St. Luke's Health - The Vintage Hospital
20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Contrast x-ray of knee joint CPT 73580 | $603.40 | $1,724.00 | $110.94 – $1,724.00 | 23 |
| Contrast x-ray of wrist CPT 73115 | $366.80 | $1,048.00 | $83.84 – $1,048.00 | 23 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $20,818.35 | $59,481.00 | $8,395.80 – $39,980.00 | 20 |
| Controller infinity pt dbs HCPCS C1787 | $79,380.00 | $226,800.00 | $0.27 – $601.70 | 23 |
| Control nosebleed pack+caut 30905 CPT 30905 | $75.95 | $217.00 | $58.59 – $217.00 | 16 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Control of nosebleed ant comp 30903 CPT 30903 | $197.05 | $563.00 | $152.01 – $563.00 | 16 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $128.10 | $366.00 | $29.28 – $366.00 | 24 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $958.00 – $958.00 | 1 |
| Control throat bleeding CPT 42962 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Conversion ext bil drg cath CPT 47535 | $5,218.50 | $14,910.00 | $4,025.70 – $14,910.00 | 16 |
| Convert nephrostomy catheter CPT 50434 | $7,902.30 | $22,578.00 | $6,096.06 – $22,578.00 | 16 |
| Conv gtube to jtube CPT 44373 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Coombs direct CPT 86880 | $81.90 | $234.00 | $4.53 – $234.00 | 22 |
| Coombs indirect titer reference CPT 86886 | $86.80 | $248.00 | $4.35 – $248.00 | 22 |
| Copper cu 64 dotatate diag HCPCS A9592 | $960.75 | $2,745.00 | $100.00 – $2,745.00 | 15 |
| Core ndl bx lng/med perq CPT 32408 | $3,720.85 | $10,631.00 | $2,870.37 – $10,631.00 | 16 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Corneal transplant CPT 65710 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Corneal transplant CPT 65730 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Corneal transplant CPT 65750 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Corneal transplant CPT 65755 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $18,742.50 | $53,550.00 | $4,539.15 – $21,615.00 | 23 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $9,259.95 | $26,457.00 | $2,116.56 – $26,457.00 | 19 |
| Coronary angio/lv gram/lt heart CPT 93458 | $8,642.55 | $24,693.00 | $1,975.44 – $24,693.00 | 19 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $10,288.60 | $29,396.00 | $2,351.68 – $29,396.00 | 19 |
| Coronary art/grft angio s&i CPT 93455 | $5,654.25 | $16,155.00 | $1,292.40 – $16,155.00 | 19 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,916.45 | $14,047.00 | $1,123.76 – $14,047.00 | 19 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $435.40 | $1,244.00 | $99.52 – $1,244.00 | 19 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Correct finger deformity CPT 26567 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Correction claw finger other CPT 26499 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Correction of astigmatism CPT 65772 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Correction of astigmatism CPT 65775 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Cortisol total am CPT 82533 | $130.55 | $373.00 | $11.74 – $373.00 | 39 |
| Costotransversectomy CPT 21610 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $61.91 | $176.87 | $28.97 – $131.68 | 23 |
| Co-treatment - group 15 mins, st CPT 92508 | $13.30 | $38.00 | $10.26 – $38.00 | 16 |
| Counseling smoke cess interm >10mins CPT 99407 | $24.15 | $69.00 | $18.63 – $69.00 | 16 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $14,810.25 | $42,315.00 | $0.27 – $4,170.19 | 27 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.05 | $203.00 | $37.00 – $203.00 | 15 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $315.00 | $900.00 | $37.00 – $900.00 | 15 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $283.50 | $810.00 | $37.00 – $810.00 | 15 |
| Covid-19 lab test non-cdc HCPCS U0002 | $89.25 | $255.00 | $36.94 – $255.00 | 39 |
| #covid19rsv-rsv CPT 87634 | $119.00 | $340.00 | $50.54 – $340.00 | 39 |
| C-peptide CPT 84681 | $72.80 | $208.00 | $14.98 – $208.00 | 39 |
| Crbrospnl fld flw imag cistern CPT 78630 | $773.15 | $2,209.00 | $176.72 – $2,209.00 | 23 |
