St. Luke's Health - The Vintage Hospital
Cash prices and insurer rates for 15 common procedures, from the hospital’s own price file.
- Prices from each hospital’s official price file
- Checked October 30, 2026
- Outpatient facility prices
- Address
- 20171 Chasewood Park Drive, Houston, TX 77070
- Type
- Acute care hospital · emergency department
- Prices published
- February 28, 2026 · checked October 29, 2026
Outpatient facility charge only. These are the hospital’s own published prices for the facility part of the visit. The doctor’s or radiologist’s fee is billed separately and isn’t included, and your final bill can differ (extra tests, contrast, supplies). Not medical or insurance advice.
| Procedure | Cash price | List price | Insurers paylowest–highest | Area median cash |
|---|---|---|---|---|
| Brain MRICPT 70551 | $1,648 | $4,708 | $174–4,708median $1,014 | $1,336 |
| Lower back MRICPT 72148 | $3,529 | $10,082 | $174–10,082median $1,014 | $1,930 |
| Knee MRICPT 73721 | $2,726 | $7,788 | $174–7,788median $1,014 | $2,013 |
| Shoulder MRICPT 73221 | $1,790 | $5,115 | $174–5,115median $1,014 | $1,368 |
| Head CTCPT 70450 | $2,399 | $6,855 | $77–6,855median $488 | $1,760 |
| Abdomen and pelvis CTCPT 74177 | $6,736 | $19,247 | $258–19,247median $667 | $3,196 |
| Abdominal ultrasoundCPT 76700 | $1,812 | $5,178 | $77–5,178median $252 | $1,178 |
| Screening mammogramCPT 77067 | $298 | $850 | $140–850median $396 | $321 |
| ColonoscopyCPT 45378 | not published | – | $573–7,221median $1,306 | $1,148 |
| Upper endoscopyCPT 43235 | not published | – | $589–5,160median $1,291 | $1,029 |
| Chest X-rayCPT 71046 | $572 | $1,635 | $64–1,635median $132 | $572 |
| Metabolic panelCPT 80053 | $473 | $1,351 | $8–1,351median $20 | $306 |
| CBC blood testCPT 85025 | $94 | $268 | $6–268median $14 | $93 |
| Lipid panelCPT 80061 | $155 | $443 | $10–443median $25 | $141 |
| A1c testCPT 83036 | $75 | $214 | $7–214median $18 | $51 |
Source: ST. LUKES HOSPITAL AT THE VINTAGE standard charges file, published February 28, 2026. “Area median” is the median cash price across the Houston hospitals’ price lists.
Cash or your insurance plan?Your plan pays a different rate at each hospital. See your plan’s own rate at every hospital nearby, next to the cash price, and what you would pay after your deductible. See an example report.
See what your plan paysInsurer rates
Brain MRI
Devoted Health $259 · SCAN Health Plan $259 · KelseyCare Advantage $242–1,399 · Community Health Choice $363 · Superior HealthPlan $363 · Wellpoint (Amerigroup) $363 · Blue Cross and Blue Shield of Texas $242–1,014 · Humana $242–3,060
Lower back MRI
Devoted Health $259 · SCAN Health Plan $259 · KelseyCare Advantage $242–1,399 · Community Health Choice $363 · Superior HealthPlan $363 · Wellpoint (Amerigroup) $363 · Blue Cross and Blue Shield of Texas $242–1,014 · Humana $242–6,553
Knee MRI
Devoted Health $259 · SCAN Health Plan $259 · KelseyCare Advantage $242–1,399 · Community Health Choice $363 · Superior HealthPlan $363 · Wellpoint (Amerigroup) $363 · Blue Cross and Blue Shield of Texas $242–1,014 · Humana $242–5,062
Shoulder MRI
Devoted Health $259 · SCAN Health Plan $259 · KelseyCare Advantage $242–1,399 · Community Health Choice $363 · Superior HealthPlan $363 · Wellpoint (Amerigroup) $363 · Blue Cross and Blue Shield of Texas $242–1,014 · Humana $242–3,325
Head CT
Devoted Health $114 · SCAN Health Plan $114 · KelseyCare Advantage $107–1,155 · Community Health Choice $160 · Superior HealthPlan $160 · Wellpoint (Amerigroup) $160 · Blue Cross and Blue Shield of Texas $107–488 · Cigna $107–4,799
Abdomen and pelvis CT
Devoted Health $383 · SCAN Health Plan $383 · KelseyCare Advantage $358–1,155 · Community Health Choice $537 · Superior HealthPlan $537 · Wellpoint (Amerigroup) $537 · Cigna $358–13,473 · Aetna $365–13,088
Each insurer has several plans, often at different rates. Your plan’s price shows the rate for your own plan.