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 |
|---|---|---|---|---|
| Culture fungi skin/hair/nail CPT 87101 | $19.32 | $76.00 | $5.81 – $18.70 | 9 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $35.85 | $141.00 | $10.74 – $35.48 | 9 |
| Culture mycoplasma any source CPT 87109 | $51.10 | $201.00 | $11.60 – $49.87 | 9 |
| Culture screening strep group a CPT 87081 | $36.10 | $142.00 | $5.00 – $21.50 | 9 |
| Culture urine each isolate CPT 87088 | $26.95 | $106.00 | $6.10 – $26.22 | 9 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,320.44 – $1,320.44 | 1 |
| Curette/treat cornea CPT 65436 | not published | not published | $1,274.02 – $1,274.02 | 1 |
| Cutter lead HCPCS C1773 | $1,492.92 | $5,873.00 | not published | 0 |
| Cv line/pic reposition CPT 36597 | not published | not published | $1,116.43 – $1,116.43 | 1 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $47.29 | $186.00 | $10.80 – $46.44 | 9 |
| Cyclic citrullinated peptide antibody CPT 86200 | $66.86 | $263.00 | $9.77 – $42.43 | 9 |
| Cyclosporine 2 hour CPT 80158 | $63.81 | $251.00 | $13.61 – $58.52 | 9 |
| Cyclosporine oral 100 mg HCPCS J7502 | $8.56 | $33.66 | $2.31 – $10.62 | 5 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $10,116.15 | $39,796.00 | $282.11 – $564.21 | 4 |
| Cystatin c CPT 82610 | $40.68 | $160.00 | $13.33 – $44.56 | 9 |
| Cystine urine quantitative CPT 82131 | $55.93 | $220.00 | $16.54 – $54.68 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $169.56 | $667.00 | $103.41 – $828.27 | 5 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,145.37 – $1,145.37 | 1 |
| Cystoscopy and treatment CPT 52310 | $492.14 | $1,936.00 | not published | 0 |
| Cystoscopy and treatment CPT 52315 | $1,720.68 | $6,769.00 | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $1,927.35 | $7,582.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $873.94 | $3,438.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $54.91 | $216.00 | $10.85 – $46.65 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $54.15 | $213.00 | $12.70 – $54.62 | 9 |
| Cyto/molecular report CPT 88291 | $82.87 | $326.00 | $23.61 – $179.30 | 5 |
| Cytopath c/v manual CPT 88150 | $34.83 | $137.00 | $7.39 – $19.10 | 9 |
| Cytopath fl nongyn filter CPT 88106 | $66.61 | $262.00 | $17.00 – $144.10 | 8 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $128.63 | $506.00 | $28.48 – $278.30 | 8 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $50.34 | $198.00 | $15.28 – $43.13 | 9 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $55.67 | $219.00 | $22.00 – $120.45 | 8 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $66.61 | $262.00 | $11.00 – $144.10 | 8 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $186.08 | $732.00 | $14.37 – $402.60 | 8 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $99.65 | $392.00 | $49.76 – $215.60 | 5 |
| Cytopath smear other source CPT 88160 | $27.97 | $110.00 | $9.00 – $60.50 | 8 |
| Cytopath smear other source CPT 88162 | $104.23 | $410.00 | $21.75 – $225.50 | 8 |
| Cytopath smear oth prep screen & interp CPT 88161 | $66.61 | $262.00 | $24.67 – $144.10 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,323.41 | $13,073.96 | $14.58 – $6,536.98 | 8 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $771.50 | $3,034.99 | $0.03 – $1,517.50 | 7 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $1,259.31 | $4,954.00 | not published | 0 |
| Dch validity tests CPT 81002 | $10.68 | $42.00 | $2.51 – $3.65 | 6 |
| Deamidated gliadin antibody iga CPT 86258 | $7.63 | $30.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $367.07 | $1,444.00 | $373.34 – $373.34 | 1 |
| Debridement (>20 cm) charge pt CPT 97598 | $145.41 | $572.00 | $154.00 – $457.00 | 5 |
| Debridement bone <= 20 sq cm CPT 11044 | $982.23 | $3,864.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $477.14 | $1,877.00 | $379.42 – $379.42 | 1 |
| Debride nail1-5 11720 CPT 11720 | $49.32 | $194.00 | $156.09 – $156.09 | 1 |
| Debride skin bone at fx site CPT 11012 | $1,594.86 | $6,274.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $111.80 – $111.80 | 1 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,425.05 | $5,606.00 | not published | 0 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $373.34 – $373.34 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $598.39 | $2,354.00 | not published | 0 |
| Decalcification CPT 88311 | $8.39 | $33.00 | $6.41 – $33.00 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $245.31 | $965.00 | $294.91 – $338.29 | 2 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $912.43 | $3,589.38 | $2.87 – $1,794.69 | 8 |
| Delivery of placenta 59414 CPT 59414 | $586.95 | $2,309.00 | $2,309.00 – $2,309.00 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $951.98 | $3,745.00 | $674.19 – $674.19 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $57.20 | $225.00 | $13.62 – $258.00 | 7 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $149.98 | $590.00 | not published | 0 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $373.34 – $373.34 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $2,645.72 | $10,408.00 | $674.19 – $674.19 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $2,609.22 – $2,609.22 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $109.83 | $432.03 | $4.95 – $216.02 | 8 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $624.83 | $2,458.00 | $674.19 – $674.19 | 3 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $1,584.94 | $6,235.00 | $674.19 – $674.19 | 3 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $1,554.95 | $6,117.00 | $674.19 – $674.19 | 3 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $373.34 – $373.34 | 1 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $373.34 – $373.34 | 1 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $373.34 – $373.34 | 1 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $373.34 – $373.34 | 1 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $191.95 – $191.95 | 1 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $191.95 – $191.95 | 1 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $191.95 – $191.95 | 1 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $191.95 – $191.95 | 1 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $191.95 – $191.95 | 1 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $191.95 – $191.95 | 1 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $1,828.15 – $1,828.15 | 1 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $744.59 – $744.59 | 1 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $573.72 – $573.72 | 1 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $573.72 – $573.72 | 1 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $573.72 – $573.72 | 1 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $573.72 – $573.72 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $744.59 – $744.59 | 1 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $744.59 – $744.59 | 1 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $116.00 – $116.00 | 1 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $866.69 – $866.69 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $1,828.15 – $1,828.15 | 1 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $744.59 – $744.59 | 1 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $1,320.44 – $1,320.44 | 1 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $373.34 – $373.34 | 1 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $373.34 – $373.34 | 1 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $373.34 – $373.34 | 1 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $744.59 – $744.59 | 1 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $191.95 – $191.95 | 1 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $573.72 – $573.72 | 1 |
| Destruction vag lesions simple 57061 CPT 57061 | $1,410.05 | $5,547.00 | not published | 0 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $744.59 – $744.59 | 1 |
| Detect agent nos dna dir CPT 87797 | $66.35 | $261.00 | $19.67 – $64.99 | 9 |
| Device ablt adv novasure HCPCS C1886 | $1,386.41 | $5,454.00 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $928.65 | $3,653.19 | $508.76 – $1,017.51 | 4 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $33.31 | $131.00 | $29.87 – $182.03 | 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.