CHI Memorial Hospital - Georgia
4710 Battlefield Pkwy, Ringgold, GA · CommonSpirit Health · · NPI 1356860621
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 |
|---|---|---|---|---|
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $162.51 | $549.00 | $6.53 – $13.85 | 12 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $172.77 | $583.67 | $0.28 – $312.09 | 11 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $1,022.98 | $3,456.00 | $518.40 – $2,799.36 | 10 |
| Filter vena cava fem denali HCPCS C1880 | $1,215.97 | $4,108.00 | $390.90 – $2,110.86 | 10 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $716.32 | $2,420.00 | $363.00 – $1,960.20 | 5 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $402.56 | $1,360.00 | $204.00 – $1,101.60 | 5 |
| Fine needle asp without image guide 10021 CPT 10021 | $386.28 | $1,305.00 | $195.75 – $1,057.05 | 6 |
| Fixation of knee joint CPT 27570 | $844.20 | $2,852.00 | $427.80 – $2,310.12 | 5 |
| Fix g/colon tube w/device CPT 49460 | $913.46 | $3,086.00 | $462.90 – $2,499.66 | 6 |
| Fl exam g/colon tube w contrast CPT 49465 | $465.61 | $1,573.00 | $235.95 – $1,274.13 | 6 |
| Flow cytometry marker each additional CPT 88185 | $36.71 | $124.00 | $22.38 – $100.44 | 8 |
| Flow cytometry one marker technical component CPT 88184 | $336.26 | $1,136.00 | $51.58 – $920.16 | 8 |
| #flow interp 9 - 15 markers CPT 88188 | $93.54 | $316.00 | $66.04 – $255.96 | 8 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $38.86 | $131.26 | $2.96 – $44.34 | 10 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $300.63 | $1,015.61 | $104.20 – $647.06 | 11 |
| Fluidotherapy charges pt CPT 97022 | $42.63 | $144.00 | $17.27 – $270.00 | 10 |
| Fluorescent antibody titer dna CPT 86256 | $28.12 | $95.00 | $12.05 – $28.93 | 12 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $219.93 | $743.00 | $94.88 – $601.83 | 9 |
| Fluoroguide needle placement CPT 77002 | $255.75 | $864.00 | $118.10 – $699.84 | 9 |
| Fluoroscopy up to 1 hour CPT 76000 | $298.37 | $1,008.00 | $52.39 – $816.48 | 9 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $147.66 | $498.84 | $2.67 – $68.81 | 10 |
| Fna bx w/ct gdn 1st les CPT 10009 | $394.57 | $1,333.00 | $199.95 – $1,079.73 | 5 |
| Fna bx w/ct gdn ea addl CPT 10010 | $402.56 | $1,360.00 | $204.00 – $1,101.60 | 5 |
| Folic acid CPT 82746 | $37.30 | $126.00 | $14.70 – $35.31 | 12 |
| Follow-up angiography CPT 75898 | $611.24 | $2,065.00 | $66.99 – $1,672.65 | 8 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,688.51 | $9,082.79 | $7.57 – $2,153.85 | 11 |
| Fondaparinux sodium HCPCS J1652 | $56.70 | $191.54 | $1.38 – $60.49 | 10 |
| Foot X-ray CPT 73630 | $283.28 | $957.00 | $37.14 – $516.78 | 9 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $265.66 | $897.50 | $0.16 – $103.09 | 10 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $64.93 | $219.33 | $0.04 – $2.50 | 11 |
| Fracture assessment via dxa CPT 77086 | $92.95 | $314.00 | $42.15 – $306.00 | 9 |
| _fragile x methylation-sendout CPT 81244 | $53.28 | $180.00 | $44.89 – $216.48 | 12 |
| Fragmenting of kidney stone CPT 50590 | $5,916.75 | $19,989.00 | $2,998.35 – $16,191.09 | 7 |
| Freeing of bowel adhesion 44005 CPT 44005 | $3,879.08 | $13,105.00 | $1,965.75 – $10,615.05 | 6 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $108.64 | $367.00 | $55.05 – $297.27 | 7 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $250.72 | $847.00 | $45.30 – $268.35 | 7 |
| Fructosamine glycated protein CPT 82985 | $58.91 | $199.00 | $16.76 – $36.19 | 12 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $37.30 | $126.00 | $18.90 – $102.06 | 8 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $66.01 | $223.00 | $33.45 – $180.63 | 8 |
| Gallium illuccix 1 millicure HCPCS A9596 | $796.24 | $2,690.00 | $403.50 – $2,178.90 | 8 |
| Gammaglobulin iga CPT 82784 | $18.36 | $62.00 | $9.30 – $22.32 | 12 |
| Gammaglobulin ige CPT 82785 | $123.44 | $417.00 | $16.46 – $39.55 | 12 |
| Gamma glutamyltransferase CPT 82977 | $19.24 | $65.00 | $7.10 – $17.28 | 12 |
| Gamunex-c/gammaked HCPCS J1561 | $3,425.91 | $11,574.01 | $50.48 – $2,557.85 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $73.19 | $247.24 | $31.14 – $168.16 | 10 |
| Gastroesophageal reflux study CPT 78262 | $557.08 | $1,882.00 | $282.30 – $1,524.42 | 9 |
| Gastroesophageal reflux test CPT 91034 | $1,218.64 | $4,117.00 | $423.75 – $3,642.00 | 7 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $248.38 | $839.11 | $4.16 – $319.54 | 10 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $21,306.71 | $71,982.11 | $230.55 – $58,305.51 | 11 |
