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 |
|---|---|---|---|---|
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $507.18 | $1,199.00 | $28.47 – $839.30 | 6 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $674.69 | $1,595.00 | $37.67 – $1,116.50 | 6 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $229.69 | $543.00 | $26.36 – $380.10 | 6 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $314.72 | $744.00 | $24.26 – $520.80 | 6 |
| X-ray scapula complete (both sides) CPT 73010 | $211.08 | $499.00 | $22.38 – $349.30 | 6 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $295.68 | $699.00 | $20.30 – $489.30 | 6 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $424.70 | $1,004.00 | $33.26 – $702.80 | 6 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $335.02 | $792.00 | $44.14 – $554.40 | 6 |
| X-ray skull < 4 views CPT 70250 | $211.50 | $500.00 | $26.36 – $350.00 | 6 |
| X-ray skull > 4 views complete CPT 70260 | $450.50 | $1,065.00 | $37.67 – $745.50 | 6 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $439.50 | $1,039.00 | $54.81 – $727.30 | 6 |
| X-ray small intestine follow-through study CPT 74248 | $338.40 | $800.00 | $52.08 – $560.00 | 5 |
| X-ray spine single view CPT 72020 | $136.21 | $322.00 | $17.79 – $225.40 | 6 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $197.12 | $466.00 | $29.71 – $326.20 | 6 |
| X-ray sternum > 2 views CPT 71120 | $303.30 | $717.00 | $27.64 – $501.90 | 6 |
| X-ray surgical specimen CPT 76098 | $807.93 | $1,910.00 | $5.25 – $220.00 | 6 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $693.30 | $1,639.00 | $54.81 – $1,147.30 | 6 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $183.59 | $434.00 | $35.36 – $303.80 | 6 |
| X-ray thoracic spine 3 views CPT 72072 | $198.81 | $470.00 | $31.17 – $329.00 | 6 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $218.27 | $516.00 | $28.47 – $361.20 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $176.40 | $417.00 | $49.99 – $291.90 | 6 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $324.45 | $767.00 | $22.38 – $536.90 | 6 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $224.19 | $530.00 | $17.79 – $371.00 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $590.09 | $1,395.00 | $69.47 – $976.50 | 6 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $390.86 | $924.00 | $61.75 – $646.80 | 6 |
| X-ray wrist 2 views (both sides) CPT 73100 | $151.44 | $358.00 | $21.15 – $250.60 | 6 |
| Zika virus dna/rna amp probe CPT 87662 | $128.60 | $304.00 | $41.35 – $212.80 | 10 |
| Zika virus igm antibody CPT 86794 | $43.57 | $103.00 | $13.58 – $72.10 | 10 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $128.10 | $302.83 | $12.40 – $81.39 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $511.94 | $1,210.26 | $9.45 – $41.58 | 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.