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 |
|---|---|---|---|---|
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $326.49 | $1,103.00 | $165.45 – $893.43 | 5 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $373.56 | $1,262.00 | $189.30 – $1,022.22 | 6 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $393.39 | $1,329.00 | $199.35 – $1,076.49 | 6 |
| Asp core fat pad CPT 17999 | $203.36 | $687.00 | $103.05 – $556.47 | 6 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $733.20 | $2,477.00 | $371.55 – $2,006.37 | 6 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,278.13 | $4,318.00 | $647.70 – $3,497.58 | 6 |
| Aspirate pleura without imaging 32554 CPT 32554 | $970.29 | $3,278.00 | $491.70 – $2,655.18 | 6 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $804.83 | $2,719.00 | $407.85 – $2,202.39 | 5 |
| Assay neurflmnt light chain CPT 83884 | $158.66 | $536.00 | $80.40 – $434.16 | 5 |
| Assay of lrh hormone CPT 83727 | $22.50 | $76.00 | $17.19 – $38.88 | 12 |
| Assay of osteocalcin CPT 83937 | $49.44 | $167.00 | $29.85 – $68.38 | 12 |
| Assay of procainamide w/metab CPT 80192 | $30.79 | $104.00 | $16.75 – $40.22 | 12 |
| Assay of sialic acid CPT 84275 | $94.72 | $320.00 | $13.44 – $32.26 | 12 |
| Assay of thiocyanate CPT 84430 | $14.21 | $48.00 | $8.11 – $27.93 | 12 |
| Assay of urine sulfate CPT 84392 | $63.05 | $213.00 | $5.49 – $11.40 | 12 |
| Assay toxin or antitoxin CPT 87230 | $143.27 | $484.00 | $19.74 – $47.41 | 12 |
| Assess cyst contrast inject CPT 49424 | $317.02 | $1,071.00 | $160.65 – $867.51 | 7 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $65.12 | $220.00 | $3.30 – $10.24 | 12 |
| Ast/sgot CPT 84450 | $37.89 | $128.00 | $5.18 – $12.43 | 12 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $23,166.53 | $78,265.29 | $86.62 – $63,394.89 | 11 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $7,777.11 | $26,274.00 | $3,941.10 – $21,281.94 | 6 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $5,484.29 | $18,528.00 | $2,779.20 – $15,007.68 | 6 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $33.38 | $112.74 | $0.04 – $0.21 | 10 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $3,190.29 | $10,778.00 | $1,616.70 – $8,730.18 | 5 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $3,190.29 | $10,778.00 | $1,616.70 – $8,730.18 | 5 |
| Autologous blood process CPT 86890 | $91.76 | $310.00 | $46.50 – $251.10 | 8 |
| Automated diff wbc count CPT 85004 | $8.00 | $27.00 | $6.47 – $15.54 | 12 |
| Av fistula revision CPT 36833 | $2,863.51 | $9,674.00 | $1,451.10 – $7,835.94 | 5 |
| Av fuse uppr arm basilic CPT 36819 | $2,312.36 | $7,812.00 | $1,171.80 – $6,327.72 | 5 |
| Av fuse uppr arm cephalic CPT 36818 | $2,030.86 | $6,861.00 | $1,029.15 – $5,557.41 | 5 |
| Av fusion direct any site CPT 36821 | $2,856.40 | $9,650.00 | $1,447.50 – $7,816.50 | 5 |
| Avul nail plate addl CPT 11732 | $96.20 | $325.00 | $48.75 – $263.25 | 6 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $127.88 | $432.00 | $64.80 – $659.00 | 7 |
| Azacitidine injection HCPCS J9025 | $261.87 | $884.67 | $0.57 – $411.68 | 10 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $24.55 | $82.93 | $3.53 – $49.63 | 10 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $83.97 | $283.65 | $0.04 – $0.21 | 10 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $203.10 | $686.12 | $102.92 – $555.76 | 11 |
| Baclofen eval charges CPT 97750 | $86.14 | $291.00 | $34.19 – $270.00 | 10 |
| Bacterial meningitis antigen CPT 86403 | $28.42 | $96.00 | $11.19 – $24.46 | 12 |
| Bacterial vaginosis pcr CPT 87801 | $145.04 | $490.00 | $55.20 – $168.54 | 12 |
| Balloon dilate urtrl strix CPT 50706 | $897.77 | $3,033.00 | $454.95 – $2,456.73 | 5 |
| Bartonella dna pcr-sendout CPT 87471 | $144.75 | $489.00 | $27.60 – $84.25 | 12 |
| B cells total count CPT 86355 | $35.23 | $119.00 | $33.14 – $90.57 | 12 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $437.46 | $1,477.88 | $3.21 – $1,197.09 | 10 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $4,461.12 | $15,071.35 | $52.97 – $3,862.34 | 11 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $2,243.09 | $7,577.99 | $5.46 – $6,138.18 | 11 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $4,702.68 | $15,887.40 | $13.87 – $12,868.80 | 11 |
| Benign lesion paring 2-4 CPT 11056 | $169.91 | $574.00 | $86.10 – $464.94 | 6 |
| #_benzodiazconfur CPT 80346 | $16.28 | $55.00 | $26.02 – $44.55 | 5 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $70.72 | $238.90 | $16.50 – $132.54 | 10 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $50.92 | $172.00 | $25.45 – $43.52 | 12 |
