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 |
|---|---|---|---|---|
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $8,205.67 | $27,721.84 | $40.61 – $22,454.70 | 11 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $22.25 | $75.16 | $0.78 – $60.88 | 10 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $21.90 | $73.96 | $0.04 – $0.21 | 10 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $18.05 | $60.96 | $9.15 – $49.38 | 10 |
| Inj ceftolozane tazobactam HCPCS J0695 | $197.07 | $665.75 | $7.18 – $539.26 | 11 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $297.19 | $1,004.00 | $96.45 – $520.83 | 5 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $1,462.82 | $4,941.94 | $741.30 – $4,002.98 | 11 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $358.29 | $1,210.43 | $124.63 – $672.99 | 10 |
| Inj disk cerv-thor ea lev CPT 62291 | $733.20 | $2,477.00 | $371.55 – $2,006.37 | 6 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $883.06 | $2,983.29 | $447.50 – $2,416.47 | 10 |
| Inj dx for sinogram CPT 20501 | $42.04 | $142.00 | $21.30 – $115.02 | 7 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $279.72 | $945.00 | $141.75 – $765.45 | 7 |
| Injection, cangrelor HCPCS C9460 | $1,102.15 | $3,723.45 | $18.60 – $3,016.00 | 11 |
| Injection, daratumumab 10 mg HCPCS J9145 | $5,536.46 | $18,704.24 | $62.87 – $4,001.72 | 11 |
| Injection during cath supravalvular aortography CPT 93567 | $69.86 | $236.00 | $35.40 – $7,669.00 | 7 |
| Injection epidural blood patch or clot CPT 62273 | $812.52 | $2,745.00 | $411.75 – $2,223.45 | 5 |
| Injection for arthrography wrist (both sides) CPT 25246 | $226.74 | $766.00 | $114.90 – $620.46 | 7 |
| Injection for bladder x-ray CPT 51600 | $90.58 | $306.00 | $45.90 – $247.86 | 7 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $273.21 | $923.00 | $138.45 – $747.63 | 7 |
| Injection for ureter x-ray CPT 50684 | $60.98 | $206.00 | $30.90 – $166.86 | 7 |
| Injection for ureter x-ray CPT 50690 | $132.02 | $446.00 | $66.90 – $361.26 | 7 |
| Injection, fulvestrant HCPCS J9395 | $2,156.88 | $7,286.74 | $8.61 – $5,902.26 | 11 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $4,177.84 | $14,114.32 | $2,117.15 – $11,432.60 | 10 |
| Injection into brain canal CPT 61026 | $692.64 | $2,340.00 | $351.00 – $1,895.40 | 5 |
| Injection, isavuconazonium HCPCS J1833 | $452.19 | $1,527.64 | $0.98 – $1,116.34 | 11 |
| Injection of sinus tract CPT 20500 | $290.38 | $981.00 | $147.15 – $794.61 | 6 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,430.40 | $4,832.42 | $6.45 – $3,914.27 | 11 |
| Injection, peramivir HCPCS J2547 | $1,200.00 | $4,054.04 | $0.04 – $1.58 | 11 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $290.97 | $983.00 | $147.45 – $796.23 | 6 |
| Injection, renflexis HCPCS Q5104 | $1,019.85 | $3,445.43 | $30.48 – $2,331.07 | 11 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $633.74 | $2,141.00 | $321.15 – $1,734.21 | 5 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $750.36 | $2,535.00 | $380.25 – $2,053.35 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $634.92 | $2,145.00 | $321.75 – $1,737.45 | 5 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $468.87 | $1,584.00 | $76.35 – $412.29 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $413.22 | $1,396.00 | $209.40 – $1,130.76 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $652.09 | $2,203.00 | $320.85 – $1,732.59 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $500.24 | $1,690.00 | $247.20 – $1,334.88 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,226.92 | $4,145.00 | $199.05 – $1,074.87 | 5 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $392.80 | $1,327.00 | $199.05 – $1,074.87 | 5 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $302.52 | $1,022.00 | $153.30 – $827.82 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $94.43 | $319.00 | $47.85 – $389.00 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $45.00 | $152.00 | $22.80 – $389.00 | 7 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $147.41 | $498.00 | $74.70 – $403.38 | 7 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $91.47 | $309.00 | $44.10 – $389.00 | 7 |
| Inj for ext venography CPT 36005 | $584.90 | $1,976.00 | $296.40 – $5,206.00 | 7 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $20.54 | $69.38 | $10.41 – $56.20 | 10 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $69.86 | $236.00 | $35.40 – $7,669.00 | 7 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $64.83 | $219.00 | $32.85 – $7,669.00 | 7 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $31.97 | $108.00 | $16.20 – $7,669.00 | 7 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $39.67 | $134.00 | $20.10 – $7,669.00 | 7 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $387.18 | $1,308.01 | $2.51 – $1,059.49 | 11 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $97,531.31 | $329,497.66 | $482.45 – $266,893.11 | 11 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $216.68 | $732.00 | $109.80 – $592.92 | 6 |
