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 |
|---|---|---|---|---|
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $78.04 | $307.00 | $38.59 – $245.18 | 8 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $162.44 | $639.00 | $58.79 – $351.45 | 8 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $110.84 | $436.00 | $40.56 – $245.18 | 8 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $103.46 | $407.00 | $33.64 – $223.85 | 8 |
| X-ray scapula complete (both sides) CPT 73010 | $74.74 | $294.00 | $33.02 – $245.18 | 8 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $58.22 | $229.00 | $26.10 – $182.03 | 8 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $125.07 | $492.00 | $43.07 – $270.60 | 8 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $214.80 | $845.00 | $57.53 – $1,086.50 | 5 |
| X-ray skull < 4 views CPT 70250 | $121.51 | $478.00 | $39.30 – $262.90 | 8 |
| X-ray skull > 4 views complete CPT 70260 | $137.27 | $540.00 | $49.36 – $297.00 | 8 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $238.70 | $939.00 | $79.45 – $516.45 | 8 |
| X-ray small intestine follow-through study CPT 74248 | $145.41 | $572.00 | $44.60 – $314.60 | 3 |
| X-ray spine single view CPT 72020 | $99.65 | $392.00 | $26.10 – $215.60 | 8 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $71.44 | $281.00 | $40.86 – $182.03 | 8 |
| X-ray sternum > 2 views CPT 71120 | $110.84 | $436.00 | $31.78 – $239.80 | 8 |
| X-ray surgical specimen CPT 76098 | $257.76 | $1,014.00 | $18.56 – $1,086.50 | 8 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $133.46 | $525.00 | $65.83 – $401.74 | 8 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $119.22 | $469.00 | $49.94 – $257.95 | 8 |
| X-ray thoracic spine 2 views CPT 72070 | $112.36 | $442.00 | $36.79 – $245.18 | 8 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $115.67 | $455.00 | $39.30 – $250.25 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $328.69 | $1,293.00 | $97.25 – $326.15 | 8 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $111.09 | $437.00 | $30.50 – $240.35 | 8 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $107.02 | $421.00 | $29.51 – $231.55 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $368.59 | $1,450.00 | $93.07 – $401.74 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $266.66 | $1,049.00 | $68.10 – $401.74 | 8 |
| X-ray wrist 2 views (both sides) CPT 73100 | $106.26 | $418.00 | $34.27 – $229.90 | 8 |
| Xylose absorption test blood &/or urine CPT 84620 | $39.15 | $154.00 | $9.73 – $13.56 | 6 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $3,074.81 | $12,096.00 | $1,600.00 – $56,824.55 | 3 |
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.