CHI St. Vincent North
2215 Wildwood Avenue, Sherwood, AR · CommonSpirit Health · · NPI 1629011002
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 |
|---|---|---|---|---|
| 17-ketosteroids CPT 83586 | $42.20 | $166.00 | $9.65 – $41.50 | 9 |
| 2019-ncov diagnostic p HCPCS U0001 | $0.01 | $0.01 | $0.01 – $0.03 | 9 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $642.88 | $2,529.00 | $644.00 – $644.00 | 1 |
| 2nd order venous cath CPT 36012 | $305.30 | $1,201.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $2,166.30 | $8,522.00 | $768.00 – $2,982.70 | 7 |
| 3d recon without postprocess indpndt CPT 76376 | $56.44 | $222.00 | $12.27 – $2,117.84 | 8 |
| 5' nucleotidase - sendout CPT 83915 | $37.12 | $146.00 | $8.41 – $36.14 | 9 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $618.98 | $2,435.00 | $14.11 – $1,339.25 | 5 |
| Abd aorta w/runoff s&i CPT 75630 | $1,109.59 | $4,365.00 | $303.29 – $6,438.74 | 5 |
| Abd/low ext cath 1st CPT 36245 | $542.98 | $2,136.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $638.05 | $2,510.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $750.66 | $2,953.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $142.61 | $561.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $914.87 | $3,599.00 | $174.94 – $2,117.84 | 9 |
| Abdominal CT scan (with contrast) CPT 74160 | $839.12 | $3,301.00 | $174.94 – $2,117.84 | 9 |
| Abdominal CT scan (without contrast) CPT 74150 | $788.79 | $3,103.00 | $107.60 – $2,117.84 | 9 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,240.50 | $4,880.00 | $366.59 – $2,827.78 | 9 |
| Abdominal MRI (with contrast) CPT 74182 | $1,192.71 | $4,692.00 | $366.59 – $2,827.78 | 9 |
| Abdominal MRI (without contrast) CPT 74181 | $1,192.71 | $4,692.00 | $223.73 – $2,827.78 | 9 |
| Abdominal paracentesis w/image guidance CPT 49083 | $720.41 | $2,834.00 | $839.58 – $839.58 | 1 |
| Abdominal Ultrasound (complete) CPT 76700 | $366.31 | $1,441.00 | $107.60 – $377.57 | 7 |
| Abdominal Ultrasound (limited) CPT 76705 | $249.12 | $980.00 | $45.40 – $377.57 | 7 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $406.47 | $1,599.00 | $1,237.91 – $1,237.91 | 1 |
| Ablate arrhythmia add on CPT 93655 | $3,824.95 | $15,047.00 | $451.48 – $5,825.00 | 5 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $1,980.48 | $7,791.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $3,360.53 | $13,220.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $4,382.92 | $17,242.00 | $988.38 – $5,825.00 | 4 |
| Ablate pulm tumor perq rf CPT 32998 | $4,138.89 | $16,282.00 | $567.50 – $567.50 | 3 |
| Ablation cryo abd perit om CPT 49999 | $823.61 | $3,240.00 | $115.77 – $497.81 | 4 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $388.11 – $388.11 | 1 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $168.54 | $663.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $1,297.23 – $1,297.23 | 1 |
| Ablation cryo thigh/knee CPT 27599 | $229.55 | $903.00 | $115.77 – $457.71 | 4 |
| Ablation of upper extremity nerves rf CPT 64999 | $416.13 | $1,637.00 | $115.77 – $443.00 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $282.63 – $282.63 | 1 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $744.59 – $744.59 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $191.95 – $191.95 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,379.55 | $5,427.00 | not published | 0 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $295.64 | $1,163.00 | $567.50 – $567.50 | 3 |
| Acetone qualitative CPT 82009 | $21.87 | $86.00 | $3.41 – $14.66 | 9 |
| Acne surgery 10040 CPT 10040 | not published | not published | $421.86 – $421.86 | 1 |
| Acute hepatitis panel CPT 80074 | $194.98 | $767.00 | $35.91 – $154.38 | 9 |
| Acute venous thrombus image CPT 78456 | $649.49 | $2,555.00 | $361.82 – $2,938.37 | 7 |
| #acylcarnitineprfl CPT 82017 | $57.20 | $225.00 | $12.73 – $54.68 | 9 |
| Adapter b 8 channel 10cm HCPCS C1883 | $11,308.64 | $44,487.15 | $102.11 – $204.21 | 4 |
| Adding walker to prev cast CPT 29440 | not published | not published | $148.24 – $367.02 | 2 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $197.35 | $776.33 | $0.44 – $388.17 | 7 |
| Adh-sendout CPT 84588 | $112.11 | $441.00 | $24.20 – $110.03 | 9 |
| Adj gastric band via subq port CPT 43999 | $1,818.30 | $7,153.00 | $115.77 – $497.81 | 4 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $240.73 | $947.00 | $253.72 – $806.00 | 5 |
