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 |
|---|---|---|---|---|
| Temozolomide HCPCS J8700 | $108.99 | $368.20 | $0.32 – $46.00 | 10 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,929.17 | $50,436.37 | $156.01 – $30,507.08 | 11 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $17.72 | $59.84 | $8.95 – $48.32 | 10 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $15.40 | $52.00 | $7.80 – $50.78 | 8 |
| Test stress cardiovascular tracing only CPT 93017 | $839.76 | $2,837.00 | $118.41 – $2,297.97 | 7 |
| Tetanus immune globulin inj HCPCS J1670 | $686.43 | $2,319.01 | $347.86 – $1,878.40 | 11 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $8,715.97 | $29,445.84 | $4,416.88 – $23,851.14 | 10 |
| Theophylline therapeutic drug level CPT 80198 | $115.44 | $390.00 | $14.14 – $33.97 | 12 |
| Therapeutic procd strg endur HCPCS G0237 | $35.23 | $119.00 | $17.85 – $189.52 | 8 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $13.62 | $46.00 | $6.90 – $142.00 | 11 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $13.62 | $46.00 | $6.90 – $142.00 | 11 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $20.86 | $70.47 | $0.04 – $0.25 | 10 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,386.17 | $4,683.00 | $702.45 – $3,793.23 | 6 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $5,369.00 – $5,369.00 | 1 |
| Thrombectmy crnry perq mechanical CPT 92973 | $192.70 | $651.00 | $97.65 – $7,669.00 | 7 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,648.35 | $25,839.00 | $3,875.85 – $20,929.59 | 5 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $8,828.20 | $29,825.00 | $4,473.75 – $24,158.25 | 5 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $24,605.30 | $83,126.00 | $12,468.90 – $67,332.06 | 5 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $3,203.91 | $10,824.00 | $1,623.60 – $8,767.44 | 6 |
| Thrombin time CPT 85670 | $17.17 | $58.00 | $5.77 – $13.85 | 12 |
| Thromboendarterectomy common femoral CPT 35371 | $2,029.68 | $6,857.00 | $1,028.55 – $5,554.17 | 6 |
| Thromboendarterectomy sfa CPT 35302 | $2,199.58 | $7,431.00 | $1,114.65 – $6,019.11 | 6 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $29.31 | $99.00 | $6.47 – $15.54 | 12 |
| Thyroglobulin antibody CPT 86800 | $40.26 | $136.00 | $15.91 – $38.19 | 12 |
| Thyroid imaging CPT 78013 | $333.30 | $1,126.00 | $168.90 – $1,067.00 | 9 |
| Thyroid mets imag whole body CPT 78018 | $522.15 | $1,764.00 | $264.60 – $1,428.84 | 9 |
| Thyroid (TSH) Test CPT 84443 | $57.72 | $195.00 | $16.80 – $40.36 | 12 |
| Thyroid Ultrasound CPT 76536 | $374.74 | $1,266.00 | $149.79 – $1,025.46 | 9 |
| Thyroid uptake measurement CPT 78012 | $134.09 | $453.00 | $67.95 – $1,067.00 | 9 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $4,319.71 | $14,593.60 | $1,933.27 – $10,439.62 | 11 |
| Thyroxine binding globulin (tbg) CPT 84442 | $23.09 | $78.00 | $14.78 – $27.95 | 12 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $19,821.05 | $66,963.00 | $10,044.45 – $54,240.03 | 6 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $7,889.88 | $26,655.00 | $3,998.25 – $21,590.55 | 7 |
| Tigecycline injection HCPCS J3243 | $194.05 | $655.56 | $1.03 – $102.30 | 10 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $267.15 | $902.51 | $10.52 – $201.51 | 10 |
| Tissue exam koh skin/hair/nails CPT 87220 | $4.44 | $15.00 | $4.27 – $9.87 | 12 |
| Tissue transglutaminase iga CPT 86364 | $13.32 | $45.00 | $6.75 – $36.45 | 5 |
| Tl-201 thallium diag per mci HCPCS A9505 | $28.42 | $96.00 | $14.40 – $77.76 | 8 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $111.39 | $376.29 | $2.94 – $47.20 | 10 |
| Tobramycin peak therapeutic drug level CPT 80200 | $103.60 | $350.00 | $16.13 – $38.70 | 12 |
| Tocilizumab for covid-19 HCPCS Q0249 | $5,596.58 | $18,907.36 | $609.52 – $3,291.38 | 10 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $27.24 | $92.00 | $13.80 – $285.00 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $16.58 | $56.00 | $8.40 – $285.00 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $271.78 | $918.16 | $1.25 – $443.09 | 10 |
| Total tau CPT 84394 | $158.66 | $536.00 | $80.40 – $434.16 | 5 |
| Toxoplasma antibody igg CPT 86777 | $12.14 | $41.00 | $14.39 – $34.57 | 12 |
| Toxoplasma antibody igm CPT 86778 | $13.32 | $45.00 | $14.41 – $34.58 | 12 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $4,577.94 | $15,466.00 | $2,319.90 – $12,527.46 | 5 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $7,607.47 | $25,700.89 | $344.78 – $17,351.57 | 11 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $302.22 | $1,021.00 | $153.15 – $827.01 | 5 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $20.72 | $70.00 | $10.50 – $171.36 | 11 |
