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 |
|---|---|---|---|---|
| Granulocyte pheresis ea unit HCPCS P9050 | $3,315.79 | $13,044.00 | $283.00 – $283.00 | 1 |
| Great toe with reduction 28495 CPT 28495 | $205.14 | $807.00 | $115.77 – $345.93 | 4 |
| Growth hormone antibody CPT 86277 | $9.92 | $39.00 | $11.87 – $51.03 | 9 |
| Gstrst open wo constj tube CPT 43830 | $1,708.74 | $6,722.00 | $1,508.16 – $1,508.16 | 1 |
| G-tube reposition CPT 43761 | $606.27 | $2,385.00 | not published | 0 |
| Gu dilat ureter/urethra s&i CPT 74485 | $492.14 | $1,936.00 | $139.87 – $4,034.23 | 5 |
| Guided cath fluid drainage 10030 CPT 10030 | $698.04 | $2,746.00 | $252.92 – $252.92 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,452.85 | $5,715.36 | $21.00 – $42.00 | 4 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $498.46 | $1,960.88 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $122.78 | $483.00 | $107.13 – $768.00 | 6 |
| Gum graft CPT 41870 | not published | not published | $2,535.39 – $2,535.39 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $2,745.36 | $10,800.00 | $45.75 – $91.50 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $744.59 – $744.59 | 1 |
| Hand X-ray CPT 73130 | $124.56 | $490.00 | $37.42 – $269.50 | 8 |
| Haptoglobin quantitative CPT 83010 | $40.17 | $158.00 | $9.49 – $40.77 | 9 |
| Hba1/hba2 full gene sequence CPT 81259 | $356.65 | $1,403.00 | $452.40 – $1,362.00 | 9 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $266.91 | $1,050.00 | $152.61 – $459.45 | 9 |
| Hbb full gene sequence CPT 81364 | $686.34 | $2,700.00 | $244.74 – $736.80 | 9 |
| Hbb gene dup/del variants CPT 81363 | $351.56 | $1,383.00 | $152.61 – $459.45 | 9 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $401.13 | $1,578.00 | $79.45 – $867.90 | 8 |
| Hcg free betachain test CPT 84704 | $26.95 | $106.00 | $11.53 – $16.05 | 6 |
| Hcg qualitative CPT 84703 | $38.39 | $151.00 | $5.67 – $7.90 | 6 |
| Hcg quantitative CPT 84702 | $37.88 | $149.00 | $6.05 – $11.33 | 6 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $487.81 | $1,919.00 | $104.42 – $1,535.58 | 7 |
| Hc nm kidney imaging with flow CPT 78701 | $232.34 | $914.00 | $104.42 – $848.52 | 7 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,525.71 | $6,002.00 | $114.11 – $3,605.00 | 8 |
| Head CT scan (with and without contrast) CPT 70470 | $1,001.55 | $3,940.00 | $174.94 – $2,117.84 | 9 |
| Head CT scan (with contrast) CPT 70460 | $791.08 | $3,112.00 | $174.94 – $2,117.84 | 9 |
| Head CT scan (without contrast) CPT 70450 | $725.75 | $2,855.00 | $107.60 – $2,117.84 | 9 |
| Helicobacter pylori antibody igm CPT 86677 | $80.84 | $318.00 | $5.50 – $47.03 | 9 |
| Hemagglutination inhibition CPT 86280 | $24.66 | $97.00 | $6.17 – $26.54 | 9 |
| Hematocrit CPT 85014 | $12.97 | $51.00 | $1.79 – $2.49 | 6 |
| Hemodialysis one evaluation CPT 90935 | $293.35 | $1,154.00 | $123.54 – $634.70 | 5 |
| Hemoglobin CPT 85018 | $10.17 | $40.00 | $1.79 – $2.49 | 6 |
| Hemoglobin plasma CPT 83051 | $25.68 | $101.00 | $5.51 – $23.70 | 9 |
| Hemolysin acid CPT 85475 | $29.49 | $116.00 | $6.69 – $28.76 | 9 |
| Hemolysins/agglutinins auto CPT 86940 | $24.92 | $98.00 | $6.61 – $26.58 | 9 |
| Hemolysins and agglutinins incubated CPT 86941 | $37.63 | $148.00 | $9.13 – $36.50 | 9 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $493.57 – $493.57 | 1 |
| Heparin assay CPT 85520 | $33.05 | $130.00 | $9.87 – $25.31 | 9 |
| Heparin bolus from bag HCPCS J1644 | $52.24 | $205.50 | $0.25 – $73.31 | 7 |
| Heparin neutralization CPT 85525 | $38.13 | $150.00 | $8.93 – $37.16 | 9 |
| Hepatitis a antibody igm CPT 86709 | $36.61 | $144.00 | $8.49 – $11.82 | 6 |
| Hepatitis b core antibody igm CPT 86705 | $37.12 | $146.00 | $8.87 – $12.36 | 6 |
| Hepatitis b core antibody total CPT 86704 | $5.60 | $22.00 | $9.08 – $12.65 | 6 |
| Hepatitis b surface antibody CPT 86706 | $43.73 | $172.00 | $8.10 – $11.28 | 6 |
| Hepatitis c antibody CPT 86803 | $53.90 | $212.00 | $10.76 – $46.29 | 9 |
| Hepatobiliary system imaging CPT 78226 | $596.61 | $2,347.00 | $353.41 – $849.05 | 7 |
| Herpes simplex 1 ag if CPT 87274 | $29.75 | $117.00 | $9.04 – $29.21 | 9 |
| Herpes simplex 2 ag if CPT 87273 | $29.75 | $117.00 | $9.04 – $29.21 | 9 |
| Herpes simplex type 1 antibody igg CPT 86695 | $42.71 | $168.00 | $9.94 – $13.85 | 6 |
