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 |
|---|---|---|---|---|
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $689.40 | $2,712.00 | $110.20 – $250.15 | 9 |
| Mayo tgrp testosterone free CPT 84402 | $84.40 | $332.00 | $19.21 – $82.54 | 9 |
| Mayo tgrp testosterone total CPT 84403 | $82.37 | $324.00 | $19.46 – $83.69 | 9 |
| Mayo thyroglobulin CPT 84432 | $49.32 | $194.00 | $12.11 – $52.07 | 9 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $46.78 | $184.00 | $7.68 – $32.98 | 9 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $40.93 | $161.00 | $9.34 – $40.16 | 9 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $35.08 | $138.00 | $10.21 – $33.73 | 9 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $15.26 | $60.00 | $10.21 – $41.86 | 9 |
| Mayo vasoactive intestinal peptide CPT 84586 | $116.68 | $459.00 | $26.63 – $114.54 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $25.17 | $99.00 | $15.27 – $65.58 | 9 |
| Mayo vitamin k CPT 84597 | $45.25 | $178.00 | $10.35 – $44.42 | 9 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $43.98 | $173.00 | $9.99 – $41.06 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | $63.81 | $251.00 | $58.46 – $58.46 | 1 |
| Measure ureter pressure CPT 50686 | not published | not published | $820.52 – $820.52 | 1 |
| Medical services after hrs CPT 99050 | $20.60 | $81.00 | $235.00 – $235.00 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $10.16 | $39.95 | $2.19 – $19.98 | 7 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $62.89 | $247.39 | $0.50 – $123.70 | 7 |
| Metabolic Blood Panel (Basic) CPT 80048 | $38.90 | $153.00 | $6.38 – $27.44 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $41.69 | $164.00 | $7.96 – $34.28 | 9 |
| Metabolic panel ionized ca CPT 80047 | $31.78 | $125.00 | $8.29 – $70.10 | 9 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $9.71 | $38.19 | $0.23 – $21.01 | 3 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $349.32 | $1,374.17 | $0.32 – $687.09 | 7 |
| Microalbumin urine screen CPT 82044 | $6.61 | $26.00 | $2.71 – $6.54 | 9 |
| Microbe susceptible mlc CPT 87187 | $22.88 | $90.00 | $8.24 – $41.80 | 9 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,219.98 – $1,219.98 | 1 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $4,356.53 | $17,138.16 | $2,250.00 – $4,500.00 | 4 |
| Mopath procedure level 5 CPT 81404 | $30.00 | $118.00 | $64.90 – $799.68 | 9 |
| Mopath procedure level 6 CPT 81405 | $54.40 | $214.00 | $117.70 – $1,091.14 | 9 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $13.16 | $51.75 | $2.12 – $25.88 | 7 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $388.53 | $1,528.43 | $9.28 – $764.22 | 7 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $448.92 | $1,766.00 | $141.67 – $971.30 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $408.00 | $1,605.00 | $57.28 – $882.75 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $290.05 | $1,141.00 | $59.50 – $627.55 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $224.46 | $883.00 | $32.10 – $485.65 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $411.81 | $1,620.00 | $131.85 – $891.00 | 8 |
| M/phmtrc alysishquant/semiq CPT 88369 | $164.73 | $648.00 | $43.12 – $356.40 | 8 |
| M/phmtrc alys skeletal musc CPT 88355 | $223.19 | $878.00 | $39.01 – $482.90 | 5 |
| MRA chest w IV cont HCPCS C8909 | $819.80 | $3,225.00 | $584.00 – $2,827.78 | 5 |
| MRA chest wo IV cont HCPCS C8910 | $737.18 | $2,900.00 | $517.79 – $2,827.78 | 5 |
| MRA chest wwo IV cont HCPCS C8911 | $861.74 | $3,390.00 | $584.00 – $2,827.78 | 5 |
| MRA w/cont, abd HCPCS C8900 | $723.20 | $2,845.00 | $584.00 – $2,827.78 | 5 |
| Mra, w/dye, spinal canal HCPCS C8931 | $656.35 | $2,582.00 | $584.00 – $2,827.78 | 5 |
| Mra, w/dye, upper extremity HCPCS C8934 | $962.15 | $3,785.00 | $584.00 – $2,827.78 | 5 |
| MRA without cont, abd HCPCS C8901 | $687.36 | $2,704.00 | $517.79 – $2,827.78 | 5 |
| MRA without cont, lwr ext HCPCS C8913 | $964.69 | $3,795.00 | $517.79 – $2,827.78 | 5 |
| Mra, without dye, spinal canal HCPCS C8932 | $417.66 | $1,643.00 | $517.79 – $2,827.78 | 5 |
| Mra, without dye, upper extr HCPCS C8935 | $769.72 | $3,028.00 | $517.79 – $2,827.78 | 5 |
