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 |
|---|---|---|---|---|
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $18.30 | $61.80 | $12.36 – $43.26 | 8 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $1,462.42 | $4,940.60 | $437.55 – $1,531.41 | 8 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $43.77 | $147.87 | $29.58 – $103.51 | 9 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $99.17 | $335.02 | $0.05 – $0.18 | 8 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $23.93 | $80.83 | $3.55 – $50.81 | 9 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $237.84 | $803.48 | $1.16 – $562.44 | 9 |
| Inj meropenem (wg crit care) HCPCS J2183 | $19.35 | $65.35 | $13.07 – $45.75 | 8 |
| Inj, micafungin (par pharm) HCPCS J2247 | $54.95 | $185.61 | $37.13 – $129.93 | 8 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $20,556.64 | $69,448.08 | $13,889.62 – $48,613.66 | 8 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $535.76 | $1,810.00 | $362.00 – $1,267.00 | 2 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $228.00 | $770.24 | $154.05 – $539.17 | 8 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $17,039.82 | $57,566.95 | $11,513.39 – $40,296.87 | 8 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $2,883.64 | $9,742.00 | $1,948.40 – $6,819.40 | 2 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $2,883.64 | $9,742.00 | $1,307.60 – $4,576.60 | 2 |
| Inj ogivri 10 mg HCPCS Q5114 | $3,330.34 | $11,251.14 | $45.26 – $7,875.80 | 9 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $19.03 | $64.27 | $12.86 – $44.99 | 8 |
| Inj peritoneal venous shunt CPT 49427 | $386.88 | $1,307.00 | $261.40 – $914.90 | 3 |
| Inj proc elbow arthro CPT 24220 | $196.84 | $665.00 | $133.00 – $465.50 | 4 |
| Inj proc lumbr disk ea lvl CPT 62290 | $999.89 | $3,378.00 | $675.60 – $2,364.60 | 3 |
| Inj proc myelogram lumbar CPT 62284 | $259.60 | $877.00 | $175.40 – $613.90 | 4 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $427.89 | $1,445.55 | $0.69 – $86.94 | 9 |
| Inj retro urethrocysto CPT 51610 | $355.50 | $1,201.00 | $240.20 – $840.70 | 4 |
| Inj scleros sol mult veins CPT 36471 | $557.08 | $1,882.00 | $50.90 – $1,317.40 | 4 |
| Inj scleros sol sgl vein CPT 36470 | $371.48 | $1,255.00 | $251.00 – $878.50 | 3 |
| Inj secretin synthetic human HCPCS J2850 | $670.39 | $2,264.83 | $24.35 – $1,585.39 | 9 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $2,678.09 | $9,047.60 | $1,809.52 – $6,333.32 | 8 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $55,701.08 | $188,179.31 | $37,635.87 – $131,725.52 | 8 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | $0.08 | $0.25 | $0.05 – $0.18 | 8 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $36,385.12 | $122,922.69 | $221.12 – $86,045.89 | 9 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $4,837.26 | $16,342.09 | $710.08 – $2,485.26 | 8 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | $40.24 | $135.92 | $27.19 – $95.15 | 8 |
| Inj w/fluor eval cv device CPT 36598 | $412.04 | $1,392.00 | $278.40 – $974.40 | 3 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $48,445.48 | $163,667.16 | $1,545.79 – $114,567.02 | 9 |
| Ins cath ren art 1st bi CPT 36252 | $1,726.87 | $5,834.00 | $1,166.80 – $4,083.80 | 3 |
| Ins cath ren art 1st uni CPT 36251 | $1,398.60 | $4,725.00 | $945.00 – $3,307.50 | 3 |
| Ins cath ren art 2nd+ bi CPT 36254 | $1,882.27 | $6,359.00 | $1,271.80 – $4,451.30 | 3 |
| Ins cath ren art 2nd+ uni CPT 36253 | $1,398.60 | $4,725.00 | $945.00 – $3,307.50 | 3 |
| Ins device for right guide open CPT 49412 | $92.95 | $314.00 | $62.80 – $219.80 | 3 |
| Insert cath pleura with image CPT 32557 | $1,384.99 | $4,679.00 | $935.80 – $3,275.30 | 3 |
| Insert cath pleura without image CPT 32556 | $1,731.01 | $5,848.00 | $1,169.60 – $4,093.60 | 3 |
| Insert hepatic shunt (tips) CPT 37182 | $3,233.51 | $10,924.00 | $2,184.80 – $7,646.80 | 3 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $44.31 – $44.31 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | $131.43 | $444.00 | $88.80 – $310.80 | 3 |
| Insertion catheter bladder temporary simple CPT 51702 | $74.60 | $252.00 | $50.40 – $176.40 | 3 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $3,402.82 | $11,496.00 | $2,299.20 – $8,047.20 | 3 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $2,447.63 | $8,269.00 | $1,653.80 – $5,788.30 | 3 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $1,671.22 | $5,646.00 | $1,129.20 – $3,952.20 | 3 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $868.17 | $2,933.00 | $586.60 – $2,053.10 | 2 |
| Insertion of catheter vein CPT 36481 | $1,009.36 | $3,410.00 | $682.00 – $2,387.00 | 4 |
