Visits & medical services prices at CHI St. Vincent Infirmary

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,424.30 $17,242 0.6×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $40.29 $157 1.5×
Admn Sarscov2 Vacc 1 Dose (90480) $10.78 $42 0.3×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$39.26–$57.74 $153–$225 varies
Airway resistance by oscillometry (94728) $204 $795 1.7×
Analyze neurostim complex (95972)
range across 2 matching MRF lines
$193.74–$203.49 $755–$793 varies
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$91.10–$96.23 $355–$375 varies
Analyze Neurostim Simple (95971)
range across 2 matching MRF lines
$193.74–$203.49 $755–$793 varies
Analyze Pacemaker System (93724) $228.12 $889 0.8×
Application on-body injector (96377) $33.11 $129 0.7×
Assessment of aphasia per hr (96105) $85.20 $332 0.9×
Audiometry Air & Bone (92553) $41.57 $162 0.3×
Brief Emotional/Behav Assmt (96127) $11.04 $43 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $159.10 $620 0.4×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$2,893.94 $11,278 0.4×
C motor evoked uppr limbs (95928) $272.77 $1,063 0.3×
C motor evoked upr&lwr limbs (95939) $272.77 $1,063 0.3×
Cardiac Stress Tst,Tracing Only (93017)
range across 4 matching MRF lines
$146.01–$259.68 $569–$1,012 varies
Cardiopulmonary exercise testing (94621) $215.04 $838 0.6×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$292.79–$308.18 $1,141–$1,201 varies
Cardioversion (92960)
range across 4 matching MRF lines
$444.69–$463.17 $1,733–$1,805 varies
Cardioversion elective internal (92961) $262.76 $1,024 0.4×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $3,301.42 $12,866 1.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,301.42 $12,866 1.1×
Cbt 1st hour (94644) $53.12 $207 0.4×
Chemo Admin Peritoneal Cavity (96446) $197.07 $768 0.6×
Chemo Anti-Neopl Sq/Im (96401) $80.58 $314 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $39.52 $154 0.6×
Chemo IV infusion addl hr (96415) $80.32 $313 1.2×
Chemo IV push addl drug (96411) $97.26 $379 1.4×
Chemother Prolong Infuse W/Pump (96416) $269.69 $1,051 0.9×
Chemotherapy Into Cns (96450) $237.62 $926 0.8×
Chemotherapy Unspecified (96549) $27.72 $108 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $114.19 $445 1.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $243.01 $947 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $109.32 $426 0.3×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$45.94–$46.45 $179–$181 varies
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $498.84 $1,944 1.4×
Color/duplex Doppler, complete (93975) $228.12 $889 1.0×
Color/duplex Doppler, limited (93976) $166.54 $649 1.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $123.43 $481 1.0×
Continuous Pulse Ox (94762) $275.59 $1,074 2.2×
Coronary Art/Grft Angio S&I (93455) $3,024.81 $11,788 1.0×
Coronary Artery Angio S&I (93454) $2,653.25 $10,340 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $241.47 $941 1.2×
Cpt initial (94667) $68.26 $266 0.5×
Critical care first hour (99291) $1,087.22 $4,237 1.4×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $272.77 $1,063 0.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$161.41–$162.95 $629–$635 varies
Dialysis One Evaluation (90945) $217.60 $848 0.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)
range across 2 matching MRF lines
$110.60–$121.89 $431–$475 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $226.07 $881 1.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $305.36 $1,190 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $180.39 $703 1.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $387.47 $1,510 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $197.59 $770 2.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $164.23 $640 0.7×
Duplex Scan Hemodialysis Access (93990) $116.76 $455 1.2×
Duplex up extrem art bilat (93930) $254.04 $990 1.1×
Duplex up extrem art unilat/ltd (93931) $104.18 $406 1.0×
Echo Congenital Complete (93303) $423.14 $1,649 0.8×
Echo Heart Xthoracic,Limited (93308) $296.89 $1,157 1.3×
Echo transesophageal (93312) $606.61 $2,364 1.2×
Echo Transesophageal - Congenital Tee Complete (93315) $548.62 $2,138 1.0×
Eeg 41-60 Minutes (95812) $218.11 $850 1.1×
EEG awake and asleep (95819)
range across 2 matching MRF lines
$318.70–$338.97 $1,242–$1,321 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$189.89–$478.05 $740–$1,863 varies
EEG cerebral death evaluation (95824) $373.61 $1,456 1.0×
EEG cont rec w/video by tech min 8 channels (95700) $206.05 $803 1.0×
EEG extended monitoring 61-119 minutes (95813) $272.77 $1,063 1.3×
Eeg Sleep Only (95822) $247.88 $966 1.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $206.05 $803 1.0×
EEG w/o vid 2-12hr cont mntr (95707) $206.05 $803 1.0×
