CHI Memorial Hospital Hixson
2051 Hamill Road, Hixson, TN · CommonSpirit Health · · NPI 1083778633
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 |
|---|---|---|---|---|
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,177.55 | $10,734.96 | $70.06 – $7,514.48 | 9 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $162.87 | $550.23 | $17.22 – $94.88 | 9 |
| ER Visit (level 1, minor) CPT 99281 | $166.06 | $561.00 | $50.35 – $1,222.00 | 7 |
| ER Visit (level 2) CPT 99282 | $355.20 | $1,200.00 | $50.35 – $1,222.00 | 7 |
| ER Visit (level 3) CPT 99283 | $450.22 | $1,521.00 | $110.76 – $1,222.00 | 7 |
| ER Visit (level 4) CPT 99284 | $529.25 | $1,788.00 | $171.17 – $1,222.00 | 7 |
| ER Visit (level 5, high severity) CPT 99285 | $789.73 | $2,668.00 | $322.19 – $1,734.20 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $16.60 | $56.07 | $11.22 – $39.25 | 8 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $132.38 | $447.21 | $12.67 – $44.32 | 8 |
| Esophageal dilat s&i CPT 74360 | $102.42 | $346.00 | $69.20 – $242.20 | 4 |
| Esoph imped function test CPT 91037 | $392.20 | $1,325.00 | $115.13 – $3,642.00 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $54.17 | $183.00 | $36.24 – $3,642.00 | 6 |
| Established Patient Office Visit (level 2) CPT 99212 | $67.20 | $227.00 | $45.40 – $158.90 | 5 |
| Established Patient Office Visit (level 3) CPT 99213 | $71.04 | $240.00 | $48.00 – $168.00 | 5 |
| Established Patient Office Visit (level 4) CPT 99214 | $109.52 | $370.00 | $72.38 – $259.00 | 5 |
| Established Patient Office Visit (level 5) CPT 99215 | $279.72 | $945.00 | $94.76 – $661.50 | 5 |
| Estradiol total CPT 82670 | $33.45 | $113.00 | $24.82 – $79.10 | 10 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $50.72 | $171.34 | $3.13 – $119.94 | 9 |
| Estrogens total-sendout CPT 82672 | $25.16 | $85.00 | $19.28 – $59.50 | 10 |
| Ethylene glycol -sendout CPT 82693 | $17.76 | $60.00 | $13.23 – $42.00 | 10 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $242.33 | $818.65 | $0.95 – $310.54 | 9 |
| Etoposide 50 mg cap HCPCS J8560 | $408.17 | $1,378.94 | $39.82 – $965.26 | 8 |
| Evaluation of speech fluency 92521 CPT 92521 | $93.54 | $316.00 | $63.20 – $221.20 | 6 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $619.53 | $2,093.00 | $418.60 – $1,465.10 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | $298.96 | $1,010.00 | $202.00 – $707.00 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $1,902.40 | $6,427.00 | $1,285.40 – $4,498.90 | 2 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $3,125.76 | $10,560.00 | $2,112.00 – $7,392.00 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $3,034.60 | $10,252.00 | $2,050.40 – $7,176.40 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $1,997.12 | $6,747.00 | $1,349.40 – $4,722.90 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $1,664.12 | $5,622.00 | $1,124.40 – $3,935.40 | 2 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $1,664.71 | $5,624.00 | $1,124.80 – $3,936.80 | 2 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $1,664.71 | $5,624.00 | $1,124.80 – $3,936.80 | 2 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $387.76 | $1,310.00 | $262.00 – $917.00 | 2 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,901.80 | $6,425.00 | $1,285.00 – $4,497.50 | 2 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $142.97 – $142.97 | 1 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $1,597.52 | $5,397.00 | $1,079.40 – $3,777.90 | 2 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,051.40 | $3,552.00 | $710.40 – $2,486.40 | 2 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $1,462.24 | $4,940.00 | $988.00 – $3,458.00 | 2 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,334.37 | $4,508.00 | $901.60 – $3,155.60 | 2 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $721.95 | $2,439.00 | $34.23 – $1,707.30 | 4 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $803.94 | $2,716.00 | $44.31 – $1,901.20 | 4 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,051.40 | $3,552.00 | $72.50 – $2,486.40 | 4 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,051.40 | $3,552.00 | $710.40 – $2,486.40 | 3 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,051.40 | $3,552.00 | $54.37 – $2,486.40 | 4 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,184.60 | $4,002.00 | $800.40 – $2,801.40 | 3 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $1,462.24 | $4,940.00 | $988.00 – $3,458.00 | 2 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $721.95 | $2,439.00 | $48.33 – $1,707.30 | 4 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,052.28 | $3,555.00 | $74.50 – $2,488.50 | 4 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $1,051.40 | $3,552.00 | $108.74 – $2,486.40 | 4 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $1,051.40 | $3,552.00 | $710.40 – $2,486.40 | 3 |
