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 |
|---|---|---|---|---|
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $233.25 | $788.00 | $118.20 – $638.28 | 5 |
| Replace aortic valve open femoral 33362 CPT 33362 | $3,217.52 | $10,870.00 | $1,630.50 – $8,804.70 | 6 |
| Replace duod/jej tube perc CPT 49451 | $581.94 | $1,966.00 | $294.90 – $1,592.46 | 6 |
| Replace g/c tube perc CPT 49450 | $581.94 | $1,966.00 | $294.90 – $1,592.46 | 6 |
| Replace g-j tube perc CPT 49452 | $581.94 | $1,966.00 | $294.90 – $1,592.46 | 6 |
| Replace tunneled cv cath CPT 36578 | $3,070.71 | $10,374.00 | $1,556.10 – $8,402.94 | 5 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $3,491.32 | $11,795.00 | $1,769.25 – $9,553.95 | 5 |
| Reposition pm/icd lead CPT 33215 | $2,517.78 | $8,506.00 | $1,275.90 – $6,889.86 | 6 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $495.51 | $1,674.00 | $251.10 – $1,355.94 | 6 |
| Repos lv lead pm/icd CPT 33226 | $1,936.14 | $6,541.00 | $981.15 – $5,298.21 | 6 |
| Repos sq defib eltrd CPT 33273 | $3,908.68 | $13,205.00 | $1,980.75 – $10,696.05 | 5 |
| Respirator motion mgmt simul CPT 77293 | $972.07 | $3,284.00 | $492.60 – $2,660.04 | 9 |
| Resp virus 6-11 targets CPT 87632 | $319.09 | $1,078.00 | $121.27 – $512.48 | 12 |
| Resuscitation cardiopulmonary CPT 92950 | $923.23 | $3,119.00 | $467.85 – $2,526.39 | 7 |
| Reticulocyte automated CPT 85045 | $46.77 | $158.00 | $3.99 – $9.59 | 12 |
| Revasc intra lithotrip-ather HCPCS C9766 | $11,529.20 | $38,950.00 | $5,842.50 – $31,549.50 | 5 |
| Revasc intra lithotrip-stent HCPCS C9765 | $11,529.20 | $38,950.00 | $5,842.50 – $31,549.50 | 5 |
| Revasc intravasc lithotripsy HCPCS C9764 | $11,414.06 | $38,561.00 | $2,921.25 – $15,774.75 | 5 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $18,562.16 | $62,710.00 | $9,406.50 – $50,795.10 | 5 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $11,280.56 | $38,110.00 | $5,716.50 – $30,869.10 | 5 |
| Revise graft w/vein CPT 35879 | $5,615.12 | $18,970.00 | $2,845.50 – $15,365.70 | 6 |
| Revise graft w/vein 35881 CPT 35881 | $5,615.12 | $18,970.00 | $2,845.50 – $15,365.70 | 6 |
| Revise windpipe scar CPT 31830 | $3,149.44 | $10,640.00 | $1,596.00 – $8,618.40 | 5 |
| Revision open av fistula without thromb CPT 36832 | $2,646.54 | $8,941.00 | $1,341.15 – $7,242.21 | 5 |
| Revision tips CPT 37183 | $3,233.51 | $10,924.00 | $1,638.60 – $8,848.44 | 6 |
| Rheumatoid factor quantitative CPT 86431 | $87.92 | $297.00 | $5.67 – $13.62 | 12 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $103.41 | $349.33 | $5.32 – $282.96 | 10 |
| R hrt cath chd abnl nt cnj CPT 93594 | $3,275.84 | $11,067.00 | $1,660.05 – $8,964.27 | 7 |
| R hrt cath chd nml nt cnj CPT 93593 | $3,275.84 | $11,067.00 | $1,660.05 – $8,964.27 | 7 |
| Right ventric recording CPT 93603 | $1,225.74 | $4,141.00 | $199.30 – $3,354.21 | 7 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $5,869.99 | $19,831.02 | $79.14 – $3,248.04 | 11 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $2,823.95 | $9,540.37 | $34.34 – $1,580.91 | 11 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $2,939.28 | $9,929.99 | $304.46 – $1,644.07 | 10 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $3,640.79 | $12,299.95 | $19.61 – $2,028.00 | 11 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $3,275.84 | $11,067.00 | $1,660.05 – $8,964.27 | 7 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $3,275.84 | $11,067.00 | $1,660.05 – $8,964.27 | 7 |
| Rmvl icd by tv extr CPT 33244 | $1,740.78 | $5,881.00 | $882.15 – $4,763.61 | 6 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $2,256.41 | $7,623.00 | $1,143.45 – $6,174.63 | 6 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $2,256.41 | $7,623.00 | $1,143.45 – $6,174.63 | 6 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $2,256.41 | $7,623.00 | $1,143.45 – $6,174.63 | 6 |
| Rmvl icd pulse gen only CPT 33241 | $3,908.68 | $13,205.00 | $1,980.75 – $10,696.05 | 6 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $760.13 | $2,568.00 | $385.20 – $2,080.08 | 6 |
| Rmvl perm pm pulse gen CPT 33233 | $1,829.58 | $6,181.00 | $927.15 – $5,006.61 | 5 |
| Rmvl phrnc nrv stim sys CPT 33278 | $3,491.32 | $11,795.00 | $1,769.25 – $9,553.95 | 5 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $19,980.00 | $67,500.00 | $10,125.00 – $54,675.00 | 6 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $1,565.84 | $5,290.00 | $793.50 – $4,284.90 | 6 |
| Rmvl pq iabp CPT 33968 | $2,300.52 | $7,772.00 | $1,165.80 – $6,295.32 | 6 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $752.44 | $2,542.00 | $381.30 – $2,059.02 | 6 |
| Rmvl sq defib electrode CPT 33272 | $2,368.30 | $8,001.00 | $1,200.15 – $6,480.81 | 5 |
