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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $208.60 | $596 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $67.20 | $192 | 4.7× |
| Application Modality 1/> Areas Diathermy (97024) | $38.75 | $110.70 | 5.3× |
| Application Modality 1/> Areas Infrared (97026) | $29.93 | $85.50 | 4.5× |
| Behavral qualit analys voice (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 elective internal (92961) | $706.86 | $2,019.60 | 1.1× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $9,084.60 | $25,956 | 2.8× |
| 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 Anti-Neopl Sq/Im (96401) | $151.83 | $433.80 | 2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $121.28 | $346.50 | 1.7× |
| Chemo Intralesional Over 7 (96406) | $179.20 | $512 | 0.8× |
| Chemo intralesional up to 7 (96405) | $58.80 | $168 | 0.8× |
| Chemo IV infusion addl hr (96415) | $94.50 | $270 | 1.3× |
| Chemo IV push addl drug (96411) | $94.50 | $270 | 1.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $282.80 | $808 | 0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $282.80 | $808 | 0.9× |
| Chest Wall Manipulation (94668) | $128.10 | $366 | 1.0× |
| Color/duplex Doppler, complete (93975) | $873.95 | $2,497 | 3.6× |
| Color/duplex Doppler, limited (93976) | $598.50 | $1,710 | 5.7× |
| Continuous Pulse Ox (94762) | $877.45 | $2,507 | 6.8× |
| Coronary Art/Grft Angio S&I (93455) | $4,672.15 | $13,349 | 1.4× |
| Coronary Artery Angio S&I (93454) | $4,027.52 | $11,507.20 | 1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,476.30 | $4,218 | 6.7× |
| Cpt initial (94667) | $128.10 | $366 | 1.0× |
| Critical care first hour (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× |
| 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 Xtr Veins Complete Bilateral Study (93970) | $1,796.90 | $5,134 | 7.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,006.60 | $2,876 | 9.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $582.44 | $1,664.10 | 5.5× |
| Duplex Scan Hemodialysis Access (93990) | $210.42 | $601.20 | 2.0× |
| Duplex up extrem art bilat (93930) | $1,389.50 | $3,970 | 5.8× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$713.65–$751.10 | $2,039–$2,146 | varies |
| Echo Heart Xthoracic,Limited (93308) | $404.25 | $1,155 | 1.7× |
| Echo transesophag montr cardiac pump functj (93318) | $1,608.71 | $4,596.30 | 2.9× |
| Echo transesophageal (93312) | $1,953.70 | $5,582 | 3.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,339.82 | $6,685.20 | 4.3× |
| Eeg 41-60 Minutes (95812) | $556.92 | $1,591.20 | 2.6× |
| EEG awake and 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 extended monitoring 61-119 minutes (95813) | $720.72 | $2,059.20 | 3.3× |
| Eeg Sleep Only (95822) | $332.01 | $948.60 | 1.5× |
| 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× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$88.83–$88.90 | $253.80–$254 | varies |
| Electrocardiogram Tracing (93005) | $469.35 | $1,341 | 7.9× |
| Emergency Dept Visit Level 2 (99282) | $508.20 | $1,452 | 3.3× |
| Emergency Dept Visit Level 3 (99283) | $891.80 | $2,548 | 3.3× |
| Emergency Dept Visit Level 4 (99284) | $1,351.35 | $3,861 | 3.2× |
| Er level 1 (99281) | $236.60 | $676 | 2.8× |
| Er level v (99285) | $1,753.15 | $5,009 | 2.9× |
| Evaluate pt use of inhaler (94664) | $208.25 | $595 | 0.9× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$147.70–$147.74 | $422–$422.10 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$285.95–$286.02 | $817–$817.20 | varies |
| Evaluation of speech fluency (92521) | $78.75 | $225 | 0.6× |
| External Ecg Scanning Analysis Report (93226) | $908.78 | $2,596.50 | 15.3× |
| Extracranial Bilat Study (93880) | $1,661.80 | $4,748 | 6.9× |
| Extracranial Uni/Ltd Study (93882) | $299.25 | $855 | 2.8× |
| Group Therapeutic Procedures (97150) | $40.01 | $114.30 | 2.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $10,068.80 | $28,768 | 3.1× |
| Holter monitor recording (93225) | $260.19 | $743.40 | 1.9× |
| Hubbard tank 15 min (97036) | $169.40 | $484 | 4.9× |
| Immunization administration (90471) | $75.25 | $215 | 1.0× |
| Insert/Place Heart Catheter (93503) | $369.50 | $1,055.70 | 0.2× |
| Iontophoresis 15 min (97033) | $45.99 | $131.40 | 2.4× |
| Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$341.95–$341.98 | $977–$977.06 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $197.75 | $565 | 4.2× |
| IV push initial (96374) | $306.25 | $875 | 1.4× |
| L Hrt Art/Grft Angio (93459) | $8,176.35 | $23,361 | 2.5× |
| Mechanical chest wall oscillation per session (94669) | $108.36 | $309.60 | 0.5× |
| 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× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $17.96 | $51.30 | 1.1× |
| Motion Fluoroscopy/Swallow (92611) | $448 | $1,280 | 4.9× |