| Herpes simplex type 2 antibody igg CPT 86696 | $79.06 | $311.00 | $14.59 – $20.32 | 6 |
| Herpes simplex virus isolation CPT 87255 | $111.85 | $440.00 | $25.53 – $107.39 | 9 |
| Heterophile antibodies screening CPT 86308 | $20.34 | $80.00 | $3.91 – $16.78 | 9 |
| Hhv-6 dna quant CPT 87533 | $57.20 | $225.00 | $23.52 – $53.39 | 9 |
| Hip X-ray CPT 73502 | $119.48 | $470.00 | $63.20 – $258.50 | 8 |
| Histamine CPT 83088 | $18.56 | $73.00 | $22.26 – $90.48 | 9 |
| Histochemical stains add-on CPT 88314 | $153.29 | $603.00 | $40.03 – $94.92 | 5 |
| Hiv-1 ag ia CPT 87390 | $58.22 | $229.00 | $17.30 – $25.26 | 6 |
| Hla class i&ii antibody qual CPT 86828 | $213.53 | $840.00 | $38.82 – $123.49 | 9 |
| Hla ii typing 1 loc hr CPT 81382 | $408.25 | $1,606.00 | $93.25 – $287.11 | 9 |
| Hla i low res one antigen equiv ea CPT 81374 | $45.76 | $180.00 | $56.04 – $168.89 | 9 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $59.23 | $233.00 | $92.76 – $219.55 | 9 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $18.04 | $70.94 | $0.25 – $35.47 | 4 |
| Home sleep test/type 3 porta HCPCS G0399 | $125.07 | $492.00 | $138.04 – $1,379.00 | 4 |
| Homocysteine CPT 83090 | $54.15 | $213.00 | $13.51 – $54.68 | 9 |
| Homogenization tissue CPT 87176 | $20.60 | $81.00 | $4.43 – $17.80 | 9 |
| Homovanillic acid (hva) CPT 83150 | $11.44 | $45.00 | $12.89 – $29.26 | 9 |
| H pylori (c-13) breath CPT 83013 | $88.47 | $348.00 | $41.33 – $93.82 | 9 |
| Hrdtry perph neurphy panel CPT 81448 | $1,096.37 | $4,313.00 | $441.02 – $614.14 | 6 |
| Hydration IV infusion each additional hour CPT 96361 | $48.30 | $190.00 | $40.23 – $962.66 | 8 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $151.76 | $597.00 | $196.08 – $430.00 | 3 |
| Hysterosalpingography s&i CPT 74740 | $259.54 | $1,021.00 | $96.50 – $807.88 | 5 |
| I-123 iobenguane diag HCPCS A9582 | $3,504.15 | $13,785.00 | $2,074.81 – $7,375.09 | 3 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $25.93 | $102.00 | $227.00 – $227.00 | 3 |
| I131 iodide cap, rx HCPCS A9517 | $133.97 | $527.00 | $23.13 – $140.74 | 5 |
| I131 iodide sol, rx HCPCS A9530 | $70.67 | $278.00 | $16.62 – $20.88 | 4 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $11.44 | $45.00 | $24.75 – $113.77 | 9 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $25,336.50 | $99,671.51 | $6,400.00 – $38,896.20 | 4 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $24,656.74 | $96,997.40 | $7,598.35 – $34,336.00 | 4 |
| Icd crtp serena MRI HCPCS C2621 | $15,738.14 | $61,912.42 | $3,550.00 – $5,822.00 | 3 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $6,179.64 | $24,310.13 | $410.40 – $820.80 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,297.23 – $1,297.23 | 1 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $866.32 | $3,408.00 | not published | 0 |
| I&d lacrimal gland CPT 68400 | not published | not published | $590.59 – $590.59 | 1 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $776.23 – $776.23 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $453.24 | $1,783.00 | $44.65 – $323.95 | 5 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $453.24 | $1,783.00 | $95.71 – $980.65 | 5 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $453.24 | $1,783.00 | $50.81 – $980.65 | 5 |
| Iliac/fem angio cath insert HCPCS G0278 | $436.47 | $1,717.00 | $22.94 – $5,825.00 | 2 |
| Iliac revasc add-on 37222 CPT 37222 | $4,309.97 | $16,955.00 | $567.50 – $567.50 | 3 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $36.86 | $145.00 | $50.75 – $145.00 | 3 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $23.61 | $92.87 | $22.05 – $62.99 | 3 |
| Immune complex assay CPT 86332 | $80.84 | $318.00 | $18.37 – $79.00 | 9 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $74.99 | $295.00 | $15.69 – $67.46 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $6.61 | $26.00 | $14.30 – $67.46 | 9 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $37.88 | $149.00 | $9.04 – $36.80 | 9 |
| Immunodiffusion nes CPT 86329 | $46.52 | $183.00 | $10.59 – $45.51 | 9 |
| Immunofixation electrophoresis serum CPT 86334 | $71.44 | $281.00 | $16.84 – $72.41 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $359.95 | $1,416.00 | $31.56 – $81.30 | 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.