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 |
|---|---|---|---|---|
| Homocysteine CPT 83090 | $31.68 | $107.00 | $17.92 – $40.50 | 12 |
| Homovanillic acid (hva) CPT 83150 | $29.01 | $98.00 | $22.41 – $46.46 | 12 |
| Hpv types 16 & 18 only CPT 87625 | $53.58 | $181.00 | $20.42 – $84.06 | 12 |
| H pylori (c-13) breath CPT 83013 | $56.84 | $192.00 | $67.36 – $161.73 | 12 |
| Htt gene detc abnor alleles CPT 81271 | $162.80 | $550.00 | $122.62 – $241.12 | 12 |
| Human epididymis protein 4 (he4) CPT 86305 | $140.01 | $473.00 | $20.81 – $94.60 | 12 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $74.71 | $252.39 | $0.41 – $204.44 | 10 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $20.98 | $70.85 | $7.51 – $52.62 | 10 |
| Hydration IV infusion each additional hour CPT 96361 | $136.76 | $462.00 | $69.30 – $389.00 | 7 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $225.56 | $762.00 | $106.00 – $617.22 | 7 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $58.71 | $198.32 | $16.69 – $90.13 | 10 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $156.99 | $530.36 | $10.00 – $53.97 | 10 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $38.99 | $131.72 | $0.04 – $0.25 | 10 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $23.68 | $80.00 | $17.90 – $42.06 | 12 |
| #hypersens-actinomyces ab CPT 86602 | $16.58 | $56.00 | $10.18 – $24.45 | 12 |
| Hysterosalpingography s&i CPT 74740 | $226.74 | $766.00 | $94.32 – $620.46 | 9 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $194.77 | $658.00 | $98.70 – $532.98 | 10 |
| I-123 iobenguane diag HCPCS A9582 | $3,192.96 | $10,787.00 | $1,618.05 – $8,737.47 | 8 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $42.63 | $144.00 | $21.60 – $116.64 | 8 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $742.96 | $2,510.00 | $376.50 – $2,033.10 | 8 |
| I131 iodide cap, rx HCPCS A9517 | $23.68 | $80.00 | $12.00 – $64.80 | 8 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $157.18 | $531.00 | $27.60 – $84.25 | 12 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $656.96 | $2,219.45 | $24.90 – $247.71 | 11 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $123.22 | $416.27 | $54.44 – $298.30 | 11 |
| Icatibant injection HCPCS J1744 | $2,236.00 | $7,554.05 | $93.19 – $6,118.79 | 11 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $0.30 | $1.00 | $0.15 – $0.81 | 10 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $0.30 | $1.00 | $0.15 – $0.81 | 10 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $0.30 | $1.00 | $0.15 – $0.81 | 10 |
| Idarubicin hcl injection HCPCS J9211 | $406.94 | $1,374.78 | $0.04 – $0.25 | 10 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $346.38 | $1,170.19 | $30.09 – $444.40 | 10 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $130.24 | $440.00 | $64.20 – $356.40 | 8 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $410.26 | $1,386.00 | $111.11 – $1,122.66 | 8 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $207.20 | $700.00 | $75.29 – $567.00 | 8 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,360.12 | $4,595.00 | $21.19 – $7,669.00 | 8 |
| Iliac revasc add-on 37222 CPT 37222 | $4,791.95 | $16,189.00 | $2,428.35 – $13,113.09 | 7 |
| Immune complex assay CPT 86332 | $168.72 | $570.00 | $24.37 – $58.52 | 12 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $4,389.57 | $14,829.60 | $45.82 – $1,035.06 | 11 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $60.68 | $205.00 | $20.81 – $49.97 | 12 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $39.08 | $132.00 | $20.81 – $49.97 | 12 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $22.80 | $77.00 | $11.98 – $28.78 | 12 |
| Immunofixation electrophoresis serum CPT 86334 | $80.52 | $272.00 | $22.34 – $53.64 | 12 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $24.28 | $82.00 | $63.88 – $125.75 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $311.99 | $1,054.00 | $79.36 – $853.74 | 8 |
| Immunoglobulin assay CPT 86023 | $46.18 | $156.00 | $12.46 – $29.92 | 12 |
| Immunology procedure CPT 86849 | $31.08 | $105.00 | $50.58 – $85.05 | 7 |
| Implant ureth bulk agent HCPCS L8606 | $236.51 | $799.00 | $119.85 – $647.19 | 11 |
| In-111 autol wbc diag per dose HCPCS A9570 | $2,444.37 | $8,258.00 | $1,238.70 – $6,688.98 | 8 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,863.62 | $6,296.00 | $476.25 – $5,099.76 | 8 |
| In-111 pentetreotide HCPCS A9572 | $3,153.00 | $10,652.00 | $1,597.80 – $8,628.12 | 8 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $800.68 | $2,705.00 | $202.80 – $1,095.12 | 6 |
| Incision of burn scab initi CPT 16035 | $437.20 | $1,477.00 | $221.55 – $1,196.37 | 6 |
