Prices / Houston–Pasadena–The Woodlands, TX / Hospitals
Pam Health Rehabilitation Hospital of Sugar Land
7622 Branford Pl, Sugar Land, TX 77479 · CCN 673068
Source: the hospital's standard-charges file dated 2026-08-06 (original file, csv_tall, 94 MB), checked by us on 2026-10-06. 114 of 300 common services found in it.
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Laboratory & Pathology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Automated Urinalysis Test | CPT 81002 | $40.00 | $2.61 – $4.52 – $34.00 24 insurers | $40.00 |
| Automated Urinalysis Test | CPT 81003 | $78.00 | $1.69 – $2.93 – $66.30 24 insurers | $78.00 |
| Basic Metabolic Panel | CPT 80048 | $500.00 | $6.35 – $11.00 – $425.00 24 insurers | $500.00 |
| Blood Test, Clotting Time | CPT 85610 | $231.00 | $3.22 – $5.58 – $196.35 24 insurers | $231.00 |
| Blood Test, Comprehensive Group of Blood Chemicals | CPT 80053 | $655.00 | $7.92 – $13.73 – $556.75 24 insurers | $655.00 |
| Blood Test, Lipids (Cholesterol and Triglycerides) | CPT 80061 | $214.00 | $10.04 – $17.41 – $181.90 24 insurers | $214.00 |
| Blood Test, Thyroid Stimulating Hormone (Tsh) | CPT 84443 | $220.00 | $12.60 – $21.84 – $187.00 24 insurers | $220.00 |
| Coagulation Assessment Blood Test | CPT 85730 | $263.00 | $4.51 – $7.81 – $223.55 24 insurers | $263.00 |
| Complete Blood Cell Count, With Differential White Blood Cells, Automated | CPT 85025 | $183.00 | $5.83 – $10.10 – $155.55 24 insurers | $183.00 |
| Complete Blood Count, Automated | CPT 85027 | $214.00 | $4.85 – $8.41 – $181.90 24 insurers | $214.00 |
| Kidney Function Panel Test | CPT 80069 | not published | $7.29 – $7.29 – $7.29 1 insurers | — |
| Liver Function Blood Test Panel | CPT 80076 | $477.00 | $6.13 – $10.62 – $405.45 24 insurers | $477.00 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81000 | not published | $3.38 – $3.38 – $3.38 1 insurers | — |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81001 | $255.00 | $2.38 – $4.12 – $216.75 24 insurers | $255.00 |
| Psa (Prostate Specific Antigen) | CPT 84153 | $229.00 | $13.79 – $23.91 – $194.65 24 insurers | $229.00 |
| Psa (Prostate Specific Antigen) | CPT 84154 | not published | $15.45 – $15.45 – $15.45 1 insurers | — |
Medicine & Surgery
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Biopsy of Large Bowel Using An Endoscope | CPT 45380 | not published | $429.26 – $429.26 – $429.26 1 insurers | — |
| Biopsy of Prostate Gland | CPT 55700 | not published | $652.80 – $652.80 – $652.80 1 insurers | — |
| Biopsy of The Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope | CPT 43239 | not published | $334.95 – $334.95 – $334.95 1 insurers | — |
| Diagnostic Examination of Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope | CPT 43235 | not published | $334.95 – $334.95 – $334.95 1 insurers | — |
| Diagnostic Examination of Large Bowel Using An Endoscope | CPT 45378 | not published | $328.50 – $328.50 – $328.50 1 insurers | — |
| Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance | CPT 62322 | not published | $262.86 – $262.86 – $262.86 1 insurers | — |
| Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance | CPT 62323 | not published | $262.86 – $262.86 – $262.86 1 insurers | — |
| Injections of Anesthetic and/Or Steroid Drug Into Lower Or Sacral Spine Nerve Root Using Imaging Guidance | CPT 64483 | not published | $340.77 – $340.77 – $340.77 1 insurers | — |
| Removal of 1 Or More Breast Growth, Open Procedure | CPT 19120 | not published | $963.66 – $963.66 – $963.66 1 insurers | — |
| Removal of Cataract With Insertion of Lens | CPT 66984 | not published | $849.94 – $849.94 – $849.94 1 insurers | — |
| Removal of Gallbladder Using An Endoscope | CPT 47562 | not published | $1,888.85 – $1,888.85 – $1,888.85 1 insurers | — |
