CHI St. Vincent Hospital Hot Springs
300 Werner Street, Hot Springs, AR · CommonSpirit Health · · NPI 1619915949
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 |
|---|---|---|---|---|
| Diab manage trn ind/group HCPCS G0109 | $95.00 | $95.00 | $14.10 – $76.00 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $187.00 | $187.00 | $149.60 – $149.60 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $554.00 | $554.00 | $265.78 – $443.20 | 3 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $345.00 | $345.00 | $181.80 – $276.00 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $556.00 | $556.00 | $111.86 – $444.80 | 10 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $12,319.00 | $12,319.00 | $674.19 – $9,855.20 | 5 |
| Dialysis one evaluation CPT 90945 | $1,004.00 | $1,004.00 | $144.30 – $803.20 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $505.00 | $505.00 | $6.61 – $95.80 | 8 |
| Dicyclomine injection HCPCS J0500 | $257.50 | $257.50 | $14.67 – $83.40 | 8 |
| Diffusing capacity CPT 94729 | $285.00 | $285.00 | $42.75 – $228.00 | 8 |
| Digital analysis of eeg CPT 95957 | $486.00 | $486.00 | $95.86 – $469.33 | 8 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $4,726.50 | $4,726.50 | $4.52 – $19.00 | 8 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $21,368.50 | $21,368.50 | $1,227.87 – $13,927.20 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $174.00 | $174.00 | $10.01 – $139.20 | 10 |
| Dilate biliary duct/ampulla CPT 47542 | $1,523.00 | $1,523.00 | $674.19 – $1,218.40 | 5 |
| Dilate esophagus CPT 43453 | $1,664.00 | $1,664.00 | $1,331.20 – $1,331.20 | 2 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,589.00 | $1,589.00 | $1,271.20 – $1,271.20 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $556.86 – $556.86 | 1 |
| Dilate urethra stricture CPT 53600 | not published | not published | $457.71 – $457.71 | 1 |
| Dilate urethra stricture CPT 53601 | not published | not published | $457.71 – $457.71 | 1 |
| Dilate urethra stricture CPT 53621 | not published | not published | $457.71 – $457.71 | 1 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $457.71 – $457.71 | 1 |
| Dilation of anal sphincter CPT 45905 | $3,944.00 | $3,944.00 | $3,155.20 – $3,155.20 | 2 |
| Dilation of salivary duct CPT 42660 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Dilation of urethra CPT 53661 | not published | not published | $457.71 – $457.71 | 1 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $820.52 – $820.52 | 1 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $60.25 | $60.25 | $1.76 – $7.40 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $20.00 | $20.00 | $0.72 – $7.08 | 8 |
| Disability dlco CPT 94727 | $431.00 | $431.00 | $71.56 – $344.80 | 8 |
| Disaccharidases CPT 82657 | $232.00 | $232.00 | $16.72 – $185.60 | 10 |
| Discography cerv/thor spine CPT 72285 | $5,726.00 | $5,726.00 | $1,018.80 – $4,580.80 | 7 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,626.10 – $2,626.10 | 1 |
| Dna antibody native/double stranded CPT 86225 | $148.00 | $148.00 | $10.36 – $118.40 | 10 |
| Dna gardnerella CPT 87510 | $259.00 | $259.00 | $15.11 – $207.20 | 10 |
| Dna probe chlamydia CPT 87490 | $259.00 | $259.00 | $17.16 – $207.20 | 10 |
| Dna probe gc CPT 87590 | $259.00 | $259.00 | $19.67 – $207.20 | 10 |
| Dna trichomonas CPT 87660 | $259.00 | $259.00 | $15.11 – $207.20 | 10 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $264.00 | $264.00 | $5.32 – $48.92 | 8 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,117.00 | $1,117.00 | $0.69 – $684.00 | 8 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $104.00 | $104.00 | $0.61 – $15.60 | 8 |
| Doppler echo complete CPT 93320 | $941.00 | $941.00 | $31.79 – $928.11 | 8 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,821.00 | $2,821.00 | $2,256.80 – $5,825.00 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $775.00 | $775.00 | $134.59 – $620.00 | 9 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $497.00 | $497.00 | $61.97 – $434.51 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,130.00 | $1,130.00 | $3.60 – $43.70 | 8 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $152.75 | $152.75 | $17.15 – $72.20 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $354.36 – $354.36 | 1 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $421.86 – $421.86 | 1 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $776.23 – $776.23 | 1 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $421.86 – $421.86 | 1 |
