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 |
|---|---|---|---|---|
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $205.14 | $807.00 | $457.71 – $457.71 | 1 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $712.02 | $2,801.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $205.14 | $807.00 | $115.77 – $115.77 | 3 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $212.52 | $836.00 | not published | 0 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $229.55 | $903.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $229.55 | $903.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $889.96 | $3,501.00 | not published | 0 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $154.56 | $608.00 | $345.93 – $345.93 | 1 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $205.14 | $807.00 | $457.71 – $457.71 | 1 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $215.31 | $847.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $205.14 | $807.00 | $457.71 – $457.71 | 1 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $205.14 | $807.00 | $457.71 – $457.71 | 1 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $918.94 | $3,615.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $345.97 | $1,361.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $205.14 | $807.00 | not published | 0 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $205.14 | $807.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,024.69 | $4,031.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $154.56 | $608.00 | $345.93 – $345.93 | 1 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $205.14 | $807.00 | $457.71 – $457.71 | 1 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $345.97 | $1,361.00 | not published | 0 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $205.14 | $807.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $345.97 | $1,361.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $345.97 | $1,361.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,186.36 | $4,667.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $167.01 | $657.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $154.56 | $608.00 | $345.93 – $345.93 | 1 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $345.97 | $1,361.00 | $115.77 – $115.77 | 3 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $712.02 | $2,801.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $205.14 | $807.00 | $457.71 – $457.71 | 1 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $229.55 | $903.00 | $115.77 – $115.77 | 3 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $205.14 | $807.00 | $457.71 – $457.71 | 1 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $205.14 | $807.00 | $115.77 – $457.71 | 4 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $148.46 | $584.00 | $115.77 – $457.71 | 4 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $205.14 | $807.00 | $115.77 – $115.77 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $1,479.45 | $5,820.00 | not published | 0 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $229.55 | $903.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $345.97 | $1,361.00 | not published | 0 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $229.55 | $903.00 | not published | 0 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $1,756.78 | $6,911.00 | not published | 0 |
| Cltx post ankle fx CPT 27767 | not published | not published | $1,301.32 – $1,301.32 | 1 |
| Cltx post ankle fx w/mnpj CPT 27768 | $938.26 | $3,691.00 | not published | 0 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $404.44 | $1,591.00 | $115.77 – $115.77 | 3 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $205.14 | $807.00 | $115.77 – $115.77 | 3 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $9.66 | $38.00 | $5.87 – $19.43 | 9 |
| #cmvcul-virus inoculation shell CPT 87254 | $86.18 | $339.00 | $6.99 – $20.54 | 9 |
| Cmv pcr-sendout CPT 87496 | $115.92 | $456.00 | $26.46 – $113.77 | 9 |
| Coagulation time activated teg CPT 85347 | $21.87 | $86.00 | $3.22 – $12.96 | 9 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $10,274.01 | $40,417.00 | $5,087.60 – $14,536.00 | 4 |
| Cold agglutinin titer CPT 86157 | $26.95 | $106.00 | $6.08 – $26.13 | 9 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $321.92 | $1,266.38 | $316.60 – $633.19 | 4 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $197.52 | $777.00 | $118.09 – $202.57 | 2 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $118.09 – $250.96 | 2 |
| Collection of venous blood by venipuncture CPT 36415 | $9.66 | $38.00 | $2.15 – $9.54 | 6 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $1,592.82 | $6,266.00 | not published | 0 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $251.02 – $251.02 | 1 |
| Colpotomy drng of abscess 57010 CPT 57010 | $1,755.00 | $6,904.00 | not published | 0 |
| Colpotomy w/exploration 57000 CPT 57000 | $1,587.48 | $6,245.00 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $206.67 | $813.00 | $0.81 – $447.15 | 8 |
| Compatibility test each unit electronic CPT 86923 | $212.77 | $837.00 | $0.61 – $460.35 | 8 |
| Compatibility test each unit immediate spin technique CPT 86920 | $206.67 | $813.00 | $0.77 – $447.15 | 8 |
| Complement antigen each component c3 CPT 86160 | $53.39 | $210.00 | $9.05 – $38.91 | 9 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $430.11 | $1,692.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $430.11 | $1,692.00 | not published | 0 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $457.71 – $457.71 | 1 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $430.11 | $1,692.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $430.11 | $1,692.00 | not published | 0 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $151.76 | $597.00 | $115.77 – $597.00 | 4 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $430.11 | $1,692.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $430.11 | $1,692.00 | not published | 0 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $151.76 | $597.00 | $115.77 – $597.00 | 4 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $430.11 | $1,692.00 | $115.77 – $788.90 | 4 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $788.90 – $788.90 | 1 |
| Concentration infection agents any type CPT 87015 | $23.65 | $93.00 | $5.03 – $21.66 | 9 |
| Condylomata destruction 56420 CPT 56420 | $148.46 | $584.00 | $502.01 – $502.01 | 1 |
| Connect omega .5mm HCPCS L8613 | $448.41 | $1,764.00 | $186.75 – $373.50 | 4 |
| Connector tis 2x10mm HCPCS C9352 | $2,109.86 | $8,300.00 | $842.50 – $1,685.00 | 4 |
| Consultation pathology during surgery CPT 88329 | $66.61 | $262.00 | $25.43 – $144.10 | 5 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $890.72 | $3,504.00 | $20.79 – $1,927.20 | 5 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $73.98 | $291.00 | $14.88 – $160.05 | 5 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $206.67 | $813.00 | $23.35 – $447.15 | 5 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $223.19 | $878.00 | $21.97 – $482.90 | 5 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $66.61 | $262.00 | $33.84 – $144.10 | 5 |
| Consult comp w/report rfrd material CPT 88325 | $104.23 | $410.00 | $94.92 – $225.50 | 5 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $909.53 | $3,578.00 | $293.87 – $6,438.74 | 5 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $984.01 | $3,871.00 | $295.12 – $10,733.33 | 5 |
| Contrast x-ray of ankle CPT 73615 | $270.98 | $1,066.00 | $119.13 – $828.27 | 8 |
| Contrast x-ray of elbow CPT 73085 | $203.11 | $799.00 | $112.21 – $828.27 | 5 |
| Contrast x-ray of hip CPT 73525 | $181.76 | $715.00 | $112.84 – $828.27 | 5 |
| Contrast x-ray of knee joint CPT 73580 | $226.24 | $890.00 | $156.84 – $828.27 | 5 |
| Contrast x-ray of wrist CPT 73115 | $186.59 | $734.00 | $125.41 – $828.27 | 5 |
| Controller infinity pt dbs HCPCS C1787 | $13,370.92 | $52,600.00 | $606.83 – $1,213.65 | 4 |
| Control nosebleed pack+caut 30905 CPT 30905 | $97.11 | $382.00 | not published | 0 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $466.16 – $466.16 | 1 |
| Control of nosebleed ant comp 30903 CPT 30903 | $118.72 | $467.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $118.72 | $467.00 | $466.16 – $466.16 | 1 |
| Conversion ext bil drg cath CPT 47535 | $2,001.83 | $7,875.00 | not published | 0 |
| Convert nephrostomy catheter CPT 50434 | $471.04 | $1,853.00 | not published | 0 |
| Coombs direct CPT 86880 | $115.67 | $455.00 | $4.06 – $250.25 | 8 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $214.30 | $843.00 | $4.32 – $463.65 | 8 |
| Coombs indirect titer reference CPT 86886 | $212.52 | $836.00 | $3.91 – $459.80 | 8 |
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.