| Removal of One Knee Cartilage Using An Endoscope | CPT 29881 | not published | $1,088.27 – $1,088.27 – $1,088.27 1 insurers | — |
| Removal of Polyps Or Growths of Large Bowel Using An Endoscope | CPT 45385 | not published | $429.26 – $429.26 – $429.26 1 insurers | — |
| Removal of Recurring Cataract In Lens Capsule Using Laser | CPT 66821 | not published | $208.33 – $208.33 – $208.33 1 insurers | — |
| Removal of Tonsils and Adenoid Glands Patient Younger Than Age 12 | CPT 42820 | not published | $1,954.22 – $1,954.22 – $1,954.22 1 insurers | — |
| Repair of Groin Hernia Patient Age 5 Years Or Older | CPT 49505 | not published | $1,151.54 – $1,151.54 – $1,151.54 1 insurers | — |
| Ultrasound Examination of Lower Large Bowel Using An Endoscope | CPT 45391 | not published | $429.26 – $429.26 – $429.26 1 insurers | — |
Radiology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Abdominal Ultrasound of Pregnant Uterus (>= 14 Weeks 0 Days) Single Or First Fetus | CPT 76805 | not published | $106.88 – $106.88 – $106.88 1 insurers | — |
| Ct Scan, Head Or Brain, Without Contrast | CPT 70450 | $1,901.00 | $72.54 – $135.03 – $1,615.85 24 insurers | $1,901.00 |
| Ct Scan of Abdomen and Pelvis With Contrast | CPT 74177 | $7,543.00 | $246.29 – $450.59 – $6,411.55 24 insurers | $7,543.00 |
| Ct Scan, Pelvis, With Contrast | CPT 72193 | $1,886.00 | $135.92 – $226.54 – $1,603.10 24 insurers | $1,886.00 |
| Mammography, Screening, Bilateral | CPT 77067 | $495.00 | $77.61 – $169.40 – $420.75 24 insurers | $495.00 |
| Mri Scan of Brain Before and After Contrast | CPT 70553 | $5,686.00 | $270.35 – $450.59 – $4,833.10 24 insurers | $5,686.00 |
| Mri Scan of Leg Joint | CPT 73721 | not published | $210.84 – $210.84 – $210.84 1 insurers | — |
| Mri Scan of Lower Spinal Canal | CPT 72148 | not published | $199.14 – $199.14 – $199.14 1 insurers | — |
| Ultrasound of Abdomen | CPT 76700 | $494.35 | $67.20 – $129.63 – $420.20 24 insurers | $494.35 |
| Ultrasound Pelvis Through Vagina | CPT 76830 | $1,231.00 | $73.95 – $140.43 – $1,046.35 24 insurers | $1,231.00 |
| X-Ray, Lower Back, Minimum Four Views | CPT 72110 | $984.00 | $32.60 – $140.43 – $836.40 24 insurers | $984.00 |
Outpatient/professional (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Aspiration and/Or Injection of Fluid From Large Joint | CPT 20610 | $870.00 | $27.96 – $361.56 – $739.50 24 insurers | $870.00 |
| Cell Examination of Specimen, Selective Cellular Enhancement Technique | CPT 88112 | $217.70 | $31.09 – $75.38 – $185.05 24 insurers | $217.70 |
| Colorectal Cancer Screening; Colonoscopy On Individual At High Risk | HCPCS G0105 | not published | $328.50 – $328.50 – $328.50 1 insurers | — |
| Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For High Risk | HCPCS G0121 | not published | $328.50 – $328.50 – $328.50 1 insurers | — |
| Complete Ultrasound Scan Behind Abdominal Cavity | CPT 76770 | $1,263.00 | $62.70 – $140.43 – $1,203.18 24 insurers | $1,415.51 |
| Ct Scan of Abdomen and Pelvis Before and After Contrast | CPT 74178 | $8,035.00 | $270.35 – $450.59 – $6,829.75 24 insurers | $8,035.00 |
| Ct Scan of Abdomen and Pelvis Without Contrast | CPT 74176 | $7,155.00 | $111.98 – $308.17 – $6,081.75 24 insurers | $7,155.00 |
| Ct Scan of Blood Vessels of Abdomen and Pelvis With Contrast | CPT 74174 | $4,929.00 | $270.35 – $450.59 – $4,189.65 24 insurers | $4,929.00 |
| Ct Scan of Blood Vessels of Chest With Contrast | CPT 71275 | $3,304.00 | $135.92 – $226.54 – $2,808.40 24 insurers | $3,304.00 |
| Ct Scan of Blood Vessels of Head With Contrast | CPT 70496 | $2,994.00 | $135.92 – $226.54 – $2,544.90 24 insurers | $2,994.00 |
