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 |
|---|---|---|---|---|
| Capecitabine, oral, 50 mg HCPCS J8522 | $159.19 | $537.80 | $80.67 – $435.62 | 10 |
| Cap trach decann 15mm HCPCS C1750 | $7,121.76 | $24,060.00 | $36.75 – $198.45 | 10 |
| Carbamazepine free CPT 80157 | $17.76 | $60.00 | $13.25 – $31.84 | 12 |
| Carbamazepine free -sendout CPT 80161 | $22.20 | $75.00 | $16.68 – $32.81 | 11 |
| Carbamazepine total therapeutic drug level CPT 80156 | $57.72 | $195.00 | $14.57 – $34.97 | 12 |
| Carbon dioxide CPT 82374 | $7.40 | $25.00 | $4.88 – $11.74 | 12 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $196.00 | $662.16 | $3.02 – $334.00 | 10 |
| Carboxyhemoglobin quantitative CPT 82375 | $15.10 | $51.00 | $4.05 – $29.59 | 12 |
| Carcinoembryonic ag (cea) CPT 82378 | $147.71 | $499.00 | $18.96 – $45.55 | 12 |
| Cardiac MRI w/stress img CPT 75559 | $181.45 | $613.00 | $91.95 – $2,459.00 | 13 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $785.00 | $2,652.00 | $397.80 – $2,148.12 | 9 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,369.30 | $4,626.00 | $446.00 – $3,747.06 | 9 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $160.14 | $541.00 | $81.15 – $455.00 | 7 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $160.14 | $541.00 | $81.15 – $455.00 | 7 |
| Cardiolipin antibody iga CPT 86147 | $137.64 | $465.00 | $25.45 – $43.52 | 12 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $652.68 | $2,205.00 | $330.75 – $7,669.00 | 8 |
| Cardioversion/elective/internal 92961 CPT 92961 | $667.48 | $2,255.00 | $338.25 – $7,669.00 | 8 |
| Card MRI veloc flow mapping CPT 75565 | $33.16 | $112.00 | $16.80 – $2,459.00 | 13 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $6,911.63 | $23,350.09 | $47.97 – $3,409.18 | 11 |
| Carotene CPT 82380 | $15.40 | $52.00 | $9.22 – $22.14 | 12 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $760.72 | $2,570.00 | $320.58 – $2,081.70 | 8 |
| Car outp meas drg cath chd CPT 93598 | $80.81 | $273.00 | $40.95 – $7,669.00 | 7 |
| Carpal Tunnel Release Surgery CPT 64721 | $1,998.30 | $6,751.00 | $1,012.65 – $5,468.31 | 5 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $133.20 | $450.00 | $42.60 – $230.04 | 10 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $1,918.08 | $6,480.00 | $0.15 – $0.81 | 5 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $7,992.00 | $27,000.00 | $12.75 – $3,488.80 | 10 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $4,783.36 | $16,160.00 | $2,424.00 – $13,089.60 | 6 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $431.57 | $1,458.00 | $63.90 – $632.80 | 10 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $337.44 | $1,140.00 | $0.15 – $0.81 | 5 |
| Catheter declot mechanical CPT 36596 | $187.37 | $633.00 | $94.95 – $512.73 | 6 |
| Catheter insert artery CPT 36625 | $817.85 | $2,763.00 | $414.45 – $2,238.03 | 6 |
| Catheter stripping venous CPT 36595 | $1,376.40 | $4,650.00 | $697.50 – $3,766.50 | 6 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $287.42 | $971.00 | $82.35 – $444.69 | 10 |
| Cath left heart/lv gram CPT 93452 | $4,783.36 | $16,160.00 | $2,424.00 – $13,089.60 | 6 |
| Cath left heart transseptal punc CPT 93462 | $967.33 | $3,268.00 | $490.20 – $7,669.00 | 7 |
| Cath lt/rt pulm art CPT 36014 | $547.01 | $1,848.00 | $277.20 – $5,206.00 | 7 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $582.53 | $1,968.00 | $1.05 – $5.67 | 5 |
| Cath place 1st order venous 36011 CPT 36011 | $733.79 | $2,479.00 | $371.85 – $5,206.00 | 7 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $7,074.40 | $23,900.00 | $3,585.00 – $19,359.00 | 7 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $7,074.40 | $23,900.00 | $3,585.00 – $19,359.00 | 6 |
| Cath plc art/grft/angio right hrt CPT 93457 | $7,074.40 | $23,900.00 | $3,585.00 – $19,359.00 | 6 |
| Cath right heart w/o2 sat & card CPT 93451 | $4,783.36 | $16,160.00 | $2,424.00 – $13,089.60 | 6 |
| Cath right hrt mnpul art CPT 36013 | $1,252.68 | $4,232.00 | $634.80 – $5,206.00 | 7 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $122.25 | $413.00 | $35.70 – $198.24 | 7 |
| Cath segmntl pulm art CPT 36015 | $634.63 | $2,144.00 | $321.60 – $5,206.00 | 7 |
| Cath steerable flex adv 12f HCPCS C1766 | $602.66 | $2,036.00 | $305.40 – $1,649.16 | 5 |
| Cath stripping venous s&i CPT 75901 | $397.24 | $1,342.00 | $201.30 – $1,087.02 | 9 |
| Cauterization chemical granulation tissue CPT 17250 | $177.90 | $601.00 | $90.15 – $486.81 | 6 |
