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 |
|---|---|---|---|---|
| PSA (Prostate) Test CPT 84153 | $31.38 | $106.00 | $18.39 – $44.16 | 12 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $47.96 | $162.00 | $14.57 – $270.00 | 10 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $37.00 | $125.00 | $18.75 – $270.00 | 9 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $66.60 | $225.00 | $19.98 – $270.00 | 10 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $53.28 | $180.00 | $14.56 – $270.00 | 10 |
| Pt application of modality traction mechanical CPT 97012 | $64.53 | $218.00 | $14.57 – $270.00 | 10 |
| Pt evaluation high complexity patient/family CPT 97163 | $197.44 | $667.00 | $84.15 – $454.41 | 10 |
| Pt evaluation low complexity patient/family CPT 97161 | $166.06 | $561.00 | $84.15 – $454.41 | 10 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $144.45 | $488.00 | $73.20 – $395.28 | 10 |
| Pt re-evaluation patient/family CPT 97164 | $46.48 | $157.00 | $23.55 – $270.00 | 10 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $65.42 | $221.00 | $12.19 – $270.00 | 10 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $31.08 | $105.00 | $15.75 – $270.00 | 10 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $38.48 | $130.00 | $19.50 – $270.00 | 10 |
| Pt wheelchair management each 15 minutes CPT 97542 | $21.32 | $72.00 | $10.80 – $270.00 | 10 |
| Pulmonary vent imaging CPT 78579 | $462.36 | $1,562.00 | $234.30 – $1,265.22 | 9 |
| Pulse ox continuous overnight monitoring CPT 94762 | $148.00 | $500.00 | $74.78 – $405.00 | 6 |
| Pulse ox multiple CPT 94761 | $54.76 | $185.00 | $14.81 – $189.52 | 8 |
| Punc of shunt for asp or inj CPT 61070 | $708.92 | $2,395.00 | $359.25 – $1,939.95 | 5 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $138.24 | $467.00 | $70.05 – $378.27 | 6 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $400.20 | $1,352.00 | $202.80 – $1,095.12 | 6 |
| Puncture spinal lumbar diagnostic CPT 62270 | $742.08 | $2,507.00 | $376.05 – $2,030.67 | 5 |
| Puraply 1 sq cm HCPCS Q4195 | $99.46 | $336.00 | $50.40 – $272.16 | 10 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,047.25 | $3,538.00 | $530.70 – $2,865.78 | 5 |
| Pvb thoracic single inj site CPT 64461 | $698.27 | $2,359.00 | $353.85 – $1,910.79 | 5 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $25.86 | $87.34 | $10.92 – $70.75 | 10 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $940.40 | $3,177.00 | $425.52 – $2,573.37 | 9 |
| Quant diff pulm perf w/imaging CPT 78597 | $345.14 | $1,166.00 | $174.90 – $1,067.00 | 9 |
| Quest t3 uptake CPT 84479 | $13.03 | $44.00 | $6.47 – $13.85 | 12 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $621.41 | $2,099.34 | $293.82 – $1,675.99 | 11 |
| Radiation physics consult CPT 77336 | $205.72 | $695.00 | $104.25 – $743.00 | 9 |
| Radiation therapy dose plan CPT 77300 | $193.00 | $652.00 | $55.25 – $743.00 | 9 |
| Radiation treatment aid(s) CPT 77332 | $167.84 | $567.00 | $46.70 – $743.00 | 9 |
| Radiation treatment aid(s) CPT 77333 | $254.56 | $860.00 | $14.48 – $743.00 | 9 |
| Radiation treatment aid(s) CPT 77334 | $541.68 | $1,830.00 | $132.87 – $1,482.30 | 9 |
