Prices / Houston–Pasadena–The Woodlands, TX / Hospitals
Pam Health Rehab Hospital of Houston Heights
1917 Ashland St, Fl 4, Houston, TX 77008 · CCN 673072
Source: the hospital's standard-charges file dated 2026-08-06 (original file, csv_tall, 67 MB), checked by us on 2026-10-06. 110 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 | $50.12 | $35.08 – $37.59 – $42.60 7 insurers | $50.12 |
| Automated Urinalysis Test | CPT 81003 | $100.00 | $70.00 – $75.00 – $85.00 7 insurers | $100.00 |
| Basic Metabolic Panel | CPT 80048 | $251.88 | $176.32 – $188.91 – $214.10 7 insurers | $251.88 |
| Blood Test, Clotting Time | CPT 85610 | $97.65 | $68.36 – $73.24 – $83.00 7 insurers | $97.65 |
| Blood Test, Comprehensive Group of Blood Chemicals | CPT 80053 | $344.28 | $241.00 – $258.21 – $292.64 7 insurers | $344.28 |
| Blood Test, Lipids (Cholesterol and Triglycerides) | CPT 80061 | $242.16 | $169.51 – $181.62 – $205.84 7 insurers | $242.16 |
| Blood Test, Thyroid Stimulating Hormone (Tsh) | CPT 84443 | $237.05 | $165.94 – $177.79 – $201.49 7 insurers | $237.05 |
| Coagulation Assessment Blood Test | CPT 85730 | $133.17 | $93.22 – $99.88 – $113.19 7 insurers | $133.17 |
| Complete Blood Cell Count, With Differential White Blood Cells, Automated | CPT 85025 | $153.35 | $107.35 – $115.01 – $130.35 7 insurers | $153.35 |
| Complete Blood Count, Automated | CPT 85027 | $64.70 | $45.29 – $48.53 – $55.00 7 insurers | $64.70 |
| Kidney Function Panel Test | CPT 80069 | $100.00 | $70.00 – $75.00 – $85.00 7 insurers | $100.00 |
| Liver Function Blood Test Panel | CPT 80076 | $253.58 | $177.51 – $190.19 – $215.54 7 insurers | $253.58 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81000 | $40.20 | $28.14 – $30.15 – $34.17 7 insurers | $40.20 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81001 | $108.75 | $76.13 – $81.56 – $92.44 7 insurers | $108.75 |
| Psa (Prostate Specific Antigen) | CPT 84153 | $75.00 | $52.50 – $56.25 – $63.75 7 insurers | $75.00 |
| Psa (Prostate Specific Antigen) | CPT 84154 | $75.00 | $52.50 – $56.25 – $63.75 7 insurers | $75.00 |
Medicine & Surgery
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Biopsy of Large Bowel Using An Endoscope | CPT 45380 | $4,871.68 | $3,410.18 – $3,653.76 – $4,140.93 7 insurers | $4,871.68 |
| Biopsy of The Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope | CPT 43239 | $3,801.39 | $300.00 – $2,851.04 – $3,231.18 8 insurers | $3,801.39 |
| Diagnostic Examination of Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope | CPT 43235 | $3,801.39 | $2,660.97 – $2,851.04 – $3,231.18 7 insurers | $3,801.39 |
| Diagnostic Examination of Large Bowel Using An Endoscope | CPT 45378 | $3,728.21 | $2,609.75 – $2,796.16 – $3,168.98 7 insurers | $3,728.21 |
| Removal of Polyps Or Growths of Large Bowel Using An Endoscope | CPT 45385 | $4,871.68 | $3,410.18 – $3,653.76 – $4,140.93 7 insurers | $4,871.68 |
Radiology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Ct Scan, Head Or Brain, Without Contrast | CPT 70450 | $2,504.58 | $106.88 – $1,878.44 – $2,128.89 9 insurers | $2,504.58 |
| Ct Scan of Abdomen and Pelvis With Contrast | CPT 74177 | $7,147.57 | $318.09 – $5,360.68 – $6,075.43 9 insurers | $7,147.57 |
| Ct Scan, Pelvis, With Contrast | CPT 72193 | $2,800.68 | $180.34 – $2,100.51 – $2,380.58 9 insurers | $2,800.68 |
| Mammography, Screening, Bilateral | CPT 77067 | $444.59 | $311.21 – $333.44 – $377.90 7 insurers | $444.59 |
| Mri Scan of Brain Before and After Contrast | CPT 70553 | $5,490.78 | $332.80 – $4,118.09 – $4,667.16 9 insurers | $5,490.78 |
