St. Luke's Health The Vintage Hospital: cash prices and insurance rates
St. Luke's HealthHouston, TX71 plans in file
What St. Luke's Health The Vintage Hospital (St. Luke's Health) lists in its federally required price file for 39 common scans, tests and ER visits.
Hospital files dated February 28, 2026 · Data checked October 2, 2026 · How we read these files · Report an error
MRI
Published cash priceTypical insured rateLowest insured rate
St. Luke's Health The Vintage Hospital — MRI| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Brain MRICPT 70551 · 71 plans in file | Published cash price$1,648 | Typical insured rate$1,07536 plans | Lowest insured rate$174 |
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| Brain MRI with contrastCPT 70553 · 71 plans in file | Published cash price$4,120 | Typical insured rate$1,17336 plans | Lowest insured rate$258 |
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| Neck MRICPT 72141 · 71 plans in file | Published cash price$2,950 | Typical insured rate$1,07536 plans | Lowest insured rate$174 |
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| Lower back MRICPT 72148 · 71 plans in file | Published cash price$3,529 | Typical insured rate$1,07536 plans | Lowest insured rate$174 |
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| Knee MRICPT 73721 · 71 plans in file | Published cash price$2,726 | Typical insured rate$1,07536 plans | Lowest insured rate$174 |
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| Shoulder MRICPT 73221 · 71 plans in file | Published cash price$1,790 | Typical insured rate$1,07536 plans | Lowest insured rate$174 |
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| Abdominal MRICPT 74183 · 71 plans in file | Published cash price$4,936 | Typical insured rate$1,17336 plans | Lowest insured rate$258 |
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| Pelvic MRICPT 72195 · 71 plans in file | Published cash price$3,357 | Typical insured rate$1,07536 plans | Lowest insured rate$174 |
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| Breast MRICPT 77049 · 33 plans in file | Published cash price$989 | Typical insured rate$1,46726 plans | Lowest insured rate$428 |
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CT scan
Published cash priceTypical insured rateLowest insured rate
St. Luke's Health The Vintage Hospital — CT scan| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Head CTCPT 70450 · 71 plans in file | Published cash price$2,399 | Typical insured rate$73436 plans | Lowest insured rate$76.69 |
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| Chest CTCPT 71250 · 71 plans in file | Published cash price$2,797 | Typical insured rate$73436 plans | Lowest insured rate$76.69 |
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| Chest CT with contrastCPT 71260 · 71 plans in file | Published cash price$3,540 | Typical insured rate$79636 plans | Lowest insured rate$128 |
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| Abdomen and pelvis CTCPT 74176 · 71 plans in file | Published cash price$5,659 | Typical insured rate$85036 plans | Lowest insured rate$174 |
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| Abdomen and pelvis CT with contrastCPT 74177 · 71 plans in file | Published cash price$6,736 | Typical insured rate$1,15936 plans | Lowest insured rate$258 |
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X-ray
Published cash priceTypical insured rateLowest insured rate
St. Luke's Health The Vintage Hospital — X-ray| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Chest X-rayCPT 71046 · 66 plans in file | Published cash price$572 | Typical insured rate$20431 plans | Lowest insured rate$63.50 |
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| Knee X-rayCPT 73562 · 66 plans in file | Published cash price$504 | Typical insured rate$20431 plans | Lowest insured rate$63.50 |
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| Lower back X-rayCPT 72100 · 66 plans in file | Published cash price$714 | Typical insured rate$20931 plans | Lowest insured rate$76.69 |
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| Shoulder X-rayCPT 73030 · 66 plans in file | Published cash price$559 | Typical insured rate$20431 plans | Lowest insured rate$63.50 |
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Ultrasound
Published cash priceTypical insured rateLowest insured rate
St. Luke's Health The Vintage Hospital — Ultrasound| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Abdominal ultrasoundCPT 76700 · 66 plans in file | Published cash price$1,812 | Typical insured rate$34031 plans | Lowest insured rate$76.69 |
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| Pelvic ultrasoundCPT 76856 · 66 plans in file | Published cash price$990 | Typical insured rate$33631 plans | Lowest insured rate$76.69 |
