Hospital

SURGERY SPECIALTY HOSPITALS OF AMERICA SE HOUSTON

Pasadena, TX · CCN 450831 · Rates published

61 distinct procedures filed

19 distinct payers

169 rate rows

2026-01-22 last MRF observed

Data quality

134 of 169 rate rows are consumer-grade (79.3%)

35 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
professional (physician) fee — not the facility price	35

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://machine-readable-files.com/ssha-pasadena-tx/760600805_Vista-Community-Medical-Center-LLP_standardcharges.csv
Found on page	https://www.ssha.us.com/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-23
Content fingerprint	0bf130cfec47a454… · 82,904 bytes · first seen 2026-05-14

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
75822 CPT	Venography, Extremity, Bilateral,	1	$1,479.00	$1,479.00	$1,479.00	nat. median $1,547 1.0× median
75625 CPT	Aortagraphy Abdominal By Serialography	1	$1,331.04	$1,331.04	$1,331.04	nat. median $3,214 outlier · 0.4×
64415 CPT	Nerve Block-brachial	4	$240.24	$943.34	$300.12	nat. median $1,174 outlier · 0.3×
99283 CPT	Emergency Level 3	12	$48.79	$777.03	$268.82	nat. median $460 0.6× median
93925 CPT	US Lo Ext Doppler Art Bil	1	$226.29	$226.29	$226.29	nat. median $523 outlier · 0.4×
C1889 HCPCS	T-plate Wide 6 Hole	1	$152.00	$152.00	$152.00	nat. median $2,369 outlier · 0.1×
72100 CPT	Xray Lumbar Spine 2 Or 3 Views	1	$144.45	$144.45	$144.45	nat. median $166 0.9× median
77001 CPT	Fluoroscopic Guidance	1	$131.56	$131.56	$131.56	nat. median $366 outlier · 0.4×
S3600 HCPCS	Stat Lab Fee	3	$37.50	$125.00	$125.00	nat. median $28 outlier · 4.5×
36430 CPT	Blood Administration	1	$105.11	$105.11	$105.11	nat. median $708 outlier · 0.1×
71046 CPT	Xr Chest 2views (Frontal And Lateral)	2	$84.01	$84.82	$84.41	nat. median $146 0.6× median
71045 CPT	X-ray Chest 1v	8	$24.76	$240.00	$83.92	nat. median $132 0.6× median
C1757 HCPCS	Fogarty 3f	1	$70.07	$70.07	$70.07	nat. median $2,515 outlier · 0.0×
76937 CPT	US Guidance For Accessing Into Blood	3	$66.14	$202.58	$66.14	nat. median $209 outlier · 0.3×
76942 CPT	US Guid Needle Plcmt	3	$60.42	$845.00	$60.42	nat. median $431 outlier · 0.1×
88304 CPT	Level Iii Surgical Pathology, Gross & Micro	2	$56.49	$56.49	$56.49	nat. median $97 0.6× median
93005 CPT	EKG - Routine Tracing (min. 12 Leads)	4	$42.90	$135.36	$50.33	nat. median $119 outlier · 0.4×
73030 CPT	Xray Shoulder, 2views	1	$48.60	$48.60	$48.60	nat. median $159 outlier · 0.3×
86923 CPT	Crossmatch	1	$46.48	$46.48	$46.48	nat. median $165 outlier · 0.3×
C1725 HCPCS	Catheter Av Pta 5mm X 40mm	1	$42.90	$42.90	$42.90	nat. median $688 outlier · 0.1×