| Incision of small bowel 44010 CPT 44010 | $310.80 | $1,050.00 | $157.50 – $850.50 | 6 |
| Incision tendon sheath CPT 26055 | $1,648.72 | $5,570.00 | $835.50 – $4,511.70 | 5 |
| Incisn windpipe CPT 31600 | $3,105.34 | $10,491.00 | $1,573.65 – $8,497.71 | 6 |
| Incobotulinumtoxin a HCPCS J0588 | $1,217.44 | $4,112.97 | $5.28 – $1,687.89 | 11 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $85.55 | $289.00 | $43.35 – $234.09 | 5 |
| Infect ag drug suscept pheno predict CPT 87900 | $174.64 | $590.00 | $130.35 – $312.96 | 12 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $427.43 | $1,444.00 | $107.29 – $440.24 | 12 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $286.83 | $969.00 | $122.70 – $440.24 | 12 |
| Infect ag ia optc obs influenza CPT 87804 | $57.43 | $194.00 | $16.55 – $28.30 | 12 |
| Infect ag if legionella pneumophila CPT 87278 | $18.36 | $62.00 | $15.60 – $27.49 | 12 |
| Infect ag if nos ea CPT 87299 | $133.80 | $452.00 | $16.10 – $27.53 | 12 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $142.97 | $483.00 | $65.37 – $204.32 | 12 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $51.80 | $175.00 | $26.25 – $141.75 | 5 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $646.47 | $2,184.00 | $216.94 – $1,000.74 | 12 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $596.15 | $2,014.00 | $475.83 – $1,173.29 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $33.45 | $113.00 | $11.98 – $27.49 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $96.80 | $327.00 | $13.42 – $27.49 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $116.04 | $392.00 | $13.82 – $27.49 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $118.70 | $401.00 | $11.98 – $27.49 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $39.08 | $132.00 | $14.38 – $34.53 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $46.18 | $156.00 | $10.33 – $21.00 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $54.76 | $185.00 | $24.08 – $57.83 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $71.64 | $242.00 | $11.98 – $27.49 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $17.17 | $58.00 | $11.98 – $27.49 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $26.64 | $90.00 | $11.98 – $27.49 | 12 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $165.17 | $558.00 | $27.60 – $84.25 | 12 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $116.33 | $393.00 | $27.60 – $84.25 | 12 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $86.44 | $292.00 | $37.27 – $84.25 | 12 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $740.00 | $2,500.00 | $216.49 – $1,006.23 | 12 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $52.40 | $177.00 | $27.60 – $84.25 | 12 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $86.73 | $293.00 | $27.60 – $84.25 | 12 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $152.44 | $515.00 | $41.68 – $103.00 | 12 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $80.81 | $273.00 | $23.96 – $84.25 | 12 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $44.70 | $151.00 | $23.96 – $84.25 | 12 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $93.24 | $315.00 | $47.25 – $255.15 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $543.16 | $1,835.00 | $373.03 – $998.24 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $206.61 | $698.00 | $114.82 – $307.26 | 12 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $79.63 | $269.00 | $40.35 – $102.85 | 12 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $124.32 | $420.00 | $42.84 – $102.85 | 12 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $213.12 | $720.00 | $42.84 – $102.85 | 12 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $143.86 | $486.00 | $63.21 – $204.32 | 12 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $168.72 | $570.00 | $82.99 – $308.04 | 12 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,518.17 | $8,507.31 | $32.30 – $2,972.18 | 11 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,051.19 | $3,551.30 | $10.86 – $2,876.56 | 11 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $388.65 | $1,313.00 | $75.80 – $1,063.53 | 8 |
| Initiation & management bipap/cpap initial day CPT 94660 | $145.04 | $490.00 | $73.50 – $396.90 | 8 |
| Inj alymsys 10 mg HCPCS Q5126 | $1,573.14 | $5,314.63 | $242.12 – $1,307.44 | 10 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $6,342.84 | $21,428.51 | $3,214.28 – $17,357.10 | 10 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $10,815.10 | $36,537.47 | $171.40 – $29,595.36 | 11 |
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.