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 |
|---|---|---|---|---|
| Evasc prlng admn rx agnt add CPT 61651 | $1,376.24 | $5,414.00 | $567.50 – $567.50 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $1,171.36 | $4,608.00 | $674.19 – $674.19 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $1,301.51 | $5,120.00 | $674.19 – $674.19 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $1,447.93 | $5,696.00 | $674.19 – $674.19 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $1,447.93 | $5,696.00 | $674.19 – $674.19 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $1,447.93 | $5,696.00 | $674.19 – $674.19 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $1,362.26 | $5,359.00 | $674.19 – $674.19 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,362.26 | $5,359.00 | $674.19 – $674.19 | 3 |
| Evoked auditory tst complete CPT 92588 | $120.75 | $475.00 | $132.93 – $475.00 | 6 |
| Evoked potentials upper limbs CPT 95925 | $186.59 | $734.00 | $129.39 – $605.38 | 6 |
| Evoked potential visual not glaucoma CPT 95930 | $227.51 | $895.00 | $20.09 – $605.38 | 6 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $294.62 | $1,159.00 | $843.72 – $843.72 | 1 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $344.70 | $1,356.00 | $843.72 – $843.72 | 1 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $843.72 – $843.72 | 1 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,373.17 – $1,373.17 | 1 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $843.72 – $843.72 | 1 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,373.17 – $1,373.17 | 1 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $373.93 | $1,471.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $806.33 | $3,172.00 | not published | 0 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $3,940.20 – $3,940.20 | 1 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $843.72 – $843.72 | 1 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $1,373.17 – $1,373.17 | 1 |
| Exchange biliary drg cath CPT 47536 | $2,001.83 | $7,875.00 | not published | 0 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $1,229.73 – $1,229.73 | 1 |
| Exchange drainage catheter CPT 49423 | $1,178.73 | $4,637.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $941.82 | $3,705.00 | not published | 0 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $843.72 – $843.72 | 1 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,025.96 | $4,036.00 | $843.72 – $843.72 | 1 |
| Excision gum each quadrant CPT 41820 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Excision of gum flap CPT 41821 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $556.86 – $556.86 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $843.72 – $843.72 | 1 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $843.72 – $843.72 | 1 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $843.72 – $843.72 | 1 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $843.72 – $843.72 | 1 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $1,373.17 – $1,373.17 | 1 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $843.72 – $843.72 | 1 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $843.72 – $843.72 | 1 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $843.72 – $843.72 | 1 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $675.67 | $2,658.00 | $1,373.17 – $1,373.17 | 1 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $843.72 – $843.72 | 1 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $622.54 | $2,449.00 | $493.57 – $493.57 | 1 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $1,520.12 | $5,980.00 | $775.00 – $1,550.00 | 4 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $1,955.82 | $7,694.02 | $209.43 – $418.86 | 4 |
| Explore/drain eye socket CPT 67405 | $1,212.79 | $4,771.00 | not published | 0 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $556.86 – $556.86 | 1 |
| Explore limb vessels 35860 CPT 35860 | $1,880.32 | $7,397.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $297.16 | $1,169.00 | $417.64 – $417.64 | 1 |
| Explore wound abdomen 20102 CPT 20102 | $1,485.55 | $5,844.00 | not published | 0 |
