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 |
|---|---|---|---|---|
| Platelets leukocytes reduced each unit HCPCS P9031 | $206.32 | $697.00 | $104.55 – $564.57 | 7 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $289.79 | $979.00 | $146.85 – $792.99 | 7 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,063.83 | $3,594.00 | $214.00 – $2,911.14 | 7 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,425.84 | $4,817.00 | $214.00 – $3,901.77 | 7 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $896.88 | $3,030.00 | $214.00 – $2,454.30 | 7 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $1,943.24 | $6,565.00 | $984.75 – $5,317.65 | 5 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $3,171.05 | $10,713.00 | $1,606.95 – $8,677.53 | 6 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $915.53 | $3,093.00 | $463.95 – $2,505.33 | 5 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $915.53 | $3,093.00 | $463.95 – $2,505.33 | 5 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,172.53 | $10,718.00 | $1,607.70 – $8,681.58 | 5 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $413.52 | $1,397.00 | $209.55 – $1,131.57 | 5 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $160.44 | $542.00 | $81.30 – $439.02 | 6 |
| Plmt access bil tree sm bwl CPT 47541 | $3,617.42 | $12,221.00 | $1,833.15 – $9,899.01 | 5 |
| Plmt biliary drainage cath CPT 47534 | $1,943.24 | $6,565.00 | $984.75 – $5,317.65 | 5 |
| Plmt nephroureteral catheter CPT 50433 | $2,115.22 | $7,146.00 | $1,071.90 – $5,788.26 | 5 |
| Plmt ureteral stent prq CPT 50694 | $915.53 | $3,093.00 | $463.95 – $2,505.33 | 5 |
| Pm device progr eval dual CPT 93280 | $38.19 | $129.00 | $19.35 – $783.00 | 8 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $60.98 | $206.00 | $26.07 – $46.46 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,195.14 | $7,416.00 | $500.55 – $2,702.97 | 7 |
| Potassium 24 hour urine CPT 84133 | $60.68 | $205.00 | $4.73 – $10.33 | 12 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $56.06 | $189.36 | $0.18 – $8.52 | 10 |
| Potassium serum/plasma/whole blood CPT 84132 | $13.03 | $44.00 | $4.76 – $11.04 | 12 |
| Pq biliary strict dil s&i CPT 74363 | $564.18 | $1,906.00 | $129.66 – $1,543.86 | 8 |
| Pq dr cath chg w cont s&i CPT 75984 | $194.48 | $657.00 | $98.55 – $532.17 | 9 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $3,190.29 | $10,778.00 | $1,616.70 – $8,730.18 | 5 |
| Pq thr inj ext pse CPT 36002 | $872.61 | $2,948.00 | $318.45 – $1,719.63 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,557.85 | $5,263.00 | $789.45 – $4,263.03 | 5 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,116.00 | $10,527.00 | $1,579.05 – $8,526.87 | 5 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,116.00 | $10,527.00 | $1,579.05 – $8,526.87 | 5 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,334.37 | $4,508.00 | $676.20 – $3,651.48 | 5 |
| Pr application of long arm splint CPT 29105 | $37.60 | $127.00 | $19.05 – $102.87 | 6 |
| Pr application splint static short arm CPT 29125 | $129.65 | $438.00 | $65.70 – $354.78 | 6 |
| Pr biopsy skin punch single lesion CPT 11104 | $258.41 | $873.00 | $130.95 – $707.13 | 5 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,177.97 | $7,358.00 | $1,103.70 – $5,959.98 | 5 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $2,269.73 | $7,668.00 | $1,150.20 – $6,211.08 | 5 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $215.20 | $727.00 | $109.05 – $588.87 | 6 |
| Prealbumin CPT 84134 | $37.30 | $126.00 | $14.59 – $30.17 | 12 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $2.25 | $7.57 | $0.04 – $0.25 | 10 |
| Prednisone 1 mg tablet HCPCS J7512 | $15.00 | $50.66 | $0.01 – $0.21 | 10 |
| Pregabalin - sendout CPT 80366 | $68.08 | $230.00 | $34.50 – $186.30 | 5 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $165.76 | $560.00 | $84.00 – $698.00 | 9 |
| Prepare donor heart CPT 33944 | not published | not published | $742.78 – $742.78 | 1 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $436.47 – $436.47 | 1 |
| Prep skin to 100cm2 other CPT 15004 | $704.19 | $2,379.00 | $356.85 – $1,926.99 | 5 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,270.92 | $7,672.00 | $1,150.80 – $6,214.32 | 5 |
| Pressure velocity wire add ves CPT 93572 | $235.03 | $794.00 | $119.10 – $7,669.00 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $47.07 | $159.00 | $23.85 – $128.79 | 8 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $29.60 | $100.00 | $15.00 – $81.00 | 8 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,091.95 | $3,689.00 | $553.35 – $2,988.09 | 6 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,184.60 | $4,002.00 | $600.30 – $3,241.62 | 5 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $389.84 | $1,317.00 | $197.55 – $1,066.77 | 6 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $38.19 | $129.00 | $19.35 – $783.00 | 8 |
