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 |
|---|---|---|---|---|
| Fluoroguide for spine inject 77003-26 CPT 77003 | $129.90 | $511.00 | $66.93 – $281.05 | 7 |
| Fluoroguide needle placement CPT 77002 | $238.70 | $939.00 | $75.65 – $512.60 | 7 |
| Fluoro polarize fetal lung CPT 83663 | $62.54 | $246.00 | $13.51 – $30.67 | 9 |
| Fluoroscopy up to 1 hour CPT 76000 | $229.80 | $904.00 | $153.70 – $517.79 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $44.46 | $174.89 | $10.08 – $87.45 | 7 |
| Fmri brain by phys/psych CPT 70555 | $232.85 | $916.00 | $223.73 – $2,827.78 | 6 |
| Fmri brain by tech CPT 70554 | $232.85 | $916.00 | $223.73 – $2,827.78 | 6 |
| Fna bx w/ct gdn 1st les CPT 10009 | $449.18 | $1,767.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $224.72 | $884.00 | $567.50 – $567.50 | 3 |
| Folic acid CPT 82746 | $59.74 | $235.00 | $11.09 – $47.67 | 9 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $8.45 | $33.23 | $3.99 – $16.62 | 2 |
| Follow-up angiography CPT 75898 | $1,411.83 | $5,554.00 | $73.01 – $6,438.74 | 8 |
| Fondaparinux sodium HCPCS J1652 | $200.21 | $787.58 | $0.98 – $393.76 | 7 |
| Foot X-ray CPT 73630 | $134.73 | $530.00 | $36.79 – $291.50 | 8 |
| Forensic cytopathology CPT 88125 | $104.23 | $410.00 | $5.64 – $225.50 | 8 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $232.34 | $914.00 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | $44.24 | $174.00 | $53.98 – $182.03 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $153.54 | $604.00 | $0.01 – $283.00 | 2 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $149.73 | $589.00 | $88.08 – $473.18 | 3 |
| Fresh frozen plasma thawing ea un CPT 86927 | $435.70 | $1,714.00 | $0.43 – $942.70 | 8 |
| Frozen blood prep CPT 86930 | $214.30 | $843.00 | $2.54 – $463.65 | 8 |
| Fructosamine glycated protein CPT 82985 | $50.08 | $197.00 | $12.63 – $48.85 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $8.45 | $33.23 | $3.99 – $16.62 | 2 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $21.36 | $84.00 | $33.32 – $84.00 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $53.70 | $211.24 | $1.14 – $5.79 | 7 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $69.66 | $274.00 | $15.89 – $68.28 | 9 |
| Gammaglobulin iga CPT 82784 | $29.24 | $115.00 | $7.02 – $18.70 | 9 |
| Gammaglobulin ige CPT 82785 | $59.23 | $233.00 | $12.10 – $52.51 | 9 |
| Gamma glutamyltransferase CPT 82977 | $30.25 | $119.00 | $5.43 – $23.34 | 9 |
| Gastroesophageal reflux study CPT 78262 | $361.48 | $1,422.00 | $145.28 – $848.52 | 7 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $1,508.16 – $1,508.16 | 1 |
| General health panel CPT 80050 | $225.99 | $889.00 | $23.56 – $488.95 | 8 |
| Generator barostim neo2 2014 HCPCS C1767 | $33,984.00 | $133,690.00 | $900.21 – $1,800.42 | 4 |
| Generator emblem MRI sicd subq HCPCS C1722 | $20,844.40 | $82,000.00 | $0.27 – $0.44 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $58.73 | $231.00 | $12.35 – $53.14 | 9 |
| Ghs abscess perianal iandd CPT 46050 | $350.80 | $1,380.00 | not published | 0 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,233.89 | $4,854.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $51.10 | $201.00 | $12.90 – $50.08 | 9 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $95.33 | $375.00 | $22.47 – $235.00 | 6 |
| Ghs antibodies (torch) igm CPT 86694 | $58.98 | $232.00 | $10.85 – $15.11 | 6 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $200.09 – $200.09 | 1 |
| Ghs bladder cath - complex-foley CPT 51703 | $125.58 | $494.00 | $147.90 – $147.90 | 1 |
| Ghs bleeding time (ivy) CPT 85002 | $15.00 | $59.00 | $3.63 – $5.06 | 6 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $700.29 – $700.29 | 1 |
| Ghs central line insert < age 5, failed CPT 36555 | $639.06 | $2,514.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $215.31 | $847.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $11.44 | $45.00 | $24.75 – $113.77 | 9 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $172.35 | $678.00 | $345.93 – $345.93 | 1 |