| Rmvl subq card rhythm mntr CPT 33286 | $714.25 | $2,413.00 | $361.95 – $1,954.53 | 5 |
| Rmvl tv pm lead dual CPT 33235 | $1,719.76 | $5,810.00 | $871.50 – $4,706.10 | 6 |
| Rmvl tv pm lead sgl CPT 33234 | $988.05 | $3,338.00 | $500.70 – $2,703.78 | 6 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $7,065.50 | $23,869.93 | $3,580.49 – $19,334.65 | 10 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $83.47 | $281.98 | $0.04 – $0.21 | 10 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $39,283.02 | $132,712.90 | $6,670.89 – $36,022.80 | 10 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,898.55 | $6,414.00 | $962.10 – $5,195.34 | 5 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,509.60 | $5,100.00 | $684.18 – $4,131.00 | 9 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,714.73 | $5,793.00 | $868.95 – $4,692.33 | 9 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $710.70 | $2,401.00 | $360.15 – $1,944.81 | 5 |
| Rpl tun-cvad w subq port CPT 36582 | $2,853.74 | $9,641.00 | $1,446.15 – $7,809.21 | 5 |
| Rpl tun-cvad w subq pump CPT 36583 | $7,905.87 | $26,709.00 | $4,006.35 – $21,634.29 | 5 |
| Rpl tun cvc wo subq port CPT 36581 | $1,365.45 | $4,613.00 | $691.95 – $3,736.53 | 5 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $5,347.54 | $18,066.00 | $2,709.90 – $14,633.46 | 6 |
| Rsv assay w/optic CPT 87807 | $23.39 | $79.00 | $13.10 – $27.49 | 12 |
| Rubella antibody igg CPT 86762 | $32.56 | $110.00 | $14.39 – $34.57 | 12 |
| Rubeola antibody igg CPT 86765 | $29.31 | $99.00 | $12.88 – $30.94 | 12 |
| Russell viper venom diluted CPT 85613 | $15.99 | $54.00 | $9.58 – $22.99 | 12 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,468.53 | $18,474.73 | $34.72 – $14,964.54 | 11 |
| Salmonella antibody CPT 86768 | $24.87 | $84.00 | $13.19 – $31.68 | 12 |
| Sarscov coronavirus ag ia CPT 87426 | $41.44 | $140.00 | $35.33 – $62.18 | 11 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $82.88 | $280.00 | $70.29 – $120.20 | 11 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $525.40 | $1,775.00 | $266.25 – $1,437.75 | 8 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $452.00 | $1,527.00 | $229.05 – $1,236.87 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $515.04 | $1,740.00 | $261.00 – $1,409.40 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $194.48 | $657.00 | $98.55 – $619.00 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $350.17 | $1,183.00 | $177.45 – $958.23 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $259.60 | $877.00 | $131.55 – $710.37 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $296.30 | $1,001.00 | $150.15 – $810.81 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $497.88 | $1,682.00 | $252.21 – $1,362.42 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $208.98 | $706.00 | $105.90 – $619.00 | 8 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $650.61 | $2,198.00 | $329.70 – $1,780.38 | 5 |
| Screening Mammogram CPT 77067 | $98.28 | $332.00 | $49.80 – $285.00 | 9 |
| Screening prostate cancer PSA HCPCS G0103 | $26.94 | $91.00 | $19.31 – $44.16 | 12 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $3,770.16 | $12,737.00 | $116.25 – $627.75 | 10 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $4,644.54 | $15,691.00 | $2,353.65 – $12,709.71 | 6 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $956.68 | $3,232.00 | $484.80 – $5,206.00 | 7 |
| Sedimentation rate erythrocyte automated CPT 85652 | $53.88 | $182.00 | $2.70 – $6.49 | 12 |
| Semen analysis presence/motility CPT 89321 | $15.40 | $52.00 | $8.11 – $28.93 | 12 |
| Serpina1 gene CPT 81332 | $74.60 | $252.00 | $43.65 – $104.81 | 12 |
| Set radiation therapy field CPT 77280 | $468.28 | $1,582.00 | $237.30 – $1,281.42 | 9 |
| Set radiation therapy field CPT 77285 | $771.08 | $2,605.00 | $390.75 – $2,110.05 | 9 |
| Set radiation therapy field CPT 77290 | $918.20 | $3,102.00 | $465.30 – $2,512.62 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $208.68 | $705.00 | $105.75 – $571.05 | 6 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $279.13 | $943.00 | $141.45 – $763.83 | 10 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,560.52 | $5,272.00 | $561.00 – $4,270.32 | 13 |
| Shoulder MRI (with contrast) CPT 73222 | $1,416.96 | $4,787.00 | $506.39 – $3,877.47 | 13 |
| Shoulder MRI (without contrast) CPT 73221 | $957.27 | $3,234.00 | $319.61 – $2,619.54 | 13 |
| Shoulder X-ray CPT 73030 | $268.77 | $908.00 | $33.74 – $735.48 | 9 |
| Sickling rbc CPT 85660 | $31.38 | $106.00 | $5.51 – $13.25 | 12 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $37.89 | $128.00 | $19.20 – $214.00 | 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.