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 |
|---|---|---|---|---|
| Repair blood vessel dir lower extr CPT 35226 | $4,079.95 | $11,657.00 | $932.56 – $11,657.00 | 22 |
| Repair blood vessel dir upper extr CPT 35206 | $4,133.50 | $11,810.00 | $944.80 – $11,810.00 | 22 |
| Repair blood vessel lesion CPT 35188 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair blood vessel lesion CPT 35261 | $3,454.15 | $9,869.00 | $789.52 – $9,869.00 | 22 |
| Repair brow defect CPT 67900 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair cardiac wound without bypass CPT 33300 | $7,369.60 | $21,056.00 | $1,684.48 – $21,056.00 | 22 |
| Repair cleft hand CPT 26580 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Repair cleft lip/nasal CPT 40700 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Repair cleft lip/nasal CPT 40701 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Repair cleft lip/nasal CPT 40720 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Repair cleft lip/nasal CPT 40761 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $714.35 | $2,041.00 | $551.07 – $2,041.00 | 16 |
| Repair deformity of toe CPT 28313 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair degenerated kneecap CPT 27418 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair detached retina CPT 67107 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Repair detached retina CPT 67108 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Repair eardrum structures CPT 69631 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Repair epigastric hernia reduce 49570 CPT 49570 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair epigastric hern incar 49572 CPT 49572 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Repair extns tendon finger without grft ea CPT 26418 | $1,614.90 | $4,614.00 | $1,245.78 – $4,614.00 | 16 |
| Repair extra toe(s) CPT 28344 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair eyelid defect CPT 67901 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Repair eyelid defect CPT 67902 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Repair eyelid defect CPT 67903 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair eyelid defect CPT 67904 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair eyelid defect CPT 67906 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Repair eyelid defect CPT 67908 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair eyelid defect CPT 67914 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair eyelid defect CPT 67916 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair eyelid defect CPT 67917 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair eyelid defect CPT 67921 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair eyelid defect CPT 67923 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair eyelid defect CPT 67924 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair eyelid wound CPT 67935 | $2,118.55 | $6,053.00 | $1,285.00 – $6,053.00 | 16 |
| Repair facial nerve CPT 69740 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Repair facial nerve CPT 69745 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Repair finger deformity CPT 26590 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Repair finger/hand tendon CPT 26350 | not published | not published | $958.00 – $958.00 | 1 |
| Repair finger/hand tendon CPT 26356 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair finger/hand tendon CPT 26370 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair finger/hand tendon CPT 26373 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair finger tendon CPT 26433 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair foot dislocation CPT 28555 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair foot dislocation CPT 28585 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair foot dislocation CPT 28615 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair forearm tendon/muscle CPT 25265 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair forearm tendon/muscle CPT 25274 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft eye lesion CPT 66225 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair/graft finger tendon CPT 26420 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair/graft finger tendon CPT 26428 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft finger tendon CPT 26434 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft hand tendon CPT 26352 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair/graft hand tendon CPT 26372 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair/graft hand tendon CPT 26392 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft hand tendon CPT 26412 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft kneecap tendon CPT 27381 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair/graft radius or ulna CPT 25425 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair/graft radius & ulna CPT 25420 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair/graft radius & ulna CPT 25426 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair/graft wrist bone CPT 25440 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair hand joint CPT 26540 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair hand joint with graft CPT 26541 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Repair hand joint with graft CPT 26542 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair humerus with graft CPT 24435 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair iris & ciliary body CPT 66680 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair iris & ciliary body CPT 66682 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair lac palate<2 cm CPT 42180 | not published | not published | $958.00 – $958.00 | 1 |
| Repair leg fascia defect CPT 27656 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $388.15 | $1,109.00 | $299.43 – $1,109.00 | 16 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $1,257.55 | $3,593.00 | $970.11 – $3,593.00 | 16 |
| Repair lower leg epiphyses CPT 27734 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair lower leg tendons CPT 27675 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair lower leg tendons CPT 27676 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair lumbar hernia CPT 49540 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair middle ear structures CPT 69666 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair middle ear structures CPT 69667 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair multi-comp penis pros CPT 54408 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair muscles of hand CPT 26591 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair nasal septum defect CPT 30630 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Repair nasal stenosis CPT 30465 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Repair nerve add-on CPT 64837 | not published | not published | $958.00 – $958.00 | 1 |
| Repair nerve add-on 64832 CPT 64832 | not published | not published | $958.00 – $958.00 | 1 |
| Repair nerve/shorten bone CPT 64876 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair nonunion hand CPT 26546 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair nose to lip fistula CPT 42260 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair of achilles tendon CPT 27654 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair of anal sphincter CPT 46760 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair of anal sphincter CPT 46761 | 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.