| Administration immunization 1 vaccine CPT 90471 | $53.39 | $210.00 | $61.00 – $227.00 | 5 |
| Administration immunization each additional vaccine CPT 90472 | $14.49 | $57.00 | $61.00 – $127.12 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $33.56 | $132.00 | $40.23 – $61.00 | 2 |
| Administration vaccine influenza virus HCPCS G0008 | $54.91 | $216.00 | $27.22 – $61.00 | 6 |
| Administration vaccine pneumococcal HCPCS G0009 | $54.91 | $216.00 | $27.22 – $61.00 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $66.35 | $261.00 | $15.11 – $64.99 | 9 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $67.37 | $265.00 | $55.94 – $160.56 | 9 |
| Air injection into abdomen 49400 CPT 49400 | $166.00 | $653.00 | $567.50 – $567.50 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $202.09 | $795.00 | $67.06 – $265.84 | 6 |
| Albumin body fluid quantitative each specimen CPT 82042 | $25.68 | $101.00 | $5.08 – $16.78 | 9 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $24.88 | $97.86 | $11.75 – $116.22 | 7 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $41.19 | $162.00 | $19.44 – $81.00 | 8 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $336.24 | $1,322.73 | $48.91 – $661.37 | 8 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $22.12 | $87.00 | $10.44 – $116.22 | 7 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $20.85 | $82.00 | $4.36 – $18.77 | 9 |
| Albumin serum plasma or whole blood CPT 82040 | $20.85 | $82.00 | $3.74 – $16.07 | 9 |
| Alkaline phosphatase CPT 84075 | $62.03 | $244.00 | $3.91 – $16.78 | 9 |
| Allergen egg white ige CPT 86003 | $23.65 | $93.00 | $3.93 – $16.93 | 9 |
| Allg patch or app # of tests 95044 CPT 95044 | $50.08 | $197.00 | $120.22 – $225.00 | 3 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $2,669.18 | $10,500.30 | $1,260.04 – $5,250.15 | 2 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $1,193.55 | $4,695.30 | $27.93 – $2,347.65 | 3 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $2,230.61 | $8,775.00 | $180.74 – $4,387.50 | 6 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $2,100.21 | $8,262.00 | $88.54 – $1,030.00 | 8 |
| Alpha-fetoprotein amniotic CPT 82106 | $55.67 | $219.00 | $12.82 – $54.37 | 9 |
| Alpha-fetoprotein tumor marker CPT 82105 | $75.50 | $297.00 | $6.05 – $54.37 | 9 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $8,219.50 | $32,334.75 | $35.63 – $16,167.38 | 8 |
| Alt/sgpt CPT 84460 | $26.19 | $103.00 | $4.00 – $17.16 | 9 |
| Aluminum - quest CPT 82108 | $28.73 | $113.00 | $12.47 – $28.31 | 9 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $201.59 | $793.00 | $84.24 – $235.00 | 6 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $15.26 | $60.01 | $0.68 – $30.01 | 7 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $56.00 | $220.27 | $3.99 – $16.62 | 2 |
| Aminolevulinic acid delta CPT 82135 | $54.15 | $213.00 | $12.40 – $53.37 | 9 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $11.50 | $45.23 | $5.43 – $33.23 | 7 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $8.45 | $33.23 | $0.37 – $16.62 | 7 |
| Ammonia CPT 82140 | $48.81 | $192.00 | $10.99 – $28.35 | 9 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $247.09 | $972.00 | $282.63 – $282.63 | 1 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,238.47 | $4,872.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $85.05 | $334.54 | $40.15 – $393.46 | 7 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $1,543.76 | $6,073.00 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $1,543.76 | $6,073.00 | not published | 0 |
| Amylase CPT 82150 | $30.51 | $120.00 | $4.88 – $21.02 | 9 |
| Ana ds-dna CPT 86226 | $40.17 | $158.00 | $9.13 – $39.25 | 9 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $36.36 | $143.00 | $10.78 – $78.65 | 6 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $457.71 – $457.71 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | $186.84 | $735.00 | $30.81 – $69.94 | 9 |
| Analysis gene f5 leiden variant CPT 81241 | $233.61 | $919.00 | $55.32 – $132.39 | 9 |
| Analysis nerve CPT 88356 | $223.19 | $878.00 | $49.76 – $482.90 | 5 |
| Analysis tumor CPT 88358 | $457.31 | $1,799.00 | $30.79 – $989.45 | 5 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $201.59 | $793.00 | $55.73 – $235.00 | 5 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $22.37 | $88.00 | not published | 0 |
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.