| Exchange biliary drg cath CPT 47536 | $2,664.89 | $9,003.00 | $1,800.60 – $6,302.10 | 2 |
| Exchange drainage catheter CPT 49423 | $288.60 | $975.00 | $195.00 – $682.50 | 3 |
| Exchange nephrostomy cath CPT 50435 | $752.73 | $2,543.00 | $508.60 – $1,780.10 | 2 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $54.37 – $54.37 | 1 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $773.75 | $2,614.00 | $58.40 – $1,829.80 | 4 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,051.40 | $3,552.00 | $64.44 – $2,486.40 | 4 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $721.95 | $2,439.00 | $60.41 – $1,707.30 | 4 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $1,334.37 | $4,508.00 | $901.60 – $3,155.60 | 2 |
| Excision graft extremity CPT 35903 | $2,787.14 | $9,416.00 | $1,883.20 – $6,591.20 | 3 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $66.45 – $66.45 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $1,051.40 | $3,552.00 | $76.51 – $2,486.40 | 4 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $1,051.40 | $3,552.00 | $710.40 – $2,486.40 | 3 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $1,334.37 | $4,508.00 | $901.60 – $3,155.60 | 2 |
| Exc malig feenl >4cm 11646 CPT 11646 | $1,462.24 | $4,940.00 | $988.00 – $3,458.00 | 2 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $1,051.40 | $3,552.00 | $64.44 – $2,486.40 | 4 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $773.75 | $2,614.00 | $90.62 – $1,829.80 | 4 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $1,354.20 | $4,575.00 | $915.00 – $3,202.50 | 3 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $942.76 | $3,185.00 | $60.41 – $2,229.50 | 4 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $773.75 | $2,614.00 | $80.55 – $1,829.80 | 4 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $1,051.40 | $3,552.00 | $94.64 – $2,486.40 | 4 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,051.40 | $3,552.00 | $110.76 – $2,486.40 | 4 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,209.16 | $4,085.00 | $817.00 – $2,859.50 | 2 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $1,051.40 | $3,552.00 | $110.76 – $2,486.40 | 4 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $1,337.04 | $4,517.00 | $903.40 – $3,161.90 | 2 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $1,462.24 | $4,940.00 | $988.00 – $3,458.00 | 2 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $144.99 – $144.99 | 1 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | not published | not published | $56.38 – $56.38 | 1 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $1,334.37 | $4,508.00 | $901.60 – $3,155.60 | 2 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $2,357.35 | $7,964.00 | $1,592.80 – $5,574.80 | 3 |
| Exploration carotid artery 35701 CPT 35701 | $481.00 | $1,625.00 | $325.00 – $1,137.50 | 3 |
| Exploration of chest 39010 CPT 39010 | $819.92 | $2,770.00 | $554.00 – $1,939.00 | 3 |
| Explore limb vessels 35860 CPT 35860 | $3,079.00 | $10,402.00 | $2,080.40 – $7,281.40 | 3 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $112.77 – $112.77 | 1 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | $999.89 | $3,378.00 | $675.60 – $2,364.60 | 2 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | $999.89 | $3,378.00 | $675.60 – $2,364.60 | 2 |
| Expose art endoprosth iliac 34820 CPT 34820 | $5,458.24 | $18,440.00 | $3,688.00 – $12,908.00 | 3 |
| Expose endoprosth brachial 34834 CPT 34834 | $2,843.97 | $9,608.00 | $1,921.60 – $6,725.60 | 3 |
| Extensive sternum surgery CPT 21632 | not published | not published | $4,385.47 – $4,385.47 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | $194.77 | $658.00 | $110.72 – $460.60 | 10 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $193.29 | $653.00 | $111.02 – $457.10 | 10 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $138.53 | $468.00 | $15.93 – $327.60 | 10 |
| F-18 fdg pet diag HCPCS A9552 | $107.16 | $362.00 | $72.40 – $260.55 | 7 |
| Facial bones <3 CPT 70140 | $243.02 | $821.00 | $26.36 – $574.70 | 6 |
| Factor ix CPT 85250 | $160.14 | $541.00 | $16.91 – $378.70 | 10 |
| Factor ix recombinant nos HCPCS J7195 | $106.72 | $360.54 | $0.95 – $252.38 | 13 |
| Factor viii CPT 85240 | $34.34 | $116.00 | $15.91 – $81.20 | 10 |
| Fat/lipids feces qualitative CPT 82705 | $8.59 | $29.00 | $4.52 – $20.30 | 10 |
| Fatty acids nonesterified CPT 82725 | $25.16 | $85.00 | $11.83 – $59.50 | 10 |
| #fecal-sodium CPT 84302 | $6.52 | $22.00 | $4.32 – $14.70 | 10 |
| Femoral endovas graft add-on 34813 CPT 34813 | $3,313.72 | $11,195.00 | $2,239.00 – $7,836.50 | 3 |
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.