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 |
|---|---|---|---|---|
| Repair detached retina crtx CPT 67101 | not published | not published | $1,413.24 – $1,413.24 | 1 |
| Repair detached retina pc CPT 67105 | not published | not published | $883.80 – $883.80 | 1 |
| Repair eyelid defect CPT 67915 | not published | not published | $1,320.44 – $1,320.44 | 1 |
| Repair eyelid defect CPT 67922 | not published | not published | $1,320.44 – $1,320.44 | 1 |
| Repair eyelid wound CPT 67930 | $1,272.02 | $5,004.00 | not published | 0 |
| Repair eyelid wound CPT 67935 | $1,272.02 | $5,004.00 | not published | 0 |
| Repair finger/hand tendon CPT 26350 | $1,890.49 | $7,437.00 | not published | 0 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $479.43 | $1,886.00 | not published | 0 |
| Repair of body cast CPT 29720 | not published | not published | $148.24 – $229.92 | 2 |
| Repair of eye wound CPT 65270 | $1,272.02 | $5,004.00 | not published | 0 |
| Repair of eye wound CPT 65286 | not published | not published | $1,274.02 – $1,274.02 | 1 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $532.55 | $2,095.00 | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $479.43 | $1,886.00 | not published | 0 |
| Repair stomach opening CPT 43870 | $647.71 | $2,548.00 | not published | 0 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $210.48 | $828.00 | not published | 0 |
| Replace duod/jej tube perc CPT 49451 | $280.39 | $1,103.00 | $873.26 – $873.26 | 1 |
| Replace g/c tube perc CPT 49450 | $280.39 | $1,103.00 | $635.27 – $635.27 | 1 |
| Replace g-j tube perc CPT 49452 | $280.39 | $1,103.00 | $1,103.00 – $1,103.00 | 1 |
| Replace/irrigate catheter CPT 62225 | $1,849.31 | $7,275.00 | not published | 0 |
| Replace/revise brain shunt CPT 62230 | $4,064.15 | $15,988.00 | not published | 0 |
| Replace tunneled cv cath CPT 36578 | $708.46 | $2,787.00 | not published | 0 |
| Replantation digit complete CPT 20822 | $2,284.25 | $8,986.00 | $115.77 – $115.77 | 3 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $1,987.34 | $7,818.00 | $349.61 – $674.19 | 4 |
| Repos lv lead pm/icd CPT 33226 | $1,076.29 | $4,234.00 | not published | 0 |
| Reptilase test CPT 85635 | $32.80 | $129.00 | $7.42 – $31.92 | 9 |
| Resp virus 6-11 targets CPT 87632 | $8.39 | $33.00 | $18.15 – $307.54 | 9 |
| Resuscitation cardiopulmonary CPT 92950 | $323.60 | $1,273.00 | $115.77 – $962.66 | 6 |
| Reticulocyte automated CPT 85045 | $19.07 | $75.00 | $3.00 – $4.19 | 6 |
| Revasc intra lithotrip-ather HCPCS C9766 | $3,101.24 | $12,200.00 | $5,825.00 – $5,825.00 | 1 |
| Revasc intra lithotrip-stent HCPCS C9765 | $3,101.24 | $12,200.00 | $5,825.00 – $5,825.00 | 1 |
| Revasc intravasc lithotripsy HCPCS C9764 | $3,532.37 | $13,896.00 | $5,825.00 – $5,825.00 | 1 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $4,960.72 | $19,515.00 | $5,825.00 – $5,825.00 | 1 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $4,960.72 | $19,515.00 | $5,825.00 – $5,825.00 | 1 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $3,101.24 | $12,200.00 | $5,825.00 – $5,825.00 | 1 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $4,960.72 | $19,515.00 | $5,825.00 – $5,825.00 | 1 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $4,960.72 | $19,515.00 | $5,825.00 – $5,825.00 | 1 |
| Revise eyelashes CPT 67825 | not published | not published | $590.59 – $590.59 | 1 |
| Revision of iris CPT 66761 | $459.85 | $1,809.00 | not published | 0 |
| Revision of iris CPT 66762 | not published | not published | $1,031.45 – $1,031.45 | 1 |
| Revision of penis CPT 54430 | $762.10 | $2,998.00 | $674.19 – $674.19 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | $3,899.18 | $15,339.00 | $674.19 – $674.19 | 3 |
| Rheumatoid factor qualitative CPT 86430 | $22.88 | $90.00 | $4.63 – $18.41 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $6.61 | $26.00 | $4.28 – $18.41 | 9 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $1.21 | $4.74 | $0.57 – $12.10 | 7 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $333.55 | $1,312.14 | $157.46 – $656.07 | 2 |
| Right ventric recording CPT 93603 | $2,866.87 | $11,278.00 | $211.11 – $5,825.00 | 6 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $54.91 | $216.00 | $54.00 – $108.00 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $843.72 – $843.72 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $294.62 | $1,159.00 | $843.72 – $843.72 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $463.41 | $1,823.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $398.13 – $398.13 | 1 |