| Cdna analysis for variants CPT 81403 | $175.24 | $592.00 | $185.20 – $413.60 | 12 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $22.89 | $77.31 | $0.81 – $44.50 | 10 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $25.71 | $86.85 | $0.04 – $0.25 | 10 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $35.82 | $121.00 | $6.00 – $53.00 | 10 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $239.84 | $810.26 | $3.91 – $656.32 | 11 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $23.03 | $77.78 | $2.19 – $53.63 | 10 |
| Ceftazidime and avibactam HCPCS J0714 | $467.00 | $1,577.70 | $97.25 – $1,277.94 | 11 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $19.29 | $65.14 | $0.58 – $46.54 | 10 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $30.97 | $104.60 | $0.04 – $0.25 | 10 |
| #celiac hla-dq2 CPT 81377 | $121.96 | $412.00 | $44.75 – $220.44 | 12 |
| #celiac hla-dq8 CPT 81383 | $140.31 | $474.00 | $109.13 – $262.03 | 12 |
| Cell count body fluid CPT 89050 | $85.25 | $288.00 | $4.72 – $11.35 | 12 |
| Cell count w differential body fluid CPT 89051 | $121.66 | $411.00 | $2.47 – $13.22 | 12 |
| Cell function assay w/stim CPT 86352 | $262.85 | $888.00 | $88.05 – $326.23 | 12 |
| Cerebrospinal fld flw imag CPT 78645 | $301.63 | $1,019.00 | $152.85 – $1,067.00 | 9 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,537.30 | $11,950.31 | $75.11 – $4,994.03 | 11 |
| #cf-97variants CPT 81220 | $80.22 | $271.00 | $219.51 – $2,112.00 | 12 |
| Change cystostomy tube; complex 51710 CPT 51710 | $734.08 | $2,480.00 | $372.00 – $2,008.80 | 5 |
| Change cystostomy tube simple CPT 51705 | $230.88 | $780.00 | $117.00 – $631.80 | 6 |
| Change g-tube to g-j perc CPT 49446 | $1,344.14 | $4,541.00 | $681.15 – $3,678.21 | 6 |
| Change nephroureteral cath CPT 50387 | $2,209.94 | $7,466.00 | $1,119.90 – $6,047.46 | 6 |
| Change of ureter tube/stent CPT 50688 | $2,088.28 | $7,055.00 | $1,058.25 – $5,714.55 | 5 |
| Change of windpipe airway 31502 CPT 31502 | $227.33 | $768.00 | $115.20 – $622.08 | 6 |
| Change ureter stent percut CPT 50382 | $1,496.28 | $5,055.00 | $758.25 – $4,094.55 | 6 |
| Chemo adm cns w/lmbr punct CPT 96450 | $259.89 | $878.00 | $106.00 – $1,094.00 | 8 |
| Chemo ia push tecnique CPT 96420 | $136.76 | $462.00 | $69.30 – $1,094.00 | 8 |
| Chest 2 vws w oblique CPT 71048 | $116.63 | $394.00 | $40.87 – $319.14 | 9 |
| Chest apical lordotic proj CPT 71047 | $99.16 | $335.00 | $39.72 – $306.00 | 9 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,604.92 | $5,422.00 | $302.00 – $4,391.82 | 13 |
| Chest CT scan (with contrast) CPT 71260 | $1,410.15 | $4,764.00 | $273.48 – $3,858.84 | 13 |
| Chest CT scan (without contrast) CPT 71250 | $1,215.68 | $4,107.00 | $221.30 – $3,326.67 | 13 |
| Chest X-ray CPT 71046 | $203.36 | $687.00 | $31.15 – $556.47 | 9 |
| Chest X-ray (single view) CPT 71045 | $135.57 | $458.00 | $16.90 – $370.98 | 9 |
| Chg pr pul rehab for copd patients CPT 94626 | $68.38 | $231.00 | $34.65 – $285.00 | 6 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $342.77 | $1,158.00 | $117.69 – $937.98 | 9 |
| Chlamydia culture CPT 87110 | $45.88 | $155.00 | $19.60 – $47.04 | 12 |
| Chlnggrphy intraop addl s&i CPT 74301 | $106.86 | $361.00 | $32.14 – $306.00 | 8 |
| Chloride CPT 82435 | $42.63 | $144.00 | $4.60 – $11.04 | 12 |
| Chloride 24 hour urine CPT 82436 | $41.74 | $141.00 | $5.75 – $12.07 | 12 |
| Chloroprocaine hcl injection HCPCS J2401 | $38.04 | $128.48 | $15.54 – $83.89 | 10 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $65.66 | $221.82 | $23.57 – $127.26 | 10 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $43.32 | $146.34 | $21.96 – $118.54 | 10 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $50.40 | $170.27 | $0.63 – $3.38 | 10 |
| Cholangiogram percutaneous compl CPT 47532 | $2,223.56 | $7,512.00 | $1,126.80 – $6,084.72 | 5 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $426.84 | $1,442.00 | $41.41 – $1,168.02 | 8 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,968.40 | $6,650.00 | $997.50 – $5,386.50 | 6 |
| Cholesterol CPT 82465 | $6.52 | $22.00 | $4.35 – $10.44 | 12 |
| Cholesterol body fluid CPT 84999 | $141.79 | $479.00 | $10.35 – $55.89 | 7 |
| Cholesterol (Lipid) Test CPT 80061 | $24.57 | $83.00 | $13.39 – $32.16 | 12 |
| Cholinesterase CPT 82480 | $10.36 | $35.00 | $7.87 – $18.92 | 12 |
| Chromatography CPT 83021 | $23.68 | $80.00 | $8.45 – $43.35 | 12 |
| Chromo high res and frag x - sendout CPT 81243 | $68.08 | $230.00 | $57.04 – $391.59 | 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.