| Transcath biopsy CPT 37200 | $858.40 | $2,900.00 | $435.00 – $2,349.00 | 6 |
| Transcath closure of asd CPT 93580 | $3,203.32 | $10,822.00 | $1,623.30 – $8,765.82 | 7 |
| Transcatheter bx s&i CPT 75970 | $1,037.78 | $3,506.00 | $306.00 – $2,839.86 | 8 |
| Transcath mv repair addl prosthesis CPT 33419 | $1,767.72 | $5,972.00 | $895.80 – $5,206.00 | 6 |
| Transcath mv repair init prosthesis CPT 33418 | $3,088.47 | $10,434.00 | $1,565.10 – $8,451.54 | 5 |
| Transcath occlusion cns CPT 61624 | $4,794.32 | $16,197.00 | $2,429.55 – $13,119.57 | 6 |
| Transcath occlusion non-cns CPT 61626 | $1,534.17 | $5,183.00 | $777.45 – $4,198.23 | 6 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $3,197.99 | $10,804.00 | $1,620.60 – $8,751.24 | 5 |
| Transferrin CPT 84466 | $29.90 | $101.00 | $12.76 – $30.17 | 12 |
| Transfusion blood/blood component(s) CPT 36430 | $1,220.41 | $4,123.00 | $220.05 – $1,188.27 | 6 |
| Transperi needle place pros CPT 55875 | $5,102.16 | $17,237.00 | $2,585.55 – $13,961.97 | 5 |
| Transposition of vein valve CPT 34510 | $5,361.45 | $18,113.00 | $2,716.95 – $14,671.53 | 6 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $9,206.08 | $31,101.60 | $79.55 – $9,578.17 | 11 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $7,620.16 | $25,743.78 | $13.71 – $20,852.47 | 11 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $5,212.75 | $17,610.62 | $12.88 – $14,264.61 | 11 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $338.04 | $1,142.00 | $52.95 – $285.93 | 5 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $73.41 | $248.00 | $37.20 – $200.88 | 8 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $42.04 | $142.00 | $21.30 – $189.52 | 8 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $142.68 | $482.00 | $55.16 – $390.42 | 8 |
| Treatment radiation delivery level 2 CPT 77407 | $237.99 | $804.00 | $120.60 – $743.00 | 8 |
| Treponema pallidum antibody CPT 86780 | $36.12 | $122.00 | $13.24 – $31.79 | 12 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $39.46 | $133.28 | $1.23 – $52.15 | 10 |
| Trichinella antibody CPT 86784 | $49.44 | $167.00 | $12.56 – $30.17 | 12 |
| Triglycerides CPT 84478 | $15.40 | $52.00 | $5.74 – $13.80 | 12 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $1,389.13 | $4,693.00 | $703.95 – $3,801.33 | 6 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $1,389.13 | $4,693.00 | $703.95 – $3,801.33 | 6 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $784.40 | $2,650.00 | $397.50 – $2,146.50 | 7 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $737.64 | $2,492.00 | $373.80 – $2,018.52 | 7 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $12,291.40 | $41,525.00 | $6,228.75 – $33,635.25 | 6 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,225.22 | $10,896.00 | $1,634.40 – $8,825.76 | 6 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,375.22 | $4,646.00 | $696.90 – $3,763.26 | 6 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,375.22 | $4,646.00 | $696.90 – $3,763.26 | 6 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $1,375.22 | $4,646.00 | $696.90 – $3,763.26 | 6 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,375.22 | $4,646.00 | $696.90 – $3,763.26 | 6 |
| Troponin quantitative CPT 84484 | $158.96 | $537.00 | $12.47 – $23.62 | 12 |
| Tte w or without fol w/con,stres HCPCS C8928 | $992.20 | $3,352.00 | $502.80 – $2,715.12 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | $24,828.48 | $83,880.00 | $7,669.00 – $67,942.80 | 7 |
| Tx l/r atrial fib addl CPT 93657 | $496.69 | $1,678.00 | $251.70 – $12,467.00 | 7 |
| Ua w/micro/comp poc CPT 81000 | $9.48 | $32.00 | $4.02 – $7.60 | 12 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $22,431.23 | $75,781.15 | $11,367.18 – $61,382.74 | 10 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $230.29 | $778.00 | $106.08 – $698.00 | 9 |
| Ultrasound breast complete CPT 76641 | $997.23 | $3,369.00 | $113.34 – $2,184.57 | 9 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $332.71 | $1,124.00 | $86.79 – $728.19 | 9 |
| Ultrasound chest CPT 76604 | $260.48 | $880.00 | $97.72 – $712.80 | 9 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $337.74 | $1,141.00 | $171.15 – $924.21 | 9 |
| Ultrasound guidance for vascular access CPT 76937 | $229.11 | $774.00 | $33.18 – $698.00 | 9 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $352.24 | $1,190.00 | $17.85 – $698.00 | 9 |
| Ultrasound guide intraoperative CPT 76998 | $370.30 | $1,251.00 | $167.94 – $1,013.31 | 8 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $195.36 | $660.00 | $17.32 – $698.00 | 9 |
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.