| Inj intralesional > 7 lsns CPT 11901 | $216.68 | $732.00 | $109.80 – $592.92 | 6 |
| Inj ivig privigen 500 mg HCPCS J1459 | $7,624.60 | $25,758.78 | $49.20 – $3,397.07 | 11 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $1,462.42 | $4,940.60 | $328.16 – $1,772.06 | 10 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $43.77 | $147.87 | $22.19 – $119.78 | 10 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $99.17 | $335.02 | $0.04 – $0.21 | 10 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $23.93 | $80.83 | $3.55 – $58.79 | 10 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $237.84 | $803.48 | $2.37 – $650.82 | 10 |
| Inj meropenem (wg crit care) HCPCS J2183 | $19.35 | $65.35 | $9.81 – $52.94 | 10 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $20,556.64 | $69,448.08 | $10,417.22 – $56,252.95 | 10 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $535.76 | $1,810.00 | $271.50 – $1,466.10 | 5 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $228.00 | $770.24 | $115.54 – $623.90 | 10 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $2,883.64 | $9,742.00 | $1,461.30 – $7,891.02 | 5 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $2,883.64 | $9,742.00 | $980.70 – $5,295.78 | 5 |
| Inj ogivri 10 mg HCPCS Q5114 | $3,330.34 | $11,251.14 | $45.26 – $9,113.43 | 11 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $19.03 | $64.27 | $9.65 – $52.06 | 10 |
| Inj peritoneal venous shunt CPT 49427 | $386.88 | $1,307.00 | $196.05 – $1,058.67 | 6 |
| Inj proc elbow arthro CPT 24220 | $196.84 | $665.00 | $99.75 – $538.65 | 7 |
| Inj proc lumbr disk ea lvl CPT 62290 | $999.89 | $3,378.00 | $506.70 – $2,736.18 | 6 |
| Inj proc myelogram lumbar CPT 62284 | $259.60 | $877.00 | $131.55 – $710.37 | 7 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $427.89 | $1,445.55 | $0.69 – $100.60 | 11 |
| Inj retro urethrocysto CPT 51610 | $355.50 | $1,201.00 | $180.15 – $972.81 | 7 |
| Inj scleros sol mult veins CPT 36471 | $557.08 | $1,882.00 | $282.30 – $1,524.42 | 6 |
| Inj scleros sol sgl vein CPT 36470 | $371.48 | $1,255.00 | $188.25 – $1,016.55 | 6 |
| Inj secretin synthetic human HCPCS J2850 | $670.39 | $2,264.83 | $39.30 – $1,834.52 | 11 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $2,678.09 | $9,047.60 | $1,357.14 – $7,328.56 | 10 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $55,701.08 | $188,179.31 | $28,226.90 – $152,425.25 | 10 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | $0.08 | $0.25 | $0.04 – $0.21 | 10 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $36,385.12 | $122,922.69 | $334.18 – $99,567.38 | 11 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $4,837.26 | $16,342.09 | $532.56 – $2,875.80 | 10 |
| Inj w/fluor eval cv device CPT 36598 | $412.04 | $1,392.00 | $208.80 – $1,127.52 | 6 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $48,445.48 | $163,667.16 | $2,628.83 – $132,570.40 | 11 |
| Ins cath ren art 1st bi CPT 36252 | $1,726.87 | $5,834.00 | $875.10 – $4,725.54 | 6 |
| Ins cath ren art 1st uni CPT 36251 | $1,398.60 | $4,725.00 | $708.75 – $3,827.25 | 6 |
| Ins cath ren art 2nd+ bi CPT 36254 | $1,882.27 | $6,359.00 | $953.85 – $5,150.79 | 6 |
| Ins cath ren art 2nd+ uni CPT 36253 | $1,398.60 | $4,725.00 | $708.75 – $3,827.25 | 6 |
| Insert cath pleura with image CPT 32557 | $1,384.99 | $4,679.00 | $701.85 – $3,789.99 | 6 |
| Insert cath pleura without image CPT 32556 | $1,731.01 | $5,848.00 | $877.20 – $4,736.88 | 6 |
| Insert hepatic shunt (tips) CPT 37182 | $3,233.51 | $10,924.00 | $1,638.60 – $8,848.44 | 6 |
| Insertion catheter bladder non indwelling CPT 51701 | $131.43 | $444.00 | $66.60 – $359.64 | 6 |
| Insertion catheter bladder temporary simple CPT 51702 | $74.60 | $252.00 | $37.80 – $204.12 | 6 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $3,402.82 | $11,496.00 | $1,724.40 – $9,311.76 | 6 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $2,447.63 | $8,269.00 | $1,240.35 – $6,697.89 | 6 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $1,671.22 | $5,646.00 | $846.90 – $4,573.26 | 6 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $868.17 | $2,933.00 | $439.95 – $2,375.73 | 5 |
| Insertion of catheter vein CPT 36481 | $1,009.36 | $3,410.00 | $511.50 – $2,762.10 | 7 |
| Insertion of catheter vein CPT 36500 | $627.82 | $2,121.00 | $318.15 – $1,718.01 | 7 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $10,656.00 | $36,000.00 | $5,400.00 – $29,160.00 | 6 |
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.