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 toe dislocation CPT 28645 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $311.85 | $891.00 | $240.57 – $891.00 | 16 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair umbilical lesion CPT 49600 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair uro sphincter CPT 53449 | not published | not published | $958.00 – $958.00 | 1 |
| Repair vagina/perineum CPT 57210 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Repair windpipe opening CPT 31614 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | $24,500.00 | $70,000.00 | $5,600.00 – $70,000.00 | 22 |
| Replace aortic valve open axillry 33363 CPT 33363 | $13,776.00 | $39,360.00 | $3,148.80 – $39,360.00 | 22 |
| Replace aortic valve open femoral 33362 CPT 33362 | $13,288.10 | $37,966.00 | $3,037.28 – $37,966.00 | 22 |
| Replace aortic valve open iliac 33364 CPT 33364 | $14,751.10 | $42,146.00 | $3,371.68 – $42,146.00 | 22 |
| Replace aortic valve open transaortic 33365 CPT 33365 | $9,252.25 | $26,435.00 | $2,114.80 – $26,435.00 | 22 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | $6,616.75 | $18,905.00 | $1,512.40 – $18,905.00 | 22 |
| Replace duod/jej tube perc CPT 49451 | $632.80 | $1,808.00 | $488.16 – $1,808.00 | 19 |
| Replace elbow joint CPT 24363 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Replace eye fluid CPT 67025 | not published | not published | $958.00 – $958.00 | 1 |
| Replace g/c tube perc CPT 49450 | $471.10 | $1,346.00 | $363.42 – $1,346.00 | 19 |
| Replace g-j tube perc CPT 49452 | $985.95 | $2,817.00 | $760.59 – $2,817.00 | 19 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $958.00 – $958.00 | 1 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $958.00 – $958.00 | 1 |
| Replacement pulmonary valve 33475 CPT 33475 | $8,390.55 | $23,973.00 | $1,917.84 – $23,973.00 | 22 |
| Replace picvad cath CPT 36585 | $4,321.80 | $12,348.00 | $1,609.00 – $12,348.00 | 16 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Replace tunneled cv cath CPT 36578 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Reposition intraocular lens CPT 66825 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Reposition pm/icd lead CPT 33215 | $1,984.85 | $5,671.00 | $1,531.17 – $5,671.00 | 19 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $2,408.35 | $6,881.00 | $550.48 – $6,881.00 | 22 |
| Repos lv lead pm/icd CPT 33226 | $1,908.90 | $5,454.00 | $1,472.58 – $5,454.00 | 19 |
| Repos sq defib eltrd CPT 33273 | $1,642.90 | $4,694.00 | $1,267.38 – $4,694.00 | 16 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $958.00 – $958.00 | 1 |
| Reptilase test CPT 85635 | $26.95 | $77.00 | $7.09 – $77.00 | 39 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Rerevise eye muscles add-on CPT 67332 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect distal finger tumor CPT 26262 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Resect enlarged toe CPT 28341 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect inferior turbinate CPT 30140 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Resection of elbow joint CPT 24155 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect prox finger tumor CPT 26260 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect tarsal tumor CPT 28171 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Respirator motion mgmt simul CPT 77293 | $777.70 | $2,222.00 | $529.85 – $2,222.00 | 18 |
| #resp virpnl dfa-adenovirus CPT 87260 | $26.25 | $75.00 | $10.39 – $75.00 | 39 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $26.25 | $75.00 | $11.83 – $75.00 | 39 |
| Resp virus 6-11 targets CPT 87632 | $130.20 | $372.00 | $100.44 – $708.70 | 39 |
| Resuscitation cardiopulmonary CPT 92950 | $734.30 | $2,098.00 | $100.00 – $2,098.00 | 15 |
| Resuscitation delivery/birthing room CPT 99465 | $444.15 | $1,269.00 | $100.00 – $1,269.00 | 23 |
| Reteplase injection HCPCS J2993 | $6,569.09 | $18,768.81 | $2,709.10 – $18,768.81 | 23 |
| Reticulocyte automated CPT 85045 | $40.95 | $117.00 | $2.87 – $117.00 | 39 |
| Reticulocyte direct measurement automated CPT 85046 | $42.70 | $122.00 | $4.01 – $122.00 | 39 |
| Retrieval of oocyte CPT 58970 | not published | not published | $958.00 – $958.00 | 1 |
| Revasc intra lithotrip-ather HCPCS C9766 | $11,265.45 | $32,187.00 | $2,574.96 – $32,187.00 | 19 |
| Revasc intra lithotrip-stent HCPCS C9765 | $11,265.45 | $32,187.00 | $2,574.96 – $32,187.00 | 19 |
| Revasc intravasc lithotripsy HCPCS C9764 | $7,085.05 | $20,243.00 | $1,619.44 – $20,243.00 | 19 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $8,999.90 | $25,714.00 | $6,942.78 – $25,714.00 | 16 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $11,265.45 | $32,187.00 | $2,574.96 – $32,187.00 | 19 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $7,304.85 | $20,871.00 | $5,635.17 – $20,871.00 | 16 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $8,124.55 | $23,213.00 | $6,267.51 – $23,213.00 | 16 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $9,418.85 | $26,911.00 | $7,265.97 – $26,911.00 | 16 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise additional leg tendon CPT 27692 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise eye CPT 65091 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise eyelashes CPT 67835 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise eyelid defect CPT 67909 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eyelid defect CPT 67911 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise eyelid lining CPT 68330 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eyelid lining CPT 68360 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise eyelid lining CPT 68362 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise eye muscle CPT 67311 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise eye muscle CPT 67314 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $1,929.00 – $1,929.00 | 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.