Texas / St Luke's Patients Medical Center
CMS certification 670031 · Pasadena, TX · 3 entries in CMS's price-transparency list
St Luke's Patients Medical Center: charges and Medicare payments
St Luke's Patients Medical Center reported 123 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 8.01 times what it was paid — among the higher ratios in Texas, number 56 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 35 stays at an average charge of $106,935, 18% above the national average. It also billed 322 outpatient services, charging 10.13 times what Medicare paid.
- 1Medicare inpatient stays 123
- 2Charge ÷ paid, inpatient 8.01×
- 3Rank in TX (highest ratio = 1) 56 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 7 DRGs that can be compared with the national average, St Luke's Patients Medical Center charged more than the national average in 7 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 35 | $106,935 | +18% | $13,384 |
| 291 Heart Failure and Shock with MCC | 20 | $71,568 | +27% | $8,624 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $54,363 | +11% | $6,940 |
| 603 Cellulitis without MCC | 16 | $46,899 | +26% | $6,189 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $60,902 | +52% | $5,512 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $76,928 | +5% | $10,883 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $84,474 | +20% | $11,130 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 56 | $36,137 | $2,511 |
| Level 4 Urology and Related Services | 50 | $26,328 | $3,233 |
| Level 3 Urology and Related Services | 38 | $22,647 | $1,889 |
| Level 2 Upper GI Procedures | 32 | $21,698 | $1,674 |
| Level 4 Musculoskeletal Procedures | 27 | $39,745 | $6,438 |
| Level 2 Musculoskeletal Procedures | 25 | $10,477 | $1,448 |
| Level 3 Musculoskeletal Procedures | 18 | $17,828 | $3,001 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $22,594 | $3,208 |
| Level 5 Musculoskeletal Procedures | 13 | $69,825 | $12,187 |
| Level 1 Intraocular Procedures | 13 | $10,799 | $2,161 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $17,034 | $2,635 |
| Level 1 Laparoscopy and Related Services | 12 | $28,619 | $5,351 |
| Level 5 Urology and Related Services | 12 | $25,637 | $4,798 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Luke's Patients Medical Center charged $106,935 on average, 4% less than the Texas average of $111,133, and was paid $13,384 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), St Luke's Patients Medical Center charged $71,568 on average, 5% more than the Texas average of $67,944, and was paid $8,624 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Luke's Patients Medical Center charged $54,363 on average, 7% less than the Texas average of $58,253, and was paid $6,940 against a state average of $10,103. For Cellulitis without MCC (DRG 603), St Luke's Patients Medical Center charged $46,899 on average, 11% more than the Texas average of $42,079, and was paid $6,189 against a state average of $8,906. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,137 was 29% above the state average of $27,955. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $26,328 was 15% below the state average of $31,008. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $22,647 was 27% above the state average of $17,781. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $21,698 was 34% above the state average of $16,236.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Luke's Patients Medical Center in Pasadena, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-05-28 (CMS case 4708)
- Warning Notice — 2026-04-15 (CMS case 7462)
- Closure Notice — 2026-07-16 (CMS case 7462)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.