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 |
|---|---|---|---|---|
| Fem/popl revasc w/stent CPT 37226 | $7,777.11 | $26,274.00 | $5,254.80 – $18,391.80 | 3 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $43.09 | $145.57 | $1.01 – $40.11 | 9 |
| Ferritin CPT 82728 | $96.50 | $326.00 | $12.10 – $228.20 | 10 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $279.79 | $945.23 | $0.33 – $483.17 | 9 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $26.16 – $26.16 | 1 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $44.40 | $150.00 | $3.04 – $105.00 | 10 |
| Fetal non stress test CPT 59025 | not published | not published | $10.72 – $10.72 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $161.62 | $546.00 | $9.04 – $382.20 | 10 |
| Fibrin degradation products CPT 85362 | $8.88 | $30.00 | $6.13 – $21.00 | 10 |
| Fibrinogen activity CPT 85384 | $121.66 | $411.00 | $7.55 – $287.70 | 10 |
| Fibrinogen test CPT 85370 | $9.48 | $32.00 | $10.09 – $25.48 | 10 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $13.32 | $45.00 | $4.59 – $31.50 | 10 |
| Fibrinolytic plasminogen CPT 85415 | $61.28 | $207.00 | $14.17 – $56.00 | 10 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $162.51 | $549.00 | $5.80 – $384.30 | 10 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $172.77 | $583.67 | $0.28 – $269.71 | 9 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $1,022.98 | $3,456.00 | $691.20 – $3,456.00 | 9 |
| Filter vena cava fem denali HCPCS C1880 | $1,215.97 | $4,108.00 | $521.20 – $2,606.00 | 9 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $716.32 | $2,420.00 | $484.00 – $1,694.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $402.56 | $1,360.00 | $272.00 – $952.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $386.28 | $1,305.00 | $261.00 – $913.50 | 3 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $33.16 – $33.16 | 1 |
| Fixation of knee joint CPT 27570 | $844.20 | $2,852.00 | $570.40 – $1,996.40 | 2 |
| Fix g/colon tube w/device CPT 49460 | $913.46 | $3,086.00 | $617.20 – $2,160.20 | 3 |
| Fl exam g/colon tube w contrast CPT 49465 | $465.61 | $1,573.00 | $314.60 – $1,101.10 | 3 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $56.38 – $56.38 | 1 |
| Flow cytometry marker each additional CPT 88185 | $36.71 | $124.00 | $22.38 – $86.80 | 6 |
| Flow cytometry one marker technical component CPT 88184 | $336.26 | $1,136.00 | $46.10 – $795.20 | 6 |
| #flow interp 9 - 15 markers CPT 88188 | $93.54 | $316.00 | $66.04 – $221.20 | 6 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $38.86 | $131.26 | $2.96 – $38.32 | 8 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $300.63 | $1,015.61 | $62.23 – $559.19 | 9 |
| Fluidotherapy charges pt CPT 97022 | $42.63 | $144.00 | $18.71 – $189.52 | 6 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $58.40 – $58.40 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $28.12 | $95.00 | $10.70 – $66.50 | 10 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $219.93 | $743.00 | $47.61 – $520.10 | 5 |
| Fluoroguide needle placement CPT 77002 | $255.75 | $864.00 | $52.06 – $604.80 | 5 |
| Fluoroscopy up to 1 hour CPT 76000 | $298.37 | $1,008.00 | $52.39 – $705.60 | 6 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $147.66 | $498.84 | $2.67 – $59.47 | 9 |
| Fna bx w/ct gdn 1st les CPT 10009 | $394.57 | $1,333.00 | $266.60 – $933.10 | 2 |
| Fna bx w/ct gdn ea addl CPT 10010 | $402.56 | $1,360.00 | $272.00 – $952.00 | 2 |
| Folic acid CPT 82746 | $37.30 | $126.00 | $13.06 – $88.20 | 10 |
| Follow-up angiography CPT 75898 | $611.24 | $2,065.00 | $44.14 – $1,445.50 | 5 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,688.51 | $9,082.79 | $4.44 – $1,861.35 | 9 |
| Fondaparinux sodium HCPCS J1652 | $56.70 | $191.54 | $1.38 – $52.27 | 8 |
| Foot X-ray CPT 73630 | $283.28 | $957.00 | $22.82 – $446.60 | 6 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $265.66 | $897.50 | $0.16 – $89.09 | 9 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $64.93 | $219.33 | $0.05 – $2.50 | 9 |
| Fracture assessment via dxa CPT 77086 | $92.95 | $314.00 | $28.96 – $219.80 | 6 |
| _fragile x methylation-sendout CPT 81244 | $53.28 | $180.00 | $29.30 – $148.73 | 10 |
| Fragmenting of kidney stone CPT 50590 | $5,916.75 | $19,989.00 | $3,997.80 – $13,992.30 | 3 |
| Freeing of bowel adhesion 44005 CPT 44005 | $3,879.08 | $13,105.00 | $2,621.00 – $9,173.50 | 3 |
