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 |
|---|---|---|---|---|
| Blood typing abo CPT 86900 | $8.59 | $29.00 | $2.99 – $23.49 | 9 |
| Blood typing ag donor ea ag CPT 86902 | $26.94 | $91.00 | $4.81 – $73.71 | 9 |
| Blood typing patient serum CPT 86904 | $14.51 | $49.00 | $13.37 – $39.69 | 9 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $20.13 | $68.00 | $3.83 – $55.08 | 9 |
| Blood typing rh (d) CPT 86901 | $38.78 | $131.00 | $2.99 – $106.11 | 9 |
| Bone Density Scan (DEXA) CPT 77080 | $121.36 | $410.00 | $54.60 – $332.10 | 9 |
| Bone imaging multiple areas CPT 78305 | $376.52 | $1,272.00 | $190.80 – $1,067.00 | 9 |
| Bone marrow;aspiration only 38220 CPT 38220 | $693.83 | $2,344.00 | $351.60 – $1,898.64 | 6 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,825.44 | $6,167.00 | $925.05 – $4,995.27 | 6 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $38.19 | $129.00 | $17.03 – $35.89 | 12 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3,597.07 | $12,152.26 | $1.76 – $467.24 | 11 |
| Bowel imaging CPT 78290 | $422.99 | $1,429.00 | $214.35 – $1,157.49 | 9 |
| Brach/thor cath 1st CPT 36215 | $1,175.72 | $3,972.00 | $595.80 – $5,206.00 | 7 |
| Brach/thor cath 2nd CPT 36216 | $1,556.96 | $5,260.00 | $789.00 – $5,206.00 | 7 |
| Brach/thor cath 3rd CPT 36217 | $1,428.50 | $4,826.00 | $723.90 – $5,206.00 | 7 |
| Brach/thor cath addl CPT 36218 | $1,428.50 | $4,826.00 | $723.90 – $3,909.06 | 6 |
| Brachy source i-125 injection HCPCS C2638 | $19.54 | $66.00 | $9.90 – $53.46 | 10 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $13.32 | $45.00 | $6.75 – $36.45 | 10 |
| Brachy source palladium HCPCS C2640 | $40.85 | $138.00 | $20.70 – $111.78 | 10 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $34.64 | $117.00 | $17.55 – $94.77 | 10 |
| Brachy source yttrium-90 HCPCS C2616 | $13,053.60 | $44,100.00 | $6,615.00 – $35,721.00 | 10 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $296.00 | $1,000.00 | $150.00 – $810.00 | 10 |
| Brachytx isodose complex CPT 77318 | $616.28 | $2,082.00 | $312.30 – $1,686.42 | 9 |
| Brachytx isodose intermed CPT 77317 | $421.51 | $1,424.00 | $213.60 – $1,153.44 | 9 |
| Brachytx isodose plan simple CPT 77316 | $229.11 | $774.00 | $116.10 – $743.00 | 9 |
| Braf gene CPT 81210 | $303.11 | $1,024.00 | $110.09 – $315.48 | 12 |
| Brain image w/flow < 4 views CPT 78601 | $504.39 | $1,704.00 | $255.60 – $1,380.24 | 9 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,736.93 | $5,868.00 | $513.87 – $4,753.08 | 13 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,456.03 | $4,919.00 | $355.13 – $3,984.39 | 13 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,277.24 | $4,315.00 | $340.07 – $3,495.15 | 13 |
| Brain MRI (with and without contrast) CPT 70553 | $2,479.89 | $8,378.00 | $508.74 – $6,786.18 | 13 |
| Brain MRI (with contrast) CPT 70552 | $1,736.04 | $5,865.00 | $429.59 – $2,459.00 | 13 |
| Brain MRI (without contrast) CPT 70551 | $1,636.88 | $5,530.00 | $311.10 – $3,318.00 | 13 |
