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 |
|---|---|---|---|---|
| Aspir/inj thyroid cyst 60300 CPT 60300 | $324.62 | $1,277.00 | $268.15 – $268.15 | 1 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $866.69 – $866.69 | 1 |
| Assay acid phosphatase CPT 84060 | $25.42 | $100.00 | $5.77 – $23.93 | 9 |
| Assay alkaline phosphatase CPT 84078 | $16.02 | $63.00 | $6.23 – $15.39 | 9 |
| Assay of breath ethanol CPT 82075 | $26.44 | $104.00 | $10.77 – $31.50 | 9 |
| Assay of interleukin-6 (il-6) CPT 83529 | $49.57 | $195.00 | not published | 0 |
| Assay of osteocalcin CPT 83937 | $98.63 | $388.00 | $22.50 – $96.79 | 9 |
| Assay of procainamide w/metab CPT 80192 | $59.49 | $234.00 | $12.63 – $54.30 | 9 |
| Assay of thiocyanate CPT 84430 | $38.64 | $152.00 | $8.77 – $37.73 | 9 |
| Assay of tyrosine CPT 84510 | $21.36 | $84.00 | $8.02 – $20.82 | 9 |
| Assay phosphatidylglycerol CPT 84081 | $54.40 | $214.00 | $12.46 – $53.57 | 9 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $84.40 | $332.00 | $154.00 – $332.00 | 3 |
| Assess cyst contrast inject CPT 49424 | $415.62 | $1,635.00 | not published | 0 |
| Ast/sgot CPT 84450 | $40.93 | $161.00 | $3.91 – $16.75 | 9 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $3,887.74 | $15,294.00 | not published | 0 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $5,577.92 | $21,943.00 | not published | 0 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $130.77 | $514.40 | $0.03 – $257.20 | 7 |
| Autologous blood process CPT 86890 | $435.70 | $1,714.00 | $2.16 – $942.70 | 8 |
| Automated diff wbc count CPT 85004 | $21.36 | $84.00 | $4.88 – $6.79 | 6 |
| Avul nail plate addl CPT 11732 | not published | not published | $111.80 – $111.80 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $77.54 | $305.00 | $191.95 – $191.95 | 1 |
| Bacterial meningitis antigen CPT 86403 | $46.02 | $181.00 | $8.70 – $33.03 | 9 |
| Bacterial vaginosis pcr CPT 87801 | $231.84 | $912.00 | $50.12 – $113.77 | 9 |
| #bac vag cand-c. albicans naa CPT 87481 | $209.72 | $825.00 | $26.46 – $36.84 | 6 |
| Balloon dilate urtrl strix CPT 50706 | $492.14 | $1,936.00 | $674.19 – $674.19 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | $76.26 | $300.00 | $26.46 – $36.84 | 6 |
| B cells total count CPT 86355 | $124.56 | $490.00 | $28.44 – $123.62 | 9 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $373.34 – $373.34 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $93.55 | $368.00 | $16.50 – $82.47 | 9 |
| Beta-2 microglobulin CPT 82232 | $53.39 | $210.00 | $12.20 – $52.46 | 9 |
| Bilateral n block inj occipital 64405 CPT 64405 | $194.72 | $766.00 | $621.00 – $621.00 | 1 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $166.25 | $654.00 | $654.00 – $654.00 | 1 |
| Bilirubin direct CPT 82248 | $20.34 | $80.00 | $3.78 – $16.28 | 9 |
| Bilirubin total CPT 82247 | $25.42 | $100.00 | $3.78 – $16.28 | 9 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $7.63 | $30.00 | $10.50 – $15.00 | 3 |
| Biodfence dryflex, 1cm HCPCS Q4138 | $2,124.61 | $8,358.00 | $107.59 – $1,417.50 | 3 |
| Biopsy abdominal mass CPT 49180 | $628.39 | $2,472.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $586.70 | $2,308.00 | not published | 0 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $1,274.02 – $1,274.02 | 1 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $843.72 – $843.72 | 1 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $590.59 – $590.59 | 1 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,111.62 | $4,373.00 | $2,627.26 – $2,627.26 | 1 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,028.50 | $4,046.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $1,450.72 | $5,707.00 | not published | 0 |
| Biopsy needle lymph node superficial CPT 38505 | $941.05 | $3,702.00 | not published | 0 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $843.72 – $843.72 | 1 |
| Biopsy of salivary gland 42400 CPT 42400 | not published | not published | $388.11 – $388.11 | 1 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,077.56 | $4,239.00 | not published | 0 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $1,092.62 – $1,092.62 | 1 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $354.36 – $354.36 | 1 |
