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 |
|---|---|---|---|---|
| Estradiol total CPT 82670 | $140.18 | $400.50 | $22.30 – $300.38 | 25 |
| Estrogens total-sendout CPT 82672 | $138.13 | $394.63 | $17.32 – $295.98 | 25 |
| Ethylene glycol -sendout CPT 82693 | $66.85 | $191.00 | $11.89 – $143.25 | 25 |
| Euglobulin lysis CPT 85360 | $51.03 | $145.80 | $6.71 – $109.35 | 25 |
| Evaluation heart device CPT 93640 | $1,623.20 | $4,637.70 | $100.00 – $3,478.28 | 11 |
| Evaluation of speech fluency 92521 CPT 92521 | $78.75 | $225.00 | $100.00 – $380.00 | 9 |
| Evoked potentials upper limbs CPT 95925 | $566.06 | $1,617.30 | $100.00 – $1,212.98 | 9 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,353.10 | $3,866.00 | $2,319.60 – $2,899.50 | 7 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,371.60 | $6,776.00 | $4,065.60 – $5,082.00 | 7 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $974.40 | $2,784.00 | $1,670.40 – $2,088.00 | 7 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $407.61 | $1,164.60 | $698.76 – $873.45 | 8 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $587.30 | $1,678.00 | $1,006.80 – $1,258.50 | 8 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,353.10 | $3,866.00 | $2,319.60 – $2,899.50 | 8 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $235.20 | $672.00 | $403.20 – $504.00 | 8 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $974.30 | $2,783.70 | $1,670.22 – $2,087.78 | 8 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $1,282.68 | $3,664.80 | $2,198.88 – $2,748.60 | 7 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $210.74 | $602.10 | $361.26 – $451.58 | 8 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $444.47 | $1,269.90 | $761.94 – $952.43 | 8 |
| Exchange biliary drg cath CPT 47536 | $2,057.27 | $5,877.90 | $3,526.74 – $4,408.43 | 7 |
| Exchange drainage catheter CPT 49423 | $1,973.83 | $5,639.50 | $3,383.70 – $4,229.63 | 8 |
| Exchange nephrostomy cath CPT 50435 | $2,204.65 | $6,299.00 | $3,668.98 – $4,586.22 | 7 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $587.30 | $1,678.00 | $1,006.80 – $1,258.50 | 8 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $974.40 | $2,784.00 | $928.20 – $1,160.25 | 8 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $974.30 | $2,783.70 | $1,670.22 – $2,087.78 | 7 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $710.64 | $2,030.40 | $1,218.24 – $1,522.80 | 8 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,071.63 | $3,061.80 | $1,837.08 – $2,296.35 | 8 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,980.06 | $8,514.45 | $971.31 – $3,468.94 | 14 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $4,005.75 | $11,445.00 | $0.01 – $0.01 | 14 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $986.90 | $2,819.70 | $1,691.82 – $2,114.78 | 8 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $618.98 | $1,768.50 | $1,061.10 – $1,326.38 | 8 |
| Explore wound abdomen 20102 CPT 20102 | $1,004.85 | $2,871.00 | $190.93 – $2,153.25 | 12 |
| Explore woundchest 20101 CPT 20101 | $1,004.85 | $2,871.00 | $190.93 – $2,153.25 | 12 |
| Explore wound neck 20100 CPT 20100 | $272.48 | $778.50 | $51.78 – $583.88 | 12 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $102.55 | $293.00 | $14.31 – $219.38 | 25 |
| Eye implant band 40 HCPCS C1784 | $4,544.14 | $12,983.25 | $2,726.49 – $9,737.44 | 14 |
| Facial bones <3 CPT 70140 | $136.40 | $389.70 | $30.48 – $292.28 | 15 |
| Factor ix CPT 85250 | $58.59 | $167.40 | $15.19 – $125.55 | 25 |
| Factor viii CPT 85240 | $159.71 | $456.30 | $14.29 – $342.23 | 25 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $1.84 | $5.25 | $3.15 – $3.94 | 6 |
| Fat/lipids feces qualitative CPT 82705 | $17.33 | $49.50 | $4.07 – $37.13 | 25 |
| Fatty acids nonesterified CPT 82725 | $35.28 | $100.80 | $14.98 – $75.60 | 25 |
| #fecal-sodium CPT 84302 | $25.20 | $72.00 | $3.88 – $54.00 | 25 |
| Fem/popl revasc w/stent CPT 37226 | $8,453.55 | $24,153.00 | $14,491.80 – $18,114.75 | 8 |
| Ferritin CPT 82728 | $103.27 | $295.05 | $10.88 – $221.29 | 25 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $48.94 – $63.69 | 2 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $48.83 | $139.50 | $6.17 – $104.63 | 25 |
| Fetal non stress test CPT 59025 | not published | not published | $27.36 – $419.00 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $184.10 | $526.00 | $8.12 – $252.75 | 25 |
| Fibrin degradation products CPT 85362 | $79.07 | $225.90 | $5.50 – $169.43 | 25 |
| Fibrin degrade semiquant CPT 85378 | $122.54 | $350.10 | $7.75 – $262.58 | 25 |
