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 |
|---|---|---|---|---|
| Infect ag if legionella pneumophila CPT 87278 | $26.23 | $62.00 | $10.65 – $43.40 | 10 |
| Infect ag if nos ea CPT 87299 | $191.20 | $452.00 | $10.65 – $316.40 | 10 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $204.31 | $483.00 | $58.43 – $338.10 | 10 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $74.03 | $175.00 | $36.75 – $122.50 | 2 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $923.84 | $2,184.00 | $123.48 – $783.55 | 10 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $851.93 | $2,014.00 | $422.94 – $1,409.80 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $47.80 | $113.00 | $10.65 – $79.10 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $138.33 | $327.00 | $10.65 – $228.90 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $165.82 | $392.00 | $10.65 – $274.40 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $169.63 | $401.00 | $10.65 – $280.70 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $55.84 | $132.00 | $12.78 – $92.40 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $65.99 | $156.00 | $9.18 – $109.20 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $78.26 | $185.00 | $21.39 – $129.50 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $102.37 | $242.00 | $10.65 – $169.40 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $24.54 | $58.00 | $10.65 – $40.60 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $38.07 | $90.00 | $10.65 – $63.00 | 10 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $236.04 | $558.00 | $24.67 – $165.20 | 10 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $166.24 | $393.00 | $24.67 – $275.10 | 10 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $123.52 | $292.00 | $31.18 – $204.40 | 10 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,057.50 | $2,500.00 | $193.50 – $1,750.00 | 10 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $74.88 | $177.00 | $23.10 – $84.25 | 10 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $123.94 | $293.00 | $24.67 – $205.10 | 10 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $217.85 | $515.00 | $31.18 – $360.50 | 10 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $115.48 | $273.00 | $21.42 – $191.10 | 10 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $63.88 | $151.00 | $21.42 – $105.70 | 10 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $133.25 | $315.00 | $66.15 – $220.50 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $776.21 | $1,835.00 | $18.25 – $1,284.50 | 10 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $295.26 | $698.00 | $18.25 – $488.60 | 10 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $113.79 | $269.00 | $38.05 – $188.30 | 10 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $177.66 | $420.00 | $38.05 – $135.80 | 10 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $304.56 | $720.00 | $38.05 – $180.60 | 10 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $205.58 | $486.00 | $56.50 – $340.20 | 10 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $241.11 | $570.00 | $74.18 – $399.00 | 10 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,598.60 | $8,507.31 | $32.30 – $2,568.55 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,502.20 | $3,551.30 | $10.86 – $2,485.91 | 9 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $555.40 | $1,313.00 | $75.80 – $919.10 | 6 |
| Initiation & management bipap/cpap initial day CPT 94660 | $207.27 | $490.00 | $72.05 – $343.00 | 6 |
| Inj alymsys 10 mg HCPCS Q5126 | $2,248.09 | $5,314.63 | $338.97 – $1,129.89 | 8 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $9,064.26 | $21,428.51 | $4,499.99 – $14,999.96 | 8 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $15,455.35 | $36,537.47 | $116.93 – $25,576.23 | 9 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $11,726.34 | $27,721.84 | $28.13 – $19,405.29 | 9 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $31.80 | $75.16 | $0.78 – $52.62 | 9 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $31.29 | $73.96 | $0.06 – $0.18 | 8 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $25.79 | $60.96 | $12.81 – $42.68 | 8 |
| Inj ceftolozane tazobactam HCPCS J0695 | $281.62 | $665.75 | $3.00 – $466.03 | 9 |
| Inj, clindamycin (baxter) HCPCS J0737 | $33.89 | $80.11 | $15.06 – $50.19 | 8 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $424.70 | $1,004.00 | $135.03 – $450.10 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,090.45 | $4,941.94 | $879.62 – $3,459.36 | 9 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $512.02 | $1,210.43 | $174.48 – $581.59 | 8 |
