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 |
|---|---|---|---|---|
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $184.05 | $724.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $243.02 | $956.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $125.58 | $494.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $281.91 | $1,109.00 | $379.42 – $512.55 | 2 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $130.92 | $515.00 | $379.42 – $512.55 | 2 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $228.53 | $899.00 | $379.42 – $379.42 | 1 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $228.53 | $899.00 | $379.42 – $512.55 | 2 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $251.41 | $989.00 | $379.42 – $512.55 | 2 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $228.53 | $899.00 | $379.42 – $512.55 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $281.91 | $1,109.00 | $379.42 – $379.42 | 1 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $251.41 | $989.00 | $590.85 – $590.85 | 1 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $118.97 | $468.00 | $379.42 – $379.42 | 1 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $251.41 | $989.00 | $590.85 – $590.85 | 1 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $228.53 | $899.00 | $379.42 – $379.42 | 1 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $251.41 | $989.00 | $590.85 – $590.85 | 1 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $379.42 – $379.42 | 1 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $1,755.26 – $1,755.26 | 1 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $379.42 – $379.42 | 1 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $28.48 | $112.00 | $6.48 – $27.88 | 9 |
| Ghs mbp CPT 83873 | $68.64 | $270.00 | $12.97 – $55.77 | 9 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $107.28 | $422.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $110.84 | $436.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $117.95 | $464.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $117.95 | $464.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $213.28 | $839.00 | $644.00 – $644.00 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $181.00 | $712.00 | $512.55 – $512.55 | 1 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $538.15 | $2,117.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $427.06 | $1,680.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $615.42 | $2,421.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $470.53 | $1,851.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $577.80 | $2,273.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $530.52 | $2,087.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $427.06 | $1,680.00 | $700.29 – $700.29 | 1 |
| Ghs nerve block suprascapular CPT 64418 | $427.06 | $1,680.00 | $700.29 – $700.29 | 1 |
| Ghs ng placement w fluoro guidance CPT 43752 | $154.81 | $609.00 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $428.84 | $1,687.00 | not published | 0 |
| Ghs opcc repair cvp w subq port CPT 36576 | $896.82 | $3,528.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $209.97 | $826.00 | $102.15 – $962.66 | 5 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $277.08 | $1,090.00 | $567.50 – $567.50 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $306.57 | $1,206.00 | $567.50 – $567.50 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $156.85 | $617.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $18.05 | $71.00 | $4.15 – $17.77 | 9 |
| Ghs picc line insert < 5 CPT 36568 | $730.83 | $2,875.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $154.56 | $608.00 | $345.93 – $345.93 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | $29.75 | $117.00 | $5.91 – $64.35 | 8 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $32.03 | $126.00 | $7.28 – $31.33 | 9 |
| Ghs quinidine CPT 80194 | $48.05 | $189.00 | $11.01 – $47.31 | 9 |
| Ghs refill of implantable pump CPT 95990 | $145.15 | $571.00 | $148.42 – $315.74 | 5 |
| Ghs removal intranasal foreign body CPT 30300 | $60.76 | $239.00 | $239.00 – $239.00 | 1 |
| Ghs removal pharyngeal foreign body CPT 42809 | $53.64 | $211.00 | $211.00 – $211.00 | 1 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,238.47 | $4,872.00 | not published | 0 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $2,035.13 | $8,006.00 | not published | 0 |
| Ghs reticulocyte count CPT 85044 | $14.49 | $57.00 | $3.25 – $4.53 | 6 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $32.80 | $129.00 | $10.49 – $14.61 | 6 |
| Ghs sedimentation rate CPT 85651 | $15.77 | $62.00 | $3.22 – $11.51 | 9 |
| Ghs semen analysis fert CPT 89320 | $39.91 | $157.00 | $9.28 – $39.09 | 9 |
| Ghs semen analysis, post-vas CPT 89300 | $29.49 | $116.00 | $7.42 – $28.90 | 9 |
| Ghs sensitivity (per antimicro) CPT 87184 | $22.88 | $90.00 | $5.64 – $22.36 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $161.42 | $635.00 | $379.42 – $379.42 | 1 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $164.47 | $647.00 | $115.77 – $379.42 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $161.42 | $635.00 | $379.42 – $379.42 | 1 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $164.47 | $647.00 | $379.42 – $379.42 | 1 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $164.47 | $647.00 | $183.66 – $512.55 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $161.42 | $635.00 | $183.66 – $512.55 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $164.47 | $647.00 | $183.66 – $512.55 | 2 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $254.97 | $1,003.00 | $183.66 – $183.66 | 1 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $183.66 – $183.66 | 1 |
| Ghs somatosensory testing lower extremit CPT 95926 | $186.59 | $734.00 | $72.30 – $605.38 | 6 |
| Ghs sphenopalatine ganglion block CPT 64505 | $183.03 | $720.00 | $700.29 – $700.29 | 1 |
| Ghs strapping shoulder - 29240 CPT 29240 | $101.94 | $401.00 | $118.09 – $367.02 | 2 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $381.30 | $1,500.00 | $590.85 – $590.85 | 1 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $379.42 – $379.42 | 1 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $705.92 | $2,777.00 | $1,411.79 – $1,411.79 | 1 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $154.56 | $608.00 | $345.93 – $345.93 | 1 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $205.14 | $807.00 | $457.71 – $457.71 | 1 |
| Ghs urine, porphyrins quant CPT 84120 | $44.49 | $175.00 | $11.09 – $43.38 | 9 |
| Ghs vaginal delivery only CPT 59409 | $586.95 | $2,309.00 | $2,309.00 – $2,309.00 | 1 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $384.86 | $1,514.00 | $458.88 – $782.74 | 5 |
| Ghs windowing of cast CPT 29730 | not published | not published | $148.24 – $229.92 | 2 |
| Gi inhouse confirmation CPT 87045 | $37.88 | $149.00 | $7.12 – $30.58 | 9 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $2,535.39 – $2,535.39 | 1 |
| Glucagon plasma - sendout CPT 82943 | $47.29 | $186.00 | $10.78 – $46.33 | 9 |
| Glucose 1 hr post dose CPT 82950 | $16.02 | $63.00 | $3.58 – $15.39 | 9 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $20.34 | $80.00 | $4.56 – $19.66 | 9 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $13.99 | $55.00 | $2.30 – $9.92 | 9 |
| Glucose blood quantitative CPT 82947 | $25.17 | $99.00 | $2.96 – $12.71 | 9 |
| Glucose body fluid CPT 82945 | $19.83 | $78.00 | $2.96 – $12.71 | 9 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $42.20 | $166.00 | $9.71 – $41.75 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $13.22 | $52.00 | $2.96 – $12.71 | 9 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $10.90 | $42.87 | $47.67 – $47.67 | 3 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $59.23 | $233.00 | $14.01 – $60.27 | 9 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $59.23 | $233.00 | $13.97 – $60.04 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,854.58 | $7,295.72 | $318.75 – $3,647.86 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $9,310.84 | $36,628.00 | $35.51 – $18,314.00 | 8 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $11,849.79 | $46,616.00 | $302.34 – $604.68 | 4 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $17,361.83 | $68,299.88 | $11.25 – $22.50 | 4 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $580.80 | $2,284.80 | $37.33 – $227.00 | 8 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $14,490.02 | $57,002.40 | $309.25 – $1,288.51 | 2 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $11,966.72 | $47,076.00 | $17.00 – $34.00 | 4 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $18,160.05 | $71,440.00 | $39.86 – $79.71 | 4 |
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.