Visits & medical services prices at St. Luke's Patients Medical Center

Pasadena, TX · every code in this section with a posted price and a Medicare benchmark.

167 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $208.60 $596 0.9×
Application of heat wave therapy (97024) $38.75 $110.70 5.3×
Behavioral and qualitative analysis of voice and resonance (92524) $439.60 $1,256 4.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $756 $2,160 2.0×
C motor evoked uppr limbs (95928) $525.11 $1,500.30 0.6×
Cardiac Stress Tst,Tracing Only (93017) $1,814.75 $5,185 8.4×
Cardiopulmonary resuscitation (92950) $862.40 $2,464 4.0×
Cardioversion (92960) $864.36 $2,469.60 1.3×
Cardioversion internal (92961) $706.86 $2,019.60 1.1×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $4,672.15 $13,349 1.4×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $8,251.95 $23,577 2.5×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $8,176.35 $23,361 2.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,570.50 $21,630 2.3×
Cbt 1st hour (94644) $169.16 $483.30 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $121.28 $346.50 1.7×
Chemo IV push addl drug (96411) $94.50 $270 1.3×
Chemo Iv Push Sngl Drug (96409) $282.80 $808 0.9×
Chemother, IV infusion, 1 hr (96413) $282.80 $808 0.9×
Chemother, IV infusion, ea add hr (96415) $94.50 $270 1.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $151.83 $433.80 2.1×
Color/duplex Doppler, complete (93975) $873.95 $2,497 3.6×
Color/duplex Doppler, limited (93976) $598.50 $1,710 5.7×
Coronary artery angio s&i (93454) $4,027.52 $11,507.20 1.2×
Cpap initiation and management (94660) $1,476.30 $4,218 6.7×
Cpt initial (94667) $128.10 $366 1.0×
Critical care (99291) $1,560.51 $4,458.60 1.9×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $572.67 $1,636.20 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $244.76 $699.30 1.2×
Demo &/or eval,pt use,aerosol device (94664) $208.25 $595 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,113.16 $3,180.45 4.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $679.35 $1,941 6.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,389.50 $3,970 5.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $732.38 $2,092.50 7.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,006.60 $2,876 9.6×
Duplex hemodialysis access (93990) $210.42 $601.20 2.0×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $582.44 $1,664.10 5.5×
Duplex scan extracranial art compl bi study (93880) $1,661.80 $4,748 6.9×
Echo Heart Xthoracic,Limited (93308) $404.25 $1,155 1.7×
Echo transesophageal (93312) $1,953.70 $5,582 3.6×
EEG awake asleep (95819) $1,420.65 $4,059 6.5×
EEG awake drowsy (95816) $823.90 $2,354 3.8×
EEG cerebral death evaluation (95824) $768.29 $2,195.10 2.0×
EEG coma or sleep only (95822) $332.01 $948.60 1.5×
Eeg Extended Monitoring 61-119 Minutes (95813) $720.72 $2,059.20 3.3×
EKG (93005) $469.35 $1,341 7.9×
EKG rhythm strip (93041) $95.55 $273 1.6×
Elec alys implt cplx cn npgt prgrmg (95977) $319.41 $912.60 3.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $199.08 $568.80 5.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $556.92 $1,591.20 2.6×
EMG two extremities (95861) $240.35 $686.70 1.8×
Ep Right Ventricular Recording (93603) $1,143.77 $3,267.90 0.9×
Er level 1 (99281) $236.60 $676 2.8×
Er level ii (99282) $508.20 $1,452 3.3×
Er level iii (99283) $891.80 $2,548 3.3×
Er level IV (99284) $1,351.35 $3,861 3.2×
Er level v (99285) $1,753.15 $5,009 2.9×
Evaluation of speech fluency (92521) $78.75 $225 0.6×
Evaluation of speech sound production (92522) $147.72 $422.05 1.3×
Evaluation of swallowing function (92610) $285.98 $817.10 3.4×
External Ecg Scanning Analysis Report (93226) $908.78 $2,596.50 15.3×
Group Therapeutic Procedures (97150) $40.01 $114.30 2.2×
Holter Monitor Recording (93225) $260.19 $743.40 1.9×
Hydrotherapy (97036) $169.40 $484 4.9×
Immunization Admin (90471) $75.25 $215 1.0×
Injection intra arterial (96373) $306.25 $875 1.4×
Ins swan ganz bedside (93503) $369.50 $1,055.70 0.2×
Intralesional Chemo Admin,8+ Lesn (96406) $179.20 $512 0.8×
Intralesional Chemo Admin,<8 Lesn (96405) $58.80 $168 0.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $64.89 $185.40 1.1×
IV infusion hydration each additional hour (96361) $197.72 $564.90 4.2×
IV infusion hydration initial 31 min-1 hour (96360) $520.80 $1,488 2.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $341.96 $977.03 4.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $520.80 $1,488 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $197.75 $565 4.2×
IV push initial (96374) $306.25 $875 1.4×
Manual therapy 15 min (97140) $109.90 $314 4.0×
Massage 15 min (97124) $35.28 $100.80 1.2×
Mechanical chest wall oscillation (94669) $108.36 $309.60 0.5×
Mechanical traction (97012) $82.41 $235.44 5.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $15.75 $45 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $22.68 $64.80 0.6×
Mnt Group Ea 30 Min (97804) $17.96 $51.30 1.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $448 $1,280 4.9×
Multiple sleep latency test (95805) $1,544.90 $4,414 1.8×
Neg press wnd tx </=50 sq cm (97607) $467.25 $1,335 1.1×
