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 |
|---|---|---|---|---|
| Revise eye muscle w/suture CPT 67334 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise eye socket implant CPT 67560 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise eye sockets CPT 21267 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise eye with implant CPT 65093 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise finger joint each CPT 26135 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise finger joint each CPT 26140 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise/implant finger joint CPT 26536 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise kneecap CPT 27437 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise kneecap with implant CPT 27438 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise knuckle joint CPT 26530 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise knuckle with implant CPT 26531 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise lower leg tendon CPT 27690 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise lower leg tendon CPT 27691 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise lower leg tendons CPT 27686 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise middle ear bone CPT 69660 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise middle ear bone CPT 69661 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise middle ear bone CPT 69662 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revise ocular implant CPT 65150 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise radius & ulna CPT 25375 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $958.00 – $958.00 | 1 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise temple bone implant CPT 69718 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise thumb tendon CPT 26490 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise thumb tendon CPT 26496 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise two eye muscles CPT 67312 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise two eye muscles CPT 67316 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise windpipe scar CPT 31830 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revise wrist joint CPT 25332 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revision of ankle joint CPT 27700 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revision of big toe CPT 28310 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of bladder neck CPT 52500 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of calf tendon CPT 27687 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of cervix CPT 57720 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of cervix CPT 59320 | not published | not published | $958.00 – $958.00 | 1 |
| Revision of collar bone CPT 23480 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revision of collar bone CPT 23485 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revision of colostomy CPT 44340 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of cranial nerve CPT 64716 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of eyelid CPT 67880 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of eyelid CPT 67882 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of eyelid CPT 67950 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revision of eyelid CPT 67961 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of eyelid CPT 67966 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of foot CPT 28116 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of foot and ankle CPT 28262 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revision of foot bones CPT 28737 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of foot tendon CPT 28238 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of hip tendon CPT 27097 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $958.00 – $958.00 | 1 |
| Revision of infusion pump CPT 36261 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $958.00 – $958.00 | 1 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $958.00 – $958.00 | 1 |
| Revision of knee joint CPT 27441 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revision of knee joint CPT 27442 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revision of knee joint CPT 27443 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Revision of neck muscle CPT 21720 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of neck muscle CPT 21725 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of nose CPT 30120 | not published | not published | $958.00 – $958.00 | 1 |
| Revision of nose CPT 30430 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of nose CPT 30435 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Revision of nose CPT 30450 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revision of nose CPT 30460 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revision of nose CPT 30462 | not published | not published | $5,460.00 – $5,460.00 | 1 |
| Revision of penis CPT 54300 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of penis CPT 54304 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Revision of penis CPT 54420 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revision of penis CPT 54435 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $3,115.00 – $3,115.00 | 1 |
| Revision of radius CPT 25350 | 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.