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 |
|---|---|---|---|---|
| Mycoplasma antibody igm CPT 86738 | $27.24 | $92.00 | $13.24 – $31.80 | 12 |
| Myelogphy 2/> spine regions CPT 72270 | $672.52 | $2,272.00 | $148.54 – $1,840.32 | 9 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $796.24 | $2,690.00 | $403.50 – $2,178.90 | 5 |
| Myelography via inj w/s&i cervical CPT 62302 | $796.24 | $2,690.00 | $403.50 – $2,178.90 | 5 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $842.12 | $2,845.00 | $338.10 – $1,825.74 | 5 |
| Myelography via inj w/s&i thoracic CPT 62303 | $796.24 | $2,690.00 | $403.50 – $2,178.90 | 5 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $58.61 | $198.00 | $11.53 – $27.49 | 12 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,276.36 | $4,312.00 | $646.80 – $3,492.72 | 10 |
| Myocrd img pet 2rtracer CPT 78432 | $2,967.40 | $10,025.00 | $168.70 – $8,120.25 | 9 |
| Myocrd img pet 2rtracer CT CPT 78433 | $3,264.29 | $11,028.00 | $184.32 – $8,932.68 | 9 |
| Myocrd img pet mlt rst&strs CPT 78492 | $1,276.36 | $4,312.00 | $646.80 – $3,492.72 | 10 |
| Myocrd img pet rst&strs CT CPT 78431 | $2,670.81 | $9,023.00 | $158.05 – $7,308.63 | 9 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $1,721.24 | $5,815.00 | $136.15 – $4,710.15 | 9 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $22.99 | $77.64 | $3.55 – $62.89 | 10 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $54.67 | $184.67 | $9.84 – $53.13 | 10 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $457.03 | $1,544.00 | $231.60 – $1,250.64 | 6 |
| Natriuretic peptide CPT 83880 | $102.72 | $347.00 | $39.26 – $81.51 | 12 |
| Natural killer cells total count CPT 86357 | $48.25 | $163.00 | $33.14 – $90.57 | 12 |
| Navigational bronchoscopy 31627 CPT 31627 | $1,780.44 | $6,015.00 | $902.25 – $4,872.15 | 6 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $90.88 | $307.00 | $46.05 – $710.00 | 7 |
| Ndl round specialty proguide HCPCS C1715 | $6.22 | $21.00 | $3.15 – $17.01 | 5 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,658.49 | $5,603.00 | $302.00 – $4,538.43 | 13 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,530.03 | $5,169.00 | $272.40 – $4,186.89 | 13 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,168.02 | $3,946.00 | $217.01 – $3,196.26 | 13 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,637.96 | $8,912.00 | $512.63 – $7,218.72 | 13 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,724.20 | $5,825.00 | $438.81 – $4,718.25 | 13 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,724.20 | $5,825.00 | $303.06 – $3,495.00 | 13 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,554.89 | $5,253.00 | $540.21 – $4,254.93 | 13 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,143.45 | $3,863.00 | $382.11 – $3,129.03 | 13 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $285.94 | $966.00 | $144.90 – $2,459.00 | 13 |
| Nelarabine injection HCPCS J9261 | $1,600.66 | $5,407.61 | $74.70 – $4,380.17 | 11 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $26.46 | $89.37 | $0.10 – $50.51 | 10 |
| Nerve conduction 7-8 studies CPT 95910 | $254.56 | $860.00 | $129.00 – $710.00 | 7 |
| Nerve conduction studies 11-12 CPT 95912 | $308.14 | $1,041.00 | $156.15 – $843.21 | 7 |
| Nerve conduction studies 1-2 CPT 95907 | $191.22 | $646.00 | $96.90 – $710.00 | 7 |
| Nerve conduction studies 13+ CPT 95913 | $333.60 | $1,127.00 | $169.05 – $912.87 | 7 |
| Nerve conduction studies 3-4 CPT 95908 | $224.08 | $757.00 | $113.55 – $710.00 | 7 |
| Nerve conduction studies 5-6 CPT 95909 | $384.51 | $1,299.00 | $184.21 – $1,052.19 | 7 |
| Nerve conduction studies 9-10 CPT 95911 | $285.35 | $964.00 | $144.60 – $780.84 | 7 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $139.42 | $471.00 | $70.65 – $710.00 | 7 |
| New Patient Office Visit (level 2) CPT 99202 | $311.10 | $1,051.00 | $53.55 – $3,642.00 | 8 |
| New Patient Office Visit (level 3) CPT 99203 | $155.70 | $526.00 | $78.90 – $426.06 | 7 |
| New Patient Office Visit (level 4) CPT 99204 | $226.44 | $765.00 | $94.76 – $619.65 | 7 |
| New Patient Office Visit (level 5) CPT 99205 | $287.72 | $972.00 | $94.76 – $787.32 | 7 |
| Nintedanib 150 mg capsule HCPCS J8999 | $38,369.37 | $129,626.24 | $0.04 – $0.21 | 10 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,072.12 | $3,622.00 | $543.30 – $2,933.82 | 7 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $41.10 | $138.84 | $15.42 – $83.27 | 10 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $17,039.82 | $57,566.94 | $31.68 – $7,728.68 | 11 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $535.76 | $1,810.00 | $271.50 – $1,466.10 | 5 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,454.84 | $4,915.00 | $481.11 – $3,981.15 | 9 |