73140 CPT	X-ray Fingers, Minimum 2 Views	2	$36.19	$36.19	$36.19	nat. median $132 outlier · 0.3×
P9021 HCPCS	Blood Proc & Storage	1	$2.86	$68.07	$35.46	nat. median $277 outlier · 0.1×
85730 CPT	Thromboplastin Time Partial Ptt Stat	2	$4.80	$64.39	$34.59	nat. median $25 1.4× median
J1815 HCPCS	Humulin R	1	$32.91	$32.91	$32.91	nat. median $43 0.8× median
85610 CPT	PT/Prothrombin Time Stat	2	$3.42	$51.25	$27.34	nat. median $19 1.5× median
71100 CPT	X-ray Ribs, Unilateral; 2 Views	1	$27.00	$27.00	$27.00	nat. median $137 outlier · 0.2×
88311 CPT	Decalcification Of Procedure	1	$23.38	$23.38	$23.38	nat. median $43 0.5× median
C1887 HCPCS	Terumo Navicross 135cm/angled	1	$22.17	$22.17	$22.17	nat. median $501 outlier · 0.0×
C1769 HCPCS	Aequalis Perform Guide Wire (Stryker)	2	$10.73	$20.00	$15.37	nat. median $191 outlier · 0.1×
86850 CPT	Antibody Screen	1	$13.73	$13.73	$13.73	nat. median $62 outlier · 0.2×
80048 CPT	Bmp Basic Metabolic Panel	4	$6.75	$123.74	$11.84	nat. median $29 outlier · 0.4×
J7030 HCPCS	Sodium Chloride 1000ml	4	$5.72	$80.00	$11.62	nat. median $23 0.5× median
80047 CPT	Bmp (Calcium Ionized)	1	$10.95	$10.95	$10.95	nat. median $34 outlier · 0.3×
J2405 HCPCS	Ondansetron (Zofran) 4mg (2ml) Injectable	4	$1.07	$15.00	$8.04	nat. median $9 0.9× median
J0665 HCPCS	Bupivacaine 0.5 % (Marcaine) (30ml)	2	$1.07	$15.00	$8.04	nat. median $11 0.7× median
87075 CPT	Anaerobic Culture	1	$7.55	$7.55	$7.55	nat. median $35 outlier · 0.2×
G0378 HCPCS	Observation Per Hr	2	$0.50	$14.21	$7.36	nat. median $113 outlier · 0.1×
87070 CPT	Aerobic Bacterial Culture	2	$6.88	$6.88	$6.88	nat. median $57 outlier · 0.1×
Q9966 HCPCS	Omnipaque 240mg Inj	1	$6.48	$6.48	$6.48	nat. median $57 outlier · 0.1×
85025 CPT	Cbc With Auto Diff Stat	3	$6.20	$66.14	$6.20	nat. median $24 outlier · 0.3×
87101 CPT	Fungus Culture	1	$6.16	$6.16	$6.16	nat. median $20 outlier · 0.3×
84703 CPT	Serum Ql Hcg	2	$6.00	$6.00	$6.00	nat. median $25 outlier · 0.2×
C1894 HCPCS	Abbott Perclose Prostyle	1	$5.36	$5.36	$5.36	nat. median $182 outlier · 0.0×
J8499 HCPCS	Lokelma 10gm Suspension	3	$5.00	$7.51	$5.00	nat. median $59 outlier · 0.1×
J3010 HCPCS	Fentanyl 2 Ml	5	$1.43	$20.00	$4.51	nat. median $20 outlier · 0.2×
J2765 HCPCS	Metoclopramide 10mg/2ml	3	$1.07	$15.00	$4.05	nat. median $9 outlier · 0.5×
87205 CPT	Gram Stain	2	$3.41	$3.41	$3.41	nat. median $23 outlier · 0.2×
36415 CPT	Venipuncture	1	$3.07	$3.07	$3.07	nat. median $15 outlier · 0.2×
86901 CPT	Rh Type	1	$2.38	$2.38	$2.38	nat. median $38 outlier · 0.1×
86900 CPT	Abo Type	1	$2.38	$2.38	$2.38	nat. median $62 outlier · 0.0×

