Visits & medical services prices at CHI St. Vincent North

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,382.92 $17,242 0.6×
Admn Sarscov2 Vacc 1 Dose (90480) $10.68 $42 0.3×
Airway Inhalation Treatment (94640) $57.20 $225 0.3×
Airway resistance by oscillometry (94728) $202.09 $795 1.7×
Analyze neurostim complex (95972) $201.59 $793 2.3×
Analyze neurostim no prog (95970) $95.33 $375 0.8×
Analyze Neurostim Simple (95971) $201.59 $793 2.3×
Analyze Pacemaker System (93724) $225.99 $889 0.8×
Assessment of aphasia per hr (96105) $84.40 $332 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $157.61 $620 0.4×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$2,866.87 $11,278 0.4×
Cardiac Stress Tst,Tracing Only (93017) $257.26 $1,012 1.3×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$305.30–$323.60 $1,201–$1,273 varies
Cardioversion (92960)
range across 3 matching MRF lines
$261.58–$458.84 $1,029–$1,805 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $3,270.54 $12,866 1.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,270.54 $12,866 1.1×
Cbt 1st hour (94644) $52.62 $207 0.4×
Chemotherapy Into Cns (96450) $235.39 $926 0.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $240.73 $947 0.8×
Chest Wall Manipulation (94668) $45.51 $179 0.4×
Color/duplex Doppler, complete (93975) $225.99 $889 1.0×
Color/duplex Doppler, limited (93976) $164.98 $649 1.7×
Continuous Pulse Ox (94762) $273.02 $1,074 2.3×
Coronary Art/Grft Angio S&I (93455) $2,996.51 $11,788 1.0×
Coronary Artery Angio S&I (93454) $2,628.43 $10,340 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $239.21 $941 1.2×
Critical care first hour (99291) $1,077.05 $4,237 1.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$159.90–$161.42 $629–$635 varies
Dialysis One Evaluation (90945) $215.57 $848 0.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $120.75 $475 0.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $223.96 $881 1.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $302.50 $1,190 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $178.71 $703 1.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $383.85 $1,510 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $195.74 $770 2.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $162.69 $640 0.7×
Duplex Scan Hemodialysis Access (93990) $115.67 $455 1.2×
Duplex up extrem art bilat (93930) $251.66 $990 1.1×
Duplex up extrem art unilat/ltd (93931) $103.21 $406 1.1×
Echo Congenital Complete (93303) $419.18 $1,649 0.8×
Echo Heart Xthoracic,Limited (93308) $294.11 $1,157 1.3×
Echo transesophageal (93312) $600.93 $2,364 1.2×
Echo Transesophageal - Congenital Tee Complete (93315) $543.48 $2,138 1.1×
Eeg 41-60 Minutes (95812) $216.07 $850 1.1×
EEG awake and asleep (95819) $335.80 $1,321 1.7×
EEG awake drowsy (95816) $473.58 $1,863 2.3×
EEG cerebral death evaluation (95824) $370.12 $1,456 1.1×
EEG cont rec w/video by tech min 8 channels (95700) $204.13 $803 1.0×
EEG extended monitoring 61-119 minutes (95813) $270.22 $1,063 1.3×
Eeg Sleep Only (95822) $245.56 $966 1.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $204.13 $803 1.0×
EEG w/o vid 2-12hr cont mntr (95707) $204.13 $803 1.0×
EEG w/o vid ea 12-26hr intmt (95709) $384.86 $1,514 1.1×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $384.86 $1,514 1.1×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $204.13 $803 1.0×
EEG wo vid ea 12-26hr unmntr (95708) $384.86 $1,514 1.1×
EKG signal averaged (93278) $82.62 $325 1.5×
Electrocardiogram Tracing (93005) $67.88 $267 1.2×
Electroconvulsive Therapy (90870) $307.33 $1,209 0.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$2,915.93 $11,471 0.4×
Electrophysiology Evaluation (93642) $702.61 $2,764 0.6×
Emergency Dept Visit Level 2 (99282) $262.09 $1,031 1.8×
Emergency Dept Visit Level 3 (99283) $451.46 $1,776 1.8×
Emergency Dept Visit Level 4 (99284) $560.52 $2,205 1.4×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$7,968.67 $31,348 0.3×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$7,968.67 $31,348 0.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,555.50 $13,987 0.5×
Er level 1 (99281) $189.38 $745 2.4×
Er level v (99285) $728.03 $2,864 1.3×
Evaluate pt use of inhaler (94664) $57.20 $225 0.3×
External ECG rec>48hr<7d recording (93242) $111.09 $437 3.2×
External ECG rec>7d<15d recording (93246) $57.96 $228 1.7×
External Ecg Scanning Analysis Report (93226) $104.48 $411 1.9×
Extracranial Bilat Study (93880) $339.62 $1,336 1.5×
F-up/limited tthrc echo congenital car anomaly (93304) $379.02 $1,491 0.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $3,499.58 $13,767 1.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $293.35 $1,154 0.5×
Holter monitor recording (93225) $79.32 $312 0.6×
Icd Device Interrogate (93289) $28.22 $111 0.8×
Icd Device Progr Eval Mult (93284) $38.90 $153 1.1×
