How many shoppable procedure prices are published for St Luke's Patients Medical Center?

St Luke's Patients Medical Center in Pasadena, TX currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Luke's Patients Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Luke's Patients Medical Center's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

What is St Luke's Patients Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns St Luke's Patients Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 46 Beds · urban Updated: 2026-02-28

St Luke's Patients Medical Center

4600 East Sam Houston Parkway South, Pasadena, TX 77505 · 101 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.77×vs. Fair Market Price

Typical commercial prices here are +77% above the fair benchmark (1.77×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 63% of the Time

File Completeness56

Price Logic67

Peer Alignment73

Clean Billing75

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.77× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +50% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

St Luke's Patients Medical Center prices routine shoppable procedures at 2.5× Medicare (median 1.71× Fair BaseRate) while upper-quartile commercial rates jump +50% to 2.57× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#254 of 307 in TX · 82nd State Percentile#2,943 of 3,385 in U.S. · 86th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.23× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (58/100 safety score) with 65% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.77× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.71× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.57×) jump +50% above the median procedure ratio (Q50 1.71×)
Unnegotiated chargemaster list prices average 16.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.64× Divergence

1.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+50% Upper Tail

Q25 1.23× · Q50 1.71× · Q75 2.57×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

3.6× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.9× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

63% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 58/100Elevated

Procedure Prices at St Luke's Patients Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$32,133	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$20,431	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,633	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,838	$17,936	1.1×
Total hip replacement CPT Code: `27130`	—	$12,888	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,888	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,125	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,990	$6,109	1.0×
Breast lump removal CPT Code: `19120`	—	$3,874	$3,875	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,866	$3,635	$3,372	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$3,638	$3,629	1.0×
Cataract surgery with lens implant CPT Code: `66984`	$2,735	$3,478	$2,540	1.4×
Bunion correction surgery CPT Code: `28296`	$1,796	$3,488	$3,446	1.0×
CT scan, pelvis CPT Code: `72192`	$2,846	$2,846	$163	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$2,430	$2,680	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,430	$2,975	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$1,521	$1,782	$1,256	1.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,839	$1,566	$1,021	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	$1,326	$1,509	$987	1.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,376	$1,467	$981	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$2,001	$1,297	$855	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,891	$1,085	$511	unverified
Blood transfusion CPT Code: `36430`	$560	$1,041	$498	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$3,001	$1,019	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,887	$1,019	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$4,251	$1,019	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,001	$800	$448	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,034	$763	$583	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,701	$695	$303	2.3×
CT scan, head (with contrast) CPT Code: `70460`	$3,462	$629	$242	2.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$4,055	$629	$258	2.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,026	$592	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,570	$592	$134	unverified
CT scan, head (no contrast) CPT Code: `70450`	$2,473	$533	$160	unverified
CT scan, sinuses CPT Code: `70486`	$2,257	$533	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,971	$533	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$3,200	$533	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,819	$533	$168	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$771	$406	$148	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,797	$374	$272	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$209	$336	$201	1.7×
X-ray, lower back CPT Code: `72110`	$927	$336	$112	unverified
X-ray, pelvis CPT Code: `72170`	$457	$336	$110	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$313	$335	$123	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,041	$294	$130	2.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$926	$264	$126	2.1×
X-ray, chest (single view) CPT Code: `71045`	$442	$239	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$532	$239	$93	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$257	$257	$86	unverified
X-ray, hip CPT Code: `73502`	$561	$145	$93	1.6×
Orthotic fitting and training CPT Code: `97760`	$77	$153	$51	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$57	$112	$38	2.9×
X-ray, shoulder CPT Code: `73030`	$635	$134	$92	1.5×
X-ray, foot CPT Code: `73630`	$621	$134	$92	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$513	$134	$93	1.4×
X-ray, hand CPT Code: `73130`	$535	$134	$93	1.4×
X-ray, ankle CPT Code: `73610`	$615	$134	$93	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$469	$108	$64	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$107	$107	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$117	$117	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$110	$110	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$101	$101	$40	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$81	$81	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$81	$81	$45	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$96	$96	$14	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$378	$378	$11	unverified
Typhoid vaccine HCPCS Code: `90675`	$211	$351	$347	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$275	$275	$9	unverified
Blood test, liver function panel CPT Code: `80076`	$268	$268	$9	unverified
Drug screening test HCPCS Code: `G0480`	$70	$142	$116	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$177	$162	$140	1.2×
Blood test, amylase CPT Code: `82150`	$160	$160	$7	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$155	$155	$6	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$124	$124	$14	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$114	$114	$3	unverified
Blood test, lipase CPT Code: `83690`	$129	$129	$7	unverified
Blood test, magnesium CPT Code: `83735`	$128	$128	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$146	$146	$18	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$143	$143	$5	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$60	$90	$49	1.8×
Blood antibody screen CPT Code: `86850`	$139	$80	$46	1.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$45	$74	$49	1.5×
Blood test, potassium CPT Code: `84132`	$95	$95	$5	unverified
Flu vaccine injection HCPCS Code: `G0008`	$75	$68	$48	1.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$34	$68	$86	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$86	$86	$8	unverified
Physical therapy (gait training) CPT Code: `97116`	$71	$71	$33	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$108	$34	$19	1.8×
Blood test, vitamin D CPT Code: `82306`	$96	$55	$31	1.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$72	$72	$10	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$103	$25	$14	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$71	$28	$16	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$43	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$58	$58	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$58	$58	$3	unverified
Culture, bacterial CPT Code: `87070`	$252	$16	$9	1.8×
Hepatitis C antibody test CPT Code: `86803`	$78	$26	$15	1.7×
Culture, blood CPT Code: `87040`	$293	$19	$11	1.7×
Blood test, calcium CPT Code: `82310`	$76	$10	$5	unverified
Blood test, sodium CPT Code: `84295`	$30	$30	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$24	$24	$4	unverified

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at St Luke's Patients Medical Center (Zero PHI Required)

CMS CCN: 670031

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $32,133

1. Amount on Your Bill or Quote ($) Pre-filled with St Luke's Patients Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Luke's Patients Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$46,344 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($77,119) is $46,344 above the denoised Fair BaseRate ($30,775) and 3.3× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify St Luke's Patients Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite58/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait147 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at St Luke's Patients Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-15·warning_notice
Warning Notice
Recorded
2025-05-28·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (389 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Luke's Patients Medical Center.

Price Index: 1.34× regional baseline

Quality: 46/100 CMS composite

Median Household Income$73,104U.S. Census ACS

Local Uninsured Share21.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 670031

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 670031) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-28

Validated Rate Rows3,337 (CMS v3.0.0)

File Integrity DigestVerified · CCN 670031

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy