CHI Memorial Hospital Chattanooga
2525 de Sales Avenue, Chattanooga, TN · CommonSpirit Health · · NPI 1255428736
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 |
|---|---|---|---|---|
| Hdr rdncl skn surf brachytx CPT 77768 | $318.10 | $752.00 | $126.86 – $571.47 | 6 |
| Head CT scan (with and without contrast) CPT 70470 | $1,657.32 | $3,918.00 | $176.05 – $2,742.60 | 10 |
| Head CT scan (with contrast) CPT 70460 | $1,458.51 | $3,448.00 | $157.26 – $2,413.60 | 10 |
| Head CT scan (without contrast) CPT 70450 | $1,325.69 | $3,134.00 | $78.34 – $2,193.80 | 10 |
| Heart first pass add-on CPT 78496 | $466.57 | $1,103.00 | $32.60 – $772.10 | 5 |
| Helicobacter pylori antibody igm CPT 86677 | $20.31 | $48.00 | $10.08 – $33.60 | 10 |
| Hematocrit CPT 85014 | $70.65 | $167.00 | $2.11 – $116.90 | 10 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $16,742.02 | $39,579.24 | $14.51 – $27,705.47 | 9 |
| Hemodialysis one evaluation CPT 90935 | $875.19 | $2,069.00 | $176.72 – $1,448.30 | 3 |
| Hemoglobin CPT 85018 | $50.76 | $120.00 | $2.11 – $84.00 | 10 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $16.92 | $40.00 | $6.52 – $28.00 | 10 |
| Hemoglobin plasma CPT 83051 | $14.81 | $35.00 | $6.50 – $24.50 | 10 |
| Hemophilus influenza antibdy CPT 86684 | $83.34 | $197.00 | $14.07 – $137.90 | 10 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,333.30 | $3,152.00 | $661.92 – $2,206.40 | 3 |
| Heparin assay CPT 85520 | $78.26 | $185.00 | $11.63 – $129.50 | 10 |
| Heparin bolus from bag HCPCS J1644 | $52.50 | $124.10 | $0.06 – $0.25 | 9 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $34.85 | $82.38 | $0.02 – $39.46 | 9 |
| Hepatitis a antibody igm CPT 86709 | $74.88 | $177.00 | $10.00 – $123.90 | 10 |
| Hepatitis b core antibody igm CPT 86705 | $43.15 | $102.00 | $10.47 – $71.40 | 10 |
| Hepatitis b core antibody total CPT 86704 | $54.99 | $130.00 | $10.70 – $91.00 | 10 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $271.75 | $642.43 | $60.74 – $449.71 | 9 |
| Hepatitis b surface antibody CPT 86706 | $71.91 | $170.00 | $9.54 – $119.00 | 10 |
| Hepatitis c antibody CPT 86803 | $23.69 | $56.00 | $10.00 – $39.20 | 10 |
| Hepatobiliary system imaging CPT 78226 | $1,176.37 | $2,781.00 | $243.51 – $1,946.70 | 6 |
| Herpes simplex type 1 antibody igg CPT 86695 | $29.61 | $70.00 | $11.72 – $49.00 | 10 |
| Herpes simplex type 2 antibody igg CPT 86696 | $32.15 | $76.00 | $15.96 – $53.20 | 10 |
| Herpes simplex virus isolation CPT 87255 | $57.11 | $135.00 | $28.35 – $94.50 | 10 |
| Heterophile antibodies screening CPT 86308 | $176.40 | $417.00 | $4.59 – $291.90 | 10 |
| Hip X-ray CPT 73502 | $113.79 | $269.00 | $32.49 – $188.30 | 6 |
| Histamine CPT 83088 | $73.18 | $173.00 | $26.24 – $121.10 | 10 |
| Hla ii typing 1 loc hr CPT 81382 | $329.52 | $779.00 | $109.87 – $545.30 | 10 |
| Hla i low res one antigen equiv ea CPT 81374 | $162.01 | $383.00 | $64.62 – $268.10 | 10 |
| Hla i typing complete lr CPT 81372 | $819.36 | $1,937.00 | $98.40 – $1,355.90 | 10 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $177.66 | $420.00 | $40.00 – $319.41 | 10 |
| Hla i typing low res one locus ea CPT 81373 | $1,295.65 | $3,063.00 | $98.40 – $2,144.10 | 10 |
| Hla typing a b or c CPT 86813 | $368.86 | $872.00 | $51.51 – $610.40 | 10 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $5.59 | $13.20 | $0.17 – $9.24 | 9 |
| Homocysteine CPT 83090 | $45.27 | $107.00 | $9.79 – $74.90 | 10 |
| Homovanillic acid (hva) CPT 83150 | $41.46 | $98.00 | $17.19 – $68.60 | 10 |
| Hpv types 16 & 18 only CPT 87625 | $76.57 | $181.00 | $18.25 – $126.70 | 10 |
| H pylori (c-13) breath CPT 83013 | $81.22 | $192.00 | $40.32 – $161.73 | 10 |
| Htt gene detc abnor alleles CPT 81271 | $232.65 | $550.00 | $89.43 – $385.00 | 10 |
| Human epididymis protein 4 (he4) CPT 86305 | $200.08 | $473.00 | $18.49 – $331.10 | 10 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $106.77 | $252.39 | $0.41 – $176.68 | 8 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $29.97 | $70.85 | $7.51 – $45.48 | 9 |
| Hydration IV infusion each additional hour CPT 96361 | $195.43 | $462.00 | $19.07 – $323.40 | 4 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $322.33 | $762.00 | $65.23 – $533.40 | 4 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $83.89 | $198.32 | $9.58 – $77.89 | 9 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $224.35 | $530.36 | $14.00 – $46.64 | 8 |
| Hydromorphone injection HCPCS J1170 | $27.14 | $64.16 | $2.32 – $42.68 | 9 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $55.72 | $131.72 | $0.06 – $0.25 | 9 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $33.84 | $80.00 | $15.56 – $56.00 | 10 |
| #hypersens-actinomyces ab CPT 86602 | $23.69 | $56.00 | $9.04 – $39.20 | 10 |
| Hysterosalpingography s&i CPT 74740 | $324.02 | $766.00 | $54.81 – $536.20 | 6 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $278.34 | $658.00 | $138.18 – $460.60 | 8 |
| I-123 iobenguane diag HCPCS A9582 | $4,562.91 | $10,787.00 | $2,265.27 – $8,222.19 | 7 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $60.92 | $144.00 | $30.24 – $144.00 | 7 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $1,061.73 | $2,510.00 | $527.10 – $1,757.00 | 6 |
| I131 iodide cap, rx HCPCS A9517 | $33.84 | $80.00 | $16.80 – $56.00 | 6 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $224.62 | $531.00 | $24.67 – $371.70 | 10 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $938.83 | $2,219.45 | $29.20 – $214.07 | 9 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $176.09 | $416.27 | $76.21 – $298.30 | 9 |
| Icatibant injection HCPCS J1744 | $3,195.37 | $7,554.05 | $93.19 – $5,287.84 | 9 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $0.43 | $1.00 | $0.21 – $1.00 | 9 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $0.43 | $1.00 | $0.21 – $1.00 | 9 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $0.43 | $1.00 | $0.21 – $1.00 | 9 |
| Idarubicin hcl injection HCPCS J9211 | $581.54 | $1,374.78 | $0.06 – $0.25 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $495.00 | $1,170.19 | $21.58 – $384.05 | 9 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $186.12 | $440.00 | $29.88 – $308.00 | 6 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $586.28 | $1,386.00 | $50.18 – $970.20 | 6 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $296.10 | $700.00 | $13.39 – $490.00 | 6 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,943.69 | $4,595.00 | $16.21 – $7,669.00 | 5 |
| Iliac revasc add-on 37222 CPT 37222 | $6,847.95 | $16,189.00 | $3,399.69 – $11,332.30 | 4 |
| Immune complex assay CPT 86332 | $241.11 | $570.00 | $21.65 – $399.00 | 10 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,272.93 | $14,829.60 | $25.81 – $894.49 | 9 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $86.72 | $205.00 | $18.49 – $143.50 | 10 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $55.84 | $132.00 | $18.49 – $92.40 | 10 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $32.58 | $77.00 | $10.64 – $53.90 | 10 |
| Immunofixation electrophoresis serum CPT 86334 | $115.06 | $272.00 | $19.85 – $190.40 | 10 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $34.69 | $82.00 | $17.22 – $125.75 | 6 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $445.85 | $1,054.00 | $11.71 – $737.80 | 6 |
| Immunoglobulin assay CPT 86023 | $65.99 | $156.00 | $11.07 – $103.60 | 10 |
| Immunology procedure CPT 86849 | $44.42 | $105.00 | $22.05 – $73.50 | 5 |
| Implant ureth bulk agent HCPCS L8606 | $337.98 | $799.00 | $167.79 – $799.00 | 9 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,493.14 | $8,258.00 | $1,734.18 – $5,780.60 | 6 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,663.21 | $6,296.00 | $476.25 – $4,407.20 | 7 |
| In-111 pentetreotide HCPCS A9572 | $4,505.80 | $10,652.00 | $2,236.92 – $7,456.40 | 6 |
| Incise & treat bladder CPT 51030 | not published | not published | $1,459.40 – $1,459.40 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,144.22 | $2,705.00 | $283.92 – $946.40 | 3 |
| Incision of burn scab initi CPT 16035 | $624.78 | $1,477.00 | $310.17 – $1,033.90 | 3 |
| Incision of small bowel 44010 CPT 44010 | $444.15 | $1,050.00 | $220.50 – $735.00 | 3 |
| Incision of urethra CPT 53025 | not published | not published | $48.33 – $48.33 | 1 |
| Incision tendon sheath CPT 26055 | $2,356.11 | $5,570.00 | $1,169.70 – $3,899.00 | 2 |
| Incisn windpipe CPT 31600 | $4,437.70 | $10,491.00 | $2,203.11 – $7,343.70 | 3 |
| Incobotulinumtoxin a HCPCS J0588 | $1,739.79 | $4,112.97 | $3.13 – $1,458.67 | 9 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $122.25 | $289.00 | $60.69 – $202.30 | 2 |
| Infect ag drug suscept pheno predict CPT 87900 | $249.57 | $590.00 | $115.79 – $413.00 | 10 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $610.82 | $1,444.00 | $95.90 – $819.00 | 10 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $409.89 | $969.00 | $109.67 – $678.30 | 10 |
| Infect ag ia optc obs influenza CPT 87804 | $82.07 | $194.00 | $10.65 – $135.80 | 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.