| Fibrinogen activity CPT 85384 | $92.40 | $264.00 | $7.75 – $198.00 | 26 |
| Fibrinolytic plasminogen CPT 85415 | $146.48 | $418.50 | $13.72 – $313.88 | 25 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $19.53 | $55.80 | $5.22 – $41.85 | 25 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $482.90 | $1,379.70 | $1.09 – $1,034.78 | 14 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $2,749.27 | $7,855.05 | $320.17 – $1,143.45 | 14 |
| Filter vena cava fem denali HCPCS C1880 | $3,223.35 | $9,209.55 | $100.00 – $2,806.65 | 14 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $991.90 | $2,834.00 | $1,700.40 – $2,125.50 | 7 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $646.10 | $1,846.00 | $100.00 – $1,384.50 | 9 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $522.90 | $1,494.00 | $99.36 – $1,120.50 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | $292.60 | $836.00 | $90.00 – $627.00 | 9 |
| Fix g/colon tube w/device CPT 49460 | $907.90 | $2,594.00 | $1,556.40 – $1,945.50 | 8 |
| Fl exam g/colon tube w contrast CPT 49465 | $245.70 | $702.00 | $421.20 – $526.50 | 8 |
| Flow cytometry interp 16 or more CPT 88189 | $90.09 | $257.40 | $127.34 – $193.05 | 11 |
| Flow cytometry marker each additional CPT 88185 | $124.11 | $354.60 | $36.31 – $265.95 | 11 |
| Flow cytometry one marker technical component CPT 88184 | $360.15 | $1,029.00 | $165.02 – $771.75 | 11 |
| #flow interp 9 - 15 markers CPT 88188 | $72.14 | $206.10 | $94.98 – $154.58 | 11 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $15.05 | $43.00 | $3.41 – $32.25 | 9 |
| Fluidotherapy charges pt CPT 97022 | $143.15 | $409.00 | $26.83 – $306.75 | 9 |
| Fluorescent antibody titer dna CPT 86256 | $70.00 | $200.00 | $9.61 – $149.63 | 25 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $751.13 | $2,146.06 | $97.05 – $1,609.55 | 11 |
| Fluoroguide needle placement CPT 77002 | $2,696.75 | $7,705.00 | $100.00 – $5,778.75 | 11 |
| Fluoroscopy up to 1 hour CPT 76000 | $484.74 | $1,384.95 | $40.64 – $1,038.72 | 15 |
| Fna bx w/ct gdn 1st les CPT 10009 | $760.55 | $2,173.00 | $1,303.80 – $1,629.75 | 7 |
| Fna bx w/ct gdn ea addl CPT 10010 | $555.80 | $1,588.00 | $100.00 – $1,191.00 | 9 |
| Fna bx w/mr gdn 1st les CPT 10011 | $811.30 | $2,318.00 | $1,390.80 – $1,738.50 | 7 |
| Fna bx w/mr gdn ea addl CPT 10012 | $592.90 | $1,694.00 | $100.00 – $1,270.50 | 9 |
| Folic acid CPT 82746 | $63.95 | $182.70 | $11.73 – $137.03 | 25 |
| Follow-up angiography CPT 75898 | $334.85 | $956.70 | $127.02 – $956.70 | 15 |
| Fondaparinux sodium HCPCS J1652 | $168.69 | $481.95 | $0.96 – $481.95 | 11 |
| Foot X-ray CPT 73630 | $620.90 | $1,774.00 | $32.69 – $1,330.50 | 15 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $8.82 | $25.20 | $3.58 – $17.85 | 11 |
| Fractionation ketosteroids CPT 83593 | $189.00 | $540.00 | $22.74 – $405.00 | 25 |
| Fracture assessment via dxa CPT 77086 | $109.31 | $312.30 | $32.06 – $234.23 | 15 |
| Fragmenting of kidney stone CPT 50590 | $7,211.82 | $20,605.20 | $12,363.12 – $15,453.90 | 8 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $136.85 | $391.00 | $88.00 – $293.25 | 7 |
| Fructosamine glycated protein CPT 82985 | $18.90 | $54.00 | $13.38 – $40.50 | 25 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $16.17 | $46.20 | $7.56 – $12.60 | 8 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $8.82 | $25.20 | $0.56 – $25.20 | 11 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $81.90 | $234.00 | $31.42 – $175.50 | 9 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $54.50 | $155.70 | $16.81 – $116.78 | 25 |
| Galactose transferase test CPT 82776 | $49.77 | $142.20 | $9.37 – $106.65 | 25 |
| Gammaglobulin iga CPT 82784 | $130.90 | $374.00 | $7.42 – $280.50 | 25 |
| Gammaglobulin ige CPT 82785 | $124.95 | $357.00 | $13.14 – $267.75 | 25 |
| Gamma glutamyltransferase CPT 82977 | $59.35 | $169.56 | $5.75 – $127.17 | 25 |
| Gamunex-c/gammaked HCPCS J1561 | $1,962.09 | $5,605.95 | $49.43 – $4,204.47 | 14 |
| Generator barostim neo2 2014 HCPCS C1767 | $37,150.95 | $106,145.55 | $9,116.80 – $32,559.98 | 14 |
| Generator emblem MRI sicd subq HCPCS C1722 | $44,648.31 | $127,566.60 | $7,834.81 – $27,981.45 | 14 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $7.72 | $22.05 | $1.80 – $11.82 | 9 |
| Gentamicin peak therapeutic drug level CPT 80170 | $57.05 | $163.00 | $13.07 – $110.03 | 25 |
| Ghs abscess perianal iandd CPT 46050 | $355.01 | $1,014.30 | $608.58 – $760.73 | 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.