| Inj disk cerv-thor ea lev CPT 62291 | $1,047.78 | $2,477.00 | $520.17 – $1,733.90 | 3 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $1,261.94 | $2,983.29 | $626.50 – $2,088.31 | 8 |
| Inj dx for sinogram CPT 20501 | $60.07 | $142.00 | $29.82 – $99.40 | 4 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $399.74 | $945.00 | $198.45 – $661.50 | 4 |
| Injection, cangrelor HCPCS C9460 | $1,575.02 | $3,723.45 | $11.12 – $2,606.42 | 9 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $20,237.67 | $47,843.17 | $478.49 – $33,490.22 | 9 |
| Injection, daratumumab 10 mg HCPCS J9145 | $7,911.90 | $18,704.24 | $32.84 – $3,458.28 | 9 |
| Injection during cath supravalvular aortography CPT 93567 | $99.83 | $236.00 | $49.56 – $7,669.00 | 5 |
| Injection epidural blood patch or clot CPT 62273 | $1,161.14 | $2,745.00 | $576.45 – $1,921.50 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $324.02 | $766.00 | $48.33 – $536.20 | 5 |
| Injection for bladder x-ray CPT 51600 | $129.44 | $306.00 | $57.02 – $214.20 | 5 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $390.43 | $923.00 | $193.83 – $646.10 | 4 |
| Injection for ureter x-ray CPT 50684 | $87.14 | $206.00 | $43.26 – $144.20 | 4 |
| Injection for ureter x-ray CPT 50690 | $188.66 | $446.00 | $93.66 – $312.20 | 4 |
| Injection, fulvestrant HCPCS J9395 | $3,082.30 | $7,286.74 | $8.13 – $5,100.72 | 9 |
| Injection, glucarpidase HCPCS C9293 | $125,593.03 | $296,910.23 | $180.37 – $207,837.17 | 8 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,970.36 | $14,114.32 | $2,964.01 – $9,880.03 | 8 |
| Injection into brain canal CPT 61026 | $989.82 | $2,340.00 | $491.40 – $1,638.00 | 2 |
| Injection, isavuconazonium HCPCS J1833 | $646.20 | $1,527.64 | $0.44 – $964.74 | 9 |
| Injection of sinus tract CPT 20500 | $414.97 | $981.00 | $206.01 – $686.70 | 3 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,044.12 | $4,832.42 | $3.91 – $3,382.70 | 9 |
| Injection, peramivir HCPCS J2547 | $1,714.86 | $4,054.04 | $0.06 – $1.18 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $415.81 | $983.00 | $206.43 – $688.10 | 3 |
| Injection, renflexis HCPCS Q5104 | $1,457.42 | $3,445.43 | $30.48 – $2,014.51 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $905.65 | $2,141.00 | $449.61 – $1,498.70 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,072.31 | $2,535.00 | $532.35 – $1,774.50 | 3 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $907.34 | $2,145.00 | $450.45 – $1,501.50 | 2 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $670.04 | $1,584.00 | $106.89 – $356.30 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $590.51 | $1,396.00 | $293.16 – $977.20 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $931.87 | $2,203.00 | $449.19 – $1,497.30 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $714.87 | $1,690.00 | $346.08 – $1,153.60 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,753.34 | $4,145.00 | $278.67 – $928.90 | 2 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $561.33 | $1,327.00 | $278.67 – $928.90 | 2 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $432.31 | $1,022.00 | $30.21 – $715.40 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $134.94 | $319.00 | $22.81 – $223.30 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $64.30 | $152.00 | $15.92 – $368.00 | 4 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $210.66 | $498.00 | $63.19 – $348.60 | 4 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $130.71 | $309.00 | $24.87 – $205.80 | 4 |
| Injection treatment of nose CPT 30200 | not published | not published | $28.19 – $28.19 | 1 |
| Inj for ext venography CPT 36005 | $835.85 | $1,976.00 | $414.96 – $5,206.00 | 4 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $42.39 | $100.20 | $6.43 – $21.42 | 8 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $29.35 | $69.38 | $14.57 – $48.57 | 8 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $99.83 | $236.00 | $49.56 – $7,669.00 | 5 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $92.64 | $219.00 | $45.99 – $7,669.00 | 5 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $45.69 | $108.00 | $22.68 – $7,669.00 | 5 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $56.69 | $134.00 | $28.14 – $7,669.00 | 5 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $553.29 | $1,308.01 | $1.54 – $915.61 | 9 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $139,377.52 | $329,497.66 | $314.84 – $230,648.37 | 9 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $309.64 | $732.00 | $18.13 – $512.40 | 4 |
| Inj intralesional > 7 lsns CPT 11901 | $309.64 | $732.00 | $30.21 – $512.40 | 4 |
| Inj ivig privigen 500 mg HCPCS J1459 | $10,895.97 | $25,758.78 | $25.66 – $2,935.74 | 9 |
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.