| MRA without fol w/cont, abd HCPCS C8902 | $755.23 | $2,971.00 | $584.00 – $2,827.78 | 5 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,157.63 | $4,554.00 | $584.00 – $2,827.78 | 5 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $964.69 | $3,795.00 | $584.00 – $2,827.78 | 5 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $817.77 | $3,217.00 | $584.00 – $2,827.78 | 5 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,154.58 | $4,542.00 | $584.00 – $2,827.78 | 5 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $708.71 | $2,788.00 | $223.73 – $2,827.78 | 9 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $984.01 | $3,871.00 | $366.59 – $2,827.78 | 9 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $807.09 | $3,175.00 | $584.00 – $2,827.78 | 9 |
| MRI chest without contrast CPT 71550 | $787.01 | $3,096.00 | $223.73 – $2,827.78 | 9 |
| MRI chest without & w/contrast CPT 71552 | $1,248.89 | $4,913.00 | $366.59 – $2,827.78 | 9 |
| MRI chest w IV cont CPT 71551 | $961.90 | $3,784.00 | $584.00 – $2,827.78 | 9 |
| MRI loex nonjt w IV cont CPT 73719 | $1,094.34 | $4,305.00 | $366.59 – $2,827.78 | 9 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,008.16 | $3,966.00 | $223.73 – $2,827.78 | 9 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,229.32 | $4,836.00 | $366.59 – $2,827.78 | 9 |
| MRI orbit/face/neck without contrast CPT 70540 | $569.67 | $2,241.00 | $223.73 – $2,827.78 | 9 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,054.93 | $4,150.00 | $366.59 – $2,827.78 | 9 |
| MRI orbit fac&nck w IV cont CPT 70542 | $865.05 | $3,403.00 | $366.59 – $2,827.78 | 9 |
| MRI tmj CPT 70336 | $918.18 | $3,612.00 | $223.73 – $2,827.78 | 9 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $864.54 | $3,401.00 | $223.73 – $2,827.78 | 9 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,167.29 | $4,592.00 | $366.59 – $2,827.78 | 9 |
| MRI upper extremity w/dye CPT 73219 | $985.79 | $3,878.00 | $366.59 – $2,827.78 | 9 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $9.41 | $37.00 | $12.95 – $20.35 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $18.56 | $73.00 | $25.55 – $40.15 | 2 |
| Mr spectroscopy CPT 76390 | $574.75 | $2,261.00 | $88.41 – $2,827.78 | 6 |
| Mthfr gene analy common variants CPT 81291 | $144.14 | $567.00 | $42.81 – $189.59 | 9 |
| Mucin synovial fluid CPT 83872 | $17.29 | $68.00 | $4.42 – $16.89 | 9 |
| Multiple sleep latency test CPT 95805 | $894.53 | $3,519.00 | $229.27 – $2,351.88 | 7 |
| Mumps antibody igg CPT 86735 | $52.12 | $205.00 | $9.35 – $42.29 | 9 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $6.17 | $24.27 | $0.18 – $5.79 | 5 |
| Mycoplasma antibody igm CPT 86738 | $43.98 | $173.00 | $9.99 – $42.95 | 9 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $540.43 | $2,126.00 | $753.37 – $753.37 | 1 |
| Myelography via inj w/s&i cervical CPT 62302 | $577.04 | $2,270.00 | $753.37 – $753.37 | 1 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $623.30 | $2,452.00 | $753.37 – $753.37 | 1 |
| Myelography via inj w/s&i thoracic CPT 62303 | $555.43 | $2,185.00 | $753.37 – $753.37 | 1 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $45.51 | $179.00 | $5.50 – $37.41 | 9 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $167.01 | $657.00 | $115.77 – $354.36 | 4 |
| Nasal sinus therapy CPT 30210 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $68.38 | $269.00 | $115.77 – $116.00 | 4 |
| Natriuretic peptide CPT 83880 | $108.04 | $425.00 | $29.60 – $107.67 | 9 |
| Natural killer cells total count CPT 86357 | $124.56 | $490.00 | $28.44 – $123.62 | 9 |
| N block inj common digit CPT 64632 | not published | not published | $276.53 – $276.53 | 1 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $820.52 – $820.52 | 1 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $17.29 | $68.00 | $962.66 – $962.66 | 1 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $818.27 | $3,219.00 | $174.94 – $2,117.84 | 9 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $734.39 | $2,889.00 | $366.59 – $2,117.84 | 9 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $699.31 | $2,751.00 | $107.60 – $2,117.84 | 9 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,428.61 | $5,620.00 | $366.59 – $2,827.78 | 9 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,199.32 | $4,718.00 | $366.59 – $2,827.78 | 9 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,042.73 | $4,102.00 | $223.73 – $2,827.78 | 9 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $947.41 | $3,727.00 | $366.59 – $2,827.78 | 9 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $837.09 | $3,293.00 | $366.59 – $2,827.78 | 9 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $648.98 | $2,553.00 | $223.73 – $2,827.78 | 9 |
| Neg pres wound ther drsg set HCPCS A6550 | $214.69 | $844.56 | not published | 0 |
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.