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 |
|---|---|---|---|---|
| Mayo antithrombin iii antigen CPT 85301 | $14.80 | $50.00 | $10.81 – $25.96 | 12 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $48.55 | $164.00 | $15.05 – $35.18 | 12 |
| Mayo avwpr vw factor activity CPT 85397 | $164.88 | $557.00 | $30.00 – $55.09 | 12 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $41.44 | $140.00 | $21.00 – $113.40 | 5 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $14.51 | $49.00 | $10.18 – $24.45 | 12 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $337.74 | $1,141.00 | $110.09 – $347.76 | 12 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $23.68 | $80.00 | $12.90 – $30.98 | 12 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $68.08 | $230.00 | $13.19 – $31.68 | 12 |
| Mayo brcmg brucella antibody igm CPT 86622 | $53.88 | $182.00 | $8.93 – $21.45 | 12 |
| Mayo c1 esterase inhibitor CPT 83883 | $30.79 | $104.00 | $13.60 – $23.26 | 12 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $16.88 | $57.00 | $8.55 – $46.17 | 5 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $31.08 | $105.00 | $14.08 – $28.85 | 12 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $31.08 | $105.00 | $26.78 – $64.29 | 12 |
| Mayo ceruloplasmin CPT 82390 | $20.72 | $70.00 | $10.74 – $25.78 | 12 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $67.79 | $229.00 | $14.12 – $33.92 | 12 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $40.85 | $138.00 | $12.88 – $30.94 | 12 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $14.80 | $50.00 | $11.82 – $28.39 | 12 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $17.17 | $58.00 | $12.68 – $30.47 | 12 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $145.34 | $491.00 | $116.49 – $279.73 | 12 |
| Mayo chromium CPT 82495 | $26.94 | $91.00 | $20.28 – $46.92 | 12 |
| Mayo coccidioides antibody CPT 86635 | $30.49 | $103.00 | $11.47 – $27.54 | 12 |
| Mayo cocou cortisone urine CPT 82542 | $38.19 | $129.00 | $8.45 – $43.35 | 12 |
| Mayo cortisol free CPT 82530 | $29.90 | $101.00 | $16.71 – $33.05 | 12 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $72.52 | $245.00 | $42.13 – $74.15 | 11 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $22.80 | $77.00 | $12.12 – $29.11 | 12 |
| Mayo cyanide CPT 82600 | $32.27 | $109.00 | $19.40 – $46.57 | 12 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $17.17 | $58.00 | $13.25 – $31.82 | 12 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $44.11 | $149.00 | $25.27 – $60.68 | 12 |
| Mayo dihydrotestosterone CPT 82642 | $34.34 | $116.00 | $29.11 – $57.25 | 12 |
| Mayo efpo chloride stool CPT 82438 | $37.30 | $126.00 | $5.00 – $10.70 | 12 |
| Mayo estrone CPT 82679 | $33.45 | $113.00 | $24.95 – $59.93 | 12 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $27.24 | $92.00 | $16.34 – $39.25 | 12 |
| Mayo everolimus therapeutic drug level CPT 80169 | $18.36 | $62.00 | $13.73 – $208.96 | 12 |
| Mayo factor ii CPT 85210 | $162.51 | $549.00 | $12.98 – $31.19 | 12 |
| Mayo factor v CPT 85220 | $158.36 | $535.00 | $17.65 – $42.36 | 12 |
| Mayo factor vii CPT 85230 | $160.14 | $541.00 | $17.90 – $43.00 | 12 |
| Mayo factor viii vw factor antigen CPT 85246 | $43.52 | $147.00 | $22.94 – $55.09 | 12 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $84.96 | $287.00 | $22.94 – $55.09 | 12 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $44.70 | $151.00 | $22.94 – $55.09 | 12 |
| Mayo factor x CPT 85260 | $162.51 | $549.00 | $17.90 – $43.00 | 12 |
| Mayo factor xi CPT 85270 | $160.14 | $541.00 | $17.90 – $43.00 | 12 |
| Mayo fat/lipids feces quantitative CPT 82710 | $216.97 | $733.00 | $16.80 – $40.36 | 12 |
| Mayo fbl culture fungi blood CPT 87103 | $104.20 | $352.00 | $12.69 – $34.99 | 12 |
| Mayo ffspg allergen clam igg CPT 86001 | $5.04 | $17.00 | $7.35 – $13.37 | 12 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $26.35 | $89.00 | $16.19 – $37.06 | 12 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $649.43 | $2,194.00 | $240.31 – $1,725.30 | 7 |