EEG w/o vid ea 12-26hr intmt (95709) $388.50 $1,514 1.1×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $388.50 $1,514 1.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $206.05 $803 1.0×
EEG wo vid ea 12-26hr unmntr (95708) $388.50 $1,514 1.1×
EKG signal averaged (93278)
range across 2 matching MRF lines
$53.12–$83.40 $207–$325 varies
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$24.90–$68.52 $97–$267 varies
Electroconvulsive Therapy (90870) $310.23 $1,209 0.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$2,943.46 $11,471 0.4×
Electrophysiology Evaluation (93642) $709.25 $2,764 0.6×
Emergency Dept Visit Level 2 (99282) $264.56 $1,031 1.8×
Emergency Dept Visit Level 3 (99283) $455.73 $1,776 1.7×
Emergency Dept Visit Level 4 (99284) $565.81 $2,205 1.4×
Emg 3 Extremities (95863) $171.93 $670 1.4×
Emg 4 Extremities (95864) $189.12 $737 1.5×
Endomyocardial Biopsy (93505) $1,040.77 $4,056 0.3×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$8,043.90 $31,348 0.3×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$8,043.90 $31,348 0.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,589.07 $13,987 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$3,589.07 $13,987 0.5×
Er level 1 (99281) $191.17 $745 2.4×
Er level v (99285) $734.91 $2,864 1.3×
Evaluate pt use of inhaler (94664) $57.74 $225 0.3×
Exercise test for bronchospasm (94617) $91.10 $355 0.7×
External ECG rec>48hr<7d recording (93242) $112.14 $437 3.1×
External ECG rec>7d<15d recording (93246) $58.51 $228 1.6×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$76.98–$96.23 $300–$375 varies
Extracranial Bilat Study (93880) $342.82 $1,336 1.5×
F-up/limited tthrc echo congenital car anomaly (93304) $382.60 $1,491 0.7×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $248.91 $970 0.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $380.29 $1,482 1.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $405.95 $1,582 0.5×
Gi tract capsule endoscopy (91110) $933.52 $3,638 1.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $3,532.62 $13,767 1.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $296.12 $1,154 0.5×
Holter monitor recording (93225)
range across 2 matching MRF lines
$22.33–$72.62 $87–$283 varies
Icd Device Interrogate (93289) $28.49 $111 0.8×
Icd Device Progr Eval Mult (93284) $39.26 $153 1.1×
Ilr Device Interrogate (93291) $11.81 $46 0.4×
Immunization administration (90471)
range across 4 matching MRF lines
$37.47–$53.89 $146–$210 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $172.44 $672 0.5×
Insert/Place Heart Catheter (93503) $1,194.22 $4,654 0.8×
Interrogation vad in person (93750) $103.67 $404 1.1×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$2,893.94 $11,278 0.4×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$1,495.21 $5,827 0.2×
Intracranial Complete Study (93886) $176.80 $689 0.8×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$2,893.94 $11,278 0.4×
Irrig Drug Delivery Device (96523) $52.86 $206 0.9×
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines
$41.32–$153.20 $161–$597 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$80.32–$153.20 $313–$597 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$60.82–$80.32 $237–$313 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$58.51–$70.57 $228–$275 varies
IV push initial (96374)
range across 5 matching MRF lines
$59.54–$121.38 $232–$473 varies
L Hrt Art/Grft Angio (93459) $3,532.62 $13,767 1.1×
Lwr Xtr Vasc Stdy Bilat (93924) $151.66 $591 0.7×
Mechanical chest wall oscillation per session (94669) $48.50 $189 0.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $22.84 $89 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $18.48 $72 0.5×
Methacholine challenge (94070) $232.23 $905 0.7×
Motility study esophagus (91010) $422.37 $1,646 1.2×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $82.63 $322 0.2×
Multiple Family Group Psychotherapy (90849)
range across 2 matching MRF lines
$153.20–$161.15 $597–$628 varies
Muscle Test 2 Limbs (95861) $156.27 $609 1.2×
Muscle Test Nonparaspinal (95870) $48.25 $188 0.4×
Muscle Test One Limb (95860) $142.16 $554 1.1×
Nasopharyngoscopy (92511) $69.03 $269 0.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $86.74 $338 0.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $82.12 $320 0.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $75.19 $293 0.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $75.19 $293 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$67.75–$169.36 $264–$660 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$178.34–$325.89 $695–$1,270 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $54.15 $211 0.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $50.56 $197 0.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $50.56 $197 0.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $48.50 $189 0.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $3,182.61 $12,403 0.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure
$4,694.25 $18,294 0.4×
Phlebotomy therapeutic (99195)
range across 3 matching MRF lines
$175.26–$203.75 $683–$794 varies
Plethysmography (94726) $138.83 $541 0.4×
Pm device eval in person (93288) $25.66 $100 0.7×
Pm device progr eval dual (93280) $73.39 $286 2.1×
Pm device progr eval multi (93281) $32.34 $126 0.9×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure
$4,773.79 $18,604 0.4×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure
$4,773.79 $18,604 0.4×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$4,773.79 $18,604 0.3×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure
$4,694.25 $18,294 0.4×
Psychiatric diagnostic evaluation (90791) $181.68 $708 1.1×
Pulmonary service/procedure (94799) $41.32 $161 0.3×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$91.61–$100.59 $357–$392 varies
Pure Tone Audiometry Air (92552) $41.57 $162 0.3×
R Hrt Art/Grft Angio (93457) $3,565.72 $13,896 1.2×
R hrt coronary artery angio (93456) $3,565.72 $13,896 1.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,708.39 $14,452 1.2×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990)
range across 2 matching MRF lines
$139.08–$146.52 $542–$571 varies
Remote 30 Day Ecg Rev/Report (93270) $42.34 $165 1.2×
Remote 30 Day Ecg Tech Supp (93229) $407.23 $1,587 1.1×
Repet tms tx initial w/map/motr threshld/del&m (90867) $154.99 $604 0.8×
Respiratory flow volume loop (94375) $70.57 $275 0.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$24.90–$43.11 $97–$168 varies
Right Heart Cath (93451) $2,726.64 $10,626 0.9×
Right ventricular recording (93603) $2,893.94 $11,278 2.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $129.59 $505 0.7×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$37.47–$39.52 $146–$154 varies
Short-latency somatosens ep std upr limbs (95925)
range across 2 matching MRF lines
$188.35–$219.14 $734–$854 varies
Sleep study unattended (95806) $153.71 $599 0.7×
Somatosensory Testing (95938) $377.72 $1,472 0.5×
Spirometry (94010) $99.05 $386 0.5×
Ssep lower limbs (95926)
range across 2 matching MRF lines
$188.35–$219.14 $734–$854 varies
Standardized Cognitive Performance Testing (96125) $84.17 $328 0.8×
Stress Tte Only (93350)
range across 3 matching MRF lines
$600.45–$620.46 $2,340–$2,418 varies
Surfactant Admin Thru Tube (94610) $90.84 $354 0.4×
Temp transcutaneous pacing (92953) $211.96 $826 0.3×
Ther/Proph/Diag Inj Ia (96373) $49.79 $194 0.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 8 matching MRF lines
$29.26–$58.25 $114–$227 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 5 matching MRF lines
$75.45–$201.69 $294–$786 varies
Therapeutic Activities (97530) $48.25 $188 1.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $418.78 $1,632 1.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $22.59 $88 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22.59 $88 0.6×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$6,273.11 $24,447 0.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $77.75 $303 0.8×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$587.11–$612.77 $2,288–$2,388 varies
Tte W/O Doppler Complete (93307)
range across 3 matching MRF lines
$181.16–$317.68 $706–$1,238 varies
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$8,043.90 $31,348 0.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$59.54–$63.13 $232–$246 varies
Unlis neurological/neuromuscular dx px (95999) $54.15 $211 0.4×
Unlisted cardiovascular service/procedure (93799) $108.29 $422 0.9×
Unlisted noninvasive vascular diagnostic study (93998) $229.66 $895 8.3×
Unlisted Psychiatric Service/Procedure (90899) $101.36 $395 2.8×
Upr/L Xtremity Art 2 Levels (93922) $153.96 $600 1.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $229.66 $895 1.1×
Valvuloplasty aortic valve (92986) $2,982.47 $11,623 0.5×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure
$3,344.27 $13,033 0.3×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure
$3,344.27 $13,033 0.3×
Veeg 2-12 Hr Cont Mntr (95713)
range across 3 matching MRF lines
$256.35–$388.50 $999–$1,514 varies
Veeg 2-12 hr intmt mntr (95712) $206.05 $803 0.6×
Veeg 2-12 hr unmonitored (95711) $206.05 $803 1.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $388.50 $1,514 1.1×
Veeg Ea 12-26 Hr Unmntr (95714) $388.50 $1,514 1.1×
Veeg ea 12-26hr cont mntr (95716)
range across 2 matching MRF lines
$734.14–$761.34 $2,861–$2,967 varies
Vent Mgmt Inpat Init Day (94002) $425.96 $1,660 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $247.62 $965 0.4×
Visual Evoked Potential Test (95930) $229.66 $895 1.1×
Vital capacity, total (94150) $35.67 $139 0.3×

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.