| General health panel CPT 80050 | $31.97 | $108.00 | $16.20 – $93.30 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $44.64 | $150.79 | $3.01 – $47.88 | 10 |
| Gentamicin peak therapeutic drug level CPT 80170 | $134.68 | $455.00 | $16.38 – $39.35 | 12 |
| G-esoph reflx tst w/electrod CPT 91035 | $840.35 | $2,839.00 | $425.85 – $3,642.00 | 7 |
| Ghs abscess perianal iandd CPT 46050 | $920.86 | $3,111.00 | $466.65 – $2,519.91 | 5 |
| Ghs abscess postoperative iandd complex CPT 10180 | $708.92 | $2,395.00 | $359.25 – $1,939.95 | 5 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $303.40 | $1,025.00 | $102.26 – $413.60 | 12 |
| Ghs antibodies (torch) igm CPT 86694 | $13.03 | $44.00 | $14.39 – $34.57 | 12 |
| Ghs bladder cath - complex-foley CPT 51703 | $180.27 | $609.00 | $91.35 – $493.29 | 6 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,788.44 | $6,042.00 | $906.30 – $4,894.02 | 5 |
| Ghs change cysto/gastrost CPT 43762 | $253.08 | $855.00 | $128.25 – $692.55 | 5 |
| Ghs chemo >8 hrs CPT 96416 | $317.32 | $1,072.00 | $106.00 – $1,094.00 | 8 |
| Ghs chemo IV push, ea addtl CPT 96411 | $90.28 | $305.00 | $45.75 – $1,094.00 | 8 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $63.64 | $215.00 | $27.60 – $84.25 | 12 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,017.06 | $3,436.00 | $515.40 – $2,783.16 | 5 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $726.98 | $2,456.00 | $368.40 – $1,989.36 | 5 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $311.10 | $1,051.00 | $157.65 – $1,246.00 | 7 |
| Ghs excision ingrown nail CPT 11765 | $391.91 | $1,324.00 | $198.60 – $1,072.44 | 6 |
| Ghs fat & muscle CPT 89160 | $48.55 | $164.00 | $4.85 – $8.85 | 12 |
| Ghs hcv amplificaiton CPT 87521 | $42.63 | $144.00 | $27.60 – $84.25 | 12 |
| Ghs histoplasma antigen CPT 87385 | $43.22 | $146.00 | $13.25 – $27.49 | 12 |
| Ghs HIV antibody CPT 86703 | $19.24 | $65.00 | $13.71 – $32.91 | 12 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $394.87 | $1,334.00 | $90.58 – $181.50 | 12 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $273.80 | $925.00 | $138.75 – $749.25 | 6 |
| Ghs inf midline insertion CPT 36140 | $693.24 | $2,342.00 | $351.30 – $5,206.00 | 7 |
| Ghs inhibitor screen CPT 85335 | $112.19 | $379.00 | $12.87 – $30.91 | 12 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $700.64 | $2,367.00 | $236.85 – $1,278.99 | 6 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,406.60 | $4,752.00 | $478.65 – $2,584.71 | 5 |
| Ghs insertion of needle - bone CPT 36680 | $427.13 | $1,443.00 | $216.45 – $1,168.83 | 6 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $375.33 | $1,268.00 | $190.20 – $1,027.08 | 5 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $359.94 | $1,216.00 | $182.25 – $984.15 | 6 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $95.91 | $324.00 | $48.60 – $262.44 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $246.57 | $833.00 | $124.95 – $674.73 | 5 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $31.38 | $106.00 | $8.50 – $20.66 | 12 |
| Ghs mbp CPT 83873 | $30.20 | $102.00 | $17.20 – $41.31 | 12 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $8.00 | $27.00 | $4.05 – $21.87 | 5 |
| Ghs musc test done w/n test comp CPT 95886 | $992.49 | $3,353.00 | $136.96 – $2,715.93 | 7 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $357.28 | $1,207.00 | $120.58 – $977.67 | 7 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $59.80 | $202.00 | $30.30 – $710.00 | 7 |
| Ghs myocardial strain img spckl track CPT 93356 | $19.84 | $67.00 | $10.05 – $641.00 | 7 |
| Ghs nerve block brachial plexus CPT 64415 | $964.96 | $3,260.00 | $489.00 – $2,640.60 | 5 |
| Ghs nerve block celiac plexus CPT 64530 | $648.84 | $2,192.00 | $328.80 – $1,775.52 | 5 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $872.91 | $2,949.00 | $442.35 – $2,388.69 | 5 |
| Ghs ng placement w fluoro guidance CPT 43752 | $376.52 | $1,272.00 | $190.80 – $1,030.32 | 6 |
| Ghs o2 saturation CPT 82810 | $12.14 | $41.00 | $9.77 – $20.96 | 12 |
| Ghs opcc repair cvp without subq port CPT 36575 | $436.31 | $1,474.00 | $221.10 – $1,193.94 | 5 |
| Ghs ot prosthetic training/15 min CPT 97761 | $58.61 | $198.00 | $29.70 – $270.00 | 10 |
| Ghs ot work hardening-additional hours CPT 97546 | $121.66 | $411.00 | $61.65 – $332.91 | 9 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $217.86 | $736.00 | $110.40 – $596.16 | 6 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $234.44 | $792.00 | $118.80 – $641.52 | 6 |
| Ghs peritonsillar abscess i andd CPT 42700 | $236.80 | $800.00 | $120.00 – $648.00 | 5 |
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.