| Multiple Sleep Latency Test (95805) | $1,544.90 | $4,414 | 1.8× |
| Muscle Test 2 Limbs (95861) | $240.35 | $686.70 | 1.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $467.25 | $1,335 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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× |
| Neuromuscular Reeducation (97112) | $116.90 | $334 | 3.6× |
| Oral Function Therapy (92526) | $146.30 | $418 | 1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 4 matching MRF lines |
$46.55–$46.62 | $133–$133.20 | varies |
| Orthotics Mgmt & Trainj 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 complexity (97167) | $415.10 | $1,186 | 4.1× |
| Ot Eval Low Complex (97165) | $248.50 | $710 | 2.5× |
| Ot Eval Moderate Complexity (97166) | $330.75 | $945 | 3.3× |
| Ot manual therapy 15 min (97140) | $109.90 | $314 | 4.0× |
| Ot paraffin bath (97018) | $45.85 | $131 | 7.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $80.96 | $231.30 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $248.50 | $710 | 3.6× |
| Ot rom hand (95852) range across 3 matching MRF lines |
$54.81–$54.95 | $156.60–$157 | varies |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $4,362.05 | $12,463 | 0.8× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) unusually low: confirm this is the full procedure |
$4,502.75 | $12,865 | 0.4× |
| Phlebotomy therapeutic (99195) | $205.80 | $588 | 1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $74.55 | $213 | 1.3× |
| Physical Performance Test (97750) | $80.64 | $230.40 | 2.4× |
| 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 Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$4,221.35 | $12,061 | 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× |
| Pt Eval High Complex (97163) | $339.50 | $970 | 3.5× |
| Pt eval low complex 20 min (97161) | $203.70 | $582 | 2.1× |
| Pt Eval Mod Complex (97162) | $271.60 | $776 | 2.8× |
| Pt gait training 15 min (97116) | $70.56 | $201.60 | 2.4× |
| Pt mechanical traction (97012) | $82.41 | $235.44 | 5.7× |
| Pt Re-Eval Est Plan Care (97164) | $203.70 | $582 | 3.0× |
| Pt ultraviolet (97028) | $25.52 | $72.90 | 3.1× |
| Pulm function test by gas (94727) | $186.90 | $534 | 0.9× |
| Pulmonary service/procedure (94799) | $206.50 | $590 | 1.6× |
| Pulmonary Stress Testing (94618) | $96.08 | $274.50 | 0.7× |
| R Hrt Art/Grft Angio (93457) | $8,933.40 | $25,524 | 2.7× |
| R hrt coronary artery angio (93456) | $8,251.95 | $23,577 | 2.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $4,865.81 | $13,902.30 | 1.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $95.55 | $273 | 1.6× |
| Right Heart Cath (93451) | $2,424.56 | $6,927.30 | 0.7× |
| Right ventricular recording (93603) | $1,143.77 | $3,267.90 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $132.30 | $378 | 0.7× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $52.92 | $151.20 | 2.0× |
| Self Care Mngment Training (97535) | $57.40 | $164 | 1.8× |
| Short-latency somatosens ep std upr limbs (95925) | $566.06 | $1,617.30 | 2.6× |
| 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× |
| Ssep lower limbs (95926) | $484.16 | $1,383.30 | 2.2× |
| Standardized Cognitive Performance Testing (96125) | $157.19 | $449.10 | 1.5× |
| Subcutaneous Infusion Each Additional Hour (96370) | $153.30 | $438 | 3.3× |
| Subcutaneous infusion initial 1 hr w/pump set-up (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) range across 2 matching MRF lines |
$61.95–$62.06 | $177–$177.30 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $39.38 | $112.50 | 1.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $35.28 | $100.80 | 1.2× |
| Ther/Proph/Diag Inj Ia (96373) | $306.25 | $875 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $306.25 | $875 | 4.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $520.80 | $1,488 | 2.4× |
| Therapeutic Activities (97530) | $100.80 | $288 | 2.9× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,933.47 | $5,524.20 | 5.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$24.50–$24.57 | $70–$70.20 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $14.70 | $42 | 0.4× |
| Tte w/doppler, complete (93306) | $3,033.80 | $8,668 | 5.5× |
| Tte W/O Doppler Complete (93307) | $1,346.41 | $3,846.88 | 5.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $256.55 | $733 | 3.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $306.25 | $875 | 6.5× |
| Unlisted cardiovascular service/procedure (93799) | $5,296.10 | $15,131.70 | 41.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $870.80 | $2,488 | 6.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,123.15 | $3,209 | 5.2× |
| 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× |
| Vent Mgmt Inpat Init 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× |
| Whirlpool Therapy (97022) | $143.15 | $409 | 9.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.