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 |
|---|---|---|---|---|
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $250.12 | $845.00 | $40.53 – $698.00 | 9 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $153.63 | $519.00 | $77.85 – $698.00 | 9 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $255.75 | $864.00 | $101.68 – $699.84 | 9 |
| Ultrasound prostate/transrectal CPT 76872 | $289.20 | $977.00 | $93.17 – $791.37 | 9 |
| Ultrasound retroperitoneal limited CPT 76775 | $253.38 | $856.00 | $58.08 – $698.00 | 9 |
| Ultrasound scrotum and contents CPT 76870 | $488.11 | $1,649.00 | $66.58 – $1,335.69 | 9 |
| Ultrasound transvaginal non obstetric CPT 76830 | $319.68 | $1,080.00 | $146.40 – $874.80 | 9 |
| Unlisted orl service/px CPT 92700 | $22.80 | $77.00 | $11.55 – $62.37 | 5 |
| Unlisted procedure microbiology CPT 87999 | $773.45 | $2,613.00 | $50.58 – $1,091.07 | 7 |
| Unlisted px small intestine CPT 44799 | $918.49 | $3,103.00 | $465.45 – $2,513.43 | 6 |
| Upgrade pm system CPT 33214 | $1,254.16 | $4,237.00 | $635.55 – $3,431.97 | 6 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,177.08 | $7,355.00 | $513.59 – $5,957.55 | 13 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,567.62 | $5,296.00 | $435.90 – $4,289.76 | 13 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,415.18 | $4,781.00 | $303.06 – $3,872.61 | 13 |
| Urea nitrogen CPT 84520 | $58.32 | $197.00 | $3.95 – $9.49 | 12 |
| Urea nitrogen 24 hour urine CPT 84540 | $15.40 | $52.00 | $5.56 – $10.31 | 12 |
| Urea nitrogen clearance CPT 84545 | $65.42 | $221.00 | $7.20 – $12.53 | 12 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $249.53 | $843.00 | $92.98 – $682.83 | 8 |
| Urethrocystography void s&i CPT 74455 | $317.02 | $1,071.00 | $108.47 – $867.51 | 9 |
| Uric acid blood CPT 84550 | $75.78 | $256.00 | $4.52 – $10.84 | 12 |
| Uric acid urine CPT 84560 | $8.29 | $28.00 | $5.08 – $11.40 | 12 |
| Urinalysis microscopic only CPT 81015 | $26.35 | $89.00 | $3.05 – $7.30 | 12 |
| Urinalysis (with microscopy) CPT 81001 | $10.07 | $34.00 | $3.17 – $7.60 | 12 |
| Urinalysis (without microscopy) CPT 81003 | $7.70 | $26.00 | $2.25 – $5.39 | 12 |
| Urine Culture Test CPT 87086 | $13.32 | $45.00 | $8.07 – $19.38 | 12 |
| Urine pregnancy test CPT 81025 | $26.35 | $89.00 | $8.61 – $15.19 | 12 |
| Urography, antegrade CPT 74425 | $300.44 | $1,015.00 | $83.37 – $822.15 | 9 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $29.87 | $100.89 | $14.61 – $78.90 | 10 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $98.28 | $332.01 | $9.35 – $62.27 | 10 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $61.66 | $208.30 | $27.70 – $126.59 | 13 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $0.08 | $0.25 | $0.04 – $0.16 | 13 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $48.03 | $162.26 | $22.72 – $103.85 | 13 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $24.93 | $84.22 | $11.80 – $53.91 | 13 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $78.38 | $264.79 | $37.08 – $169.47 | 13 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $71.70 | $242.21 | $11.00 – $50.25 | 13 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $210.06 | $709.65 | $100.78 – $544.17 | 10 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $144.23 | $487.23 | $73.09 – $394.66 | 10 |
| Vaccine mmr live subcutaneous CPT 90707 | $114.68 | $387.40 | $58.11 – $313.80 | 10 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $126.36 | $426.89 | $59.77 – $273.21 | 13 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $244.91 | $827.39 | $112.54 – $514.44 | 13 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $296.23 | $1,000.77 | $44.82 – $241.99 | 10 |
| Vaccine rabies im CPT 90675 | $423.47 | $1,430.64 | $186.49 – $1,007.05 | 11 |
| Vaccine tdap >=7 years im CPT 90715 | $60.63 | $204.82 | $30.73 – $165.91 | 10 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $50.48 | $170.52 | $21.94 – $118.45 | 10 |
| Valproic acid total therapeutic drug level CPT 80164 | $157.77 | $533.00 | $13.54 – $32.54 | 12 |
| Valrubicin injection HCPCS J9357 | $3,839.12 | $12,969.97 | $1,389.58 – $8,488.14 | 11 |
| Valvuloplasty aortic CPT 92986 | $9,894.69 | $33,428.00 | $5,014.20 – $27,076.68 | 7 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $259.05 | $875.15 | $9.10 – $49.13 | 10 |
| Vancomycin peak therapeutic drug level CPT 80202 | $33.45 | $113.00 | $13.54 – $32.54 | 12 |