| Mri Scan of Leg Joint | CPT 73721 | $3,685.47 | $210.84 – $2,764.10 – $3,132.65 9 insurers | $3,685.47 |
| Mri Scan of Lower Spinal Canal | CPT 72148 | $3,945.39 | $199.14 – $2,959.04 – $3,353.58 9 insurers | $3,945.39 |
| Ultrasound of Abdomen | CPT 76700 | $1,292.94 | $905.06 – $969.71 – $1,099.00 7 insurers | $1,292.94 |
| Ultrasound Pelvis Through Vagina | CPT 76830 | $902.48 | $631.74 – $676.86 – $767.11 7 insurers | $902.48 |
| X-Ray, Lower Back, Minimum Four Views | CPT 72110 | $819.12 | $573.38 – $614.34 – $696.25 7 insurers | $819.12 |
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 | $1,227.42 | $300.00 – $920.57 – $1,043.31 8 insurers | $1,227.42 |
| Cell Examination of Specimen, Selective Cellular Enhancement Technique | CPT 88112 | $228.89 | $160.22 – $171.67 – $194.56 7 insurers | $228.89 |
| Complete Ultrasound Scan Behind Abdominal Cavity | CPT 76770 | $1,069.56 | $748.69 – $950.00 – $1,203.18 7 insurers | $1,415.51 |
| Critical Care, First 30-74 Minutes | CPT 99291 | $3,499.40 | $2,449.58 – $2,624.55 – $2,974.49 7 insurers | $3,499.40 |
| Ct Scan of Abdomen and Pelvis Before and After Contrast | CPT 74178 | $1,750.00 | $356.19 – $1,312.50 – $1,487.50 9 insurers | $1,750.00 |
| Ct Scan of Abdomen and Pelvis Without Contrast | CPT 74176 | $1,058.59 | $189.79 – $793.94 – $899.80 9 insurers | $1,058.59 |
| Ct Scan of Blood Vessels of Abdomen and Pelvis With Contrast | CPT 74174 | $1,693.35 | $368.43 – $1,270.01 – $1,439.35 9 insurers | $1,693.35 |
| Ct Scan of Blood Vessels of Chest With Contrast | CPT 71275 | $3,854.03 | $180.34 – $2,890.52 – $3,275.93 9 insurers | $3,854.03 |
| Ct Scan of Blood Vessels of Head With Contrast | CPT 70496 | $3,595.49 | $180.34 – $2,696.62 – $3,056.17 9 insurers | $3,595.49 |
| Ct Scan of Blood Vessels of Neck With Contrast | CPT 70498 | $3,504.38 | $180.34 – $2,628.29 – $2,978.72 9 insurers | $3,504.38 |
| Ct Scan of Chest With Contrast | CPT 71260 | $3,202.37 | $173.08 – $2,401.78 – $2,722.01 9 insurers | $3,202.37 |
| Ct Scan of Chest Without Contrast | CPT 71250 | $2,705.07 | $106.88 – $2,028.80 – $2,299.31 9 insurers | $2,705.07 |
| Ct Scan of Face Without Contrast | CPT 70486 | $2,466.45 | $106.88 – $1,849.84 – $2,096.48 9 insurers | $2,466.45 |
| Ct Scan of Leg Without Contrast | CPT 73700 | $2,557.80 | $106.88 – $1,918.35 – $2,174.13 9 insurers | $2,557.80 |
| Ct Scan of Lower Spine Without Contrast | CPT 72131 | $3,025.31 | $106.88 – $2,268.98 – $2,571.51 9 insurers | $3,025.31 |
| Ct Scan of Upper Spine Without Contrast | CPT 72125 | $3,005.10 | $106.88 – $2,253.83 – $2,554.34 9 insurers | $3,005.10 |
| Diagnostic Exam of Bladder and Urethra Using An Endoscope | CPT 52000 | $2,702.78 | $1,891.95 – $2,027.09 – $2,297.36 7 insurers | $2,702.78 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine | CPT 77080 | $501.26 | $350.88 – $375.95 – $426.07 7 insurers | $501.26 |
| Emergency Department Visit With High Level of Medical Decision Making | CPT 99285 | $2,453.04 | $1,717.13 – $1,839.78 – $2,085.08 7 insurers | $2,453.04 |
| Emergency Department Visit With Low Level of Medical Decision Making | CPT 99283 | $1,087.21 | $761.05 – $815.41 – $924.13 7 insurers | $1,087.21 |
| Emergency Department Visit With Moderate Level of Medical Decision Making | CPT 99284 | $1,708.99 | $1,196.29 – $1,281.74 – $1,452.64 7 insurers | $1,708.99 |
| Evaluation of Fine Needle Aspirate With Interpretation and Report | CPT 88173 | $228.89 | $160.22 – $171.67 – $194.56 7 insurers | $228.89 |
| Hemodialysis Procedure With Physician Evaluation | CPT 90935 | $1,800.00 | $160.00 – $1,260.00 – $1,530.00 12 insurers | $1,800.00 |