| Beta-2 microglobulin CPT 82232 | $68.38 | $231.00 | $16.18 – $38.84 | 12 |
| Beta-amyloid 1-40 CPT 82233 | $158.66 | $536.00 | $80.40 – $434.16 | 5 |
| Beta-amyloid 1-42 CPT 82234 | $158.66 | $536.00 | $80.40 – $434.16 | 5 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $56.09 | $189.48 | $7.71 – $153.48 | 10 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $7,041.83 | $23,789.96 | $73.83 – $5,048.69 | 11 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $5,614.65 | $18,968.39 | $26.10 – $4,072.43 | 11 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $4,620.63 | $15,610.23 | $21.36 – $3,392.30 | 11 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $72.52 | $245.00 | $36.75 – $270.00 | 8 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $72.52 | $245.00 | $36.75 – $270.00 | 8 |
| Bilateral n block inj occipital 64405 CPT 64405 | $308.14 | $1,041.00 | $156.15 – $843.21 | 6 |
| Bilirubin direct CPT 82248 | $75.48 | $255.00 | $5.02 – $12.04 | 12 |
| Bilirubin total CPT 82247 | $55.65 | $188.00 | $5.02 – $12.04 | 12 |
| Biopsy abdominal mass CPT 49180 | $1,180.75 | $3,989.00 | $598.35 – $3,231.09 | 5 |
| Biopsy bone trocar/needle superficial CPT 20220 | $462.65 | $1,563.00 | $234.45 – $1,266.03 | 5 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,957.04 | $9,990.00 | $906.60 – $4,895.64 | 5 |
| Biopsy lower leg soft tissue CPT 27613 | $992.79 | $3,354.00 | $503.10 – $2,716.74 | 6 |
| Biopsy muscle percutaneous needle CPT 20206 | $773.75 | $2,614.00 | $392.10 – $2,117.34 | 5 |
| Biopsy needle liver percutaneous CPT 47000 | $849.52 | $2,870.00 | $430.50 – $2,324.70 | 5 |
| Biopsy needle lymph node superficial CPT 38505 | $371.19 | $1,254.00 | $188.10 – $1,015.74 | 5 |
| Biopsy of heart lining CPT 93505 | $3,411.40 | $11,525.00 | $1,728.75 – $9,335.25 | 8 |
| Biopsy of prostate CPT 55700 | $2,088.28 | $7,055.00 | $94.35 – $509.49 | 5 |
| Biopsy of salivary gland 42400 CPT 42400 | $148.00 | $500.00 | $75.00 – $405.00 | 6 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,697.86 | $5,736.00 | $860.40 – $4,646.16 | 5 |
| Biopsy skin incisional single lesion CPT 11106 | $459.69 | $1,553.00 | $232.95 – $1,257.93 | 5 |
| Biopsy thigh soft tissues CPT 27324 | $1,232.84 | $4,165.00 | $624.75 – $3,373.65 | 5 |
| Bivalirudin HCPCS J0583 | $387.24 | $1,308.24 | $0.46 – $290.28 | 10 |
| Bld exchange truj oth thn nb CPT 36455 | $470.64 | $1,590.00 | $238.50 – $1,287.90 | 6 |
| Bld prd mix CPT 86965 | $245.98 | $831.00 | $36.24 – $673.11 | 8 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $343.29 | $1,159.76 | $27.47 – $428.04 | 10 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $11,295.48 | $38,160.40 | $148.32 – $30,909.93 | 11 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $777.00 | $2,625.00 | $0.15 – $0.81 | 5 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $32.86 | $111.00 | $9.30 – $50.22 | 5 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $964.96 | $3,260.00 | $489.00 – $2,640.60 | 6 |
| Block plantar digital nerve CPT 64455 | $495.21 | $1,673.00 | $250.95 – $1,355.13 | 6 |
| Block tap inj(s) w/wo img bi CPT 64488 | $76.96 | $260.00 | $39.00 – $210.60 | 5 |
| Block tap inj(s) w/wo img uni CPT 64486 | $375.92 | $1,270.00 | $190.50 – $1,028.70 | 5 |
| Blood Clotting (PT/INR) Test CPT 85610 | $76.67 | $259.00 | $4.29 – $9.45 | 12 |
| Blood Clotting (PTT) Test CPT 85730 | $82.29 | $278.00 | $6.01 – $14.41 | 12 |
| Blood Count (CBC) Test CPT 85025 | $82.88 | $280.00 | $7.77 – $18.67 | 12 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $84.96 | $287.00 | $6.47 – $15.54 | 12 |
| Blood Culture Test CPT 87040 | $24.57 | $83.00 | $10.32 – $24.80 | 12 |
| Blood draw capillary 36416 CPT 36416 | $13.32 | $45.00 | $2.89 – $36.45 | 8 |
| Blood gases o2 saturation direct measurement CPT 82805 | $202.47 | $684.00 | $39.93 – $134.70 | 12 |
| Blood gases ph venous CPT 82800 | $13.92 | $47.00 | $4.89 – $18.81 | 12 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $20.72 | $70.00 | $15.92 – $38.19 | 12 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $29.31 | $99.00 | $4.23 – $7.73 | 12 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $11.84 | $40.00 | $4.38 – $7.73 | 12 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $31.38 | $106.00 | $4.52 – $9.10 | 12 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $29.01 | $98.00 | $3.80 – $8.25 | 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.