Neg press wound tx >50 cm (97608) $397.25 $1,135 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $260.05 $743 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $413.35 $1,181 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $870.80 $2,488 6.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,123.15 $3,209 5.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $877.45 $2,507 6.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $76.55 $218.70 1.7×
Ot Contrast Bath Ea 15 Min (97034) $40.01 $114.30 2.9×
Ot eval high complex 60 min (97167) $415.10 $1,186 4.1×
Ot eval low complex 30 min (97165) $248.50 $710 2.5×
Ot eval mod complex 45 min (97166) $330.75 $945 3.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $46.55 $133 0.9×
Ot Prosthetic Training, Each 15 Min (97761) $80.96 $231.30 2.0×
Ot Range Motion Measure,Each Extrem (95851) $52.92 $151.20 2.0×
Ot re-eval est plan care (97168) $248.50 $710 3.6×
Paraffin bath (97018) $45.85 $131 7.6×
Phy/qhp op pulm rhb w/mntr (94626) $74.55 $213 1.3×
Pm device eval in person (93288) $140.49 $401.40 3.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,497.20 $9,992 4.1×
Prq card revasc chronic 1vsl (92943)
unusually low: confirm this is the full procedure
$4,502.75 $12,865 0.4×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure
$5,628.35 $16,081 0.5×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$6,472.55 $18,493 0.4×
Prq revasc byp graft 1 vsl (92937)
unusually low: confirm this is the full procedure
$4,221.35 $12,061 0.4×
Prq trluml coronary angio/atherect one art/brnch (92924)
unusually low: confirm this is the full procedure
$4,221.35 $12,061 0.4×
Prq trluml coronary angioplasty one art/branch (92920) $4,362.05 $12,463 0.8×
Pt Aquatic Therapy/Exercises (97113) $39.38 $112.50 1.1×
Pt Electric Current Therapy (97033) $45.99 $131.40 2.4×
Pt Electrical Stimulation (97032) $88.83 $253.80 6.0×
Pt eval high complex 45 min (97163) $339.50 $970 3.5×
Pt eval low complex 20 min (97161) $203.70 $582 2.1×
Pt Gait Training Therapy (97116) $70.56 $201.60 2.4×
Pt Infrared Therapy (97026) $29.93 $85.50 4.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $116.90 $334 3.6×
Pt Physical Performance Test (97750) $80.64 $230.40 2.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $271.60 $776 2.8×
Pt re-evaluation (97164) $203.70 $582 3.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $57.40 $164 1.8×
Pt Ultrasound Therapy (97035) $67.20 $192 4.7×
Pt Whirlpool Therapy (97022) $143.15 $409 9.1×
Pulm function test by gas (94727) $186.90 $534 0.9×
Pulmonary stress testing (94618) $96.08 $274.50 0.7×
R & l hrt cath w/njx l ventriculog img s&i (93453) $4,865.81 $13,902.30 1.5×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $9,084.60 $25,956 2.8×
R hrt art/grft angio (93457) $8,933.40 $25,524 2.7×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $10,068.80 $28,768 3.1×
Right heart cath (93451) $2,424.56 $6,927.30 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $132.30 $378 0.7×
Rom meas&reprt hand w/wo comparison normal sid (95852) $54.95 $157 2.6×
Rt Chest Wall Manipulation,Subsequent (94668) $128.10 $366 1.0×
Short-latency somatosens ep std lwr limbs (95926) $484.16 $1,383.30 2.2×
Short-latency somatosens ep std upr limbs (95925) $566.06 $1,617.30 2.6×
Smoking cessation > 10 min (99407) $24.54 $70.10 0.7×
Somatosensory testing (95938) $771.75 $2,205 0.9×
Speech sound lang comprehen (92523) $297.50 $850 1.3×
Spirometry (94010) $224.28 $640.80 1.0×
Standardized Cognitive Performance Testing (96125) $157.19 $449.10 1.5×
Stress Tte Complete (93351) $2,339.82 $6,685.20 4.3×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $153.30 $438 3.3×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $306.25 $875 1.4×
Temp transcutaneous pacing (92953) $175.46 $501.30 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $62 $177.15 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $306.25 $875 4.2×
Therapeutic Activities (97530) $100.80 $288 2.9×
Therapeutic phlebotomy (99195) $205.80 $588 1.5×
Tilt Table Eval (93660) $1,933.47 $5,524.20 5.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $14.70 $42 0.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,033.80 $8,668 5.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,346.41 $3,846.88 5.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $256.55 $733 3.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $146.30 $418 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $306.25 $875 6.5×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,608.71 $4,596.30 2.9×
Ultraviolet Therapy (97028) $25.52 $72.90 3.1×
Unlisted Cardiovascular Service/Procedure (93799) $5,296.10 $15,131.70 41.0×
Unlisted pulmonary service/procedure (94799) $206.50 $590 1.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,796.90 $5,134 7.5×
Vasc Duplex Scan Extracranial,Limited (93882) $299.25 $855 2.8×
Vasopneumatic device (97016) $34.65 $99 2.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,408.18 $6,880.50 6.4×
Ventilation assist & mgmt inpatient 1st day (94002) $1,517.25 $4,335 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,458.80 $4,168 2.4×
Vital capacity total (94150) $115.29 $329.40 0.9×