| Explore woundchest 20101 CPT 20101 | $1,131.45 | $4,451.00 | not published | 0 |
| Explore wound neck 20100 CPT 20100 | $479.43 | $1,886.00 | $417.64 – $417.64 | 1 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $1,624.60 | $6,391.00 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $172.86 | $680.00 | $109.04 – $404.04 | 9 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $115.41 | $454.00 | $91.26 – $207.16 | 9 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $76.01 | $299.00 | $4.95 – $58.13 | 9 |
| F-18 fdg pet diag HCPCS A9552 | $659.91 | $2,596.00 | $394.96 – $394.96 | 1 |
| Facial bones <3 CPT 70140 | $53.13 | $209.00 | $33.02 – $182.03 | 8 |
| Factor ix CPT 85250 | $63.05 | $248.00 | $14.36 – $61.72 | 9 |
| Factor viii CPT 85240 | $54.66 | $215.00 | $13.50 – $58.07 | 9 |
| Fallopian tube recnl CPT 58345 | $1,592.82 | $6,266.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $8.45 | $33.23 | $3.99 – $16.62 | 2 |
| Fat/lipids feces qualitative CPT 82705 | $16.78 | $66.00 | $3.85 – $16.50 | 9 |
| #fecal-sodium CPT 84302 | $16.27 | $64.00 | $2.75 – $15.41 | 9 |
| Fem/popl revasc w/stent CPT 37226 | $5,831.35 | $22,940.00 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $52.27 | $205.62 | $0.96 – $102.81 | 7 |
| Ferritin CPT 82728 | $43.47 | $171.00 | $10.28 – $44.17 | 9 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $181.16 – $282.63 | 2 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $282.63 – $282.63 | 1 |
| Fetal fibronectin CPT 82731 | $212.77 | $837.00 | $48.57 – $208.79 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $25.42 | $100.00 | $5.82 – $25.08 | 9 |
| Fetal hemoglobin rosette CPT 85461 | $19.58 | $77.00 | $6.51 – $19.79 | 9 |
| Fetal monitor w/report CPT 59050 | not published | not published | $282.63 – $282.63 | 1 |
| Fetal non stress test CPT 59025 | not published | not published | $181.16 – $181.16 | 1 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $282.63 – $282.63 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $44.74 | $176.00 | $7.68 – $32.98 | 9 |
| Fibrin degradation products CPT 85362 | $28.98 | $114.00 | $5.20 – $22.34 | 9 |
| Fibrin degrade semiquant CPT 85378 | $23.65 | $93.00 | $7.00 – $23.13 | 9 |
| Fibrinogen activity CPT 85384 | $31.02 | $122.00 | $7.33 – $27.54 | 9 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $17.04 | $67.00 | $5.08 – $16.73 | 9 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $21.36 | $84.00 | $4.92 – $20.82 | 9 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $3,502.88 | $13,780.00 | $1,100.00 – $2,200.00 | 4 |
| Filter vena cava fem denali HCPCS C1880 | $1,398.10 | $5,500.00 | $0.01 – $0.01 | 4 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $449.18 | $1,767.00 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $224.72 | $884.00 | $567.50 – $567.50 | 3 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $224.72 | $884.00 | $567.50 – $567.50 | 3 |
| Fine needle asp without image guide 10021 CPT 10021 | $238.19 | $937.00 | not published | 0 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $251.02 – $251.02 | 1 |
| Fix g/colon tube w/device CPT 49460 | $392.74 | $1,545.00 | $448.33 – $448.33 | 1 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $1,521.39 | $5,985.00 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $19.32 | $76.00 | $14.06 – $42.31 | 9 |
| Fl exam g/colon tube w contrast CPT 49465 | $145.92 | $574.00 | $296.11 – $296.11 | 1 |
| Flexible Sigmoidoscopy CPT 45330 | $642.88 | $2,529.00 | not published | 0 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Flow cytometry interp 16 or more CPT 88189 | $153.03 | $602.00 | $60.49 – $331.10 | 5 |
| Flow cytometry marker each additional CPT 88185 | $183.54 | $722.00 | $17.53 – $87.00 | 7 |
| Flow cytometry one marker technical component CPT 88184 | $423.50 | $1,666.00 | $36.85 – $291.26 | 8 |
| #flow interp 9 - 15 markers CPT 88188 | $153.03 | $602.00 | $44.68 – $331.10 | 5 |
| Fluid pressure muscle 20950 CPT 20950 | $411.55 | $1,619.00 | $1,297.23 – $1,297.23 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $674.91 | $2,655.00 | $9.08 – $39.09 | 9 |
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.