| Varicella zoster antibody igg CPT 86787 | $22.50 | $76.00 | $12.88 – $30.94 | 12 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $170.99 | $577.66 | $0.04 – $0.21 | 10 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $18,581.08 | $62,773.91 | $22.47 – $50,846.87 | 11 |
| Veeg unmon 12-26 hrs CPT 95714 | $662.45 | $2,238.00 | $335.70 – $1,812.78 | 7 |
| Veeg unmon 2-12 hrs CPT 95711 | $331.23 | $1,119.00 | $167.85 – $1,246.00 | 7 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $3,155.96 | $10,662.00 | $1,599.30 – $8,636.22 | 6 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $3,313.72 | $11,195.00 | $1,679.25 – $9,067.95 | 6 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $3,313.72 | $11,195.00 | $1,679.25 – $9,067.95 | 6 |
| Vein x-ray kidney CPT 75831 | $3,386.54 | $11,441.00 | $153.53 – $9,267.21 | 9 |
| Vein x-ray liver CPT 75891 | $3,386.54 | $11,441.00 | $158.29 – $9,267.21 | 9 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,646.36 | $5,562.00 | $157.73 – $4,505.22 | 9 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,993.27 | $6,734.00 | $156.59 – $5,454.54 | 9 |
| Vein x-ray skull CPT 75870 | $3,412.88 | $11,530.00 | $158.29 – $9,339.30 | 9 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $13.93 – $13.93 | 1 |
| Venogram ext bil s&i CPT 75822 | $574.84 | $1,942.00 | $148.54 – $1,573.02 | 9 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $542.28 | $1,832.00 | $143.58 – $1,483.92 | 9 |
| Venous mech thrombectomy CPT 37187 | $4,498.61 | $15,198.00 | $2,074.65 – $11,203.11 | 6 |
| Venous m-thrombectomy add-on CPT 37188 | $4,633.59 | $15,654.00 | $2,348.10 – $12,679.74 | 6 |
| Venous sampling s&i CPT 75893 | $869.06 | $2,936.00 | $159.42 – $2,378.16 | 9 |
| Ventilator each subsequent day CPT 94003 | $654.76 | $2,212.00 | $121.00 – $1,791.72 | 7 |
| Ventilator initial day CPT 94002 | $680.80 | $2,300.00 | $121.00 – $1,863.00 | 7 |
| Very long chain fatty acids CPT 82726 | $103.60 | $350.00 | $8.45 – $43.35 | 12 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $215.57 | $728.26 | $4.42 – $589.90 | 10 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $140.05 | $473.14 | $5.51 – $382.96 | 10 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $215.37 | $727.59 | $10.49 – $386.34 | 10 |
| Virus isolation addl studies ea CPT 87253 | $24.87 | $84.00 | $20.20 – $39.11 | 12 |
| Visc & infraren abd 1 prosth CPT 34845 | $1,811.23 | $6,119.00 | $917.85 – $4,956.39 | 6 |
| Visc & infraren abd 2 prosth CPT 34846 | $1,811.23 | $6,119.00 | $917.85 – $4,956.39 | 6 |
| Visc & infraren abd 3 prosth CPT 34847 | $1,901.80 | $6,425.00 | $963.75 – $5,204.25 | 6 |
| Vital capacity test CPT 94150 | $161.62 | $546.00 | $64.99 – $442.26 | 6 |
| Vitamin b-12 CPT 82607 | $34.64 | $117.00 | $15.08 – $36.19 | 12 |
| Vitamin D Test CPT 82306 | $93.24 | $315.00 | $29.60 – $71.10 | 12 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $160.14 | $541.00 | $81.15 – $438.21 | 6 |
| Volume measurement urine timed CPT 81050 | $7.70 | $26.00 | $3.64 – $7.20 | 12 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $168.29 | $568.54 | $1.16 – $89.14 | 10 |
| Vsrctv std tcd icr art compl CPT 93896 | $135.87 | $459.00 | $68.85 – $619.00 | 6 |
| Warde 1003990 aldosterone CPT 82088 | $74.00 | $250.00 | $40.75 – $69.68 | 12 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $49.44 | $167.00 | $27.80 – $66.76 | 12 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $17.17 | $58.00 | $12.90 – $30.96 | 12 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $43.22 | $146.00 | $25.25 – $60.63 | 12 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $20.13 | $68.00 | $15.50 – $37.21 | 12 |
| Warde 1015200 kappa light chain free CPT 83521 | $23.98 | $81.00 | $12.15 – $65.61 | 5 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $9.77 | $33.00 | $8.02 – $19.25 | 12 |
| Warde 3008005 oligoclonal bands CPT 83916 | $47.96 | $162.00 | $27.39 – $48.28 | 12 |
| Warde 3016000 west nile virus antibody CPT 86788 | $26.64 | $90.00 | $16.85 – $35.89 | 12 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $24.57 | $83.00 | $14.39 – $34.57 | 12 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $10.36 | $35.00 | $12.25 – $29.43 | 12 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $21.91 | $74.00 | $8.90 – $21.37 | 12 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $38.78 | $131.00 | $17.98 – $43.16 | 12 |
| Warde 3400852 arsenic CPT 82175 | $39.08 | $132.00 | $18.97 – $45.57 | 12 |
| Warde 3708165 mercury urine CPT 83825 | $57.43 | $194.00 | $16.26 – $39.04 | 12 |
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.