| Ct Scan of Blood Vessels of Neck With Contrast | CPT 70498 | $3,300.00 | $135.92 – $226.54 – $2,805.00 24 insurers | $3,300.00 |
| Ct Scan of Chest With Contrast | CPT 71260 | $3,401.00 | $123.49 – $226.54 – $2,890.85 24 insurers | $3,401.00 |
| Ct Scan of Chest Without Contrast | CPT 71250 | $2,083.00 | $81.02 – $135.03 – $1,770.55 24 insurers | $2,083.00 |
| Ct Scan of Face Without Contrast | CPT 70486 | $2,480.00 | $81.02 – $135.03 – $2,108.00 24 insurers | $2,480.00 |
| Ct Scan of Leg Without Contrast | CPT 73700 | $1,872.00 | $81.02 – $140.43 – $1,591.20 24 insurers | $1,872.00 |
| Ct Scan of Lower Spine Without Contrast | CPT 72131 | $2,404.35 | $81.02 – $135.03 – $2,043.70 24 insurers | $2,404.35 |
| Ct Scan of Upper Spine Without Contrast | CPT 72125 | $2,258.00 | $81.02 – $135.03 – $1,919.30 24 insurers | $2,258.00 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint | CPT 64635 | not published | $659.94 – $659.94 – $659.94 1 insurers | — |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (List Separately In Addition To 77065 Or 77066) | HCPCS G0279 | not published | $52.79 – $52.79 – $52.79 1 insurers | — |
| Diagnostic Exam of Bladder and Urethra Using An Endoscope | CPT 52000 | not published | $238.15 – $238.15 – $238.15 1 insurers | — |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine | CPT 77080 | $743.00 | $23.03 – $140.43 – $631.55 24 insurers | $743.00 |
| Evaluation of Fine Needle Aspirate With Interpretation and Report | CPT 88173 | $543.00 | $40.38 – $80.77 – $461.55 24 insurers | $543.00 |
| Imaging For Evaluation of Swallowing Function | CPT 74230 | $854.45 | $88.30 – $217.48 – $726.28 24 insurers | $854.45 |
| Immunologic Analysis Technique On Serum (Immunofixation) | CPT 86334 | $222.00 | $16.76 – $29.04 – $188.70 24 insurers | $222.00 |
| Injection of Anesthetic Agent and/Or Steroid Into Thigh Nerve (Femoral Nerve) | CPT 64447 | not published | $39.86 – $39.86 – $39.86 1 insurers | — |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level | CPT 64493 | not published | $340.77 – $340.77 – $340.77 1 insurers | — |
| Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older) | CPT 36556 | $1,200.00 | $94.13 – $2,528.40 – $6,459.65 24 insurers | $1,200.00 |
| Limited Ultrasound Scan of 1 Breast | CPT 76642 | $1,165.00 | $44.41 – $116.89 – $990.25 24 insurers | $1,165.00 |
| Limited Ultrasound Scan of Abdomen | CPT 76705 | $1,067.00 | $50.60 – $140.43 – $906.95 24 insurers | $1,067.00 |
| Low Dose Ct Scan of Chest For Lung Cancer Screening | CPT 71271 | not published | $106.88 – $106.88 – $106.88 1 insurers | — |
| Mri Scan of Abdomen Before and After Contrast | CPT 74183 | not published | $354.51 – $354.51 – $354.51 1 insurers | — |
| Mri Scan of Brain Without Contrast | CPT 70551 | $4,321.00 | $176.84 – $308.17 – $3,672.85 24 insurers | $4,321.00 |
| Mri Scan of Upper Spinal Canal Without Contrast | CPT 72141 | not published | $198.48 – $198.48 – $198.48 1 insurers | — |
| Nuclear Medicine Studies of Heart Muscle At Rest and With Stress and Spect | CPT 78452 | not published | $438.05 – $438.05 – $438.05 1 insurers | — |
| Nuclear Medicine Study From Skull Base To Mid-Thigh With Ct Scan | CPT 78815 | not published | $1,489.35 – $1,489.35 – $1,489.35 1 insurers | — |
| Pathology Examination of Tissue Using A Microscope, Intermediate Complexity | CPT 88305 | $856.00 | $27.03 – $80.77 – $727.60 24 insurers | $856.00 |
| Pathology Examination of Tissue Using A Microscope, Moderately High Complexity | CPT 88307 | $881.00 | $162.79 – $518.51 – $748.85 24 insurers | $881.00 |
| Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity | CPT 88304 | $651.00 | $24.05 – $80.77 – $553.35 24 insurers | $651.00 |
| Preparation of Tissue For Examination By Removing Any Calcium Present | CPT 88311 | $206.00 | $6.73 – $28.59 – $175.10 24 insurers | $206.00 |
