Ins/rpl prph sac/gstr npg/r at CHI St. Vincent North
2215 Wildwood Avenue, Sherwood, AR · CommonSpirit Health · · NPI 1629011002
$13,232.39
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$52,055.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$824.01 with Empower vs $29,917.71 with Centene — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Empower | Medicaid|All Plans | $824.01 | ↓ -94% |
| TotalCare | Medicaid|All Plans | $824.01 | ↓ -94% |
| Summit | Medicaid|All Plans | $824.01 | ↓ -94% |
| Cigna | Commercial|AHN | $1,521.00 | ↓ -89% |
| Cigna | Commercial|NBR | $1,614.00 | ↓ -88% |
| Aetna | Commercial|PPO | $1,759.00 | ↓ -87% |
| Aetna | Commercial|All Other Plans | $1,759.00 | ↓ -87% |
| Aetna | Commercial|HMO | $1,759.00 | ↓ -87% |
| Cigna | Commercial|All Other Plans | $1,799.00 | ↓ -86% |
| Humana | Commercial|All Plans | $2,069.79 | ↓ -84% |
| Centene | Commercial|QualChoice | $5,425.00 | ↓ -59% |
| United | Commercial|Non-Options | $16,437.00 | ↑ +24% |
| United | Commercial|Options | $16,437.00 | ↑ +24% |
| BCBS - AR | Medicare|PFFS | $19,667.51 | ↑ +49% |
| Humana | Medicare|All Plans | $20,257.54 | ↑ +53% |
| BCBS - AR | Medicare|HMO PPO | $20,257.54 | ↑ +53% |
| United | Medicare|All Plans | $20,257.54 | ↑ +53% |
| Cigna | Medicare|Healthspring | $20,257.54 | ↑ +53% |
| Centene | Medicare|Allwell | $20,650.89 | ↑ +56% |
| Aetna | Medicare|All Plans | $20,650.89 | ↑ +56% |
| BCBS - AR | Commercial|TrueBlue Exchange | $21,881.84 | ↑ +65% |
| BCBS - AR | Commercial|All Other Plans | $21,881.84 | ↑ +65% |
| Centene | Commercial|Ambetter Exchange | $29,917.71 | ↑ +126% |
Visitor-reported prices
Comments
Ins/rpl prph sac/gstr npg/r at other Arkansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Orthopedic Hospital Fort Smith | Fort Smith | $26,269.28 | $240.82 – $36,455.46 |