St. Luke's Health - The Vintage Hospital

20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

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
Realignment of tendons CPT 26437 not published not published $1,609.00 – $1,609.00 1
Rebuild eardrum structures CPT 69632 not published not published $2,177.00 – $2,177.00 1
Rebuild eardrum structures CPT 69633 not published not published $2,177.00 – $2,177.00 1
Rebuild eardrum structures CPT 69636 not published not published $3,115.00 – $3,115.00 1
Rebuild outer ear canal CPT 69310 not published not published $1,609.00 – $1,609.00 1
Rebuild outer ear canal CPT 69320 not published not published $3,115.00 – $3,115.00 1
Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 $9,706.55 $27,733.00 $2,218.64 – $27,733.00 22
Reconstruct cleft palate CPT 42200 not published not published $2,177.00 – $2,177.00 1
Reconstruct cleft palate CPT 42205 not published not published $2,177.00 – $2,177.00 1
Reconstruct cleft palate CPT 42210 not published not published $2,177.00 – $2,177.00 1
Reconstruct cleft palate CPT 42215 not published not published $3,115.00 – $3,115.00 1
Reconstruct cleft palate CPT 42220 not published not published $2,177.00 – $2,177.00 1
Reconstruct elbow joint CPT 24360 not published not published $2,177.00 – $2,177.00 1
Reconstruct elbow joint CPT 24361 not published not published $2,177.00 – $2,177.00 1
Reconstruct elbow joint CPT 24362 not published not published $2,177.00 – $2,177.00 1
Reconstruct extra finger CPT 26587 not published not published $2,177.00 – $2,177.00 1
Reconstruct finger joint CPT 26545 not published not published $1,929.00 – $1,929.00 1
Reconstruct finger joint CPT 26548 not published not published $1,929.00 – $1,929.00 1
Reconstruct head of radius CPT 24365 not published not published $2,177.00 – $2,177.00 1
Reconstruct head of radius CPT 24366 not published not published $2,177.00 – $2,177.00 1
Reconstruction knee CPT 27427 not published not published $1,609.00 – $1,609.00 1
Reconstruction knee CPT 27428 not published not published $1,929.00 – $1,929.00 1
Reconstruction knee CPT 27429 not published not published $1,929.00 – $1,929.00 1
Reconstruction of anus CPT 46753 not published not published $1,609.00 – $1,609.00 1
Reconstruction of eyelid CPT 67971 not published not published $1,609.00 – $1,609.00 1
Reconstruction of eyelid CPT 67973 not published not published $1,609.00 – $1,609.00 1
Reconstruction of eyelid CPT 67974 not published not published $1,609.00 – $1,609.00 1
Reconstruction of eyelid CPT 67975 not published not published $1,609.00 – $1,609.00 1
Reconstruction of jaw CPT 21245 not published not published $3,115.00 – $3,115.00 1
Reconstruction of jaw CPT 21246 not published not published $3,115.00 – $3,115.00 1
Reconstruction of jaw CPT 21248 not published not published $3,115.00 – $3,115.00 1
Reconstruction of jaw CPT 21249 not published not published $3,115.00 – $3,115.00 1
Reconstruction of jaw joint CPT 21240 not published not published $1,929.00 – $1,929.00 1
Reconstruction of jaw joint CPT 21242 not published not published $2,177.00 – $2,177.00 1
Reconstruction of jaw joint CPT 21243 not published not published $2,177.00 – $2,177.00 1
Reconstruction of lower jaw CPT 21244 not published not published $3,115.00 – $3,115.00 1
Reconstruction of mouth CPT 40840 not published not published $1,285.00 – $1,285.00 1
Reconstruction of mouth CPT 40842 not published not published $1,609.00 – $1,609.00 1
Reconstruction of mouth CPT 40843 not published not published $1,609.00 – $1,609.00 1
Reconstruction of mouth CPT 40844 not published not published $2,177.00 – $2,177.00 1
Reconstruction of mouth CPT 40845 not published not published $2,177.00 – $2,177.00 1
Reconstruction of nose CPT 30410 not published not published $2,177.00 – $2,177.00 1
Reconstruction of nose CPT 30420 not published not published $2,177.00 – $2,177.00 1
Reconstruction of throat CPT 42950 not published not published $1,285.00 – $1,285.00 1
Reconstruction of urethra CPT 53410 not published not published $1,285.00 – $1,285.00 1
Reconstruction of urethra CPT 53430 not published not published $1,285.00 – $1,285.00 1
Reconstruction of urethra CPT 54308 not published not published $1,609.00 – $1,609.00 1
Reconstruction of urethra CPT 54312 not published not published $1,609.00 – $1,609.00 1
Reconstruction of urethra CPT 54316 not published not published $1,609.00 – $1,609.00 1