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| Transvaginal ultrasoundCPT 76830 · 66 plans in file | Published cash price$705 | Typical insured rate$30531 plans | Lowest insured rate$76.69 |
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| Thyroid ultrasoundCPT 76536 · 66 plans in file | Published cash price$1,158 | Typical insured rate$34631 plans | Lowest insured rate$76.69 |
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| Breast ultrasoundCPT 76641 · 66 plans in file | Published cash price$980 | Typical insured rate$33631 plans | Lowest insured rate$76.69 |
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Mammogram
Published cash priceTypical insured rateLowest insured rate
St. Luke's Health The Vintage Hospital — Mammogram| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Screening mammogramCPT 77067 · 28 plans in file | Published cash price$298 | Typical insured rate$33521 plans | Lowest insured rate$140 |
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| Diagnostic mammogramCPT 77066 · 28 plans in file | Published cash price$681 | Typical insured rate$40621 plans | Lowest insured rate$148 |
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Bone density test (DEXA)
Published cash priceTypical insured rateLowest insured rate
St. Luke's Health The Vintage Hospital — Bone density test (DEXA)| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| DEXA scanCPT 77080 · 66 plans in file | Published cash price$417 | Typical insured rate$16031 plans | Lowest insured rate$43.19 |
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Lab tests
Published cash priceTypical insured rateLowest insured rate
St. Luke's Health The Vintage Hospital — Lab tests| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| CMPCPT 80053 · 65 plans in file | Published cash price$473 | Typical insured rate$22.8430 plans | Lowest insured rate$7.60 |
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| BMPCPT 80048 · 65 plans in file | Published cash price$380 | Typical insured rate$17.9530 plans | Lowest insured rate$6.09 |
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| CBCCPT 85025 · 66 plans in file | Published cash price$93.80 | Typical insured rate$18.1731 plans | Lowest insured rate$5.59 |
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| Lipid panelCPT 80061 · 65 plans in file | Published cash price$155 | Typical insured rate$28.8330 plans | Lowest insured rate$9.64 |
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| TSH testCPT 84443 · 65 plans in file | Published cash price$152 | Typical insured rate$36.2030 plans | Lowest insured rate$12.10 |
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| A1c testCPT 83036 · 65 plans in file | Published cash price$74.90 | Typical insured rate$20.7930 plans | Lowest insured rate$6.99 |
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| UrinalysisCPT 81001 · 66 plans in file | Published cash price$91.70 | Typical insured rate$7.4231 plans | Lowest insured rate$2.28 |
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| Vitamin D testCPT 82306 · 65 plans in file | Published cash price$129 | Typical insured rate$63.6430 plans | Lowest insured rate$21.31 |
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| PSA testCPT 84153 · 65 plans in file | Published cash price$127 | Typical insured rate$39.3630 plans | Lowest insured rate$13.24 |
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| Urine cultureCPT 87086 · 66 plans in file | Published cash price$173 | Typical insured rate$19.0031 plans | Lowest insured rate$5.81 |
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ER visit
Published cash priceTypical insured rateLowest insured rate
St. Luke's Health The Vintage Hospital — ER visit| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| ER visit level 3CPT 99283 · 70 plans in file | Published cash price$962 | Typical insured rate$1,26035 plans | Lowest insured rate$200 |
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| ER visit level 4CPT 99284 · 70 plans in file | Published cash price$1,372 | Typical insured rate$1,84235 plans | Lowest insured rate$307 |
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| ER visit level 5CPT 99285 · 70 plans in file | Published cash price$1,760 | Typical insured rate$2,11635 plans | Lowest insured rate$442 |
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About this price file
- File:
263734606-1710314141_st-lukes-hospital-at-the-vintage_standardcharges.json, last updated February 28, 2026 (hospital's price transparency page). - The same file covers these locations: St. Luke's Health - The Vintage Hospital. Their prices are the ones on this page.
- Financial assistance: we have not yet verified a link to this hospital's policy — ask the hospital's billing office.
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