| Protein Measurement, Serum | CPT 84165 | $133.00 | $8.06 – $13.96 – $113.05 24 insurers | $133.00 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less | CPT 11042 | $500.00 | $52.91 – $420.03 – $831.66 24 insurers | $500.00 |
| Screening 3d Breast Mammography | CPT 77063 | not published | $52.79 – $52.79 – $52.79 1 insurers | — |
| Special Stained Specimen Slides To Examine Tissue Including Interpretation and Report | CPT 88313 | $448.00 | $54.90 – $192.46 – $380.80 24 insurers | $448.00 |
| Special Stained Specimen Slides To Examine Tissue, Initial Procedure | CPT 88342 | $614.00 | $53.01 – $246.45 – $521.90 24 insurers | $614.00 |
| Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report | CPT 88312 | $415.00 | $40.38 – $80.77 – $352.75 24 insurers | $415.00 |
| Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration | CPT 94060 | $258.00 | $26.29 – $385.56 – $763.42 24 insurers | $258.00 |
| Ultrasonic Guidance For Needle Placement | CPT 76942 | $1,735.00 | $23.03 – $92.86 – $1,474.75 24 insurers | $1,735.00 |
| Ultrasound of Both Sides of Head and Neck Blood Flow | CPT 93880 | not published | $191.46 – $191.46 – $191.46 1 insurers | — |
| Ultrasound of Heart, Follow-Up | CPT 93308 | not published | $98.24 – $98.24 – $98.24 1 insurers | — |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function | CPT 93306 | $1,400.00 | $105.21 – $790.41 – $1,190.00 24 insurers | $1,400.00 |
| Ultrasound of Heart With Probe In Esophagus, With Report | CPT 93312 | not published | $235.90 – $235.90 – $235.90 1 insurers | — |
| Ultrasound Scan of Head and Neck Soft Tissue | CPT 76536 | $538.00 | $71.98 – $134.50 – $457.30 24 insurers | $538.00 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers | CPT 93970 | not published | $188.79 – $188.79 – $188.79 1 insurers | — |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers | CPT 93971 | $509.36 | $81.02 – $135.03 – $1,764.60 24 insurers | $2,076.00 |
| X-Ray of Abdomen, 1 View | CPT 74018 | $552.61 | $17.97 – $116.89 – $469.72 24 insurers | $552.61 |
| X-Ray of Ankle, Minimum of 3 Views | CPT 73610 | $605.00 | $23.88 – $116.89 – $514.25 24 insurers | $605.00 |
| X-Ray of Chest, 1 View | CPT 71045 | $523.00 | $14.31 – $116.89 – $444.55 24 insurers | $523.00 |
| X-Ray of Chest, 2 Views | CPT 71046 | $546.00 | $19.38 – $116.89 – $464.10 24 insurers | $546.00 |
| X-Ray of Foot, Minimum of 3 Views | CPT 73630 | $335.09 | $22.19 – $107.90 – $284.83 24 insurers | $335.09 |
| X-Ray of Hand, Minimum of 3 Views | CPT 73130 | $1,258.00 | $23.60 – $116.89 – $1,069.30 24 insurers | $1,258.00 |
| X-Ray of Hip, 2-3 Views | CPT 73502 | $582.00 | $30.35 – $116.89 – $494.70 24 insurers | $582.00 |
| X-Ray of Knee, 1-2 Views | CPT 73560 | $592.00 | $21.91 – $116.89 – $503.20 24 insurers | $592.00 |
| X-Ray of Knee, 3 Views | CPT 73562 | $749.00 | $26.69 – $116.89 – $636.65 24 insurers | $749.00 |
| X-Ray of Knee, 4 Or More Views | CPT 73564 | $896.00 | $29.78 – $140.43 – $761.60 24 insurers | $896.00 |
| X-Ray of Lower and Sacral Spine, 2-3 Views | CPT 72100 | $759.00 | $24.44 – $140.43 – $645.15 24 insurers | $759.00 |
| X-Ray of Lower Leg, 2 Views | CPT 73590 | $236.40 | $19.94 – $107.90 – $306.00 24 insurers | $360.00 |
| X-Ray of Pelvis, 1-2 Views | CPT 72170 | $600.00 | $16.28 – $140.43 – $510.00 24 insurers | $600.00 |
| X-Ray of Shoulder, Minimum of 2 Views | CPT 73030 | $752.00 | $21.34 – $116.89 – $639.20 24 insurers | $752.00 |
| X-Ray of Thigh Bone, Minimum 2 Views | CPT 73552 | $1,162.00 | $22.19 – $116.89 – $987.70 24 insurers | $1,162.00 |
| X-Ray of Wrist, Minimum of 3 Views | CPT 73110 | $655.00 | $27.25 – $116.89 – $556.75 24 insurers | $655.00 |