| Radiation treatment delivery CPT 77402 | $205.13 | $693.00 | $103.95 – $743.00 | 8 |
| Radiation treatment delivery CPT 77412 | $280.61 | $948.00 | $142.20 – $767.88 | 8 |
| Radiology port images(s) CPT 77417 | $61.28 | $207.00 | $15.33 – $743.00 | 9 |
| Radiotherapy dose plan imrt CPT 77301 | $2,482.56 | $8,387.00 | $743.00 – $6,793.47 | 9 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $68.38 | $231.00 | $34.65 – $187.11 | 9 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,509.60 | $5,100.00 | $436.41 – $4,131.00 | 9 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $850.12 | $2,872.00 | $430.80 – $2,326.32 | 9 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,509.60 | $5,100.00 | $765.00 – $4,131.00 | 9 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,465.50 | $4,951.00 | $464.11 – $4,010.31 | 9 |
| Radphm lcl tumor plr sgl day CPT 78800 | $425.06 | $1,436.00 | $215.40 – $1,163.16 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $15,635.23 | $52,821.72 | $71.57 – $8,803.77 | 11 |
| Rapid Strep Test CPT 87880 | $34.34 | $116.00 | $16.53 – $28.27 | 12 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,355.16 | $4,578.24 | $374.20 – $3,708.38 | 11 |
| Rb82 rubidium HCPCS A9555 | $177.60 | $600.00 | $90.00 – $486.00 | 8 |
| Rbc count only automated CPT 85041 | $20.72 | $70.00 | $3.02 – $6.92 | 12 |
| Rechanneling of artery 35305 CPT 35305 | $2,199.58 | $7,431.00 | $1,114.65 – $6,019.11 | 6 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $2,199.58 | $7,431.00 | $1,114.65 – $6,019.11 | 6 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $2,199.58 | $7,431.00 | $1,114.65 – $6,019.11 | 6 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $618.35 | $2,089.00 | $214.00 – $1,692.09 | 7 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $278.54 | $941.00 | $141.15 – $762.21 | 7 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $570.99 | $1,929.00 | $214.00 – $1,562.49 | 7 |
| Redo endovas vena cava filtr CPT 37192 | $1,286.72 | $4,347.00 | $652.05 – $3,521.07 | 6 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $248.36 | $839.03 | $0.04 – $0.25 | 10 |
| Reimplant artery each 35697 CPT 35697 | $1,650.50 | $5,576.00 | $836.40 – $4,516.56 | 6 |
| Relocation skin pocket aicd CPT 33223 | $1,365.16 | $4,612.00 | $691.80 – $3,735.72 | 5 |
| Relocation skin pocket pm CPT 33222 | $1,365.16 | $4,612.00 | $691.80 – $3,735.72 | 5 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $763.21 | $2,578.39 | $336.57 – $1,817.47 | 10 |
| Rem endovas vena cava filter CPT 37193 | $1,303.59 | $4,404.00 | $660.60 – $3,567.24 | 6 |
| Rem interrog dev eval scrms CPT 93298 | $23.39 | $79.00 | $11.85 – $783.00 | 7 |
| Rem interrog evl pm/ids CPT 93296 | $55.95 | $189.00 | $28.35 – $783.00 | 8 |
| Removal biliary drg cath CPT 47537 | $586.38 | $1,981.00 | $297.15 – $1,604.61 | 5 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $841.24 | $2,842.00 | $426.30 – $2,302.02 | 5 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $989.83 | $3,344.00 | $501.60 – $2,708.64 | 5 |