| Prgrmg eval implantable dfb CPT 93282 | $20.13 | $68.00 | $10.20 – $783.00 | 8 |
| Prgrmg eval implantable dfb CPT 93283 | $22.80 | $77.00 | $11.55 – $783.00 | 8 |
| Prgrmg eval implantable dfb CPT 93284 | $26.64 | $90.00 | $13.50 – $783.00 | 8 |
| Prgr stim/pace a/iv drug CPT 93623 | $291.86 | $986.00 | $147.90 – $798.66 | 7 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $3,121.03 | $10,544.00 | $1,581.60 – $8,540.64 | 6 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,716.51 | $5,799.00 | $869.85 – $5,206.00 | 7 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $555.60 | $1,877.00 | $281.55 – $1,520.37 | 6 |
| Pr incision & drainage abscess simple/single CPT 10060 | $205.72 | $695.00 | $104.25 – $562.95 | 6 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $383.32 | $1,295.00 | $194.25 – $1,048.95 | 6 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $139.72 | $472.00 | $70.80 – $382.32 | 7 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $12.14 | $41.00 | $6.15 – $33.21 | 5 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $666.10 | $2,250.31 | $42.52 – $229.60 | 10 |
| Procalcitonin CPT 84145 | $48.25 | $163.00 | $26.92 – $46.55 | 12 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $37.27 | $125.91 | $4.75 – $50.35 | 10 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $15.20 | $51.34 | $0.09 – $0.47 | 10 |
| Progesterone CPT 84144 | $28.42 | $96.00 | $20.86 – $50.09 | 12 |
| Prolactin CPT 84146 | $33.16 | $112.00 | $19.38 – $46.53 | 12 |
| Promethazine 25 mg tablet HCPCS Q0169 | $13.16 | $44.44 | $0.05 – $0.24 | 10 |
| Promethazine hcl injection HCPCS J2550 | $18.08 | $61.05 | $3.32 – $49.46 | 10 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $39.86 | $134.63 | $0.17 – $49.51 | 10 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $21.65 | $73.13 | $3.75 – $49.63 | 10 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $53.50 | $180.73 | $1.84 – $78.28 | 10 |
| Protein c activity CPT 85303 | $20.13 | $68.00 | $13.84 – $33.21 | 12 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $68.97 | $233.00 | $10.74 – $25.78 | 12 |
| Protein s total CPT 85305 | $21.91 | $74.00 | $11.61 – $27.86 | 12 |
| Protein total 24 hour urine CPT 84156 | $10.07 | $34.00 | $3.67 – $8.80 | 12 |
| Protein total body fluid CPT 84157 | $13.32 | $45.00 | $4.00 – $8.80 | 12 |
| Protein total serum plasma whole blood CPT 84155 | $33.16 | $112.00 | $3.67 – $8.80 | 12 |
| Prothrombin complex kcentra HCPCS J7168 | $108.20 | $365.54 | $51.54 – $278.30 | 10 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $35.23 | $119.00 | $3.94 – $9.47 | 12 |
| Prq card angio/athrect addl CPT 92925 | $4,864.76 | $16,435.00 | $2,465.25 – $13,312.35 | 7 |
| Prq cardiac angio addl art CPT 92921 | $3,675.73 | $12,418.00 | $1,862.70 – $10,058.58 | 7 |
| Prq card revasc chronic addl CPT 92944 | $4,108.19 | $13,879.00 | $2,081.85 – $11,241.99 | 7 |
| Prq card revasc mi 1 vsl CPT 92941 | $10,810.81 | $36,523.00 | $5,478.45 – $29,583.63 | 7 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $11,026.89 | $37,253.00 | $5,549.00 – $30,174.93 | 7 |
| Prq card stent w/angio addl CPT 92929 | $4,108.19 | $13,879.00 | $2,081.85 – $11,241.99 | 7 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $10,810.81 | $36,523.00 | $5,478.45 – $29,583.63 | 7 |
| Prq revasc byp graft addl CPT 92938 | $4,432.31 | $14,974.00 | $2,246.10 – $12,128.94 | 6 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $10,810.81 | $36,523.00 | $5,478.45 – $29,583.63 | 7 |
| Prq trlml c athrc st angiop1 CPT 92933 | $11,026.89 | $37,253.00 | $5,549.00 – $30,174.93 | 7 |
| Prq trluml c angiop 1art&/br CPT 92920 | $10,486.40 | $35,427.00 | $5,314.05 – $28,695.87 | 7 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $10,810.81 | $36,523.00 | $5,478.45 – $29,583.63 | 7 |
| Prq trluml revsc ch occ ant CPT 92943 | $10,810.81 | $36,523.00 | $5,478.45 – $29,583.63 | 7 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $207.20 | $700.00 | $105.00 – $567.00 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $219.04 | $740.00 | $111.00 – $599.40 | 6 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $196.84 | $665.00 | $99.75 – $538.65 | 6 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $196.84 | $665.00 | $99.75 – $538.65 | 6 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $526.00 | $1,777.00 | $266.55 – $1,439.37 | 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.