| Drainage of kidney lesion CPT 50390 | $2,369.00 | $2,369.00 | $1,895.20 – $1,895.20 | 2 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $354.36 – $354.36 | 1 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $354.36 – $354.36 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | $3,037.00 | $3,037.00 | $2,429.60 – $2,429.60 | 2 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,145.17 – $2,145.17 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $262.13 – $262.13 | 1 |
| Drain blood from under nail 11740 CPT 11740 | $136.00 | $136.00 | $108.80 – $136.00 | 3 |
| Drain cath image guided visceral pq CPT 49405 | $1,618.00 | $1,618.00 | $1,294.40 – $1,294.40 | 2 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,500.00 | $1,500.00 | $655.31 – $1,200.00 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $489.00 | $489.00 | $391.20 – $421.86 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $530.00 | $530.00 | $424.00 – $424.00 | 2 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $265.00 | $265.00 | $212.00 – $265.00 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $625.00 | $625.00 | $500.00 – $500.00 | 2 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $183.00 | $183.00 | $111.80 – $146.40 | 3 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $590.59 – $590.59 | 1 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $388.11 – $388.11 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $70.25 | $70.25 | $7.94 – $33.40 | 8 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $367.00 | $367.00 | $118.65 – $271.20 | 6 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $23.00 | $23.00 | $8.05 – $52.21 | 10 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $27.00 | $27.00 | $9.45 – $61.29 | 10 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $47.00 | $47.00 | $5.60 – $16.00 | 7 |
| Drug admin & hemodynmic meas CPT 93463 | $729.00 | $729.00 | $583.20 – $5,825.00 | 3 |
| Drug assay caffeine CPT 80155 | $182.00 | $182.00 | $13.87 – $145.60 | 7 |
| Drug assay posaconazole CPT 80187 | $294.00 | $294.00 | $20.44 – $235.20 | 10 |
| Drug assay rufinamide CPT 80210 | $159.00 | $159.00 | $20.44 – $127.20 | 10 |
| Drug assay vedolizumab CPT 80280 | $388.00 | $388.00 | $29.08 – $310.40 | 10 |
| Drug assay voriconazole CPT 80285 | $294.00 | $294.00 | $20.44 – $235.20 | 10 |
| Drug test prsmv instrmnt CPT 80306 | $18.00 | $18.00 | $12.92 – $40.86 | 10 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $369.00 | $369.00 | $46.85 – $295.20 | 10 |
| Drvvt confirm - quest CPT 85597 | $231.00 | $231.00 | $13.56 – $184.80 | 10 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $373.34 – $373.34 | 1 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $373.34 – $373.34 | 1 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $744.59 – $744.59 | 1 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $744.59 – $744.59 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | $627.00 | $627.00 | $221.67 – $501.60 | 5 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $439.00 | $439.00 | $101.45 – $439.00 | 6 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $795.00 | $795.00 | $126.67 – $636.00 | 9 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $712.00 | $712.00 | $74.91 – $573.72 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,844.00 | $2,844.00 | $2,275.20 – $2,275.20 | 2 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $265.78 – $265.78 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $820.52 – $820.52 | 1 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $58.46 – $58.46 | 1 |
| Ecg 12 lead tracing only CPT 93005 | $276.00 | $276.00 | $38.59 – $442.00 | 8 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $97.00 | $97.00 | $13.62 – $355.00 | 8 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,390.00 | $2,390.00 | $364.00 – $1,912.00 | 8 |
| Echocardiography doppler color flow mapping CPT 93325 | $452.00 | $452.00 | $19.67 – $452.00 | 8 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $3,538.00 | $3,538.00 | $364.00 – $2,830.40 | 3 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $879.00 | $879.00 | $133.93 – $879.00 | 8 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $879.00 | $879.00 | $364.00 – $703.20 | 3 |
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.