Other procedures at this hospital

Browse this hospital's 61 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

75822	CPT	Venography, Extremity, Bilateral,	1	1	$8,160.00	$8,160.00	$1,479.00	$1,479.00	$1,479.00	2026-01-22
75625	CPT	Aortagraphy Abdominal By Serialography	1	1	$5,900.00	$5,900.00	$1,331.04	$1,331.04	$1,331.04	2026-01-22
64415	CPT	Nerve Block-brachial	4	4	$3,360.00	$3,360.00	$240.24	$943.34	$300.12	2026-01-22
99283	CPT	Emergency Level 3	12	12	$1,480.00	$1,480.00	$48.79	$777.03	$268.82	2026-01-22
93925	CPT	US Lo Ext Doppler Art Bil	1	1	$619.00	$619.00	$226.29	$226.29	$226.29	2026-01-22
C1889	HCPCS	T-plate Wide 6 Hole	1	1	$6,700.00	$6,700.00	$152.00	$152.00	$152.00	2026-01-22
72100	CPT	Xray Lumbar Spine 2 Or 3 Views	1	1	$535.00	$535.00	$144.45	$144.45	$144.45	2026-01-22
77001	CPT	Fluoroscopic Guidance	1	1	$1,840.00	$1,840.00	$131.56	$131.56	$131.56	2026-01-22
S3600	HCPCS	Stat Lab Fee	3	3	$125.00	$125.00	$37.50	$125.00	$125.00	2026-01-22
36430	CPT	Blood Administration	1	1	$1,470.00	$1,470.00	$105.11	$105.11	$105.11	2026-01-22
71046	CPT	Xr Chest 2views (Frontal And Lateral)	2	2	$735.00	$735.00	$84.01	$84.82	$84.41	2026-01-22
71045	CPT	X-ray Chest 1v	8	8	$240.00	$240.00	$24.76	$240.00	$83.92	2026-01-22
C1757	HCPCS	Fogarty 3f	1	1	$595.00	$595.00	$70.07	$70.07	$70.07	2026-01-22
76937	CPT	US Guidance For Accessing Into Blood	3	3	$925.00	$925.00	$66.14	$202.58	$66.14	2026-01-22
76942	CPT	US Guid Needle Plcmt	3	3	$845.00	$845.00	$60.42	$845.00	$60.42	2026-01-22
88304	CPT	Level Iii Surgical Pathology, Gross & Micro	2	2	$790.00	$790.00	$56.49	$56.49	$56.49	2026-01-22
93005	CPT	EKG - Routine Tracing (min. 12 Leads)	4	4	$600.00	$600.00	$42.90	$135.36	$50.33	2026-01-22
73030	CPT	Xray Shoulder, 2views	1	1	$180.00	$180.00	$48.60	$48.60	$48.60	2026-01-22
86923	CPT	Crossmatch	1	1	$650.00	$650.00	$46.48	$46.48	$46.48	2026-01-22
C1725	HCPCS	Catheter Av Pta 5mm X 40mm	1	1	$600.00	$600.00	$42.90	$42.90	$42.90	2026-01-22
73140	CPT	X-ray Fingers, Minimum 2 Views	2	2	$435.00	$435.00	$36.19	$36.19	$36.19	2026-01-22
P9021	HCPCS	Blood Proc & Storage	2	1	$496.00	$496.00	$2.86	$68.07	$35.46	2026-01-22
85730	CPT	Thromboplastin Time Partial Ptt Stat	2	2	$544.00	$544.00	$4.80	$64.39	$34.59	2026-01-22
J1815	HCPCS	Humulin R	1	1	$32.91	$32.91	$32.91	$32.91	$32.91	2026-01-22
85610	CPT	PT/Prothrombin Time Stat	2	2	$484.00	$484.00	$3.42	$51.25	$27.34	2026-01-22
71100	CPT	X-ray Ribs, Unilateral; 2 Views	1	1	$100.00	$100.00	$27.00	$27.00	$27.00	2026-01-22
88311	CPT	Decalcification Of Procedure	1	1	$327.00	$327.00	$23.38	$23.38	$23.38	2026-01-22
C1887	HCPCS	Terumo Navicross 135cm/angled	1	1	$260.00	$260.00	$22.17	$22.17	$22.17	2026-01-22
C1769	HCPCS	Aequalis Perform Guide Wire (Stryker)	2	2	$250.00	$250.00	$10.73	$20.00	$15.37	2026-01-22
