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 |
|---|---|---|---|---|
| Treat knuckle dislocation CPT 26715 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treat lower jaw fracture 21462 CPT 21462 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Treat lower leg bone lesion CPT 27607 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treat lower leg dislocation CPT 27830 | not published | not published | $958.00 – $958.00 | 1 |
| Treat lower leg dislocation CPT 27831 | not published | not published | $958.00 – $958.00 | 1 |
| Treat lower leg dislocation CPT 27832 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treat lower leg fracture CPT 27826 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat lower leg fracture CPT 27827 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat lower leg fracture CPT 27828 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treat lower leg joint CPT 27829 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $247.10 | $706.00 | $100.00 – $706.00 | 16 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $193.90 | $554.00 | $24.73 – $554.00 | 16 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $203.35 | $581.00 | $100.00 – $581.00 | 16 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of ankle fracture 27786 CPT 27786 | $130.20 | $372.00 | $100.44 – $372.00 | 16 |
| Treatment of fibula fracture CPT 27784 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of fibula fracture 27780 CPT 27780 | $128.10 | $366.00 | $98.82 – $366.00 | 16 |
| Treatment of foot infection CPT 28002 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of foot infection CPT 28003 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of heel fracture 28400 CPT 28400 | $128.10 | $366.00 | $98.82 – $366.00 | 16 |
| Treatment of miscarriage CPT 59821 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Treatment of penis lesion CPT 54110 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treatment of penis lesion CPT 54115 | not published | not published | $958.00 – $958.00 | 1 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $2,177.00 – $2,177.00 | 1 |
| Treatment of thigh fracture CPT 27501 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treatment of thigh fracture CPT 27503 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of thigh fracture CPT 27508 | not published | not published | $958.00 – $958.00 | 1 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of thigh fracture CPT 27510 | $1,325.10 | $3,786.00 | $958.00 – $3,786.00 | 16 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treatment of toe fracture 28510 CPT 28510 | $80.15 | $229.00 | $61.83 – $229.00 | 19 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treatment radiation delivery level 2 CPT 77407 | $421.40 | $1,204.00 | $325.08 – $1,204.00 | 18 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat penis lesion graft CPT 54111 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treat penis lesion graft CPT 54112 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treat radius fracture CPT 24665 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treat radius fracture CPT 24666 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $958.00 – $958.00 | 1 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $958.00 – $958.00 | 1 |
| Treat sternum fracture CPT 21820 | not published | not published | $958.00 – $958.00 | 1 |
| Treat tail bone fracture CPT 27202 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treat thigh fracture CPT 27230 | not published | not published | $958.00 – $958.00 | 1 |
| Treat thigh fracture CPT 27238 | not published | not published | $958.00 – $958.00 | 1 |
| Treat thigh fracture CPT 27246 | not published | not published | $958.00 – $958.00 | 1 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $958.00 – $958.00 | 1 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $958.00 – $958.00 | 1 |
| Treat thumb fracture CPT 26650 | not published | not published | $1,285.00 – $1,285.00 | 1 |
| Treat thumb fracture CPT 26665 | not published | not published | $1,929.00 – $1,929.00 | 1 |
| Treat toe dislocation CPT 28636 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat toe dislocation CPT 28665 | not published | not published | $958.00 – $958.00 | 1 |
| Treat toe dislocation CPT 28666 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat toe fracture CPT 28525 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat ulnar fracture CPT 24675 | $1,255.10 | $3,586.00 | $958.00 – $3,586.00 | 16 |
| Treat ulnar fracture CPT 24685 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $958.00 – $958.00 | 1 |
| Treat wrist bone fracture CPT 25635 | $1,325.10 | $3,786.00 | $958.00 – $3,786.00 | 16 |
| Treat wrist dislocation CPT 25675 | $125.30 | $358.00 | $96.66 – $358.00 | 16 |
| Treponema pallidum antibody CPT 86780 | $56.70 | $162.00 | $9.53 – $162.00 | 39 |
| Treprostinil injection HCPCS J3285 | $23,471.48 | $67,061.35 | $45.57 – $1,783.30 | 23 |
| Treprostinil, non-comp unit HCPCS J7686 | $271.77 | $776.47 | $170.83 – $776.47 | 23 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $36.78 | $105.07 | $1.29 – $62.40 | 23 |
| Triamcinolone a inj prs-free HCPCS J3300 | $40.43 | $115.49 | $4.10 – $115.49 | 23 |
| Triglycerides CPT 84478 | $91.35 | $261.00 | $4.13 – $261.00 | 39 |
| Trimethobenzamide hcl inj HCPCS J3250 | $84.51 | $241.45 | $36.01 – $241.45 | 23 |
| Trim nondyst nails CPT 11719 | $34.30 | $98.00 | $7.84 – $98.00 | 24 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $958.00 – $958.00 | 1 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $4,196.85 | $11,991.00 | $959.28 – $11,991.00 | 22 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $5,910.80 | $16,888.00 | $1,351.04 – $16,888.00 | 22 |
| Trnscath plc stnt ante carotid art CPT 37218 | $6,046.25 | $17,275.00 | $1,382.00 – $17,275.00 | 19 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $2,484.30 | $7,098.00 | $100.00 – $7,098.00 | 18 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $2,769.55 | $7,913.00 | $100.00 – $7,913.00 | 18 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $6,294.40 | $17,984.00 | $4,855.68 – $17,984.00 | 18 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $1,960.70 | $5,602.00 | $1,512.54 – $5,602.00 | 19 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $2,649.85 | $7,571.00 | $2,044.17 – $7,571.00 | 19 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,590.05 | $4,543.00 | $363.44 – $4,543.00 | 22 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $1,192.45 | $3,407.00 | $272.56 – $3,407.00 | 22 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,881.60 | $5,376.00 | $1,451.52 – $5,376.00 | 19 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,609.00 – $1,609.00 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | 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.