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

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $642.88 $2,529 0.9×
2d tte w or w/o fol w/con,fu (C8924) $308.86 $1,215 0.9×
Adm tocilizu covid-19 1st (M0249) $370.63 $1,458 0.9×
Adm tocilizu covid-19 2nd (M0250) $370.63 $1,458 0.9×
Admin hepatitis b vaccine (G0010) $33.56 $132 0.8×
Admin influenza virus vac (G0008) $33.56 $132 0.8×
Admin pneumococcal vaccine (G0009) $33.56 $132 0.8×
Covid-19 lab test non-cdc (U0002) $50.59 $199 1.0×
Direct refer hospital observ (G0379) $162.44 $639 0.3×
Drug test def 1-7 classes (G0480) $33.82 $133 0.3×
Drug test def 15-21 classes (G0482) $144.14 $567 0.7×
Home sleep test/type 3 porta (G0399) $125.07 $492 0.6×
Hospital outpt clinic visit (G0463) $93.80 $369 0.7×
Inj for sacroiliac jt anesth (G0260) $266.79 $1,049.50 0.4×
Mra w/cont, abd (C8900) $689.78 $2,713.50 2.1×
Mra w/cont, chest (C8909) $819.80 $3,225 2.5×
Mra w/o cont, abd (C8901) $687.36 $2,704 3.1×
Mra w/o cont, chest (C8910) $737.18 $2,900 3.3×
Mra w/o cont, lwr ext (C8913) $737.18 $2,900 3.3×
Mra w/o fol w/cont, abd (C8902) $755.23 $2,971 2.3×
Mra w/o fol w/cont, chest (C8911) $861.74 $3,390 2.6×
Mra w/o fol w/cont, lwr ext (C8914) $906.99 $3,568 2.8×
Mra w/o fol w/cont, pelvis (C8920) $964.69 $3,795 2.9×
Mra, w/dye, spinal canal (C8931) $656.35 $2,582 2.0×
Mra, w/dye, upper extremity (C8934) $962.15 $3,785 2.9×
Mra, w/o dye, spinal canal (C8932) $417.66 $1,643 1.9×
Mra, w/o dye, upper extr (C8935) $593.69 $2,335.50 2.6×
Mra, w/o&w/dye, spinal canal (C8933) $817.77 $3,217 2.5×
Mra, w/o&w/dye, upper extr (C8936) $905.46 $3,562 2.8×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $181.50 $714 0.3×
Pathogen test for platelets (P9100) $125.07 $492 2.3×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$7,329.86 $28,835 0.4×
Perc d-e cor revasc t cabg s (C9604) $7,881.73 $31,006 0.7×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$7,881.73 $31,006 0.5×
Perc drug-el cor stent sing (C9600) $7,881.73 $31,006 0.7×
Prostate biopsy, any mthd (G0416) $1,019.09 $4,009 3.0×
Psa screening (G0103) $71.69 $282 3.7×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $207.69 $817 0.3×
Revasc intra lithotrip-ather (C9766)
likely a partial charge, not the full procedure
$3,101.24 $12,200 0.2×
Revasc intra lithotrip-stent (C9765)
likely a partial charge, not the full procedure
$3,101.24 $12,200 0.2×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$3,532.37 $13,896 0.3×
Revasc lith-sten-ath tib/per (C9775)
likely a partial charge, not the full procedure
$4,960.72 $19,515 0.3×
Revasc lithotr-ather tib/per (C9774)
likely a partial charge, not the full procedure
$4,960.72 $19,515 0.3×
Revasc lithotr-stent tib/per (C9773)
likely a partial charge, not the full procedure
$4,960.72 $19,515 0.3×
Revasc lithotrip tibi/perone (C9772)
likely a partial charge, not the full procedure
$3,101.24 $12,200 0.3×
Revasc lithotrip-stent-ather (C9767)
likely a partial charge, not the full procedure
$4,960.72 $19,515 0.3×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
unusually low: confirm this is the full procedure
$3,316.80 $13,048 0.3×
Trauma respons w/hosp criti (G0390) $674.14 $2,652 0.5×
Trluml Perip Athrc Renal Art (0234T)
likely a partial charge, not the full procedure
$3,094.89 $12,175 0.3×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
likely a partial charge, not the full procedure
$3,144.46 $12,370 0.3×
Trluml peripheral atherectomy iliac artery ea (0238T)
likely a partial charge, not the full procedure
$3,850.62 $15,148 0.2×
Tte w or w/o fol w/con,stres (C8928) $531.03 $2,089 0.7×
Tte w or wo fol wcon,doppler (C8929) $510.18 $2,007 0.7×