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 |
|---|---|---|---|---|
| Protein s total CPT 85305 | $101.15 | $289.00 | $8.36 – $289.00 | 39 |
| Protein total 24 hour urine CPT 84156 | $75.60 | $216.00 | $2.64 – $216.00 | 39 |
| Protein total body fluid CPT 84157 | $68.25 | $195.00 | $2.88 – $195.00 | 39 |
| Protein total serum plasma whole blood CPT 84155 | $72.10 | $206.00 | $2.64 – $206.00 | 39 |
| Prothrombin complex kcentra HCPCS J7168 | $4,730.66 | $13,516.16 | $2,961.44 – $13,461.07 | 22 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $56.00 | $160.00 | $2.84 – $160.00 | 39 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $66.15 | $189.00 | $51.03 – $189.00 | 16 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $14,458.50 | $41,310.00 | $100.00 – $41,310.00 | 18 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $7,747.60 | $22,136.00 | $100.00 – $22,136.00 | 18 |
| Prq card angio/athrect addl CPT 92925 | $1,334.55 | $3,813.00 | $305.04 – $3,813.00 | 19 |
| Prq cardiac angio addl art CPT 92921 | $1,950.55 | $5,573.00 | $445.84 – $5,573.00 | 19 |
| Prq card revasc chronic addl CPT 92944 | $3,695.65 | $10,559.00 | $844.72 – $10,559.00 | 19 |
| Prq card revasc mi 1 vsl CPT 92941 | $8,828.05 | $25,223.00 | $2,017.84 – $25,223.00 | 19 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $11,086.60 | $31,676.00 | $2,534.08 – $31,676.00 | 19 |
| Prq card stent/ath/angio CPT 92934 | $3,593.10 | $10,266.00 | $821.28 – $10,266.00 | 19 |
| Prq card stent w/angio addl CPT 92929 | $1,026.55 | $2,933.00 | $234.64 – $2,933.00 | 19 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $3,798.20 | $10,852.00 | $868.16 – $10,852.00 | 19 |
| Prq revasc byp graft addl CPT 92938 | $1,540.00 | $4,400.00 | $352.00 – $4,400.00 | 19 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $4,311.65 | $12,319.00 | $985.52 – $12,319.00 | 19 |
| Prq trlml c athrc st angiop1 CPT 92933 | $5,851.30 | $16,718.00 | $1,337.44 – $16,718.00 | 19 |
| Prq trluml c angiop 1art&/br CPT 92920 | $5,953.85 | $17,011.00 | $1,360.88 – $17,011.00 | 19 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $3,695.65 | $10,559.00 | $844.72 – $10,559.00 | 19 |
| Prq trluml revsc ch occ ant CPT 92943 | $4,619.65 | $13,199.00 | $1,055.92 – $13,199.00 | 19 |
| Pr removal drug delivery implant CPT 11982 | $342.30 | $978.00 | $264.06 – $978.00 | 19 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $144.90 | $414.00 | $33.12 – $414.00 | 24 |
| Pr removal intrauterine device CPT 58301 | $131.95 | $377.00 | $101.79 – $377.00 | 19 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,857.10 | $5,306.00 | $1,432.62 – $5,306.00 | 19 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $390.60 | $1,116.00 | $89.28 – $1,116.00 | 24 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $406.35 | $1,161.00 | $92.88 – $1,161.00 | 24 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $362.25 | $1,035.00 | $82.80 – $1,035.00 | 24 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $474.60 | $1,356.00 | $108.48 – $1,356.00 | 24 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Prtl exchange transfuse nb CPT 36456 | $511.35 | $1,461.00 | $394.47 – $1,461.00 | 16 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,070.25 | $5,915.00 | $1,597.05 – $5,915.00 | 19 |
| PSA (Prostate) Test CPT 84153 | $126.70 | $362.00 | $13.24 – $362.00 | 39 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $103.25 | $295.00 | $22.10 – $295.00 | 16 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $45.85 | $131.00 | $31.04 – $131.00 | 16 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $102.20 | $292.00 | $20.53 – $292.00 | 16 |
| Pt prgrm for implt neurostim HCPCS L8681 | $0.35 | $1.00 | $0.27 – $40,285.00 | 23 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $66.50 | $190.00 | $51.30 – $190.00 | 16 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $103.25 | $295.00 | $21.05 – $272.00 | 16 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $86.80 | $248.00 | $45.25 – $248.00 | 16 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $33.25 | $95.00 | $25.65 – $95.00 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | $70.35 | $201.00 | $49.46 – $201.00 | 18 |
