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 |
|---|---|---|---|---|
| Unlisted px temporal bone CPT 69979 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | $175.40 | $690.00 | $115.77 – $354.36 | 4 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Unlisted ultrasound procedure CPT 76999 | $99.91 | $393.00 | $63.39 – $377.57 | 4 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,386.92 | $5,456.00 | $366.59 – $2,827.78 | 9 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,164.24 | $4,580.00 | $366.59 – $2,827.78 | 9 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,012.48 | $3,983.00 | $223.73 – $2,827.78 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $687.87 | $2,706.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $18.56 | $73.00 | $2.98 – $12.78 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | $18.56 | $73.00 | $4.19 – $15.39 | 9 |
| Ureteral reflux study CPT 78740 | $346.48 | $1,363.00 | $36.32 – $848.52 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $133.46 | $525.00 | $98.82 – $525.00 | 5 |
| Urethrocystography void s&i CPT 74455 | $190.65 | $750.00 | $119.13 – $601.15 | 5 |
| Uric acid blood CPT 84550 | $21.87 | $86.00 | $3.41 – $14.66 | 9 |
| Uric acid urine CPT 84560 | $16.02 | $63.00 | $3.83 – $15.39 | 9 |
| Urinalysis microscopic only CPT 81015 | $15.77 | $62.00 | $2.30 – $3.20 | 6 |
| Urinalysis (with microscopy) CPT 81001 | $14.49 | $57.00 | $2.39 – $3.33 | 6 |
| Urinalysis (without microscopy) CPT 81003 | $11.44 | $45.00 | $1.69 – $2.36 | 6 |
| Urinary reflex study CPT 51792 | not published | not published | $820.52 – $820.52 | 1 |
| Urine Culture Test CPT 87086 | $27.97 | $110.00 | $6.09 – $26.17 | 9 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $457.71 – $457.71 | 1 |
| Urine pregnancy test CPT 81025 | $26.95 | $106.00 | $6.20 – $9.04 | 6 |
| Urography, antegrade CPT 74425 | $166.76 | $656.00 | $84.66 – $828.27 | 5 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $26,005.08 | $102,301.65 | $113.40 – $51,150.83 | 8 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $224.16 | $881.82 | $105.82 – $440.91 | 2 |
| Vaginal bx CPT 58999 | $113.12 | $445.00 | $115.77 – $445.00 | 4 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $1,337.35 | $5,261.00 | $2,362.44 – $2,362.44 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $43.47 | $171.00 | $10.21 – $43.90 | 9 |
| Valvuloplasty aortic CPT 92986 | $2,954.57 | $11,623.00 | $1,869.50 – $1,869.50 | 3 |
| Valvuloplasty mitral CPT 92987 | $3,312.99 | $13,033.00 | $1,936.92 – $1,936.92 | 3 |
| Valvuloplasty pulmonary CPT 92990 | $3,312.99 | $13,033.00 | $1,466.99 – $1,466.99 | 3 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $41.87 | $164.71 | $19.77 – $82.36 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $63.30 | $249.00 | $10.21 – $43.90 | 9 |
| Varicella zoster antibody igg CPT 86787 | $41.95 | $165.00 | $9.35 – $41.77 | 9 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $52.27 | $205.62 | $24.68 – $102.81 | 2 |
| Veeg cont 2-12 hrs CPT 95713 | $384.86 | $1,514.00 | $458.88 – $782.74 | 5 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $727.27 | $2,861.00 | $625.00 – $1,465.10 | 5 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $204.13 | $803.00 | $265.84 – $625.00 | 5 |
| Veeg unmon 12-26 hrs CPT 95714 | $384.86 | $1,514.00 | $458.88 – $782.74 | 5 |
| Veeg unmon 2-12 hrs CPT 95711 | $204.13 | $803.00 | $265.84 – $625.00 | 5 |
| Vein x-ray adrenal gland CPT 75840 | $857.42 | $3,373.00 | $280.67 – $6,438.74 | 5 |
| Vein x-ray adrenal glands CPT 75842 | $1,183.05 | $4,654.00 | $308.95 – $10,733.33 | 5 |
| Vein x-ray kidney CPT 75831 | $857.42 | $3,373.00 | $285.07 – $6,438.74 | 5 |
| Vein x-ray liver CPT 75891 | $857.42 | $3,373.00 | $284.44 – $6,438.74 | 5 |
| Vein x-ray liver w/hemodynam CPT 75885 | $857.42 | $3,373.00 | $285.07 – $6,438.74 | 8 |
| Vein x-ray liver w/hemodynam CPT 75889 | $857.42 | $3,373.00 | $284.44 – $6,438.74 | 8 |
| Vein x-ray liver without hemodyn CPT 75887 | $689.40 | $2,712.00 | $289.47 – $6,438.74 | 8 |
| Vein x-ray skull CPT 75870 | $739.73 | $2,910.00 | $290.72 – $6,438.74 | 5 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $4.58 | $18.00 | $6.67 – $6.67 | 1 |
| Venogram ext bil s&i CPT 75822 | $453.50 | $1,784.00 | $157.47 – $3,163.82 | 5 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $394.27 | $1,551.00 | $142.38 – $3,163.82 | 5 |
