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 |
|---|---|---|---|---|
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $65.42 | $221.00 | $31.45 – $306.00 | 9 |
| X-ray humerus >= 2 views left CPT 73060 | $199.80 | $675.00 | $32.60 – $546.75 | 9 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $265.52 | $897.00 | $34.30 – $484.38 | 9 |
| X-ray knee 3 views (both sides) CPT 73562 | $122.25 | $413.00 | $36.75 – $306.00 | 9 |
| X-ray knee ap standing bilateral CPT 73565 | $282.98 | $956.00 | $41.66 – $774.36 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $118.11 | $399.00 | $32.60 – $323.19 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $186.48 | $630.00 | $46.18 – $510.30 | 9 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $548.79 | $1,854.00 | $53.56 – $1,501.74 | 9 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $365.27 | $1,234.00 | $76.19 – $999.54 | 9 |
| X-ray mandible complete > 4 views CPT 70110 | $182.04 | $615.00 | $43.93 – $498.15 | 9 |
| X-ray nasal bones complete > 3 views CPT 70160 | $216.97 | $733.00 | $40.53 – $593.73 | 9 |
| X-ray neck soft tissue CPT 70360 | $165.17 | $558.00 | $33.18 – $451.98 | 9 |
| X-ray pelvis 1-2 views CPT 72170 | $80.81 | $273.00 | $31.47 – $306.00 | 9 |
| X-ray pelvis complete > 3 views CPT 72190 | $188.26 | $636.00 | $50.72 – $515.16 | 9 |
| Xray place dist ext thor ao CPT 75959 | $1,339.40 | $4,525.00 | $296.60 – $3,665.25 | 8 |
| Xray place prox ext thor ao CPT 75958 | $643.80 | $2,175.00 | $306.00 – $1,761.75 | 8 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $429.20 | $1,450.00 | $96.55 – $1,174.50 | 9 |
| X-ray ribs 2 views left CPT 71100 | $241.54 | $816.00 | $34.87 – $660.96 | 9 |
| X-ray ribs 3 views bilateral CPT 71110 | $422.40 | $1,427.00 | $43.93 – $1,155.87 | 9 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $354.91 | $1,199.00 | $42.79 – $971.19 | 9 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $472.12 | $1,595.00 | $60.35 – $1,291.95 | 9 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $160.73 | $543.00 | $41.10 – $439.83 | 9 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $220.23 | $744.00 | $32.60 – $602.64 | 9 |
| X-ray scapula complete (both sides) CPT 73010 | $147.71 | $499.00 | $35.99 – $404.19 | 9 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $206.91 | $699.00 | $25.80 – $566.19 | 9 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $297.19 | $1,004.00 | $42.22 – $813.24 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $234.44 | $792.00 | $54.68 – $641.52 | 9 |
| X-ray skull < 4 views CPT 70250 | $148.00 | $500.00 | $39.97 – $405.00 | 9 |
| X-ray skull > 4 views complete CPT 70260 | $315.24 | $1,065.00 | $49.02 – $862.65 | 9 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $307.55 | $1,039.00 | $137.35 – $841.59 | 9 |
| X-ray small intestine follow-through study CPT 74248 | $236.80 | $800.00 | $75.79 – $648.00 | 9 |
| X-ray spine single view CPT 72020 | $95.32 | $322.00 | $24.68 – $306.00 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $137.94 | $466.00 | $42.22 – $377.46 | 9 |
| X-ray sternum > 2 views CPT 71120 | $212.24 | $717.00 | $34.87 – $580.77 | 9 |
| X-ray surgical specimen CPT 76098 | $565.36 | $1,910.00 | $3.75 – $306.00 | 9 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $485.15 | $1,639.00 | $105.07 – $1,327.59 | 9 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $128.47 | $434.00 | $58.64 – $351.54 | 9 |
| X-ray thoracic spine 3 views CPT 72072 | $139.12 | $470.00 | $42.79 – $380.70 | 9 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $152.74 | $516.00 | $39.39 – $417.96 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $123.44 | $417.00 | $62.55 – $337.77 | 9 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $227.04 | $767.00 | $30.34 – $621.27 | 9 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $156.88 | $530.00 | $38.26 – $429.30 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $412.92 | $1,395.00 | $153.19 – $1,129.95 | 9 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $273.51 | $924.00 | $129.41 – $748.44 | 9 |
| X-ray wrist 2 views (both sides) CPT 73100 | $105.97 | $358.00 | $35.99 – $306.00 | 9 |
| Zika virus dna/rna amp probe CPT 87662 | $89.99 | $304.00 | $51.31 – $111.50 | 12 |
| Zika virus igm antibody CPT 86794 | $30.49 | $103.00 | $16.85 – $36.61 | 12 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $89.64 | $302.83 | $12.40 – $94.18 | 10 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $358.24 | $1,210.26 | $8.91 – $48.12 | 10 |
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.