Ilr Device Interrogate (93291) $11.70 $46 0.4×
Immunization administration (90471)
range across 3 matching MRF lines
$37.12–$53.39 $146–$210 varies
Insert/Place Heart Catheter (93503) $1,183.05 $4,654 0.8×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure
$1,481.23 $5,827 0.2×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$45.76–$48.30 $180–$190 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$74.74–$151.76 $294–$597 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$77.03–$79.57 $303–$313 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$67.37–$69.91 $265–$275 varies
IV push initial (96374)
range across 4 matching MRF lines
$114.14–$120.24 $449–$473 varies
L Hrt Art/Grft Angio (93459) $3,499.58 $13,767 1.1×
Lung Function Test (Mbc/Mvv) (94200) $68.38 $269 1.2×
Mechanical chest wall oscillation per session (94669) $48.05 $189 0.2×
Methacholine challenge (94070) $230.06 $905 0.7×
Motility study esophagus (91010) $418.42 $1,646 1.2×
Multiple Sleep Latency Test (95805) $894.53 $3,519 1.1×
Nasopharyngoscopy (92511) $68.38 $269 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $167.78 $660 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $322.84 $1,270 0.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $53.64 $211 0.4×
Patch/Application Test Specify Number Tests (95044) $50.08 $197 0.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $3,152.85 $12,403 0.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure
$4,650.34 $18,294 0.4×
Phlebotomy therapeutic (99195) $183.79 $723 1.5×
Plethysmography (94726) $137.53 $541 0.4×
Pm device eval in person (93288) $25.42 $100 0.7×
Pm device progr eval dual (93280) $72.71 $286 2.1×
Pm device progr eval multi (93281) $32.03 $126 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,305.07 $5,134 1.6×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure
$4,729.14 $18,604 0.4×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure
$4,729.14 $18,604 0.4×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$4,729.14 $18,604 0.3×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure
$4,650.34 $18,294 0.4×
R Hrt Art/Grft Angio (93457) $3,532.37 $13,896 1.2×
R hrt coronary artery angio (93456) $3,532.37 $13,896 1.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,673.70 $14,452 1.2×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $145.15 $571 0.5×
Remote 30 Day Ecg Tech Supp (93229) $403.42 $1,587 1.2×
Repet tms tx initial w/map/motr threshld/del&m (90867) $153.54 $604 0.8×
Respiratory flow volume loop (94375) $69.91 $275 0.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $24.66 $97 0.4×
Right Heart Cath (93451) $2,566.15 $10,095 0.8×
Right ventricular recording (93603) $2,866.87 $11,278 2.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $128.38 $505 0.7×
Short-latency somatosens ep std upr limbs (95925) $186.59 $734 0.9×
Sleep study unattended (95806) $152.27 $599 0.8×
Spirometry (94010) $98.13 $386 0.5×
Ssep lower limbs (95926) $186.59 $734 0.9×
Standardized Cognitive Performance Testing (96125) $83.38 $328 0.8×
Stress Tte Only (93350) $614.66 $2,418 1.2×
Temp transcutaneous pacing (92953) $209.97 $826 0.3×
Ther/Proph/Diag Inj Ia (96373) $49.32 $194 0.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$47.03–$57.71 $185–$227 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$161.42–$190.15 $635–$748 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $414.86 $1,632 1.2×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$6,214.43 $24,447 0.4×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$581.61–$607.03 $2,288–$2,388 varies
Tte W/O Doppler Complete (93307) $314.70 $1,238 1.4×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$7,968.67 $31,348 0.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$58.98–$62.54 $232–$246 varies
Unlis neurological/neuromuscular dx px (95999) $53.64 $211 0.4×
Unlisted noninvasive vascular diagnostic study (93998) $227.51 $895 8.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $227.51 $895 1.1×
Valvuloplasty aortic valve (92986) $2,954.57 $11,623 0.6×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure
$3,312.99 $13,033 0.3×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure
$3,312.99 $13,033 0.3×
Veeg 2-12 Hr Cont Mntr (95713)
range across 3 matching MRF lines
$246.32–$384.86 $969–$1,514 varies
Veeg 2-12 hr intmt mntr (95712) $204.13 $803 0.6×
Veeg 2-12 hr unmonitored (95711) $204.13 $803 1.0×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $384.86 $1,514 1.1×
Veeg Ea 12-26 Hr Unmntr (95714) $384.86 $1,514 1.1×
Veeg ea 12-26hr cont mntr (95716)
range across 2 matching MRF lines
$719.65–$727.27 $2,831–$2,861 varies
Vent Mgmt Inpat Init Day (94002) $421.98 $1,660 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $245.31 $965 0.4×
Visual Evoked Potential Test (95930) $227.51 $895 1.1×

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.