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,421.25 | $9,775.00 | $166.31 – $4,472.25 | 16 |
| CT Angiogram of the Head CPT 70496 | $3,731.16 | $10,660.44 | $166.31 – $7,995.00 | 16 |
| CT angio hrt w/3d image CPT 75574 | $1,619.80 | $4,628.00 | $166.31 – $3,471.00 | 16 |
| CT angio pelvis CPT 72191 | $727.97 | $2,079.90 | $166.31 – $1,559.93 | 16 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,546.82 | $10,133.75 | $166.31 – $7,600.32 | 16 |
| CT guidance for needle placement CPT 77012 | $1,654.80 | $4,728.00 | $100.00 – $3,546.00 | 12 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $937.13 | $2,677.50 | $89.94 – $2,008.13 | 12 |
| CT guid parench tis ablat CPT 77013 | $461.79 | $1,319.40 | $100.00 – $1,315.00 | 12 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $291.90 | $834.00 | $82.25 – $1,315.00 | 16 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $923.30 | $2,638.00 | $166.31 – $1,978.50 | 16 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,439.15 | $6,969.00 | $162.84 – $5,226.75 | 16 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,890.70 | $5,402.00 | $99.51 – $4,051.50 | 16 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,855.30 | $8,158.00 | $166.31 – $6,118.50 | 16 |
| CT neck soft tissue w/contrast CPT 70491 | $2,452.79 | $7,007.97 | $166.31 – $5,255.98 | 16 |
| CT neck soft tissue without contrast CPT 70490 | $1,986.95 | $5,677.00 | $99.51 – $4,257.75 | 16 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,943.50 | $8,410.00 | $166.31 – $6,307.50 | 16 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,789.20 | $5,112.00 | $166.31 – $3,834.00 | 16 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,533.70 | $4,382.00 | $166.31 – $3,286.50 | 16 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,345.05 | $3,843.00 | $99.51 – $2,882.25 | 16 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $204.05 | $583.00 | $349.80 – $437.25 | 7 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,050.85 | $14,431.00 | $332.67 – $10,823.25 | 16 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,000.58 | $14,287.35 | $296.48 – $10,715.52 | 16 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,700.85 | $13,431.00 | $178.70 – $10,073.25 | 16 |
| CT thoracic spine w/contrast CPT 72129 | $4,767.35 | $13,621.00 | $166.01 – $10,215.75 | 16 |
| CT thoracic spine without contrast CPT 72128 | $3,639.30 | $10,398.00 | $99.51 – $7,798.50 | 16 |
| CT t-spine w /wo contrast CPT 72130 | $5,604.55 | $16,013.00 | $166.31 – $12,009.75 | 16 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,719.55 | $4,913.00 | $196.17 – $3,684.75 | 16 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,375.55 | $3,930.12 | $99.51 – $2,947.59 | 16 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,132.20 | $6,092.00 | $166.31 – $3,684.75 | 16 |
| Culture aerobic additional method definitive id each CPT 87077 | $90.72 | $259.20 | $6.45 – $194.40 | 25 |
| Culture afb any source CPT 87116 | $95.90 | $274.00 | $8.62 – $205.50 | 25 |
| Culture anaerobic additional method definitive id each CPT 87076 | $75.29 | $215.10 | $6.45 – $161.33 | 25 |
| Culture anaerobic except blood CPT 87075 | $112.83 | $322.35 | $7.55 – $147.83 | 25 |
| Culture bact stool aero addl path ea CPT 87046 | $68.99 | $197.10 | $7.53 – $31.05 | 25 |
| Culture body fluid CPT 87070 | $251.65 | $719.00 | $6.88 – $539.25 | 26 |
| Culture fungi definitive id mold CPT 87107 | $74.97 | $214.20 | $8.24 – $160.65 | 25 |
| Culture fungi definitive id yeast CPT 87106 | $65.21 | $186.30 | $8.24 – $99.90 | 25 |
| Culture fungi other (except blood) CPT 87102 | $128.45 | $367.00 | $6.71 – $168.00 | 25 |
| Culture fungi skin/hair/nail CPT 87101 | $33.08 | $94.50 | $6.16 – $70.88 | 25 |
| Culture mycoplasma any source CPT 87109 | $34.97 | $99.90 | $12.28 – $72.27 | 25 |
| Culture quantitative aerobic other source CPT 87071 | $18.90 | $54.00 | $7.89 – $40.50 | 25 |
| Culture screening strep group a CPT 87081 | $109.90 | $314.00 | $5.29 – $211.95 | 26 |
| Culture typing immunologic CPT 87147 | $47.57 | $135.90 | $4.13 – $101.93 | 25 |
| Culture urine each isolate CPT 87088 | $77.18 | $220.50 | $6.46 – $165.38 | 26 |
| Cutter lead HCPCS C1773 | $803.73 | $2,296.35 | $100.00 – $1,722.27 | 6 |
| Cv line/pic reposition CPT 36597 | $401.31 | $1,146.60 | $687.96 – $859.95 | 8 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $22.37 | $63.90 | $11.43 – $47.93 | 25 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $11.03 | $31.50 | $1.81 – $31.50 | 11 |
| Cyclic citrullinated peptide antibody CPT 86200 | $74.97 | $214.20 | $10.34 – $160.65 | 25 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $11.40 | $32.55 | $19.53 – $101.90 | 11 |
| Cyclosporine 2 hour CPT 80158 | $64.58 | $184.50 | $14.40 – $130.28 | 25 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.11 | $3.15 | $0.86 – $3.15 | 11 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $21,095.61 | $60,273.15 | $100.00 – $1,960.88 | 14 |
| Cyp2c9 gene com variants CPT 81227 | $257.36 | $735.30 | $139.50 – $551.48 | 26 |
| Cystatin c CPT 82610 | $48.83 | $139.50 | $14.78 – $104.63 | 25 |
| Cystic fibrosis cftr CPT 81223 | $619.92 | $1,771.20 | $398.20 – $1,328.40 | 26 |
| Cystine urine quantitative CPT 82131 | $130.10 | $371.70 | $18.34 – $278.78 | 25 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $354.20 | $1,012.00 | $39.37 – $758.70 | 15 |
| Cysto impl 4 or more HCPCS C9740 | $4,830.00 | $13,800.00 | $5,699.16 – $7,123.95 | 7 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | $3,816.86 | $10,905.30 | $6,543.18 – $8,178.98 | 7 |
| Cystouretero & or pyeloscope CPT 52351 | $1,178.10 | $3,366.00 | $2,019.60 – $2,524.50 | 7 |
| Cysto/uretero w/lithotripsy CPT 52356 | $9,002.88 | $25,722.50 | $15,433.50 – $19,291.88 | 8 |
| Cystouretero w/lithotripsy CPT 52353 | $4,650.10 | $13,286.00 | $7,971.60 – $9,964.50 | 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.