Reconstruction of urethra CPT 54318 not published not published $1,609.00 – $1,609.00 1
Reconstruction of urethra CPT 54322 not published not published $1,609.00 – $1,609.00 1
Reconstruction of urethra CPT 54324 not published not published $1,609.00 – $1,609.00 1
Reconstruction of urethra CPT 54326 not published not published $1,609.00 – $1,609.00 1
Reconstruction tongue fold CPT 41520 not published not published $1,285.00 – $1,285.00 1
Reconstruct lip with flap CPT 40527 not published not published $1,285.00 – $1,285.00 1
Reconstruct lip w/local flap 40525 CPT 40525 not published not published $1,285.00 – $1,285.00 1
Reconstruct ulna/radioulnar CPT 25337 not published not published $2,177.00 – $2,177.00 1
Reconstruct upper jaw bone CPT 21206 not published not published $2,177.00 – $2,177.00 1
Reconstruct urethra/bladder CPT 53431 not published not published $1,285.00 – $1,285.00 1
Reconstruct urethra stage 1 CPT 53420 not published not published $1,609.00 – $1,609.00 1
Reconstruct urethra stage 2 CPT 53425 not published not published $1,285.00 – $1,285.00 1
Red blood cells each unit HCPCS P9021 $277.20 $792.00 $88.00 – $792.00 15
Red blood cells leukocytes reduced each unit HCPCS P9016 $369.25 $1,055.00 $88.00 – $1,055.00 15
Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 $516.95 $1,477.00 $88.00 – $1,477.00 19
Red blood cells washed each unit HCPCS P9022 $812.35 $2,321.00 $88.00 – $2,321.00 15
Red cell mass multiple CPT 78121 $345.10 $986.00 $76.85 – $986.00 23
Redo endovas vena cava filtr CPT 37192 $3,962.70 $11,322.00 $905.76 – $11,322.00 22
Reduce testis torsion CPT 54600 not published not published $1,929.00 – $1,929.00 1
Reduction of facial bones CPT 21209 not published not published $2,177.00 – $2,177.00 1
Reduction of procidentia 45900 CPT 45900 not published not published $958.00 – $958.00 1
Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 $293.66 $839.02 $5.44 – $63.88 23
Reinforce clavicle CPT 23490 not published not published $1,609.00 – $1,609.00 1
Reinforce eye wall CPT 67250 not published not published $1,609.00 – $1,609.00 1
Reinforce/graft eye wall CPT 67255 not published not published $1,609.00 – $1,609.00 1
Reinforce shoulder bones CPT 23491 not published not published $1,609.00 – $1,609.00 1
Reinforce tibia CPT 27745 not published not published $1,609.00 – $1,609.00 1
Reinnervate larynx CPT 31590 not published not published $2,177.00 – $2,177.00 1
Reinsert ocular implant CPT 65155 not published not published $1,609.00 – $1,609.00 1
Release encircling material CPT 67115 not published not published $1,285.00 – $1,285.00 1
Release eye tissue CPT 67343 not published not published $3,115.00 – $3,115.00 1
Release facial nerve CPT 69720 not published not published $2,177.00 – $2,177.00 1
Release finger contracture CPT 26525 not published not published $1,609.00 – $1,609.00 1
Release forearm/hand tendon CPT 26449 not published not published $1,609.00 – $1,609.00 1
Release knuckle contracture CPT 26520 not published not published $1,609.00 – $1,609.00 1
Release middle ear bone CPT 69650 not published not published $3,115.00 – $3,115.00 1
Release muscles of hand CPT 26593 not published not published $1,609.00 – $1,609.00 1
Release of eye fluid CPT 67015 not published not published $958.00 – $958.00 1
Release of foot tendon 28225 CPT 28225 not published not published $958.00 – $958.00 1
Release of foot tendons CPT 28222 not published not published $958.00 – $958.00 1
Release of foot tendons CPT 28226 not published not published $958.00 – $958.00 1
Release of lower leg tendon CPT 27680 not published not published $1,609.00 – $1,609.00 1
Release of lower leg tendons CPT 27681 not published not published $1,285.00 – $1,285.00 1
Release of midfoot joint CPT 28260 not published not published $1,609.00 – $1,609.00 1
Release of midfoot joint CPT 28264 not published not published $958.00 – $958.00 1
Release of shoulder ligament CPT 23415 not published not published $2,177.00 – $2,177.00 1
Release palm contracture CPT 26040 not published not published $1,929.00 – $1,929.00 1
Release palm contracture CPT 26121 not published not published $1,929.00 – $1,929.00 1
Release palm contracture CPT 26123 not published not published $1,929.00 – $1,929.00 1
Release palm contracture CPT 26125 not published not published $1,929.00 – $1,929.00 1
Release palm contracture 26045 CPT 26045 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.