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 |
|---|---|---|---|---|
| Treatment radiation delivery level 2 CPT 77407 | $353.34 | $1,390.00 | $149.82 – $768.00 | 7 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $539.81 – $883.80 | 2 |
| Treat midfoot fracture each CPT 28455 | $345.97 | $1,361.00 | $115.77 – $457.71 | 4 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $866.69 – $866.69 | 1 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $866.69 – $866.69 | 1 |
| Treat thigh fracture CPT 27238 | $345.97 | $1,361.00 | not published | 0 |
| Treat thigh fracture CPT 27240 | $643.13 | $2,530.00 | not published | 0 |
| Treat toe dislocation CPT 28665 | $1,148.99 | $4,520.00 | not published | 0 |
| Treat ulnar fracture CPT 24675 | $345.97 | $1,361.00 | not published | 0 |
| Treat vaginal bleeding CPT 57180 | $121.26 | $477.00 | $115.77 – $115.77 | 3 |
| Treat wrist bone fracture CPT 25635 | $345.97 | $1,361.00 | not published | 0 |
| Treat wrist dislocation CPT 25675 | $148.46 | $584.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $42.46 | $167.00 | $9.99 – $44.38 | 9 |
| Trg gene rearrangement anal CPT 81342 | $664.74 | $2,615.00 | $110.20 – $250.15 | 9 |
| Triglycerides CPT 84478 | $27.20 | $107.00 | $4.33 – $18.66 | 9 |
| Trim nondyst nails CPT 11719 | $40.42 | $159.00 | $156.09 – $156.09 | 1 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $1,767.97 | $6,955.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $1,578.59 | $6,210.00 | $567.50 – $567.50 | 3 |
| Trnscath plc stnt ante carotid art CPT 37218 | $2,027.25 | $7,975.00 | $567.50 – $567.50 | 3 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $1,598.67 | $6,289.00 | $567.50 – $567.50 | 3 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $3,407.05 | $13,403.00 | not published | 0 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $1,685.61 | $6,631.00 | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,362.52 | $5,360.00 | $786.06 – $786.06 | 1 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,345.49 | $5,293.00 | $485.06 – $485.06 | 1 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $1,422.25 | $5,595.00 | $284.00 – $284.00 | 1 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,410.08 | $9,481.00 | $693.86 – $693.86 | 1 |
| Troponin quantitative CPT 84484 | $48.81 | $192.00 | $9.41 – $31.89 | 9 |
| Tte w or without fol w/con,stres HCPCS C8928 | $531.03 | $2,089.00 | $644.00 – $644.00 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $21.10 | $83.00 | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | $7,968.67 | $31,348.00 | $1,205.26 – $5,825.00 | 4 |
| Tx closed distal humerus fx CPT 24999 | $106.77 | $420.00 | $115.77 – $420.00 | 4 |
| Tx closed hip disl traumatic without anes CPT 27250 | $205.14 | $807.00 | $115.77 – $115.77 | 3 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $1,356.67 | $5,337.00 | not published | 0 |
| Tx closed tib shaft fx without manip CPT 27750 | $229.55 | $903.00 | not published | 0 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $512.55 – $512.55 | 1 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $512.55 – $512.55 | 1 |
| Tx l/r atrial fib addl CPT 93657 | $3,824.95 | $15,047.00 | $370.71 – $5,825.00 | 5 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $2,686.14 | $10,567.00 | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $2,686.14 | $10,567.00 | not published | 0 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $205.14 | $807.00 | $115.77 – $457.71 | 4 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Ua w/micro/comp poc CPT 81000 | $13.22 | $52.00 | $3.03 – $4.22 | 6 |
| Ultrasound breast complete CPT 76641 | $87.45 | $344.00 | $107.60 – $245.18 | 7 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $87.45 | $344.00 | $63.39 – $182.03 | 7 |
| Ultrasound chest CPT 76604 | $160.91 | $633.00 | $52.21 – $377.57 | 7 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $112.87 | $444.00 | $40.56 – $345.56 | 7 |
| Ultrasound encephalogram CPT 76506 | $162.44 | $639.00 | $42.68 – $377.57 | 7 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $222.43 | $875.00 | $107.60 – $255.21 | 7 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $125.07 | $492.00 | $88.33 – $377.57 | 7 |
