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 |
|---|---|---|---|---|
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $311.60 | $1,052.69 | $0.06 – $373.62 | 10 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $20.11 | $67.93 | $0.60 – $48.97 | 10 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $315.47 | $1,065.76 | $0.12 – $460.28 | 10 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,444.18 | $11,635.72 | $13.49 – $9,424.94 | 11 |
| Palonosetron hcl HCPCS J2469 | $91.61 | $309.47 | $1.24 – $53.00 | 10 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $78.46 | $265.05 | $13.37 – $72.19 | 10 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $3,586.94 | $12,118.04 | $153.50 – $9,815.62 | 11 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $22.41 | $75.69 | $8.86 – $47.82 | 10 |
| Papaverin hcl injection HCPCS J2440 | $63.35 | $214.01 | $1.45 – $95.75 | 10 |
| Parathormone (pth) intact CPT 83970 | $184.12 | $622.00 | $41.28 – $99.11 | 12 |
| Parathyrd planar w/spect&ct CPT 78072 | $186.48 | $630.00 | $94.50 – $1,067.00 | 9 |
| Parathyroid planar imaging CPT 78070 | $290.08 | $980.00 | $147.00 – $1,067.00 | 9 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $169.91 | $574.00 | $86.10 – $464.94 | 6 |
| Partial removal of foot bone CPT 28288 | $1,430.57 | $4,833.00 | $724.95 – $3,914.73 | 5 |
| Partial removal of sternum CPT 21620 | $7,109.92 | $24,020.00 | $3,603.00 – $19,456.20 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | $3,271.69 | $11,053.00 | $1,657.95 – $8,952.93 | 5 |
| Pegaspargase injection HCPCS J9266 | $40,546.09 | $136,980.03 | $20,547.01 – $110,953.83 | 11 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $9,689.49 | $32,734.74 | $4,910.22 – $26,515.14 | 10 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $3,367.03 | $11,375.07 | $124.85 – $9,213.81 | 11 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $1,010.61 | $3,414.22 | $512.14 – $2,765.52 | 10 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $726.68 | $2,455.00 | $302.00 – $1,988.55 | 13 |
| Pelvic CT scan (with contrast) CPT 72193 | $586.38 | $1,981.00 | $297.15 – $1,604.61 | 13 |
| Pelvic CT scan (without contrast) CPT 72192 | $501.13 | $1,693.00 | $186.10 – $1,467.00 | 13 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,737.23 | $5,869.00 | $440.25 – $2,459.00 | 13 |
| Pelvic MRI (with contrast) CPT 72196 | $1,303.00 | $4,402.00 | $334.65 – $2,459.00 | 13 |
| Pelvic MRI (without contrast) CPT 72195 | $1,389.72 | $4,695.00 | $352.20 – $2,459.00 | 13 |
| Pelvic Ultrasound (complete) CPT 76856 | $583.12 | $1,970.00 | $143.58 – $1,595.70 | 9 |
| Pelvic Ultrasound (limited) CPT 76857 | $64.24 | $217.00 | $32.55 – $698.00 | 9 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $12,434.56 | $42,008.62 | $56.79 – $34,026.99 | 11 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $8,636.75 | $29,178.19 | $0.04 – $4.45 | 11 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $332.29 | $1,122.57 | $18.92 – $909.29 | 11 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $21.31 | $71.97 | $0.87 – $56.76 | 10 |
| Penis study CPT 54240 | $800.09 | $2,703.00 | $405.45 – $2,189.43 | 6 |
| Pentobarbital sodium inj HCPCS J2515 | $1,396.72 | $4,718.62 | $23.02 – $3,408.33 | 11 |
| Perc d-e cor revasc chro add HCPCS C9608 | $5,513.60 | $18,627.00 | $2,794.05 – $15,087.87 | 7 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $11,026.89 | $37,253.00 | $5,549.00 – $30,174.93 | 7 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,108.19 | $13,879.00 | $2,081.85 – $11,241.99 | 7 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $10,810.81 | $36,523.00 | $5,478.45 – $29,583.63 | 7 |
| Perc d-e cor stent ather br HCPCS C9603 | $10,918.85 | $36,888.00 | $5,533.20 – $29,879.28 | 7 |
| Perc d-e cor stent ather s HCPCS C9602 | $11,026.89 | $37,253.00 | $5,549.00 – $30,174.93 | 7 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,108.19 | $13,879.00 | $2,081.85 – $11,241.99 | 7 |
| Perc drug-el cor stent sing HCPCS C9600 | $10,810.81 | $36,523.00 | $5,478.45 – $29,583.63 | 7 |
| Perc rf ablate renal tumor CPT 50592 | $8,733.19 | $29,504.00 | $2,951.10 – $15,935.94 | 6 |
| Percut ablate liver rf CPT 47382 | $1,949.76 | $6,587.00 | $988.05 – $5,335.47 | 6 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $105.85 | $357.57 | $51.70 – $289.64 | 10 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,742.26 | $5,886.00 | $882.90 – $7,669.00 | 6 |
| Peripheral vascular rehab CPT 93668 | $63.64 | $215.00 | $32.25 – $783.00 | 8 |
| Peri-proc device eval icd CPT 93287 | $38.48 | $130.00 | $19.50 – $783.00 | 8 |
| Peri-proc device eval pm CPT 93286 | $38.48 | $130.00 | $19.50 – $783.00 | 8 |
