Supplies, drugs & other prices at CHI St. Vincent Infirmary

Little Rock, AR · every code in this section with a posted price and a Medicare benchmark.

64 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $648.95 $2,529 0.9×
2d tte w or w/o fol w/con,fu (C8924) $311.77 $1,215 0.9×
Adm tocilizu covid-19 1st (M0249) $374.13 $1,458 0.9×
Adm tocilizu covid-19 2nd (M0250) $374.13 $1,458 0.9×
Admin hepatitis b vaccine (G0010) $33.88 $132 0.8×
Admin influenza virus vac (G0008)
range across 3 matching MRF lines
$33.62–$55.43 $131–$216 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$33.88–$55.43 $132–$216 varies
Chemo extend iv infus w/pump (G0498) $290.48 $1,132 0.9×
Covid-19 lab test non-cdc (U0002) $51.07 $199 1.0×
Diab manage trn per indiv (G0108) $58.77 $229 1.1×
Direct refer hospital observ (G0379)
range across 2 matching MRF lines
$157.04–$172.44 $612–$672 varies
Drug test def 1-7 classes (G0480)
range across 25 matching MRF lines
$15.40–$266.36 $15–$1,038 varies
Drug test def 15-21 classes (G0482) $145.50 $567 0.7×
Hbot, full body chamber, 30m (G0277) $146.52 $571 1.1×
Hospital outpt clinic visit (G0463)
range across 4 matching MRF lines
$45.94–$94.69 $179–$369 varies
Inj for sacroiliac jt anesth (G0260) $479.33 $1,868 0.7×
Mra w/cont, abd (C8900)
range across 2 matching MRF lines
$662.55–$730.55 $2,582–$2,847 varies
Mra w/cont, chest (C8909) $827.54 $3,225 2.5×
Mra w/o cont, abd (C8901) $693.85 $2,704 3.0×
Mra w/o cont, chest (C8910) $744.14 $2,900 3.3×
Mra w/o cont, lwr ext (C8913)
range across 3 matching MRF lines
$421.60–$973.80 $1,643–$3,795 varies
Mra w/o fol w/cont, abd (C8902) $762.36 $2,971 2.3×
Mra w/o fol w/cont, chest (C8911)
range across 2 matching MRF lines
$662.55–$869.88 $2,582–$3,390 varies
Mra w/o fol w/cont, lwr ext (C8914)
range across 2 matching MRF lines
$662.55–$1,168.56 $2,582–$4,554 varies
Mra w/o fol w/cont, pelvis (C8920) $973.80 $3,795 2.9×
Mra, w/dye, spinal canal (C8931) $662.55 $2,582 2.0×
Mra, w/dye, upper extremity (C8934) $971.24 $3,785 2.9×
Mra, w/o dye, spinal canal (C8932) $421.60 $1,643 1.8×
Mra, w/o dye, upper extr (C8935)
range across 2 matching MRF lines
$421.60–$776.99 $1,643–$3,028 varies
Mra, w/o&w/dye, spinal canal (C8933) $825.49 $3,217 2.5×
Mra, w/o&w/dye, upper extr (C8936)
range across 2 matching MRF lines
$662.55–$971.24 $2,582–$3,785 varies
Neuro csf prion prtn qual (0035U) $183.22 $714 0.3×
Oth resp proc, group (G0239) $34.13 $133 1.0×
Oth resp proc, indiv (G0238) $34.13 $133 1.2×
Pathogen test for platelets (P9100) $126.25 $492 2.2×
Pemivibart infusion (M0224) $284.06 $1,107 0.7×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$7,399.07 $28,835 0.4×
Perc d-e cor revasc t cabg s (C9604) $7,956.14 $31,006 0.7×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$7,956.14 $31,006 0.5×
Perc drug-el cor stent sing (C9600) $7,956.14 $31,006 0.7×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$2,075.39 $8,088 0.3×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$2,075.39 $8,088 0.3×
Pet not otherwise specified (G0235) $1,582.20 $6,166 4.1×
Place device/marker, non pro (C9728) $976.62 $3,806 0.7×
Prostate biopsy, any mthd (G0416)
range across 4 matching MRF lines
$389.01–$1,557.31 $1,516–$6,069 varies
Psa screening (G0103) $68.77 $268 3.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $209.65 $817 0.3×
Revasc intra lithotrip-ather (C9766)
likely a partial charge, not the full procedure
$3,130.52 $12,200 0.2×
Revasc intra lithotrip-stent (C9765)
likely a partial charge, not the full procedure
$3,130.52 $12,200 0.2×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$3,565.72 $13,896 0.3×
Revasc lith-sten-ath tib/per (C9775)
likely a partial charge, not the full procedure
$5,007.55 $19,515 0.3×
Revasc lithotr-ather tib/per (C9774)
likely a partial charge, not the full procedure
$5,007.55 $19,515 0.3×
Revasc lithotr-stent tib/per (C9773)
likely a partial charge, not the full procedure
$5,007.55 $19,515 0.3×
Revasc lithotrip tibi/perone (C9772)
likely a partial charge, not the full procedure
$3,130.52 $12,200 0.3×
Revasc lithotrip-stent-ather (C9767)
likely a partial charge, not the full procedure
$5,007.55 $19,515 0.3×
Therapeutic procd strg endur (G0237) $34.13 $133 1.2×
Trauma respons w/hosp criti (G0390) $1,272.48 $4,959 1.0×
Trluml perip athrc abd aorta (0236T)
range across 2 matching MRF lines
$3,124.11–$3,572.13 $12,175–$13,921 varies
Trluml Perip Athrc Brchiocph (0237T)
range across 2 matching MRF lines
$3,124.11–$3,224.18 $12,175–$12,565 varies
Trluml Perip Athrc Iliac Art (0238T)
range across 3 matching MRF lines
$2,343.79–$4,649.85 $9,134–$18,121 varies
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
likely a partial charge, not the full procedure
$3,124.11 $12,175 0.3×
Tte w or w/o fol w/con,stres (C8928) $536.04 $2,089 0.7×
Tte w or wo fol wcon,doppler (C8929) $515 $2,007 0.7×
Unsched dialysis esrd pt hos (G0257)
range across 2 matching MRF lines
$467.53–$468.81 $1,822–$1,827 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.