| Mayo hemosiderin qualitative urine CPT 83070 | $49.14 | $166.00 | $4.75 – $11.40 | 12 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $226.15 | $764.00 | $27.60 – $84.25 | 12 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $41.44 | $140.00 | $21.00 – $84.25 | 12 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $20.43 | $69.00 | $13.79 – $30.01 | 12 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $35.23 | $119.00 | $25.81 – $61.97 | 12 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $23.98 | $81.00 | $8.89 – $21.33 | 12 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $17.47 | $59.00 | $13.52 – $32.45 | 12 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $37.30 | $126.00 | $27.17 – $65.24 | 12 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $71.34 | $241.00 | $17.27 – $31.08 | 12 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $150.67 | $509.00 | $14.99 – $35.89 | 12 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $18.36 | $62.00 | $20.81 – $49.97 | 12 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $143.56 | $485.00 | $20.81 – $49.97 | 12 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $42.92 | $145.00 | $21.75 – $117.45 | 5 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $40.85 | $138.00 | $16.07 – $27.49 | 12 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $78.44 | $265.00 | $11.98 – $27.49 | 12 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $55.06 | $186.00 | $27.60 – $84.25 | 12 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $49.44 | $167.00 | $31.40 – $61.76 | 12 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $65.72 | $222.00 | $27.60 – $84.25 | 12 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $42.92 | $145.00 | $21.75 – $117.45 | 5 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $90.88 | $307.00 | $42.84 – $102.85 | 12 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $92.95 | $314.00 | $64.61 – $127.05 | 12 |
| Mayo infliximab therapeutic drug level CPT 80230 | $52.10 | $176.00 | $34.53 – $67.88 | 12 |
| Mayo inhab inhibin a CPT 86336 | $58.61 | $198.00 | $15.59 – $35.99 | 12 |
| Mayo insft insulin free CPT 83527 | $14.21 | $48.00 | $12.95 – $30.40 | 12 |
| Mayo insulin antibodies CPT 86337 | $18.65 | $63.00 | $21.41 – $51.41 | 12 |
| Mayo iodine CPT 83789 | $30.49 | $103.00 | $8.45 – $43.35 | 12 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $32.56 | $110.00 | $24.27 – $47.71 | 11 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $42.04 | $142.00 | $24.27 – $47.71 | 12 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $15.40 | $52.00 | $13.25 – $31.84 | 12 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $18.65 | $63.00 | $12.79 – $24.39 | 12 |
| Mayo legionella antibody CPT 86713 | $20.13 | $68.00 | $15.30 – $36.17 | 12 |
| Mayo leptospira antibody igm CPT 86720 | $19.84 | $67.00 | $16.20 – $27.70 | 12 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $21.32 | $72.00 | $15.49 – $28.42 | 12 |
| Mayo manganese CPT 83785 | $8.00 | $27.00 | $21.87 – $59.05 | 12 |
| Mayo metanephrines plasma CPT 83835 | $34.93 | $118.00 | $16.94 – $40.67 | 12 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $47.36 | $160.00 | $7.80 – $42.12 | 5 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $22.20 | $75.00 | $11.25 – $60.75 | 5 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $169.32 | $572.00 | $14.55 – $34.94 | 12 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $106.56 | $360.00 | $16.94 – $32.88 | 12 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $242.13 | $818.00 | $125.31 – $246.40 | 12 |
| Mayo muramidase CPT 85549 | $21.91 | $74.00 | $18.75 – $44.67 | 12 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $22.20 | $75.00 | $11.25 – $60.75 | 5 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $13.32 | $45.00 | $7.27 – $43.35 | 12 |
| Mayo myoglobin CPT 83874 | $19.54 | $66.00 | $12.92 – $31.01 | 12 |
| Mayo nickel CPT 83885 | $31.97 | $108.00 | $24.51 – $58.84 | 12 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $30.20 | $102.00 | $21.21 – $36.41 | 12 |
| Mayo organic acids qualitative each specimen CPT 83919 | $21.61 | $73.00 | $16.45 – $36.41 | 12 |
| Mayo oxalate 24 hour urine CPT 83945 | $20.13 | $68.00 | $14.45 – $30.91 | 12 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $45.29 | $153.00 | $11.53 – $30.60 | 12 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $20.13 | $68.00 | $15.03 – $35.89 | 12 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $137.05 | $463.00 | $12.05 – $28.93 | 12 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $36.41 | $123.00 | $27.60 – $84.25 | 12 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $26.35 | $89.00 | $17.98 – $43.16 | 12 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $24.87 | $84.00 | $13.76 – $33.05 | 12 |
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.