| Perphenazine 4mg oral HCPCS Q0175 | $38.47 | $129.96 | $0.62 – $12.42 | 10 |
| Perq art m-thrombect &/nfs CPT 61645 | $2,135.94 | $7,216.00 | $1,082.40 – $5,844.96 | 5 |
| Perq clsr tcat l atr apndge CPT 33340 | $663.93 | $2,243.00 | $336.45 – $1,816.83 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | $720.76 | $2,435.00 | $365.25 – $1,972.35 | 6 |
| Perq plmt bile duct stent CPT 47538 | $4,200.54 | $14,191.00 | $2,128.65 – $11,494.71 | 5 |
| Perq plmt bile duct stent CPT 47539 | $1,680.10 | $5,676.00 | $851.40 – $4,597.56 | 5 |
| Perq plmt bile duct stent CPT 47540 | $1,680.10 | $5,676.00 | $851.40 – $4,597.56 | 5 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $14,299.80 | $48,310.13 | $15.71 – $39,131.21 | 11 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,254.04 | $7,615.00 | $1,142.25 – $6,168.15 | 10 |
| Pet CT whole body initial CPT 78816 | $2,254.04 | $7,615.00 | $1,142.25 – $6,168.15 | 10 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,395.64 | $4,715.00 | $707.25 – $3,819.15 | 10 |
| Ph body fluid CPT 83986 | $22.80 | $77.00 | $3.58 – $6.12 | 12 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $60.53 | $204.48 | $30.55 – $164.95 | 11 |
| Phenobarbital therapeutic drug level CPT 80184 | $21.32 | $72.00 | $15.30 – $27.49 | 12 |
| Phentolaine mesylate inj HCPCS J2760 | $418.10 | $1,412.50 | $181.54 – $980.32 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $31.01 | $104.74 | $8.64 – $46.64 | 10 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $17.61 | $59.46 | $0.52 – $48.17 | 10 |
| Phenytoin total therapeutic drug level CPT 80185 | $30.20 | $102.00 | $13.25 – $31.84 | 12 |
| Phlebotomy therapeutic CPT 99195 | $51.21 | $173.00 | $25.95 – $306.00 | 7 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,626.23 | $5,494.00 | $824.10 – $4,450.14 | 6 |
| Phosphorus CPT 84100 | $51.21 | $173.00 | $4.74 – $10.49 | 12 |
| Phosphorus 24 hour urine CPT 84105 | $8.00 | $27.00 | $5.78 – $12.43 | 12 |
| Photodynamic tx addl 15 min CPT 96571 | $275.58 | $931.00 | $86.78 – $754.11 | 6 |
| Photodynmc tx 30 min add-on CPT 96570 | $275.58 | $931.00 | $139.65 – $754.11 | 6 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $39.89 | $134.76 | $0.04 – $0.25 | 10 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $568.32 | $1,920.00 | $288.00 – $1,555.20 | 8 |
| Pinworm exam CPT 87172 | $39.67 | $134.00 | $4.27 – $9.87 | 12 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $34.25 | $115.68 | $0.04 – $0.25 | 10 |
| Place cath intracranial art CPT 36228 | $1,265.70 | $4,276.00 | $641.40 – $3,463.56 | 6 |
| Place cath xtrnl carotid CPT 36227 | $4,159.69 | $14,053.00 | $1,391.25 – $7,512.75 | 6 |
| Place cecostomy tube perc CPT 49442 | $1,396.53 | $4,718.00 | $707.70 – $3,821.58 | 6 |
| Place duod/jej tube perc CPT 49441 | $2,600.96 | $8,787.00 | $1,318.05 – $7,117.47 | 6 |
| Place gastrostomy tube perc CPT 49440 | $1,204.43 | $4,069.00 | $610.35 – $3,295.89 | 6 |
| Placement bile duct support CPT 47801 | $1,790.80 | $6,050.00 | $907.50 – $4,900.50 | 6 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,294.12 | $4,372.00 | $655.80 – $3,541.32 | 6 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,930.22 | $6,521.00 | $978.15 – $5,282.01 | 5 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $4,613.16 | $15,585.00 | $2,337.75 – $12,623.85 | 6 |
| Place non-slctv cath thoracic arta CPT 36221 | $2,662.23 | $8,994.00 | $1,222.65 – $6,602.31 | 7 |
| Place right device/marker pros CPT 55876 | $1,045.48 | $3,532.00 | $529.80 – $2,860.92 | 6 |
| Place slctv cath carotd art uni CPT 36224 | $8,319.68 | $28,107.00 | $2,824.65 – $15,253.11 | 6 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,991.75 | $16,864.00 | $1,686.45 – $9,106.83 | 6 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $8,319.68 | $28,107.00 | $2,740.35 – $14,797.89 | 6 |
| Place slctv cath subclavian art CPT 36225 | $4,991.75 | $16,864.00 | $1,644.30 – $8,879.22 | 6 |
| Place slctv cath vertebral art uni CPT 36226 | $8,319.68 | $28,107.00 | $2,824.65 – $15,253.11 | 6 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $108.64 | $367.00 | $55.05 – $297.27 | 7 |
| Platelet aggregation each agent teg CPT 85576 | $157.18 | $531.00 | $24.91 – $51.59 | 12 |
| Platelet automated CPT 85049 | $76.96 | $260.00 | $4.48 – $10.75 | 12 |
| Platelet pheresis each unit HCPCS P9034 | $1,027.72 | $3,472.00 | $214.00 – $2,812.32 | 7 |
| Platelet pheresis irr ea HCPCS P9036 | $1,108.52 | $3,745.00 | $214.00 – $3,033.45 | 7 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $445.78 | $1,506.00 | $214.00 – $2,650.23 | 7 |
| Platelets irradiated ea unit HCPCS P9032 | $1,314.54 | $4,441.00 | $214.00 – $3,597.21 | 7 |
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.