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 |
|---|---|---|---|---|
| Inj retacrit esrd on dialysi HCPCS Q5105 | $505.94 | $1,445.54 | $1.07 – $124.18 | 23 |
| Inj retro urethrocysto CPT 51610 | $104.30 | $298.00 | $80.46 – $298.00 | 19 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $855.67 | $2,444.77 | $12.67 – $2,444.77 | 23 |
| Inj secretin synthetic human HCPCS J2850 | $28.80 | $82.26 | $18.10 – $82.26 | 23 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | $28,688.40 | $81,966.83 | $18,032.71 – $81,966.83 | 22 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $24,482.56 | $69,950.16 | $3,084.78 – $14,021.69 | 22 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $43,022.95 | $122,922.69 | $383.29 – $122,922.69 | 23 |
| Inj testosterone cypionate HCPCS J1071 | $25.67 | $73.33 | $0.02 – $56.86 | 23 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $896.27 | $2,560.75 | $236.83 – $1,076.48 | 22 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $520.80 | $1,488.00 | $100.00 – $1,488.00 | 18 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $390.60 | $1,116.00 | $89.28 – $1,116.00 | 18 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $5,719.74 | $16,342.09 | $781.08 – $3,550.36 | 22 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $44.28 | $126.51 | $27.84 – $126.51 | 22 |
| Inj w/fluor eval cv device CPT 36598 | $170.45 | $487.00 | $131.49 – $487.00 | 19 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $57,283.51 | $163,667.15 | $2,402.46 – $163,667.15 | 23 |
| Ins cath ren art 1st bi CPT 36252 | $6,549.90 | $18,714.00 | $1,497.12 – $18,714.00 | 22 |
| Ins cath ren art 1st uni CPT 36251 | $4,712.05 | $13,463.00 | $1,077.04 – $13,463.00 | 22 |
| Ins cath ren art 2nd+ bi CPT 36254 | $7,680.75 | $21,945.00 | $1,755.60 – $21,945.00 | 22 |
| Ins cath ren art 2nd+ uni CPT 36253 | $6,549.90 | $18,714.00 | $1,497.12 – $18,714.00 | 22 |
| Ins cerv dilator (sep proc) CPT 59200 | $263.20 | $752.00 | $203.04 – $752.00 | 19 |
| Insert and remove bone pin CPT 20650 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert cath pleura with image CPT 32557 | $2,241.75 | $6,405.00 | $1,729.35 – $6,405.00 | 19 |
| Insert cath pleura without image CPT 32556 | $1,479.80 | $4,228.00 | $1,141.56 – $4,228.00 | 19 |
| Insert drug delivery implant CPT 11981 | $105.35 | $301.00 | $81.27 – $301.00 | 19 |
| Insert eye socket implant CPT 67550 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Insert hepatic shunt (tips) CPT 37182 | $4,767.70 | $13,622.00 | $3,677.94 – $13,622.00 | 19 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Insert intrauterine device iud CPT 58300 | $224.35 | $641.00 | $173.07 – $641.00 | 19 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $958.00 – $958.00 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | $248.50 | $710.00 | $191.70 – $710.00 | 19 |
| Insertion catheter bladder temporary simple CPT 51702 | $315.35 | $901.00 | $243.27 – $901.00 | 19 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $1,351.70 | $3,862.00 | $1,042.74 – $3,862.00 | 19 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $1,643.60 | $4,696.00 | $375.68 – $4,696.00 | 22 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $6,832.00 | $19,520.00 | $1,561.60 – $19,520.00 | 22 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,965.55 | $8,473.00 | $958.00 – $8,473.00 | 16 |
| Insertion of cannula CPT 36810 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insertion of catheter vein CPT 36481 | $594.30 | $1,698.00 | $100.00 – $1,698.00 | 19 |
| Insertion of catheter vein CPT 36500 | $496.65 | $1,419.00 | $100.00 – $1,419.00 | 19 |
| Insertion of heart electrode 33211 CPT 33211 | $3,040.45 | $8,687.00 | $2,345.49 – $8,687.00 | 19 |