| Pul art balloon repr percut CPT 92997 | $9,070.95 | $25,917.00 | $2,073.36 – $25,917.00 | 19 |
| Pul art balloon repr percut CPT 92998 | $3,222.45 | $9,207.00 | $736.56 – $9,207.00 | 19 |
| Pulmonary vent imaging CPT 78579 | $412.65 | $1,179.00 | $94.32 – $1,179.00 | 23 |
| Pulse ox continuous overnight monitoring CPT 94762 | $239.40 | $684.00 | $100.00 – $684.00 | 16 |
| Pulse ox single CPT 94760 | $52.50 | $150.00 | $3.68 – $1,240.20 | 23 |
| Punc of shunt for asp or inj CPT 61070 | $276.85 | $791.00 | $213.57 – $791.00 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $92.40 | $264.00 | $71.28 – $264.00 | 19 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $172.20 | $492.00 | $132.84 – $492.00 | 19 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $958.00 – $958.00 | 1 |
| Puncture spinal lumbar diagnostic CPT 62270 | $913.85 | $2,611.00 | $704.97 – $2,611.00 | 16 |
| Pvb thoracic cont infusion CPT 64463 | $606.90 | $1,734.00 | $468.18 – $1,734.00 | 16 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $24.85 | $70.99 | $8.43 – $70.99 | 23 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,538.60 | $4,396.00 | $282.01 – $4,396.00 | 23 |
| Quant diff pulm perf w/imaging CPT 78597 | $998.90 | $2,854.00 | $188.11 – $2,854.00 | 23 |
| Quinupristin/dalfopristin HCPCS J2770 | $647.41 | $1,849.72 | $6.08 – $1,849.72 | 23 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $682.19 | $1,949.09 | $413.48 – $1,949.09 | 23 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $4,565.02 | $13,042.90 | $353.29 – $2,069.11 | 23 |
| Radiation physics consult CPT 77336 | $741.65 | $2,119.00 | $118.92 – $2,119.00 | 19 |
| Radiation therapy dose plan CPT 77300 | $1,705.90 | $4,874.00 | $50.52 – $4,874.00 | 19 |
| Radiation treatment aid(s) CPT 77332 | $1,036.35 | $2,961.00 | $42.62 – $2,961.00 | 18 |
| Radiation treatment aid(s) CPT 77333 | $3,643.50 | $10,410.00 | $104.19 – $10,410.00 | 18 |
| Radiation treatment aid(s) CPT 77334 | $3,342.50 | $9,550.00 | $101.03 – $9,550.00 | 19 |
| Radiation treatment delivery CPT 77402 | $235.20 | $672.00 | $181.44 – $672.00 | 18 |
| Radiation treatment delivery CPT 77412 | $1,178.80 | $3,368.00 | $354.63 – $3,368.00 | 18 |
| Radiology port images(s) CPT 77417 | $259.70 | $742.00 | $16.83 – $742.00 | 19 |
| Radiotherapy dose plan imrt CPT 77301 | $9,115.75 | $26,045.00 | $2,033.00 – $26,045.00 | 18 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $363.30 | $1,038.00 | $148.72 – $1,038.00 | 16 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,723.40 | $4,924.00 | $288.69 – $4,924.00 | 23 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,595.90 | $10,274.00 | $602.44 – $10,274.00 | 23 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,978.80 | $11,368.00 | $652.23 – $11,368.00 | 23 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,127.65 | $6,079.00 | $355.19 – $6,079.00 | 23 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,425.55 | $4,073.00 | $235.56 – $4,073.00 | 23 |
| Radphm quant measure sgl area add-on CPT 78835 | $553.35 | $1,581.00 | $89.21 – $1,581.00 | 23 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $18,487.61 | $52,821.72 | $64.83 – $10,868.83 | 23 |
| Ranibizumab injection HCPCS J2778 | $3,072.80 | $8,779.41 | $177.04 – $8,779.41 | 23 |
| Rapid Strep Test CPT 87880 | $34.65 | $99.00 | $11.90 – $99.00 | 40 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,602.39 | $4,578.23 | $291.98 – $4,578.23 | 23 |
| Rb82 rubidium HCPCS A9555 | $892.15 | $2,549.00 | $100.00 – $2,549.00 | 16 |
| Rbc count only automated CPT 85041 | $11.20 | $32.00 | $2.17 – $32.00 | 39 |
| Rbc deglycerolized each unit HCPCS P9039 | $635.25 | $1,815.00 | $88.00 – $1,815.00 | 19 |
| Rbc irradiated each unit HCPCS P9038 | $443.10 | $1,266.00 | $88.00 – $1,266.00 | 19 |
| Rbc serum pretx incubj drugs CPT 86975 | $170.10 | $486.00 | $47.70 – $486.00 | 17 |
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.