| Ghs closed reduction ankle dislocation CPT 27840 | $229.55 | $903.00 | $115.77 – $115.77 | 3 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $712.02 | $2,801.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $345.97 | $1,361.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $673.63 | $2,650.00 | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $205.14 | $807.00 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $345.97 | $1,361.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $345.97 | $1,361.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $205.14 | $807.00 | $115.77 – $115.77 | 3 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $154.56 | $608.00 | $210.54 – $345.93 | 2 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $177.94 | $700.00 | $556.86 – $556.86 | 1 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $177.69 | $699.00 | $556.86 – $556.86 | 1 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $177.69 | $699.00 | $556.86 – $556.86 | 1 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $177.94 | $700.00 | $556.86 – $556.86 | 1 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $211.37 – $211.37 | 1 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $1,139.04 – $1,139.04 | 1 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $1,139.04 – $1,139.04 | 1 |
| Ghs dislocation elbow closed treatment CPT 24600 | $126.34 | $497.00 | not published | 0 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $777.53 – $777.53 | 1 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $95.58 | $376.00 | $229.92 – $567.50 | 5 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $566.36 | $2,228.00 | not published | 0 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $204.13 | $803.00 | $138.04 – $625.00 | 5 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $373.34 – $373.34 | 1 |
| Ghs excision ingrown nail CPT 11765 | $177.44 | $698.00 | $373.34 – $373.34 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $82.62 | $325.00 | $325.00 – $325.00 | 1 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,087.47 | $4,278.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $1,815.50 | $7,142.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $294.62 | $1,159.00 | $843.72 – $843.72 | 1 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $5.34 | $21.00 | $2.26 – $7.33 | 9 |
| Ghs flow volume loop CPT 94375 | $69.91 | $275.00 | $29.51 – $265.84 | 6 |
| Ghs gastric intub aspiration lavage CPT 43753 | $105.24 | $414.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $115.92 | $456.00 | $26.46 – $113.77 | 9 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $51.35 | $202.00 | $11.68 – $50.19 | 9 |
| Ghs hgb stability-thal CPT 83068 | $27.97 | $110.00 | $7.15 – $27.47 | 9 |
| Ghs histoplasma antigen CPT 87385 | $34.32 | $135.00 | $9.99 – $13.91 | 6 |
| Ghs HIV antibody CPT 86703 | $51.10 | $201.00 | $10.34 – $14.40 | 6 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,949.72 | $7,670.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $866.32 | $3,408.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $486.29 | $1,913.00 | $776.23 – $776.23 | 1 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $311.65 | $1,226.00 | $421.86 – $421.86 | 1 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $350.80 | $1,380.00 | $493.57 – $493.57 | 1 |
| Ghs inf midline insertion CPT 36140 | $495.19 | $1,948.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $117.45 | $462.00 | $9.71 – $41.75 | 9 |
| Ghs init tx 1st degree burn CPT 16000 | $86.43 | $340.00 | $340.00 – $340.00 | 1 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $866.69 – $866.69 | 1 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $866.69 – $866.69 | 1 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $339.62 | $1,336.00 | $567.50 – $567.50 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $488.83 | $1,923.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $107.02 | $421.00 | $350.14 – $350.14 | 1 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $281.91 | $1,109.00 | $379.42 – $379.42 | 1 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $535.60 | $2,107.00 | $590.85 – $590.85 | 1 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $555.43 | $2,185.00 | $1,755.26 – $1,755.26 | 1 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $138.29 | $544.00 | $674.19 – $674.19 | 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.