| Ultrasound guidance for vascular access CPT 76937 | $355.38 | $1,398.00 | $20.79 – $470.38 | 6 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $235.65 | $927.00 | $24.01 – $470.37 | 3 |
| Ultrasound guide intraoperative CPT 76998 | $253.44 | $997.00 | $105.22 – $348.95 | 5 |
| Ultrasound guide tissue ablation CPT 76940 | $100.41 | $395.00 | $138.25 – $395.00 | 5 |
| Ultrasound hips infant dynamic CPT 76885 | $130.92 | $515.00 | $63.39 – $377.57 | 7 |
| Ultrasound infant hips ltd without stress CPT 76886 | $114.39 | $450.00 | $63.39 – $377.57 | 7 |
| Ultrasound joint complete left CPT 76881 | $154.05 | $606.00 | $107.60 – $373.03 | 7 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $135.49 | $533.00 | $27.22 – $245.18 | 7 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $89.48 | $352.00 | $39.77 – $246.81 | 6 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $51.35 | $202.00 | $20.45 – $202.00 | 6 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $202.35 | $796.00 | $119.38 – $517.79 | 7 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $137.53 | $541.00 | $59.02 – $246.81 | 7 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $108.29 | $426.00 | $59.02 – $246.81 | 7 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $152.78 | $601.00 | $106.56 – $246.81 | 7 |
| Ultrasound prostate/transrectal CPT 76872 | $119.48 | $470.00 | $104.42 – $377.57 | 7 |
| Ultrasound retroperitoneal limited CPT 76775 | $213.53 | $840.00 | $34.05 – $377.57 | 7 |
| Ultrasound scrotum and contents CPT 76870 | $197.52 | $777.00 | $70.37 – $377.57 | 7 |
| Ultrasound spinal canal and contents CPT 76800 | $83.13 | $327.00 | $63.39 – $327.00 | 7 |
| Ultrasound transabd ea addl gest CPT 76812 | $141.34 | $556.00 | $103.68 – $246.81 | 6 |
| Ultrasound transvaginal non obstetric CPT 76830 | $201.08 | $791.00 | $107.60 – $377.57 | 7 |
| Unlistd noninvas vasc dx std CPT 93998 | $227.51 | $895.00 | $23.69 – $492.25 | 3 |
| Unlisted CT procedure CPT 76497 | $521.11 | $2,050.00 | $76.62 – $2,117.84 | 6 |
| Unlisted cytogenetic study CPT 88299 | $278.35 | $1,095.00 | $13.95 – $330.00 | 5 |
| Unlisted fluoroscopic px CPT 76496 | $110.07 | $433.00 | $63.39 – $238.15 | 4 |
| Unlisted mr procedure CPT 76498 | $575.77 | $2,265.00 | $76.62 – $2,827.78 | 6 |
| Unlisted neurological dx px CPT 95999 | $53.64 | $211.00 | $138.04 – $374.00 | 5 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $999.81 – $999.81 | 1 |
| Unlisted procedure liver CPT 47399 | not published | not published | $1,141.14 – $1,141.14 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $1,320.44 – $1,320.44 | 1 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $1,141.14 – $1,141.14 | 1 |
| Unlisted procedure rectum CPT 45999 | $314.20 | $1,236.00 | $115.77 – $493.57 | 4 |
| Unlisted procedure spine CPT 22899 | not published | not published | $345.93 – $345.93 | 1 |
| Unlisted px accessory sinus CPT 31299 | $71.94 | $283.00 | $115.77 – $283.00 | 4 |
| Unlisted px ant segment eye CPT 66999 | $550.60 | $2,166.00 | $115.77 – $1,031.45 | 4 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $497.81 – $497.81 | 1 |
| Unlisted px casting/strpg CPT 29799 | $96.09 | $378.00 | $115.77 – $229.92 | 5 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $1,320.44 – $1,320.44 | 1 |
| Unlisted px external ear CPT 69399 | $175.40 | $690.00 | $115.77 – $690.00 | 4 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $345.93 – $345.93 | 1 |
| Unlisted px forearm/wrist CPT 25999 | $183.28 | $721.00 | $115.77 – $457.71 | 4 |
| Unlisted px hands/fingers CPT 26989 | $229.55 | $903.00 | $345.93 – $345.93 | 1 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $556.86 – $556.86 | 1 |
| Unlisted px leg/ankle CPT 27899 | $229.55 | $903.00 | $115.77 – $457.71 | 4 |
| Unlisted px male genital sys CPT 55899 | $103.21 | $406.00 | $115.77 – $406.00 | 4 |
| Unlisted px med radj physics CPT 77399 | $68.13 | $268.00 | $93.80 – $768.00 | 4 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $354.36 – $354.36 | 1 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $345.93 – $345.93 | 1 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $883.80 – $883.80 | 1 |
| Unlisted px salivry glnd/dux CPT 42699 | $1,265.16 | $4,977.00 | $115.77 – $115.77 | 3 |
| Unlisted px small intestine CPT 44799 | $2,129.18 | $8,376.00 | $567.50 – $1,571.44 | 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.