| Imaging For Evaluation of Swallowing Function | CPT 74230 | $854.45 | $598.12 – $640.84 – $726.28 7 insurers | $854.45 |
| Immunologic Analysis Technique On Serum (Immunofixation) | CPT 86334 | $262.20 | $183.54 – $196.65 – $222.87 7 insurers | $262.20 |
| Insertion of Artery Tube For Blood Sampling Or Infusion Through Skin | CPT 36620 | $762.00 | $533.40 – $571.50 – $647.70 7 insurers | $762.00 |
| Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older) | CPT 36556 | $2,236.10 | $300.00 – $1,788.89 – $11,431.40 8 insurers | $13,448.70 |
| Limited Ultrasound Scan of 1 Breast | CPT 76642 | $372.14 | $260.50 – $279.11 – $316.32 7 insurers | $372.14 |
| Limited Ultrasound Scan of Abdomen | CPT 76705 | $953.49 | $667.44 – $715.12 – $810.47 7 insurers | $953.49 |
| Microscopic Genetic Analysis of Tumor, Manual | CPT 88360 | $686.13 | $480.29 – $514.60 – $583.21 7 insurers | $686.13 |
| Mri Scan of Abdomen Before and After Contrast | CPT 74183 | $5,263.52 | $354.51 – $3,947.64 – $4,473.99 9 insurers | $5,263.52 |
| Mri Scan of Brain Without Contrast | CPT 70551 | $3,852.86 | $204.15 – $2,889.65 – $3,274.93 9 insurers | $3,852.86 |
| Mri Scan of Upper Spinal Canal Without Contrast | CPT 72141 | $3,938.43 | $198.48 – $2,953.82 – $3,347.67 9 insurers | $3,938.43 |
| Nuclear Medicine Studies of Heart Muscle At Rest and With Stress and Spect | CPT 78452 | $6,007.32 | $4,205.12 – $4,505.49 – $5,106.22 7 insurers | $6,007.32 |
| Nuclear Medicine Study From Skull Base To Mid-Thigh With Ct Scan | CPT 78815 | $6,809.56 | $4,766.69 – $5,107.17 – $5,788.13 7 insurers | $6,809.56 |
| Pathology Examination of Tissue Using A Microscope, Intermediate Complexity | CPT 88305 | $228.89 | $160.22 – $171.67 – $194.56 7 insurers | $228.89 |
| Pathology Examination of Tissue Using A Microscope, Moderately High Complexity | CPT 88307 | $1,339.79 | $937.85 – $1,004.84 – $1,138.82 7 insurers | $1,339.79 |
| Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity | CPT 88304 | $228.89 | $160.22 – $171.67 – $194.56 7 insurers | $228.89 |
| Preparation of Tissue For Examination By Removing Any Calcium Present | CPT 88311 | $92.90 | $65.03 – $69.68 – $78.97 7 insurers | $92.90 |
| Protein Measurement, Serum | CPT 84165 | $190.04 | $133.03 – $142.53 – $161.53 7 insurers | $190.04 |
| Removal of Fingernails Or Toenails, 6 Or More Nails | CPT 11721 | $261.51 | $183.06 – $196.13 – $300.00 8 insurers | $261.51 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less | CPT 11042 | $1,623.80 | $300.00 – $1,217.85 – $1,380.23 8 insurers | $1,623.80 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less | CPT 11045 | $959.19 | $300.00 – $719.39 – $815.31 8 insurers | $959.19 |
| Special Stained Specimen Slides To Examine Tissue, Each Additional Procedure | CPT 88341 | $249.37 | $174.56 – $187.03 – $211.96 7 insurers | $249.37 |
| Special Stained Specimen Slides To Examine Tissue Including Interpretation and Report | CPT 88313 | $206.21 | $144.35 – $154.66 – $175.28 7 insurers | $206.21 |
| Special Stained Specimen Slides To Examine Tissue, Initial Procedure | CPT 88342 | $686.13 | $480.29 – $514.60 – $583.21 7 insurers | $686.13 |
| Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report | CPT 88312 | $228.89 | $160.22 – $171.67 – $194.56 7 insurers | $228.89 |
| Test To Determine Lung Volumes Using Sensors | CPT 94726 | $478.56 | $334.99 – $358.92 – $406.78 7 insurers | $478.56 |
| Test To Examine How Well The Lungs Exchange Gases | CPT 94729 | $459.98 | $321.99 – $344.99 – $390.98 7 insurers | $459.98 |
| Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration | CPT 94060 | $741.08 | $518.76 – $555.81 – $629.92 7 insurers | $741.08 |
| Ultrasonic Guidance For Blood Vessel Access | CPT 76937 | $787.50 | $551.25 – $590.63 – $669.38 7 insurers | $787.50 |
| Ultrasonic Guidance For Needle Placement | CPT 76942 | $1,079.27 | $755.49 – $809.45 – $917.38 7 insurers | $1,079.27 |
| Ultrasound of Both Sides of Head and Neck Blood Flow | CPT 93880 | $1,058.59 | $741.01 – $793.94 – $899.80 7 insurers | $1,058.59 |
| Ultrasound of Heart Blood Flow, Valves and Chambers | CPT 93320 | $884.37 | $619.06 – $663.28 – $751.71 7 insurers | $884.37 |
| Ultrasound of Heart Blood Flow, Valves and Chambers, Follow-Up | CPT 93321 | $590.63 | $413.44 – $442.97 – $502.04 7 insurers | $590.63 |
| Ultrasound of Heart, Follow-Up | CPT 93308 | $916.65 | $641.66 – $687.49 – $779.15 7 insurers | $916.65 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate and Valve Function | CPT 93325 | $770.46 | $539.32 – $577.85 – $654.89 7 insurers | $770.46 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function | CPT 93306 | $590.63 | $413.44 – $442.97 – $502.04 7 insurers | $590.63 |
| Ultrasound of Heart With Probe In Esophagus, With Report | CPT 93312 | $2,221.29 | $1,554.90 – $1,665.97 – $1,888.10 7 insurers | $2,221.29 |
| Ultrasound Scan of Head and Neck Soft Tissue | CPT 76536 | $906.83 | $634.78 – $680.12 – $770.81 7 insurers | $906.83 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers | CPT 93970 | $2,200.00 | $1,540.00 – $1,650.00 – $1,870.00 7 insurers | $2,200.00 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers | CPT 93971 | $1,573.00 | $1,101.10 – $1,179.75 – $1,337.05 7 insurers | $1,573.00 |
| Use of A Drug To Induce Depression of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes | CPT 99152 | $360.96 | $252.67 – $270.72 – $306.82 7 insurers | $360.96 |
| X-Ray of Abdomen, 1 View | CPT 74018 | $407.25 | $285.08 – $305.44 – $1,200.00 8 insurers | $407.25 |
| X-Ray of Ankle, Minimum of 3 Views | CPT 73610 | $472.50 | $330.75 – $354.38 – $401.63 7 insurers | $472.50 |
| X-Ray of Chest, 1 View | CPT 71045 | $377.85 | $264.50 – $283.39 – $321.17 7 insurers | $377.85 |
| X-Ray of Chest, 2 Views | CPT 71046 | $455.22 | $318.65 – $341.42 – $386.94 7 insurers | $455.22 |
| X-Ray of Foot, Minimum of 3 Views | CPT 73630 | $461.48 | $323.04 – $346.11 – $392.26 7 insurers | $461.48 |
| X-Ray of Hand, Minimum of 3 Views | CPT 73130 | $462.53 | $323.77 – $346.90 – $393.15 7 insurers | $462.53 |
| X-Ray of Hip, 2-3 Views | CPT 73502 | $477.23 | $334.06 – $357.92 – $405.65 7 insurers | $477.23 |
| X-Ray of Knee, 1-2 Views | CPT 73560 | $426.51 | $298.56 – $319.88 – $362.53 7 insurers | $426.51 |
| X-Ray of Knee, 3 Views | CPT 73562 | $507.15 | $355.01 – $380.36 – $431.08 7 insurers | $507.15 |
| X-Ray of Knee, 4 Or More Views | CPT 73564 | $501.26 | $350.88 – $375.95 – $426.07 7 insurers | $501.26 |
| X-Ray of Lower and Sacral Spine, 2-3 Views | CPT 72100 | $562.01 | $393.41 – $421.51 – $477.71 7 insurers | $562.01 |
| X-Ray of Lower Leg, 2 Views | CPT 73590 | $236.40 | $165.48 – $258.96 – $384.90 7 insurers | $452.82 |
| X-Ray of Pelvis, 1-2 Views | CPT 72170 | $419.36 | $293.55 – $314.52 – $356.46 7 insurers | $419.36 |
| X-Ray of Shoulder, Minimum of 2 Views | CPT 73030 | $491.40 | $343.98 – $368.55 – $417.69 7 insurers | $491.40 |
| X-Ray of Thigh Bone, Minimum 2 Views | CPT 73552 | $480.38 | $336.27 – $360.29 – $408.32 7 insurers | $480.38 |
| X-Ray of Wrist, Minimum of 3 Views | CPT 73110 | $461.69 | $323.18 – $346.27 – $392.44 7 insurers | $461.69 |