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 |
|---|---|---|---|---|
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $70.70 | $202.00 | $5.57 – $202.00 | 39 |
| Fetal hemoglobin rosette CPT 85461 | $166.60 | $476.00 | $6.74 – $476.00 | 39 |
| Fetal non stress test CPT 59025 | $481.25 | $1,375.00 | $27.36 – $1,375.00 | 19 |
| Fibrin degradation d dimer quantitative CPT 85379 | $175.00 | $500.00 | $7.33 – $500.00 | 39 |
| Fibrin degrade semiquant CPT 85378 | $203.70 | $582.00 | $7.00 – $582.00 | 39 |
| Fibrinogen activity CPT 85384 | $172.20 | $492.00 | $7.00 – $492.00 | 40 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $23.80 | $68.00 | $4.70 – $68.00 | 39 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $204.29 | $583.67 | $0.41 – $385.28 | 23 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $777.91 | $2,222.60 | $1.09 – $2,222.60 | 23 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $469.69 | $1,341.95 | $0.51 – $859.19 | 23 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $25,590.50 | $73,115.70 | $100.00 – $8,178.95 | 23 |
| Filter vena cava fem denali HCPCS C1880 | $8,197.79 | $23,422.25 | $100.00 – $1,470.00 | 23 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $988.40 | $2,824.00 | $762.48 – $2,824.00 | 16 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $494.20 | $1,412.00 | $100.00 – $1,412.00 | 16 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,116.50 | $3,190.00 | $100.00 – $3,190.00 | 16 |
| Fine needle asp without image guide 10021 CPT 10021 | $219.80 | $628.00 | $169.56 – $628.00 | 19 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fixation of ankle joint CPT 27860 | not published | not published | $958.00 – $958.00 | 1 |
| Fixation of knee joint CPT 27570 | not published | not published | $958.00 – $958.00 | 1 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Fix g/colon tube w/device CPT 49460 | $679.35 | $1,941.00 | $524.07 – $1,941.00 | 19 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $220.85 | $631.00 | $170.37 – $631.00 | 19 |
| Flexible Sigmoidoscopy CPT 45330 | $723.80 | $2,068.00 | $558.36 – $2,068.00 | 19 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $2,454.20 | $7,012.00 | $1,818.93 – $7,012.00 | 16 |
| Flow cytometry marker each additional CPT 88185 | $151.55 | $433.00 | $36.31 – $433.00 | 18 |
| Flow cytometry one marker technical component CPT 88184 | $493.15 | $1,409.00 | $165.02 – $1,409.00 | 18 |
| Floxuridine injection HCPCS J9200 | $413.09 | $1,180.24 | $89.65 – $1,180.24 | 23 |
| Flt3 gene CPT 81245 | $175.00 | $500.00 | $119.17 – $537.91 | 40 |
| Flt3 gene analysis CPT 81246 | $135.45 | $387.00 | $59.76 – $387.00 | 40 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $459.69 | $1,313.39 | $3.41 – $54.73 | 23 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $391.91 | $1,119.73 | $71.20 – $798.82 | 23 |
| Fluorescent antibody titer dna CPT 86256 | $88.90 | $254.00 | $8.68 – $254.00 | 39 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $803.95 | $2,297.00 | $97.05 – $2,297.00 | 18 |
| Fluoroguide needle placement CPT 77002 | $2,696.75 | $7,705.00 | $100.00 – $7,705.00 | 19 |
| Fluoro polarize fetal lung CPT 83663 | $77.00 | $220.00 | $13.62 – $220.00 | 39 |
| Fluoroscopy up to 1 hour CPT 76000 | $573.30 | $1,638.00 | $42.78 – $1,638.00 | 23 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $191.51 | $547.16 | $2.35 – $397.50 | 23 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $2,892.40 | $8,264.00 | $1,248.64 – $8,264.00 | 16 |
| Fmri brain by phys/psych CPT 70555 | $753.55 | $2,153.00 | $188.37 – $2,153.00 | 19 |
| Fmri brain by tech CPT 70554 | $992.95 | $2,837.00 | $226.96 – $2,837.00 | 24 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,427.65 | $4,079.00 | $590.00 – $3,556.00 | 17 |
| Fna bx w/ct gdn ea addl CPT 10010 | $494.20 | $1,412.00 | $100.00 – $1,412.00 | 17 |
| Fna bx w/mr gdn 1st les CPT 10011 | $494.20 | $1,412.00 | $381.24 – $1,412.00 | 17 |
| Fna bx w/mr gdn ea addl CPT 10012 | $494.20 | $1,412.00 | $100.00 – $1,412.00 | 17 |
| Folic acid CPT 82746 | $67.55 | $193.00 | $10.58 – $193.00 | 39 |
| Follow-up angiography CPT 75898 | $1,670.20 | $4,772.00 | $133.71 – $4,772.00 | 23 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $3,178.98 | $9,082.78 | $8.80 – $3,046.55 | 23 |
| Fondaparinux sodium HCPCS J1652 | $203.77 | $582.19 | $0.96 – $72.44 | 23 |
| Foot X-ray CPT 73630 | $513.80 | $1,468.00 | $34.41 – $1,468.00 | 23 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $237.65 | $679.00 | $183.33 – $679.00 | 16 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $470.29 | $1,343.66 | $0.17 – $127.26 | 23 |
| Foscarnet sodium injection HCPCS J1455 | $452.69 | $1,293.40 | $54.66 – $1,293.40 | 23 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $76.77 | $219.33 | $3.58 – $56.52 | 23 |
| Fracture assessment via dxa CPT 77086 | $108.85 | $311.00 | $24.88 – $311.00 | 23 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $162.75 | $465.00 | $88.00 – $465.00 | 15 |
| Frozen plasma, pooled, sd HCPCS P9023 | $122.15 | $349.00 | $88.00 – $349.00 | 16 |
| Fructosamine glycated protein CPT 82985 | $19.60 | $56.00 | $12.07 – $56.00 | 39 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $54.30 | $155.13 | $0.56 – $55.00 | 23 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of big toe joint CPT 28750 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of big toe joint CPT 28755 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Fusion of foot bones CPT 28730 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of foot bones CPT 28735 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of foot bones CPT 28740 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of hand joint CPT 26843 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Fusion of knuckle CPT 26850 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $958.00 – $958.00 | 1 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Fusion of thumb CPT 26841 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Fusion of toes CPT 28280 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $77.00 | $220.00 | $31.42 – $220.00 | 16 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $140.35 | $401.00 | $70.37 – $401.00 | 16 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $48.79 | $139.38 | $0.40 – $2.00 | 23 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $107.12 | $306.05 | $1.93 – $11.00 | 23 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $86.54 | $247.24 | $0.17 – $7.00 | 23 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $210.50 | $601.42 | $17.93 – $90.00 | 23 |
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.