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 pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $13.03 | $44.00 | $8.44 – $20.26 | 12 |
| Mayo pregnenolone CPT 84140 | $35.23 | $119.00 | $20.67 – $37.65 | 12 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $21.61 | $73.00 | $16.59 – $39.85 | 12 |
| Mayo proinsulin CPT 84206 | $170.50 | $576.00 | $25.06 – $45.64 | 12 |
| Mayo psaft prostate specific antigen free CPT 84154 | $38.48 | $130.00 | $18.39 – $44.16 | 12 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $311.99 | $1,054.00 | $18.40 – $32.44 | 12 |
| Mayo receptor assay transferrin soluble CPT 84238 | $176.42 | $596.00 | $36.57 – $87.81 | 12 |
| Mayo renin CPT 84244 | $40.56 | $137.00 | $21.99 – $52.82 | 12 |
| Mayo repu protein electrophoresis urine CPT 84166 | $52.10 | $176.00 | $17.83 – $42.82 | 12 |
| Mayo selenium CPT 84255 | $42.04 | $142.00 | $25.53 – $44.67 | 12 |
| Mayo serotonin CPT 84260 | $42.63 | $144.00 | $30.98 – $52.98 | 12 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $54.76 | $185.00 | $19.35 – $46.46 | 12 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $83.18 | $281.00 | $13.73 – $32.96 | 12 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $19.84 | $67.00 | $10.05 – $54.27 | 5 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $8.59 | $29.00 | $4.27 – $9.87 | 12 |
| Mayo tau phosphorylated 217 each CPT 84393 | $158.66 | $536.00 | $80.40 – $434.16 | 5 |
| Mayo tgrp testosterone free CPT 84402 | $22.80 | $77.00 | $25.47 – $50.30 | 12 |
| Mayo tgrp testosterone total CPT 84403 | $62.16 | $210.00 | $25.81 – $61.99 | 12 |
| Mayo thyroglobulin CPT 84432 | $35.23 | $119.00 | $16.06 – $27.95 | 12 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $47.96 | $162.00 | $10.18 – $24.45 | 12 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $21.02 | $71.00 | $12.39 – $21.19 | 12 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $65.42 | $221.00 | $33.15 – $127.69 | 12 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $30.49 | $103.00 | $14.16 – $24.97 | 12 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $61.57 | $208.00 | $13.54 – $32.45 | 12 |
| Mayo vasoactive intestinal peptide CPT 84586 | $47.07 | $159.00 | $24.80 – $60.41 | 12 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $120.18 | $406.00 | $20.24 – $38.02 | 12 |
| Mayo vitamin b3 (niacin) CPT 84591 | $23.68 | $80.00 | $16.31 – $29.17 | 12 |
| Mayo vitamin k CPT 84597 | $45.29 | $153.00 | $13.72 – $32.93 | 12 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $42.04 | $142.00 | $13.25 – $31.84 | 12 |
| Measurement post void urine by ultrasound CPT 51798 | $74.60 | $252.00 | $37.80 – $204.12 | 6 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $37.70 | $127.35 | $0.16 – $71.61 | 10 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $23.03 | $77.79 | $6.77 – $51.03 | 10 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $6,396.06 | $21,608.31 | $31.03 – $17,502.74 | 11 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $358.11 | $1,209.83 | $0.81 – $49.16 | 10 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $129.47 | $437.38 | $1.73 – $352.74 | 10 |
| Metabolic Blood Panel (Basic) CPT 80048 | $105.38 | $356.00 | $8.46 – $16.56 | 12 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $183.23 | $619.00 | $10.56 – $20.70 | 12 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $33.61 | $113.54 | $8.17 – $55.76 | 10 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $63.70 | $215.18 | $0.13 – $0.68 | 10 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $240.39 | $812.12 | $2.96 – $326.90 | 10 |
| Methotrexate therapeutic drug level CPT 80204 | $45.88 | $155.00 | $34.53 – $67.88 | 11 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,286.29 | $4,345.57 | $20.29 – $356.28 | 10 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $40.91 | $138.19 | $17.70 – $95.58 | 10 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $198.95 | $672.11 | $1.39 – $118.94 | 10 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $33.44 | $112.95 | $0.32 – $17.93 | 10 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $34.00 | $114.84 | $10.61 – $57.29 | 10 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $66.32 | $224.05 | $0.04 – $0.21 | 10 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $20.35 | $68.75 | $0.04 – $0.25 | 10 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $19.92 | $67.27 | $8.22 – $44.35 | 10 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $76.49 | $258.40 | $0.88 – $102.62 | 10 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $50.80 | $171.59 | $0.04 – $0.21 | 10 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $34.12 | $115.26 | $2.01 – $61.65 | 10 |