| Frenotomy 40806 CPT 40806 | not published | not published | $16.10 – $16.10 | 1 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $108.64 | $367.00 | $49.97 – $256.90 | 4 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $250.72 | $847.00 | $35.78 – $211.40 | 4 |
| Fructosamine glycated protein CPT 82985 | $58.91 | $199.00 | $13.39 – $139.30 | 10 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $37.30 | $126.00 | $25.20 – $126.00 | 7 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $66.01 | $223.00 | $44.60 – $156.10 | 7 |
| Gallium illuccix 1 millicure HCPCS A9596 | $796.24 | $2,690.00 | $538.00 – $1,883.00 | 6 |
| Gammaglobulin iga CPT 82784 | $18.36 | $62.00 | $8.26 – $43.40 | 10 |
| Gammaglobulin ige CPT 82785 | $123.44 | $417.00 | $14.63 – $291.90 | 10 |
| Gamma glutamyltransferase CPT 82977 | $19.24 | $65.00 | $6.35 – $45.50 | 10 |
| Gamunex-c/gammaked HCPCS J1561 | $3,425.91 | $11,574.01 | $28.15 – $2,210.49 | 9 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $73.19 | $247.24 | $41.52 – $145.32 | 9 |
| Gastroesophageal reflux study CPT 78262 | $557.08 | $1,882.00 | $178.73 – $1,317.40 | 6 |
| Gastroesophageal reflux test CPT 91034 | $1,218.64 | $4,117.00 | $216.16 – $3,642.00 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $248.38 | $839.11 | $4.16 – $276.15 | 9 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $21,306.71 | $71,982.11 | $135.21 – $50,387.48 | 9 |
| General health panel CPT 80050 | $31.97 | $108.00 | $21.60 – $93.30 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $44.64 | $150.79 | $3.01 – $41.38 | 9 |
| Gentamicin peak therapeutic drug level CPT 80170 | $134.68 | $455.00 | $14.55 – $318.50 | 10 |
| G-esoph reflx tst w/electrod CPT 91035 | $840.35 | $2,839.00 | $449.72 – $3,642.00 | 4 |
| Ghs abscess perianal iandd CPT 46050 | $920.86 | $3,111.00 | $622.20 – $2,177.70 | 2 |
| Ghs abscess postoperative iandd complex CPT 10180 | $708.92 | $2,395.00 | $479.00 – $1,676.50 | 2 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $303.40 | $1,025.00 | $66.75 – $717.50 | 10 |
| Ghs antibodies (torch) igm CPT 86694 | $13.03 | $44.00 | $12.78 – $30.80 | 10 |
| Ghs bladder cath - complex-foley CPT 51703 | $180.27 | $609.00 | $121.80 – $426.30 | 3 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,788.44 | $6,042.00 | $1,208.40 – $4,229.40 | 2 |
| Ghs change cysto/gastrost CPT 43762 | $253.08 | $855.00 | $171.00 – $598.50 | 2 |
| Ghs chemo >8 hrs CPT 96416 | $317.32 | $1,072.00 | $106.00 – $710.50 | 5 |
| Ghs chemo IV push, ea addtl CPT 96411 | $90.28 | $305.00 | $37.48 – $213.50 | 5 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $63.64 | $215.00 | $24.67 – $150.50 | 10 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $90.62 – $90.62 | 1 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,017.06 | $3,436.00 | $687.20 – $2,405.20 | 2 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $32.22 – $32.22 | 1 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $28.19 – $28.19 | 1 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $30.21 – $30.21 | 1 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $36.24 – $36.24 | 1 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $30.21 – $30.21 | 1 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $726.98 | $2,456.00 | $491.20 – $1,719.20 | 2 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $311.10 | $1,051.00 | $177.15 – $735.70 | 4 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $64.44 – $64.44 | 1 |
| Ghs excision ingrown nail CPT 11765 | $391.91 | $1,324.00 | $28.19 – $926.80 | 4 |
| Ghs fat & muscle CPT 89160 | $48.55 | $164.00 | $3.28 – $114.80 | 10 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $62.42 – $62.42 | 1 |
| Ghs hcv amplificaiton CPT 87521 | $42.63 | $144.00 | $24.67 – $100.80 | 10 |
| Ghs histoplasma antigen CPT 87385 | $43.22 | $146.00 | $10.65 – $102.20 | 10 |
| Ghs HIV antibody CPT 86703 | $19.24 | $65.00 | $12.18 – $45.50 | 10 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $394.87 | $1,334.00 | $57.20 – $933.80 | 10 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $52.36 – $52.36 | 1 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $273.80 | $925.00 | $48.33 – $647.50 | 4 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $76.51 – $76.51 | 1 |
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.