| Nm imaging bone/joint whole body CPT 78306 | $1,017.36 | $3,437.00 | $336.72 – $2,783.97 | 9 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $514.75 | $1,739.00 | $260.85 – $1,408.59 | 9 |
| Nm imaging gastric emptying study CPT 78264 | $898.66 | $3,036.00 | $400.72 – $2,459.16 | 9 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $573.95 | $1,939.00 | $290.85 – $1,570.59 | 9 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,004.04 | $3,392.00 | $508.80 – $2,747.52 | 9 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $909.02 | $3,071.00 | $183.87 – $2,487.51 | 9 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $797.13 | $2,693.00 | $403.95 – $2,181.33 | 9 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $432.76 | $1,462.00 | $219.30 – $1,184.22 | 9 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $537.54 | $1,816.00 | $76.77 – $1,470.96 | 9 |
| Noninv pace analysis CPT 93724 | $343.07 | $1,159.00 | $84.61 – $938.79 | 8 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,306.73 | $7,793.00 | $743.00 – $6,312.33 | 9 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,494.40 | $8,427.00 | $631.40 – $6,825.87 | 8 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $922.93 | $3,118.00 | $467.70 – $2,525.58 | 8 |
| Nuclear rx intra-arterial CPT 79445 | $172.28 | $582.00 | $87.30 – $1,067.00 | 8 |
| Nuclear rx IV admin CPT 79101 | $468.57 | $1,583.00 | $77.90 – $1,282.23 | 9 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,669.74 | $5,641.00 | $641.66 – $4,569.21 | 9 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $17,675.56 | $59,714.70 | $71.67 – $48,368.91 | 11 |
| Observation direct referral from physician office for admission HCPCS G0379 | $49.14 | $166.00 | $24.90 – $3,642.00 | 9 |
| Observation per hour HCPCS G0378 | $49.14 | $166.00 | $24.90 – $3,642.00 | 9 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $42,134.49 | $142,346.24 | $60.88 – $115,300.46 | 11 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $175.81 | $593.95 | $1.25 – $49.96 | 10 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $13,979.02 | $47,226.41 | $214.81 – $25,640.91 | 11 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $3,112.85 | $10,516.38 | $39.05 – $4,325.45 | 11 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $14.22 | $48.04 | $0.01 – $0.44 | 10 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $25.13 | $84.87 | $0.04 – $0.25 | 10 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $2,383.99 | $8,054.00 | $1,208.10 – $6,523.74 | 5 |
| Opn ax/subcla art expos CPT 34715 | $3,005.59 | $10,154.00 | $1,523.10 – $8,224.74 | 5 |
| Opn ilac art expos cndt crtj CPT 34833 | $1,846.45 | $6,238.00 | $935.70 – $5,052.78 | 6 |
| Organic acids total quant ea spec CPT 83918 | $31.97 | $108.00 | $23.16 – $40.36 | 12 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $3,748.63 | $12,664.27 | $28.11 – $2,937.52 | 11 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $20.89 | $70.55 | $0.04 – $0.25 | 10 |
| Oscillation chest wall mechanical per session CPT 94669 | $228.52 | $772.00 | $107.50 – $625.32 | 8 |
| Osmolality blood CPT 83930 | $29.90 | $101.00 | $6.61 – $15.88 | 12 |
| Osmolality urine CPT 83935 | $47.96 | $162.00 | $6.82 – $16.37 | 12 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $3,266.96 | $11,037.00 | $1,655.55 – $8,939.97 | 5 |
| Ot evaluation high complexity patient/family CPT 97167 | $156.88 | $530.00 | $79.50 – $429.30 | 10 |
| Ot evaluation low complexity patient/family CPT 97165 | $154.22 | $521.00 | $78.15 – $422.01 | 10 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $135.28 | $457.00 | $68.55 – $370.17 | 10 |
| Oth resp proc, group HCPCS G0239 | $35.23 | $119.00 | $17.85 – $189.52 | 8 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $63.35 | $214.00 | $32.10 – $270.00 | 10 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $26.64 | $90.00 | $13.50 – $270.00 | 10 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $82.59 | $279.00 | $27.43 – $270.00 | 10 |
| Ot re-evaluation patient/family CPT 97168 | $44.70 | $151.00 | $22.65 – $270.00 | 10 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $78.44 | $265.00 | $37.58 – $270.00 | 10 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $72.52 | $245.00 | $36.75 – $270.00 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $72.52 | $245.00 | $36.75 – $270.00 | 9 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $90.58 | $306.00 | $29.80 – $270.00 | 10 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $77.85 | $263.00 | $34.20 – $270.00 | 10 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $30.20 | $102.00 | $15.30 – $270.00 | 10 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $41.33 | $139.60 | $1.39 – $63.36 | 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.