| Removal cerumen impacted (both sides) CPT 69210 | $70.75 | $239.00 | $35.85 – $193.59 | 6 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $2,843.68 | $9,607.00 | $1,441.05 – $7,781.67 | 5 |
| Removal clot in graft xcp 35876 CPT 35876 | $2,587.93 | $8,743.00 | $1,311.45 – $7,081.83 | 5 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $179.68 | $607.00 | $91.05 – $3,642.00 | 7 |
| Removal duct glbldr calculi CPT 47544 | $254.27 | $859.00 | $128.85 – $695.79 | 6 |
| Removal foreign body foot subcutaneous right CPT 28190 | $709.22 | $2,396.00 | $359.40 – $1,940.76 | 6 |
| Removal of arm artery clot 34111 CPT 34111 | $2,843.97 | $9,608.00 | $1,441.20 – $7,782.48 | 6 |
| Removal of artery clot 34101 CPT 34101 | $2,843.97 | $9,608.00 | $1,441.20 – $7,782.48 | 6 |
| Removal of implant deep CPT 20680 | $2,738.60 | $9,252.00 | $1,387.80 – $7,494.12 | 5 |
| Removal of vein clot 34490 CPT 34490 | $3,201.24 | $10,815.00 | $1,622.25 – $8,760.15 | 6 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $1,565.84 | $5,290.00 | $793.50 – $4,284.90 | 6 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $66.60 | $225.00 | $33.75 – $659.00 | 7 |
| Removal tunnled intprtnl cath CPT 49422 | $941.58 | $3,181.00 | $477.15 – $2,576.61 | 5 |
| Remove cva lumen obstruct CPT 75902 | $193.59 | $654.00 | $88.65 – $529.74 | 9 |
| Remove renal tube w/fluoro CPT 50389 | $362.90 | $1,226.00 | $183.90 – $993.06 | 6 |
| Remove ureter stent percut CPT 50384 | $2,198.69 | $7,428.00 | $1,114.20 – $6,016.68 | 6 |
| Renal function panel CPT 80069 | $145.04 | $490.00 | $8.68 – $16.56 | 12 |
| Renal venogram bil s&i CPT 75833 | $3,386.54 | $11,441.00 | $169.60 – $9,267.21 | 9 |
| Reoperation bypass graft 35700 CPT 35700 | $2,117.59 | $7,154.00 | $1,073.10 – $5,794.74 | 6 |
| Repair artery rupture thigh 35142 CPT 35142 | $2,086.80 | $7,050.00 | $1,057.50 – $5,710.50 | 6 |
| Repair blood ves direct neck 35201 CPT 35201 | $5,413.25 | $18,288.00 | $2,743.20 – $14,813.28 | 6 |
| Repair blood vessel dir lower extr CPT 35226 | $2,394.35 | $8,089.00 | $1,213.35 – $6,552.09 | 6 |
| Repair blood vessel dir upper extr CPT 35206 | $1,998.60 | $6,752.00 | $1,012.80 – $5,469.12 | 6 |
| Repair defect arm art 35045 CPT 35045 | $5,615.12 | $18,970.00 | $2,845.50 – $15,365.70 | 6 |
| Repair defect of artery CPT 35131 | $2,190.70 | $7,401.00 | $1,110.15 – $5,994.81 | 6 |
| Repair defect of artery 35011 CPT 35011 | $5,532.24 | $18,690.00 | $2,803.50 – $15,138.90 | 6 |
| Repair defect of artery 35081 CPT 35081 | $3,446.04 | $11,642.00 | $1,746.30 – $9,430.02 | 6 |
| Repair defect of artery aneurysm 35151 CPT 35151 | $2,190.70 | $7,401.00 | $1,110.15 – $5,994.81 | 6 |
| Repair defect of artery carotid subclav 35001 CPT 35001 | $5,451.44 | $18,417.00 | $2,762.55 – $14,917.77 | 6 |
| Repair major blood vessel(s) without bypass 33320 CPT 33320 | $3,446.04 | $11,642.00 | $1,746.30 – $9,430.02 | 6 |
| Repair of aneurysm CPT 35141 | $2,190.70 | $7,401.00 | $1,110.15 – $5,994.81 | 6 |
| Repair pm/icd lead dual CPT 33220 | $3,719.84 | $12,567.00 | $1,885.05 – $10,179.27 | 6 |
| Repair pm/icd lead sgl CPT 33218 | $1,629.78 | $5,506.00 | $825.90 – $4,459.86 | 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.