St. Luke's Patients Medical Center

Pasadena, TX

Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.

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ProcedureCash priceGross charge× Medicare
Knee arthroscopy with meniscectomy (29881) $1,865.75 $5,330.70 0.6×
Upper GI endoscopy (EGD), diagnostic (43235) $1,002.54 $2,864.40 1.1×
Upper GI endoscopy (EGD) with biopsy (43239) $1,326.31 $3,789.45 1.5×
Diagnostic colonoscopy (45378) $1,375.92 $3,931.20 1.5×
Colonoscopy with biopsy (45380) $1,521.45 $4,347 1.3×
Colonoscopy with lesion removal (45385) $1,460.82 $4,173.75 1.2×
Epidural injection, lumbar/sacral (with imaging) (62322) $1,234.17 $3,526.20 1.4×
Transforaminal epidural injection, lumbar/sacral (64483) $624.33 $1,783.80 0.7×
Cataract removal with lens insertion (66984) $2,734.57 $7,813.05 1.2×
CT head/brain without contrast (70450) $2,473.10 $7,066 23.5×
MRI brain without contrast (70551) $3,000.90 $8,574 12.5×
MRI brain with contrast (70552) $4,141.20 $11,832 11.8×
MRI brain without and with contrast (70553) $4,891.25 $13,975 14.0×
X-ray lower spine, 4+ views (72110) $926.84 $2,648.12 8.8×
MRI lumbar spine without contrast (72148) $2,887.45 $8,249.85 12.0×
CT pelvis with contrast (72193) $4,924.15 $14,069 27.9×
MRI lower-extremity joint without contrast (73721) $4,251.10 $12,146 17.7×
CT abdomen and pelvis with contrast (74177) $5,000.58 $14,287.35 14.3×
Ultrasound, abdomen complete (76700) $1,569.76 $4,485.04 14.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,088.50 $3,110 10.4×
Ultrasound, transvaginal (76830) $719.60 $2,056 6.9×
Mammography, one breast (diagnostic) (77065) $393.40 $1,124 4.6×
Mammography, both breasts (diagnostic) (77066) $771.05 $2,203 7.0×
Mammography, screening (bilateral) (77067) $312.55 $893 3.4×
Basic metabolic panel (80048) $275.10 $786 32.5×
Comprehensive metabolic panel (80053) $378.18 $1,080.50 35.8×
Lipid panel (80061) $124.08 $354.50 9.3×
Hepatic function panel (80076) $267.75 $765 32.8×
Urinalysis, non-automated, without microscopy (81002) $13.23 $37.80 3.8×
PSA, total (84153) $108.11 $308.88 5.9×
Thyroid stimulating hormone (TSH) (84443) $145.78 $416.50 8.7×
CBC with automated differential (85025) $85.75 $245 11.0×
CBC, automated (85027) $168.70 $482 26.1×
Prothrombin time (PT) (85610) $143.15 $409 33.4×
Partial thromboplastin time (PTT) (85730) $154.70 $442 25.7×
Left heart catheterization (93452) $3,621.24 $10,346.40 1.1×
Sleep study (attended polysomnography) (95810) $2,838.81 $8,110.86 3.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $107.45 $307 3.7×

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