86850	CPT	Antibody Screen	1	1	$192.00	$192.00	$13.73	$13.73	$13.73	2026-01-22
80048	CPT	Bmp Basic Metabolic Panel	4	4	$565.00	$565.00	$6.75	$123.74	$11.84	2026-01-22
J7030	HCPCS	Sodium Chloride 1000ml	4	4	$80.00	$80.00	$5.72	$80.00	$11.62	2026-01-22
80047	CPT	Bmp (Calcium Ionized)	1	1	$100.00	$100.00	$10.95	$10.95	$10.95	2026-01-22
J2405	HCPCS	Ondansetron (Zofran) 4mg (2ml) Injectable	4	4	$15.00	$15.00	$1.07	$15.00	$8.04	2026-01-22
J0665	HCPCS	Bupivacaine 0.5 % (Marcaine) (30ml)	2	2	$15.00	$15.00	$1.07	$15.00	$8.04	2026-01-22
87075	CPT	Anaerobic Culture	1	1	$105.00	$105.00	$7.55	$7.55	$7.55	2026-01-22
G0378	HCPCS	Observation Per Hr	2	2	$63.00	$63.00	$0.50	$14.21	$7.36	2026-01-22
87070	CPT	Aerobic Bacterial Culture	2	2	$50.00	$50.00	$6.88	$6.88	$6.88	2026-01-22
Q9966	HCPCS	Omnipaque 240mg Inj	1	1	$29.60	$29.60	$6.48	$6.48	$6.48	2026-01-22
85025	CPT	Cbc With Auto Diff Stat	3	3	$552.00	$552.00	$6.20	$66.14	$6.20	2026-01-22
87101	CPT	Fungus Culture	1	1	$80.00	$80.00	$6.16	$6.16	$6.16	2026-01-22
84703	CPT	Serum Ql Hcg	2	2	$70.00	$70.00	$6.00	$6.00	$6.00	2026-01-22
C1894	HCPCS	Abbott Perclose Prostyle	1	1	$1,620.00	$1,620.00	$5.36	$5.36	$5.36	2026-01-22
J8499	HCPCS	Lokelma 10gm Suspension	3	3	$77.00	$77.00	$5.00	$7.51	$5.00	2026-01-22
J3010	HCPCS	Fentanyl 2 Ml	5	5	$20.00	$20.00	$1.43	$20.00	$4.51	2026-01-22
J2765	HCPCS	Metoclopramide 10mg/2ml	3	3	$15.00	$15.00	$1.07	$15.00	$4.05	2026-01-22
87205	CPT	Gram Stain	2	2	$35.00	$35.00	$3.41	$3.41	$3.41	2026-01-22
36415	CPT	Venipuncture	1	1	$43.00	$43.00	$3.07	$3.07	$3.07	2026-01-22
86901	CPT	Rh Type	1	1	$159.00	$159.00	$2.38	$2.38	$2.38	2026-01-22
86900	CPT	Abo Type	1	1	$526.00	$526.00	$2.38	$2.38	$2.38	2026-01-22
85014	CPT	Hematocrit	1	1	$29.00	$29.00	$1.89	$1.89	$1.89	2026-01-22
85018	CPT	Hemoglobin	1	1	$29.00	$29.00	$1.89	$1.89	$1.89	2026-01-22
J1885	HCPCS	Ketorolac Tromethamine (Toradol) 30 Mg	1	1	$21.16	$21.16	$1.51	$1.51	$1.51	2026-01-22
J2270	HCPCS	Hydromorphine (Dilaudid) 2 Mg (1 Ml)	2	2	$20.01	$20.01	$1.43	$1.43	$1.43	2026-01-22
J1580	HCPCS	Gentamicin Sulfate 80mg (2ml) Injectable	3	3	$16.10	$16.10	$1.15	$16.10	$1.15	2026-01-22
J0690	HCPCS	Cefazolin (Kefzol) 1000 Mg Injectable	2	2	$15.00	$15.00	$1.08	$1.08	$1.08	2026-01-22
J3490	HCPCS	Zemuron/rocuonium 5mg	3	3	$116.90	$116.90	$0.17	$0.75	$0.75	2026-01-22
J2250	HCPCS	Midazolam 2mg/2ml	3	3	$10.00	$10.00	$0.72	$2.19	$0.72	2026-01-22
Q9967	HCPCS	Omnipaque 300mgl/ml Injection	1	1	$9.72	$9.72	$0.70	$0.70	$0.70	2026-01-22
J2704	HCPCS	Diprivan 10 Mg/ml Vl	3	3	$1.65	$1.65	$0.12	$1.65	$0.36	2026-01-22
J1644	HCPCS	Heparin 5000u/ml	3	3	$15.00	$15.00	$0.16	$2.17	$0.16	2026-01-22

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