| Venous mech thrombectomy CPT 37187 | $3,703.70 | $14,570.00 | not published | 0 |
| Venous m-thrombectomy add-on CPT 37188 | $3,703.70 | $14,570.00 | not published | 0 |
| Venous sampling s&i CPT 75893 | $2,433.72 | $9,574.00 | $193.67 – $10,733.33 | 5 |
| Ventilator each subsequent day CPT 94003 | $245.31 | $965.00 | $113.47 – $528.45 | 4 |
| Ventilator initial day CPT 94002 | $421.98 | $1,660.00 | $148.00 – $528.45 | 4 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $630.68 | $2,481.00 | not published | 0 |
| Version cephalic external CPT 59412 | not published | not published | $2,362.44 – $2,362.44 | 1 |
| Virus isolation addl studies ea CPT 87253 | $66.61 | $262.00 | $15.23 – $65.47 | 9 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $93.80 | $369.00 | not published | 0 |
| Vitamin b-12 CPT 82607 | $62.03 | $244.00 | $8.25 – $48.85 | 9 |
| Vitamin D Test CPT 82306 | $117.45 | $462.00 | $22.32 – $95.95 | 9 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | not published | not published | $457.71 – $457.71 | 1 |
| Volume measurement urine timed CPT 81050 | $10.17 | $40.00 | $2.75 – $3.82 | 6 |
| Warde 1003990 aldosterone CPT 82088 | $225.23 | $886.00 | $19.80 – $132.11 | 9 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $109.06 | $429.00 | $19.25 – $90.14 | 9 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $42.20 | $166.00 | $8.25 – $41.79 | 9 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $83.13 | $327.00 | $19.04 – $81.86 | 9 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $51.35 | $202.00 | $11.69 – $50.24 | 9 |
| Warde 1015200 kappa light chain free CPT 83521 | $30.51 | $120.00 | not published | 0 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $28.73 | $113.00 | $6.04 – $26.01 | 9 |
| Warde 3008005 oligoclonal bands CPT 83916 | $64.06 | $252.00 | $19.72 – $65.19 | 9 |
| Warde 3016000 west nile virus antibody CPT 86788 | $55.93 | $220.00 | $12.70 – $55.21 | 9 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $47.54 | $187.00 | $10.85 – $47.17 | 9 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $40.68 | $160.00 | $9.23 – $39.77 | 9 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $35.59 | $140.00 | $6.72 – $28.85 | 9 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $71.18 | $280.00 | $13.56 – $58.91 | 9 |
| Warde 3400852 arsenic CPT 82175 | $62.79 | $247.00 | $9.35 – $61.49 | 9 |
| Warde 3708165 mercury urine CPT 83825 | $53.64 | $211.00 | $12.26 – $52.71 | 9 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $4.58 | $18.00 | not published | 0 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $26.44 | $104.00 | $6.11 – $21.41 | 9 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $73.21 | $288.00 | $19.80 – $53.71 | 9 |
| Warde aldolase CPT 82085 | $4.58 | $18.00 | $7.32 – $31.48 | 9 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $55.93 | $220.00 | $12.73 – $54.68 | 9 |
| Warde amiodarone therapeutic drug level CPT 80151 | $12.46 | $49.00 | $14.06 – $42.31 | 9 |
| Warde analysis gene hfe common variants CPT 81256 | $226.50 | $891.00 | $49.28 – $175.43 | 9 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $186.08 | $732.00 | $68.75 – $183.01 | 9 |
| Warde apolipoprotein b CPT 82172 | $51.35 | $202.00 | $15.20 – $50.21 | 9 |
| Warde cadmium blood CPT 82300 | $76.26 | $300.00 | $17.83 – $75.02 | 9 |
| Warde calcitonin CPT 82308 | $88.47 | $348.00 | $20.20 – $86.80 | 9 |
| Warde clozapine therapeutic drug level CPT 80159 | $61.52 | $242.00 | $15.20 – $57.27 | 9 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $32.29 | $127.00 | $16.55 – $71.01 | 9 |
| Warde collagen cross links c-telopeptide CPT 82523 | $62.03 | $244.00 | $14.08 – $60.59 | 9 |
| Warde complement total hemolytic CPT 86162 | $67.37 | $265.00 | $15.32 – $65.88 | 9 |
| Warde copper CPT 82525 | $4.58 | $18.00 | $9.36 – $40.22 | 9 |
| Warde cryoglobulin CPT 82595 | $20.34 | $80.00 | $4.88 – $21.00 | 9 |
| Warde erythropoietin CPT 82668 | $62.28 | $245.00 | $11.55 – $60.93 | 9 |
| Warde estrogen fractionated CPT 82671 | $79.06 | $311.00 | $21.45 – $77.82 | 9 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $12.97 | $51.00 | not published | 0 |
| Warde folic acid rbc CPT 82747 | $57.45 | $226.00 | $13.31 – $56.14 | 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.