| Brcassure comprehensive panel-sendout CPT 81162 | $2,160.80 | $7,300.00 | $1,824.88 – $4,375.11 | 12 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,084.25 | $3,663.00 | $549.45 – $2,967.03 | 6 |
| Breath tst attain/anal c-14 CPT 78267 | $134.09 | $453.00 | $11.05 – $18.91 | 11 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $24,679.59 | $83,376.96 | $232.51 – $67,535.34 | 11 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $441.34 | $1,491.00 | $223.65 – $1,207.71 | 5 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $1,811.82 | $6,121.00 | $918.15 – $4,958.01 | 5 |
| Bronch ebus samplng 1/2 node CPT 31652 | $3,657.97 | $12,358.00 | $1,853.70 – $10,009.98 | 5 |
| Bronch ebus samplng 3/> node CPT 31653 | $3,483.92 | $11,770.00 | $1,765.50 – $9,533.70 | 5 |
| Bronchial challenge CPT 94070 | $1,154.11 | $3,899.00 | $93.33 – $3,158.19 | 6 |
| Bronchial valve init insert CPT 31647 | $5,682.32 | $19,197.00 | $2,879.55 – $15,549.57 | 6 |
| Bronchial valve remov addl CPT 31649 | $1,647.84 | $5,567.00 | $835.05 – $4,509.27 | 6 |
| Bronchial valve remov init CPT 31648 | $3,417.32 | $11,545.00 | $1,731.75 – $9,351.45 | 6 |
| Bronchoscopy bronch stents CPT 31636 | $6,534.50 | $22,076.00 | $3,311.40 – $17,881.56 | 5 |
| Bronchoscopy clear airways 31645 CPT 31645 | $1,696.97 | $5,733.00 | $859.95 – $4,643.73 | 5 |
| Bronchoscopy dilate/fx repr CPT 31630 | $3,476.52 | $11,745.00 | $1,761.75 – $9,513.45 | 5 |
| Bronchoscopy dilate w/stent CPT 31631 | $6,223.40 | $21,025.00 | $3,153.75 – $17,030.25 | 5 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $1,658.20 | $5,602.00 | $840.30 – $4,537.62 | 6 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $3,476.52 | $11,745.00 | $1,761.75 – $9,513.45 | 5 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $1,658.20 | $5,602.00 | $840.30 – $4,537.62 | 6 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $2,085.92 | $7,047.00 | $1,057.05 – $5,708.07 | 5 |
| Bronchoscopy revise stent CPT 31638 | $6,208.01 | $20,973.00 | $3,145.95 – $16,988.13 | 5 |
| Bronchoscopy treat blockage CPT 31641 | $3,476.52 | $11,745.00 | $1,761.75 – $9,513.45 | 5 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,764.16 | $5,960.00 | $894.00 – $4,827.60 | 5 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,839.94 | $6,216.00 | $932.40 – $5,034.96 | 5 |
| Bronchoscopy w/markers CPT 31626 | $6,410.18 | $21,656.00 | $3,248.40 – $17,541.36 | 6 |
| Bronchoscopy w/tumor excise CPT 31640 | $3,410.22 | $11,521.00 | $1,728.15 – $9,332.01 | 5 |
| Bronch thermoplsty 1 lobe CPT 31660 | $6,410.18 | $21,656.00 | $3,248.40 – $17,541.36 | 6 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $6,410.18 | $21,656.00 | $3,248.40 – $17,541.36 | 6 |
| Bronch w/balloon occlusion CPT 31634 | $6,410.18 | $21,656.00 | $3,248.40 – $17,541.36 | 6 |
| Bundled special stain group 1 microorganisms CPT 88312 | $88.21 | $298.00 | $48.54 – $241.38 | 8 |
| Bundled special stain group 2 CPT 88313 | $92.65 | $313.00 | $33.43 – $253.53 | 8 |
| Bundle his recording CPT 93600 | $6,245.31 | $21,099.00 | $234.05 – $17,090.19 | 7 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $20.96 | $70.81 | $0.04 – $0.21 | 10 |