| Biospy of bladder CPT 53899 | $103.21 | $406.00 | $115.77 – $406.00 | 4 |
| Biotinidase - quest CPT 82261 | $55.93 | $220.00 | $12.73 – $54.68 | 9 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $88.21 | $347.00 | $347.00 – $347.00 | 1 |
| Bladder irrigation tubing HCPCS A4355 | $2.80 | $11.00 | $11.00 – $11.00 | 1 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $1,229.73 – $1,229.73 | 1 |
| Bld prd mix CPT 86965 | $186.08 | $732.00 | $0.71 – $402.60 | 8 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $1,229.73 – $1,229.73 | 1 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $4,778.96 | $18,800.00 | $80.00 – $160.00 | 4 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $864.28 | $3,400.00 | $208.00 – $416.00 | 4 |
| Bln dil 900ml preperitnl HCPCS C1727 | $88.47 | $348.00 | $87.00 – $174.00 | 4 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,847.04 | $11,200.00 | $416.75 – $833.50 | 4 |
| Bln press regulation 71-80cm HCPCS C1815 | $5,626.98 | $22,136.00 | $606.83 – $1,213.65 | 4 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $2,168.92 | $8,532.31 | $675.00 – $1,350.00 | 4 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $10.71 | $42.11 | $5.00 – $5.00 | 1 |
| Block paracervical nrv CPT 64435 | not published | not published | $700.29 – $700.29 | 1 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,135.52 | $4,467.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $655.59 | $2,579.00 | not published | 0 |
| Blood clot retraction CPT 85170 | $11.70 | $46.00 | $3.55 – $17.11 | 9 |
| Blood Clotting (PT/INR) Test CPT 85610 | $17.29 | $68.00 | $3.24 – $12.73 | 9 |
| Blood Clotting (PTT) Test CPT 85730 | $25.93 | $102.00 | $4.54 – $19.48 | 9 |
| Blood Count (CBC) Test CPT 85025 | $34.07 | $134.00 | $5.86 – $8.16 | 6 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $51.86 | $204.00 | $4.88 – $6.79 | 6 |
| Blood count spun microhematocrit CPT 85013 | $8.39 | $33.00 | $2.32 – $7.35 | 6 |
| Blood Culture Test CPT 87040 | $51.10 | $201.00 | $7.78 – $33.48 | 9 |
| Blood draw capillary 36416 CPT 36416 | $3.82 | $15.00 | $0.21 – $962.66 | 7 |
| Blood gases ph venous CPT 82800 | $29.75 | $117.00 | $8.29 – $27.47 | 9 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $15.00 | $59.00 | $3.19 – $10.65 | 9 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $11.70 | $46.00 | $3.19 – $10.53 | 9 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $10.94 | $43.00 | $3.19 – $10.65 | 9 |
| Blood smear interpretation CPT 85060 | $13.22 | $52.00 | $17.28 – $52.00 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $14.75 | $58.00 | $2.87 – $3.99 | 6 |
| Blood split unit HCPCS P9011 | $215.06 | $846.00 | $143.31 – $283.00 | 2 |
| Blood typing abo CPT 86900 | $115.67 | $455.00 | $2.25 – $250.25 | 8 |
| Blood typing ag donor ea ag CPT 86902 | $213.28 | $839.00 | $3.75 – $461.45 | 8 |
| Blood typing patient serum CPT 86904 | $61.27 | $241.00 | $9.33 – $132.55 | 8 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $275.30 | $1,083.00 | $2.89 – $595.65 | 8 |
| Blood typing rh (d) CPT 86901 | $63.05 | $248.00 | $2.25 – $136.40 | 8 |
| Blood volume CPT 78122 | $415.88 | $1,636.00 | $158.43 – $1,101.15 | 7 |
| Bone Density Scan (DEXA) CPT 77080 | $127.61 | $502.00 | $89.59 – $352.03 | 8 |
| Bone/joint imaging ltd area CPT 78300 | $374.44 | $1,473.00 | $52.21 – $848.52 | 7 |
| Bone marrow;aspiration only 38220 CPT 38220 | $756.00 | $2,974.00 | $1,525.10 – $1,525.10 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $756.00 | $2,974.00 | $1,525.10 – $1,525.10 | 1 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $871.15 – $871.15 | 1 |
| Bone marrow imaging ltd CPT 78102 | $275.56 | $1,084.00 | $149.82 – $848.52 | 7 |
| Bone marrow interpretation CPT 85097 | $961.90 | $3,784.00 | $34.81 – $2,081.20 | 5 |
| Bone survey-lead poisoning CPT 77074 | $130.41 | $513.00 | $75.76 – $282.15 | 8 |
| Bone void filler nanoss 10cc HCPCS C9362 | $50.84 | $200.00 | $50.00 – $100.00 | 4 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $54.91 | $216.00 | $12.84 – $55.21 | 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.