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 |
|---|---|---|---|---|
| Laryngoscopy telescopic CPT 31579 | not published | not published | $866.93 – $866.93 | 1 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $354.36 – $354.36 | 1 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $6,200.00 | $6,200.00 | $1,050.00 – $2,400.00 | 6 |
| Lead capillary CPT 83655 | $148.00 | $148.00 | $9.13 – $118.40 | 10 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,900.00 | $1,900.00 | $262.50 – $600.00 | 6 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,000.00 | $8,000.00 | $2,800.00 – $6,400.00 | 6 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,283.00 | $1,283.00 | $95.34 – $1,026.40 | 9 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $780.50 | $780.50 | $0.05 – $0.57 | 8 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $26.50 | $26.50 | $0.06 – $8.60 | 8 |
| Levetiracetam therapeutic drug level CPT 80177 | $153.00 | $153.00 | $9.99 – $122.40 | 10 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $72.50 | $72.50 | $1.17 – $35.76 | 8 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $697.00 | $697.00 | $74.96 – $315.60 | 3 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $1,448.00 | $1,448.00 | $1,158.40 – $5,825.00 | 3 |
| Liberta rc ipg HCPCS C1820 | $20,200.00 | $20,200.00 | $7,070.00 – $16,160.00 | 6 |
| Lidocaine injection HCPCS J2001 | $17.75 | $17.75 | $0.04 – $4.40 | 4 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $99.00 | $99.00 | $0.91 – $3.80 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $39.75 | $39.75 | $5.47 – $23.00 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $188.00 | $188.00 | $11.08 – $150.40 | 10 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,704.14 – $2,704.14 | 1 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,704.14 – $2,704.14 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,119.67 – $3,119.67 | 1 |
| Limited ankle motion ea jnt HCPCS L2200 | $117.00 | $117.00 | $40.95 – $117.00 | 5 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $412.00 | $412.00 | $3.96 – $74.75 | 8 |
| Lipase CPT 83690 | $128.00 | $128.00 | $5.20 – $102.40 | 10 |
| Lipoprotein blood high res frac & quant CPT 83701 | $314.00 | $314.00 | $24.34 – $251.20 | 10 |
| Lipoprotein blood quant CPT 83704 | $103.00 | $103.00 | $25.78 – $103.40 | 10 |
| Lipoprotein direct measurement hdl CPT 83718 | $105.00 | $105.00 | $6.17 – $84.00 | 10 |
| Lipoprotein direct measurement ldl CPT 83721 | $117.00 | $117.00 | $7.92 – $93.60 | 10 |
| Lithium therapeutic drug level CPT 80178 | $77.00 | $77.00 | $4.99 – $61.60 | 10 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $23,042.00 | $23,042.00 | $5,825.00 – $18,433.60 | 3 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,212.00 | $1,212.00 | $674.19 – $969.60 | 5 |
| Liver Function Test CPT 80076 | $139.00 | $139.00 | $6.16 – $111.20 | 10 |
| Liver imaging CPT 78201 | $1,412.00 | $1,412.00 | $231.54 – $1,221.35 | 10 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,130.00 | $1,130.00 | $129.39 – $904.00 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $175.50 | $175.50 | $0.05 – $0.57 | 8 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,984.00 | $3,984.00 | $174.94 – $3,187.20 | 10 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,367.00 | $3,367.00 | $366.59 – $2,693.60 | 10 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,570.00 | $2,570.00 | $107.60 – $2,056.00 | 10 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $6,555.00 | $6,555.00 | $366.59 – $5,244.00 | 10 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $5,547.00 | $5,547.00 | $366.59 – $4,437.60 | 10 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,879.00 | $3,879.00 | $223.73 – $3,103.20 | 10 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $458.00 | $458.00 | $63.56 – $366.40 | 10 |
| Lso sag-coronal panel custom HCPCS L0638 | $2,875.00 | $2,875.00 | $1,006.25 – $2,300.00 | 5 |
| Lso s/c shell/panel prefab HCPCS L0639 | $1,587.00 | $1,587.00 | $555.45 – $1,269.60 | 5 |
| L/s ratio fetal lung CPT 83661 | $284.00 | $284.00 | $16.58 – $227.20 | 10 |
| Lumbar diskogram s&i CPT 72295 | $3,470.00 | $3,470.00 | $1,018.80 – $3,947.38 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $205.00 | $205.00 | $36.32 – $175.08 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | $382.00 | $382.00 | $54.48 – $305.60 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $1,681.00 | $1,681.00 | $74.91 – $1,344.80 | 10 |
| Lymphocyte transformation mitogen CPT 86353 | $281.00 | $281.00 | $36.97 – $224.80 | 10 |