| Buprenorphine hydrochloride HCPCS J0592 | $33.47 | $113.07 | $4.55 – $80.65 | 10 |
| Burr hole implant ventricular cath/other device CPT 61210 | $383.32 | $1,295.00 | $194.25 – $1,048.95 | 6 |
| Bx bone trocar/ndl deep CPT 20225 | $1,187.26 | $4,011.00 | $601.65 – $3,248.91 | 5 |
| Bx breast 1st lesion mr imag CPT 19085 | $2,622.56 | $8,860.00 | $886.20 – $4,785.48 | 6 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,892.04 | $6,392.00 | $958.80 – $5,177.52 | 6 |
| Bx breast add lesion strtctc CPT 19082 | $1,002.85 | $3,388.00 | $508.20 – $2,744.28 | 7 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $1,240.84 | $4,192.00 | $628.80 – $3,395.52 | 5 |
| Bx of breast open 19101 CPT 19101 | $3,583.97 | $12,108.00 | $1,816.20 – $9,807.48 | 5 |
| Bx pancreas pq ndl CPT 48102 | $1,665.60 | $5,627.00 | $844.05 – $4,557.87 | 5 |
| Bx pleura pq ndl CPT 32400 | $1,548.68 | $5,232.00 | $784.80 – $4,237.92 | 5 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $230.00 | $777.00 | $116.55 – $629.37 | 5 |
| Bx skin punch ea sep/ addl les CPT 11105 | $129.36 | $437.00 | $65.55 – $353.97 | 5 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $129.36 | $437.00 | $65.55 – $353.97 | 5 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,662.04 | $5,615.00 | $842.25 – $4,548.15 | 5 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $1,597.52 | $5,397.00 | $809.55 – $4,371.57 | 6 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $511.20 | $1,727.00 | $259.05 – $1,398.87 | 5 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $280.02 | $946.00 | $141.90 – $766.26 | 6 |
| Bypass temp external fem-fem CPT 37799 | $769.90 | $2,601.00 | $390.15 – $2,106.81 | 6 |
| C-1 esterase, berinert HCPCS J0597 | $4,105.03 | $13,868.34 | $65.57 – $11,233.36 | 11 |
| C1 esterase inhibitor func - sendout CPT 86161 | $73.12 | $247.00 | $12.00 – $28.83 | 12 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $30,259.75 | $102,228.86 | $214.42 – $82,805.38 | 11 |
| Cable cath 22-pin diag HCPCS C1730 | $806.31 | $2,724.00 | $0.15 – $0.81 | 5 |
| Cad breast MRI w/r&i HCPCS C8937 | $69.56 | $235.00 | $35.25 – $2,459.00 | 11 |
| Cadd pump refill CPT 96521 | $117.81 | $398.00 | $59.70 – $411.44 | 7 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $29.86 | $100.87 | $0.62 – $5.85 | 10 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,283.33 | $4,335.55 | $505.11 – $2,727.60 | 11 |
| Calcium 24 hour urine CPT 82340 | $10.66 | $36.00 | $6.03 – $14.48 | 12 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $60.04 | $202.83 | $0.04 – $0.21 | 10 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $38.67 | $130.63 | $12.97 – $70.01 | 10 |
| Calcium ionized CPT 82330 | $102.72 | $347.00 | $13.68 – $32.82 | 12 |
| Calcium total CPT 82310 | $72.23 | $244.00 | $5.16 – $12.39 | 12 |
| Calprotectin fecal CPT 83993 | $98.87 | $334.00 | $19.63 – $47.13 | 12 |
| Candida dna CPT 87480 | $25.76 | $87.00 | $20.05 – $48.15 | 12 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $7,489.40 | $25,302.00 | $3,795.30 – $20,494.62 | 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.