| Insertion of infusion pump CPT 36260 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $10,759.35 | $30,741.00 | $8,300.07 – $30,741.00 | 19 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $8,822.80 | $25,208.00 | $6,806.16 – $25,208.00 | 19 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $8,144.15 | $23,269.00 | $1,861.52 – $23,269.00 | 22 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,286.90 | $6,534.00 | $958.00 – $6,534.00 | 16 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,286.90 | $6,534.00 | $1,764.18 – $6,534.00 | 16 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $25,130.00 | $71,800.00 | $19,386.00 – $71,800.00 | 19 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $2,895.55 | $8,273.00 | $2,233.71 – $8,273.00 | 19 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $5,136.60 | $14,676.00 | $3,962.52 – $14,676.00 | 19 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $8,186.15 | $23,389.00 | $6,315.03 – $23,389.00 | 16 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $7,224.70 | $20,642.00 | $1,609.00 – $20,642.00 | 16 |
| Insertion ureth cath CPT 51045 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Insert lens prosthesis CPT 66985 | not published | not published | $2,661.00 – $2,661.00 | 1 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert nasal septal button CPT 30220 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert ocular implant CPT 65130 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert ocular implant CPT 65135 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Insert picvad cath CPT 36570 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert pm/icd lead dual CPT 33217 | $7,004.90 | $20,014.00 | $5,403.78 – $20,014.00 | 19 |
| Insert/repl sq defib w/eltrd CPT 33270 | $13,023.85 | $37,211.00 | $10,046.97 – $37,211.00 | 16 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Insert sq defib electrode CPT 33271 | $2,852.85 | $8,151.00 | $2,200.77 – $8,151.00 | 16 |
| Insert swan-ganz cath CPT 93503 | $1,633.80 | $4,668.00 | $100.00 – $4,668.00 | 16 |
| Insert tandem cuff CPT 53444 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $958.00 – $958.00 | 1 |
| Insert uteri tandem/ovoids CPT 57155 | $2,420.25 | $6,915.00 | $1,285.00 – $6,915.00 | 16 |
| Insert vad art access left hrt arterial access CPT 33990 | $5,234.95 | $14,957.00 | $1,196.56 – $14,957.00 | 22 |
| Insert vad art access left hrt art & vein access CPT 33991 | $6,543.95 | $18,697.00 | $1,495.76 – $18,697.00 | 22 |
| Ins icd gen exist mlt leads CPT 33231 | $11,058.25 | $31,595.00 | $8,530.65 – $31,595.00 | 19 |
| Insitu hybridization manual CPT 88368 | $255.15 | $729.00 | $196.83 – $729.00 | 18 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $195.65 | $559.00 | $143.65 – $559.00 | 18 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $291.90 | $834.00 | $193.77 – $834.00 | 18 |
| Insj perq vad r hrt venous CPT 33995 | $5,130.30 | $14,658.00 | $1,172.64 – $14,658.00 | 19 |
| Ins lv lead exist pm/icd CPT 33224 | $4,729.55 | $13,513.00 | $3,648.51 – $13,513.00 | 19 |
| Ins mark abd/pel for right perq CPT 49411 | $477.40 | $1,364.00 | $368.28 – $1,364.00 | 19 |
| Ins mark thor for right perq CPT 32553 | $905.80 | $2,588.00 | $698.76 – $2,588.00 | 19 |
| Ins picad w subq port 5yr> CPT 36571 | $4,642.75 | $13,265.00 | $1,609.00 – $13,265.00 | 16 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $914.90 | $2,614.00 | $705.78 – $2,614.00 | 16 |
| Ins pm gen exist dual lead CPT 33230 | $19,435.50 | $55,530.00 | $14,993.10 – $55,530.00 | 19 |
| Ins pm gen w/exist mlt leads CPT 33221 | $15,162.00 | $43,320.00 | $11,696.40 – $43,320.00 | 19 |
| Ins pq tunnld ip cath w/img CPT 49418 | $5,508.65 | $15,739.00 | $4,249.53 – $15,739.00 | 19 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $14,670.25 | $41,915.00 | $3,353.20 – $41,915.00 | 19 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $9,112.95 | $26,037.00 | $1,609.00 – $26,037.00 | 16 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $8,704.15 | $24,869.00 | $1,609.00 – $24,869.00 | 16 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $3,658.20 | $10,452.00 | $2,822.04 – $10,452.00 | 19 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $10,912.65 | $31,179.00 | $2,494.32 – $31,179.00 | 19 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $3,082.88 | $8,808.22 | $1,345.91 – $6,117.75 | 23 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $535.15 | $1,529.00 | $412.83 – $1,529.00 | 19 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $1,609.00 – $1,609.00 | 1 |
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.