| Macro exam dissect molec study ea CPT 88387 | $121.00 | $121.00 | $5.39 – $96.80 | 6 |
| Macroscopic exam arthropod CPT 87168 | $55.00 | $55.00 | $3.22 – $44.00 | 10 |
| Macroscopic exam parasite CPT 87169 | $55.00 | $55.00 | $3.25 – $44.00 | 10 |
| Magnesium CPT 83735 | $124.00 | $124.00 | $5.06 – $99.20 | 10 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $85.00 | $85.00 | $0.53 – $4.34 | 8 |
| Magnetic image bone marrow CPT 77084 | $2,541.00 | $2,541.00 | $223.73 – $2,032.80 | 10 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $168.00 | $168.00 | $90.71 – $140.00 | 6 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $111.00 | $111.00 | $88.80 – $140.00 | 6 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $40.50 | $40.50 | $2.59 – $13.82 | 8 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $1,023.00 | $1,023.00 | $80.67 – $818.40 | 5 |
| Marker biop eviva buckle ss HCPCS A4648 | $273.00 | $273.00 | $33.00 – $227.00 | 10 |
| Mastoids complete CPT 70130 | $396.00 | $396.00 | $79.45 – $316.80 | 10 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $13.00 | $13.00 | $4.55 – $13.00 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $186.00 | $186.00 | $10.90 – $148.80 | 10 |
| Mayo aathr protein s free CPT 85306 | $190.00 | $190.00 | $11.55 – $152.00 | 10 |
| Mayo activated protein c resistance assay CPT 85307 | $197.00 | $197.00 | $11.55 – $157.60 | 10 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $420.00 | $420.00 | $29.08 – $336.00 | 10 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $41.00 | $41.00 | $30.75 – $34.23 | 6 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $95.00 | $95.00 | $21.25 – $76.00 | 8 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $156.00 | $156.00 | $11.15 – $124.80 | 10 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $264.00 | $264.00 | $37.67 – $211.20 | 7 |
| Mayo alpha 1 antitrypsin CPT 82103 | $152.00 | $152.00 | $10.14 – $121.60 | 10 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $194.00 | $194.00 | $11.37 – $155.20 | 10 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $217.00 | $217.00 | $37.67 – $173.60 | 7 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,006.00 | $1,006.00 | $91.71 – $804.80 | 7 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,246.00 | $1,246.00 | $69.11 – $996.80 | 10 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $559.00 | $559.00 | $103.30 – $447.20 | 10 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,849.00 | $1,849.00 | $533.35 – $1,479.20 | 10 |
| Mayo androstenedione CPT 82157 | $272.00 | $272.00 | $22.07 – $217.60 | 10 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $168.00 | $168.00 | $11.01 – $134.40 | 10 |
| Mayo antithrombin iii antigen CPT 85301 | $139.00 | $139.00 | $8.15 – $111.20 | 10 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $161.00 | $161.00 | $11.34 – $128.80 | 10 |
| Mayo avwpr vw factor activity CPT 85397 | $227.00 | $227.00 | $22.51 – $181.60 | 10 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $523.00 | $523.00 | $392.25 – $418.40 | 3 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $112.00 | $112.00 | $37.67 – $89.60 | 7 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $127.00 | $127.00 | $7.68 – $101.60 | 10 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $532.00 | $532.00 | $109.21 – $425.60 | 10 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $469.00 | $469.00 | $157.75 – $375.20 | 10 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $180.00 | $180.00 | $9.73 – $104.00 | 10 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $170.00 | $170.00 | $9.94 – $136.00 | 10 |
| Mayo brcmg brucella antibody igm CPT 86622 | $107.00 | $107.00 | $6.73 – $85.60 | 10 |
| Mayo c1 esterase inhibitor CPT 83883 | $191.00 | $191.00 | $10.25 – $152.80 | 10 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $147.00 | $147.00 | $37.67 – $117.60 | 7 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $227.00 | $227.00 | $12.73 – $181.60 | 10 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $276.00 | $276.00 | $20.20 – $104.00 | 10 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $1,572.00 | $1,572.00 | $92.15 – $944.00 | 10 |
| Mayo ceruloplasmin CPT 82390 | $152.00 | $152.00 | $8.10 – $121.60 | 10 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $285.00 | $285.00 | $10.65 – $228.00 | 10 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $165.00 | $165.00 | $9.71 – $132.00 | 10 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $142.00 | $142.00 | $8.91 – $113.60 | 10 |
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.