| Insertion of catheter vein CPT 36500 | $627.82 | $2,121.00 | $424.20 – $1,484.70 | 4 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $10,656.00 | $36,000.00 | $7,200.00 – $25,200.00 | 3 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $10,656.00 | $36,000.00 | $7,200.00 – $25,200.00 | 3 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $2,958.23 | $9,994.00 | $1,998.80 – $6,995.80 | 3 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,843.20 | $6,227.00 | $1,245.40 – $4,358.90 | 2 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,308.92 | $4,422.00 | $884.40 – $3,095.40 | 2 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $26,545.58 | $89,681.00 | $17,936.20 – $62,776.70 | 3 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $8,711.28 | $29,430.00 | $5,886.00 – $20,601.00 | 3 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $1,629.78 | $5,506.00 | $1,101.20 – $3,854.20 | 3 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $5,713.10 | $19,301.00 | $3,860.20 – $13,510.70 | 2 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $1,805.01 | $6,098.00 | $1,219.60 – $4,268.60 | 2 |
| Insert pm/icd lead dual CPT 33217 | $1,555.19 | $5,254.00 | $1,050.80 – $3,677.80 | 3 |
| Insert/repl sq defib w/eltrd CPT 33270 | $23,300.53 | $78,718.00 | $15,743.60 – $55,102.60 | 2 |
| Insert sq defib electrode CPT 33271 | $4,629.74 | $15,641.00 | $3,128.20 – $10,948.70 | 2 |
| Insert swan-ganz cath CPT 93503 | $1,059.98 | $3,581.00 | $237.96 – $2,506.70 | 4 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $1,805.01 | $6,098.00 | $1,219.60 – $4,268.60 | 2 |
| Insert uteri tandem/ovoids CPT 57155 | $1,439.45 | $4,863.00 | $972.60 – $3,404.10 | 2 |
| Insert vad art access left hrt arterial access CPT 33990 | $917.60 | $3,100.00 | $620.00 – $2,170.00 | 3 |
| Insitu hybridization auto CPT 88367 | $346.32 | $1,170.00 | $119.90 – $819.00 | 6 |
| Insitu hybridization manual CPT 88368 | $346.32 | $1,170.00 | $119.90 – $819.00 | 6 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $166.36 | $562.00 | $45.75 – $393.40 | 6 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $83.18 | $281.00 | $15.91 – $272.15 | 6 |
| Insj phrnc nrv stim sys CPT 33276 | $24,184.68 | $81,705.00 | $16,341.00 – $57,193.50 | 2 |
| Insj phrnc nrv stim transvns CPT 33277 | $12,093.08 | $40,855.00 | $8,171.00 – $28,598.50 | 2 |
| Ins lv lead exist pm/icd CPT 33224 | $2,517.78 | $8,506.00 | $1,701.20 – $5,954.20 | 3 |
| Ins mark abd/pel for right perq CPT 49411 | $891.85 | $3,013.00 | $602.60 – $2,109.10 | 3 |
| Ins picad w subq port 5yr> CPT 36571 | $2,156.66 | $7,286.00 | $1,457.20 – $5,100.20 | 2 |
| Ins pm gen w/exist mlt leads CPT 33221 | $10,862.32 | $36,697.00 | $7,339.40 – $25,687.90 | 3 |
| Ins pq tunnld ip cath w/img CPT 49418 | $4,172.72 | $14,097.00 | $2,819.40 – $9,867.90 | 3 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $18,809.92 | $63,547.00 | $12,709.40 – $44,482.90 | 2 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $11,801.82 | $39,871.00 | $7,974.20 – $27,909.70 | 2 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $4,552.78 | $15,381.00 | $3,076.20 – $10,766.70 | 2 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $1,385.28 | $4,680.00 | $936.00 – $3,276.00 | 3 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $32,634.00 | $110,250.00 | $22,050.00 – $77,175.00 | 2 |
| Inst fibrinolysis agent ini day CPT 32561 | $733.20 | $2,477.00 | $495.40 – $1,733.90 | 3 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $733.20 | $2,477.00 | $495.40 – $1,733.90 | 3 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $2,607.24 | $8,808.23 | $1,385.61 – $6,165.77 | 9 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $339.81 | $1,148.00 | $229.60 – $803.60 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,034.82 | $3,496.00 | $699.20 – $2,447.20 | 2 |
| Inst via cath agent pleurds CPT 32560 | $1,260.96 | $4,260.00 | $852.00 – $2,982.00 | 3 |
| Insulin total CPT 83525 | $21.02 | $71.00 | $10.15 – $49.70 | 10 |
| Ins vag brachytx device CPT 57156 | $222.89 | $753.00 | $150.60 – $527.10 | 3 |
| Interdiscal perq aspir dx CPT 62267 | $707.74 | $2,391.00 | $478.20 – $1,673.70 | 3 |
| Interrog dev eval icpms ip CPT 93290 | $10.96 | $37.00 | $7.40 – $25.90 | 5 |
| Interrog device eval heart CPT 93289 | $23.09 | $78.00 | $15.60 – $54.60 | 5 |
| Interrog evl pm/ldls pm ip CPT 93288 | $45.00 | $152.00 | $21.51 – $106.40 | 5 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $92.63 – $92.63 | 1 |
| Int hrhc lig 2+hroid without img CPT 46946 | $2,772.93 | $9,368.00 | $1,873.60 – $6,557.60 | 2 |
| Intra-atrial recording CPT 93602 | $8,224.36 | $27,785.00 | $50.25 – $19,449.50 | 4 |
| Intracard echo interv w/s&i CPT 93662 | $2,302.88 | $7,780.00 | $176.39 – $7,669.00 | 6 |
| Intracran angioplsty w/stent CPT 61635 | $3,427.98 | $11,581.00 | $2,316.20 – $8,106.70 | 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.