| Rmvl subq card rhythm mntr CPT 33286 | $736.68 | $2,898.00 | not published | 0 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $191.95 – $191.95 | 1 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $2,448.91 | $9,633.76 | $1,156.06 – $4,816.88 | 2 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $52.71 | $207.34 | $0.07 – $35.58 | 4 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $995.71 | $3,917.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $713.29 | $2,806.00 | $95.34 – $919.66 | 7 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,044.00 | $4,107.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $2,468.80 | $9,712.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $1,435.47 | $5,647.00 | not published | 0 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $2,704.14 – $2,704.14 | 1 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $2,704.14 – $2,704.14 | 1 |
| Rubella antibody igg CPT 86762 | $52.12 | $205.00 | $10.85 – $46.65 | 9 |
| Rubeola antibody igg CPT 86765 | $46.27 | $182.00 | $9.35 – $41.77 | 9 |
| Russell viper venom diluted CPT 85613 | $27.71 | $109.00 | $7.23 – $18.70 | 9 |
| Salivary glnd img serial img CPT 78231 | $212.26 | $835.00 | $52.21 – $848.52 | 7 |
| Salmonella antibody CPT 86768 | $9.41 | $37.00 | $9.94 – $42.77 | 9 |
| Sarscov coronavirus ag ia CPT 87426 | $63.30 | $249.00 | $26.63 – $37.10 | 6 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $142.36 | $560.00 | $30.94 – $73.80 | 6 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $225.99 | $889.00 | $206.57 – $573.72 | 8 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $164.98 | $649.00 | $101.45 – $573.72 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $223.96 | $881.00 | $165.71 – $573.72 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $195.74 | $770.00 | $101.45 – $573.72 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $302.50 | $1,190.00 | $165.71 – $654.50 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $178.71 | $703.00 | $101.45 – $573.72 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $103.21 | $406.00 | $101.45 – $478.00 | 8 |
| Scan proc cranial extra CPT 61782 | not published | not published | $93.33 – $93.33 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $127.61 – $127.61 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $127.61 – $127.61 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $806.33 | $3,172.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $122.28 | $481.00 | $92.75 – $224.37 | 7 |
| Screening prostate cancer PSA HCPCS G0103 | $75.25 | $296.00 | $14.56 – $20.28 | 6 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $18,694.13 | $73,541.00 | $0.01 – $0.01 | 4 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,339.89 | $5,271.00 | $674.19 – $674.19 | 3 |
| Set radiation therapy field CPT 77280 | $290.81 | $1,144.00 | $121.54 – $768.00 | 7 |
| Set radiation therapy field CPT 77285 | $333.52 | $1,312.00 | $321.77 – $856.39 | 7 |
| Set radiation therapy field CPT 77290 | $563.82 | $2,218.00 | $321.77 – $856.39 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $191.95 – $191.95 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $191.95 – $191.95 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $373.34 – $373.34 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $744.59 – $744.59 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $191.95 – $191.95 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $191.95 – $191.95 | 1 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $316.40 – $316.40 | 1 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $373.34 – $373.34 | 1 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $191.95 – $191.95 | 1 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $135.24 | $532.00 | $191.95 – $191.95 | 1 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $316.40 – $316.40 | 1 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $2,055.72 | $8,087.00 | $255.00 – $510.00 | 4 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,244.31 | $4,895.00 | $366.59 – $2,827.78 | 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.