| C-reactive protein CPT 86140 | $121.45 | $347.00 | $3.73 – $347.00 | 39 |
| C-reactive protein high sensitivity CPT 86141 | $43.05 | $123.00 | $9.32 – $123.00 | 39 |
| C-reactive protein, quantitative CPT 86406 | $56.70 | $162.00 | $7.66 – $162.00 | 39 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Create eardrum opening CPT 69436 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Create passage to kidney CPT 52334 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Create tear duct drain CPT 68745 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Create tear duct drain CPT 68750 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Create tear sac drain CPT 68720 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Creatine kinase CPT 82550 | $83.30 | $238.00 | $4.69 – $238.00 | 39 |
| Creatine kinase mb CPT 82553 | $32.55 | $93.00 | $8.32 – $93.00 | 39 |
| Creatine - sendout CPT 82540 | $37.10 | $106.00 | $3.34 – $106.00 | 39 |
| Creatinine CPT 82565 | $44.10 | $126.00 | $3.69 – $79.00 | 39 |
| Creatinine 24 hour urine CPT 82570 | $71.40 | $204.00 | $3.73 – $204.00 | 39 |
| Creatinine clearance urine CPT 82575 | $142.80 | $408.00 | $6.81 – $408.00 | 39 |
| #creutz-prot.,western blot CPT 84182 | $45.85 | $131.00 | $21.03 – $131.00 | 39 |
| Critical care 30-74 minutes CPT 99291 | $2,335.20 | $6,672.00 | $427.04 – $5,338.00 | 23 |
| Critical care each additional 30 minutes CPT 99292 | $70.35 | $201.00 | $16.08 – $1,240.20 | 23 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $6,154.92 | $17,585.47 | $148.57 – $17,585.47 | 23 |
| Cromolyn sodium noncomp unit HCPCS J7631 | $4.83 | $13.79 | $0.30 – $4.93 | 17 |
| Crotalidae poly immune fab HCPCS J0840 | $11,925.85 | $34,073.83 | $2,541.33 – $34,073.83 | 23 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $2,423.75 | $6,925.00 | $554.00 – $6,925.00 | 22 |
| Cryoablate prostate CPT 55873 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Cryocautery of cervix 57511 CPT 57511 | $116.55 | $333.00 | $89.91 – $333.00 | 19 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $21.35 | $61.00 | $10.18 – $61.00 | 39 |
| Cryoprecipitate each unit HCPCS P9012 | $122.15 | $349.00 | $88.00 – $349.00 | 15 |
| Crystal identification light microscopy CPT 89060 | $56.00 | $160.00 | $5.28 – $160.00 | 40 |
| Csf leakage imaging CPT 78650 | $564.55 | $1,613.00 | $129.04 – $1,613.00 | 23 |
| CT 3d report other modality w/workstation CPT 76377 | $833.35 | $2,381.00 | $44.71 – $2,381.00 | 19 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,101.00 | $8,860.00 | $175.06 – $8,860.00 | 24 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $4,274.55 | $12,213.00 | $175.06 – $12,213.00 | 24 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,600.80 | $10,288.00 | $175.06 – $10,288.00 | 24 |
| Cta neck without &/or w/contrast CPT 70498 | $3,731.00 | $10,660.00 | $175.06 – $10,660.00 | 24 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,027.10 | $11,506.00 | $366.42 – $11,506.00 | 24 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,421.25 | $9,775.00 | $175.06 – $9,775.00 | 24 |
| CT Angiogram of the Head CPT 70496 | $3,731.00 | $10,660.00 | $175.06 – $10,660.00 | 24 |
| CT angio hrt w/3d image CPT 75574 | $1,514.10 | $4,326.00 | $175.06 – $4,326.00 | 24 |
| CT angio pelvis CPT 72191 | $1,253.00 | $3,580.00 | $175.06 – $3,580.00 | 24 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,546.90 | $10,134.00 | $175.06 – $10,134.00 | 24 |
| CT colonography dx CPT 74261 | $409.85 | $1,171.00 | $93.68 – $1,171.00 | 24 |
| CT colonography dx w/dye CPT 74262 | $471.45 | $1,347.00 | $107.76 – $1,347.00 | 24 |
| CT colonography screening CPT 74263 | $962.50 | $2,750.00 | $507.00 – $2,750.00 | 19 |
| CT guidance for needle placement CPT 77012 | $1,570.80 | $4,488.00 | $100.00 – $4,488.00 | 20 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,502.90 | $4,294.00 | $89.94 – $3,350.00 | 18 |
| CT guid parench tis ablat CPT 77013 | $1,290.80 | $3,688.00 | $100.00 – $3,688.00 | 19 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.