| Minocycline hydrochloride HCPCS J2265 | $273.65 | $924.47 | $2.39 – $607.94 | 11 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $827.26 | $2,794.79 | $55.19 – $610.36 | 11 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $366.31 | $1,237.53 | $44.40 – $769.12 | 11 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,585.08 | $5,355.00 | $803.25 – $4,337.55 | 5 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $211.35 | $714.00 | $107.10 – $578.34 | 5 |
| Mopath procedure level 5 CPT 81404 | $335.37 | $1,133.00 | $272.99 – $536.80 | 12 |
| Mopath procedure level 7 CPT 81406 | $344.55 | $1,164.00 | $282.88 – $1,144.00 | 12 |
| Mopath procedure level 9 CPT 81408 | $2,439.04 | $8,240.00 | $2,000.00 – $3,420.00 | 12 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $34.76 | $117.41 | $3.36 – $44.30 | 10 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $18.96 | $64.04 | $9.03 – $48.72 | 10 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $251.02 | $848.04 | $12.56 – $67.79 | 10 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $185.60 | $627.00 | $109.25 – $507.87 | 8 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $1,423.33 | $4,808.53 | $721.28 – $3,894.91 | 10 |
| MRA chest w IV cont HCPCS C8909 | $933.29 | $3,153.00 | $472.95 – $2,553.93 | 13 |
| MRA chest wo IV cont HCPCS C8910 | $621.31 | $2,099.00 | $314.85 – $2,459.00 | 13 |
| MRA chest wwo IV cont HCPCS C8911 | $1,056.43 | $3,569.00 | $535.35 – $2,890.89 | 13 |
| MRA pelvis w IV cont HCPCS C8918 | $408.48 | $1,380.00 | $207.00 – $2,459.00 | 12 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,056.43 | $3,569.00 | $535.35 – $2,890.89 | 12 |
| MRA w/cont, abd HCPCS C8900 | $1,618.24 | $5,467.00 | $561.00 – $4,428.27 | 13 |
| MRA without cont, abd HCPCS C8901 | $1,267.48 | $4,282.00 | $561.00 – $3,468.42 | 13 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,949.76 | $6,587.00 | $561.00 – $5,335.47 | 13 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,265.59 | $7,654.00 | $561.00 – $6,199.74 | 13 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $408.48 | $1,380.00 | $207.00 – $2,459.00 | 12 |
| MRI breast without cont bi CPT 77047 | $376.81 | $1,273.00 | $190.95 – $2,459.00 | 13 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $181.45 | $613.00 | $91.95 – $2,459.00 | 13 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $549.08 | $1,855.00 | $278.25 – $2,459.00 | 13 |
| MRI chest without contrast CPT 71550 | $1,288.79 | $4,354.00 | $547.95 – $3,526.74 | 13 |
| MRI chest without & w/contrast CPT 71552 | $1,385.88 | $4,682.00 | $351.15 – $2,459.00 | 13 |
| MRI chest w IV cont CPT 71551 | $1,122.44 | $3,792.00 | $561.00 – $3,071.52 | 13 |
| MRI guid ndl plc s&i CPT 77021 | $731.42 | $2,471.00 | $370.65 – $2,459.00 | 12 |
| MRI loex nonjt w IV cont CPT 73719 | $1,322.53 | $4,468.00 | $423.36 – $3,619.08 | 13 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,322.53 | $4,468.00 | $357.90 – $3,619.08 | 13 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,739.89 | $5,878.00 | $542.85 – $4,761.18 | 13 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,160.62 | $3,921.00 | $362.27 – $3,176.01 | 13 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,682.17 | $5,683.00 | $426.30 – $2,459.00 | 13 |
| MRI orbit fac&nck w IV cont CPT 70542 | $403.75 | $1,364.00 | $204.60 – $2,459.00 | 13 |
| MRI tmj CPT 70336 | $1,215.38 | $4,106.00 | $427.64 – $3,325.86 | 13 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,210.35 | $4,089.00 | $488.04 – $3,312.09 | 13 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,597.52 | $5,397.00 | $561.00 – $4,139.91 | 13 |
| MRI without fol w/cont, breast HCPCS C8908 | $1,793.76 | $6,060.00 | $561.00 – $4,908.60 | 13 |
| Mr spectroscopy CPT 76390 | $1,586.27 | $5,359.00 | $561.00 – $4,340.79 | 13 |
| Mthfr gene analy common variants CPT 81291 | $72.23 | $244.00 | $44.75 – $111.73 | 12 |
| Multiple sleep latency test CPT 95805 | $3,634.29 | $12,278.00 | $1,102.87 – $9,945.18 | 7 |
| Mumps antibody igg CPT 86735 | $32.86 | $111.00 | $13.05 – $31.33 | 12 |
| Muscle-skin graft leg CPT 15738 | $1,096.09 | $3,703.00 | $555.45 – $2,999.43 | 5 |
| Mycobacteria dna amp probe CPT 87551 | $102.12 | $345.00 | $27.60 – $84.25 | 12 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $29.86 | $100.85 | $0.07 – $0.35 | 10 |
| Mycophenolic acid HCPCS J7518 | $29.97 | $101.22 | $0.53 – $2.84 | 10 |
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.