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 |
|---|---|---|---|---|
| Lung Function Test (Spirometry) CPT 94010 | $222.00 | $750.00 | $19.07 – $525.00 | 4 |
| Lung perfusion imaging CPT 78580 | $326.79 | $1,104.00 | $144.62 – $772.80 | 6 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $17,393.41 | $58,761.52 | $119.56 – $41,133.07 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $814.89 | $2,753.00 | $171.39 – $1,927.10 | 6 |
| Macroscopic exam arthropod CPT 87168 | $4.44 | $15.00 | $3.79 – $10.50 | 10 |
| Macroscopic exam parasite CPT 87169 | $5.04 | $17.00 | $3.79 – $11.90 | 10 |
| Magnesium CPT 83735 | $15.40 | $52.00 | $5.95 – $36.40 | 10 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $24.78 | $83.69 | $0.05 – $0.25 | 9 |
| Mammosite ced HCPCS C1728 | $80.22 | $271.00 | $54.20 – $271.00 | 9 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $57.72 | $195.00 | $15.91 – $189.52 | 6 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $77.26 | $261.00 | $26.70 – $189.52 | 6 |
| Manipulation of hip joint CPT 27275 | $1,608.17 | $5,433.00 | $1,086.60 – $3,803.10 | 2 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $23.10 | $78.01 | $4.92 – $44.15 | 9 |
| Manual diff wbc count b-coat CPT 85009 | $33.75 | $114.00 | $3.30 – $79.80 | 10 |
| Map tachycard site(s) CPT 93609 | $612.72 | $2,070.00 | $125.08 – $1,449.00 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $82.00 | $277.00 | $37.00 – $185.00 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $64.83 | $219.00 | $12.85 – $153.30 | 10 |
| Mayo aathr protein s free CPT 85306 | $27.24 | $92.00 | $13.61 – $64.40 | 10 |
| Mayo activated protein c resistance assay CPT 85307 | $20.13 | $68.00 | $13.61 – $47.60 | 10 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $23.98 | $81.00 | $13.13 – $56.70 | 10 |
| Mayo alpha 1 antitrypsin CPT 82103 | $68.97 | $233.00 | $11.94 – $163.10 | 10 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $21.91 | $74.00 | $13.39 – $51.80 | 10 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $214.01 | $723.00 | $108.15 – $506.10 | 10 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $128.76 | $435.00 | $72.00 – $304.50 | 10 |
| Mayo androstenedione CPT 82157 | $48.84 | $165.00 | $26.01 – $115.50 | 10 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $156.59 | $529.00 | $12.97 – $370.30 | 10 |
| Mayo antithrombin iii antigen CPT 85301 | $14.80 | $50.00 | $9.60 – $35.00 | 10 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $48.55 | $164.00 | $13.38 – $114.80 | 10 |
| Mayo avwpr vw factor activity CPT 85397 | $164.88 | $557.00 | $20.38 – $389.90 | 10 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $41.44 | $140.00 | $28.00 – $98.00 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $14.51 | $49.00 | $9.04 – $34.30 | 10 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $337.74 | $1,141.00 | $98.40 – $798.70 | 10 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $23.68 | $80.00 | $11.46 – $56.00 | 10 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $68.08 | $230.00 | $11.72 – $58.80 | 10 |
| Mayo brcmg brucella antibody igm CPT 86622 | $53.88 | $182.00 | $7.94 – $63.70 | 10 |
| Mayo c1 esterase inhibitor CPT 83883 | $30.79 | $104.00 | $12.08 – $72.80 | 10 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $16.88 | $57.00 | $11.40 – $39.90 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $31.08 | $105.00 | $14.08 – $73.50 | 10 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $31.08 | $105.00 | $23.79 – $73.50 | 10 |
| Mayo ceruloplasmin CPT 82390 | $20.72 | $70.00 | $9.54 – $49.00 | 10 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $67.79 | $229.00 | $12.54 – $47.60 | 10 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $40.85 | $138.00 | $11.45 – $96.60 | 10 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $14.80 | $50.00 | $10.50 – $35.00 | 10 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $17.17 | $58.00 | $11.27 – $40.60 | 10 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $145.34 | $491.00 | $103.49 – $343.70 | 10 |
| Mayo chromium CPT 82495 | $26.94 | $91.00 | $18.02 – $63.70 | 10 |
| Mayo coccidioides antibody CPT 86635 | $30.49 | $103.00 | $10.19 – $72.10 | 10 |
| Mayo cocou cortisone urine CPT 82542 | $38.19 | $129.00 | $7.55 – $90.30 | 10 |
| Mayo cortisol free CPT 82530 | $29.90 | $101.00 | $14.85 – $70.70 | 10 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $72.52 | $245.00 | $27.50 – $171.50 | 9 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $22.80 | $77.00 | $10.77 – $53.90 | 10 |
| Mayo cyanide CPT 82600 | $32.27 | $109.00 | $17.23 – $76.30 | 10 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $17.17 | $58.00 | $11.77 – $40.60 | 10 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $44.11 | $149.00 | $22.45 – $104.30 | 10 |
| Mayo dihydrotestosterone CPT 82642 | $34.34 | $116.00 | $21.23 – $81.20 | 10 |
| Mayo efpo chloride stool CPT 82438 | $37.30 | $126.00 | $4.34 – $85.40 | 10 |
| Mayo estrone CPT 82679 | $33.45 | $113.00 | $22.17 – $79.10 | 10 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $27.24 | $92.00 | $14.52 – $64.40 | 10 |
| Mayo everolimus therapeutic drug level CPT 80169 | $18.36 | $62.00 | $12.20 – $43.40 | 10 |
| Mayo factor ii CPT 85210 | $162.51 | $549.00 | $11.54 – $384.30 | 10 |
| Mayo factor v CPT 85220 | $158.36 | $535.00 | $15.67 – $49.00 | 10 |
| Mayo factor vii CPT 85230 | $160.14 | $541.00 | $15.91 – $378.70 | 10 |
| Mayo factor viii vw factor antigen CPT 85246 | $43.52 | $147.00 | $20.38 – $102.90 | 10 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $84.96 | $287.00 | $20.38 – $200.90 | 10 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $44.70 | $151.00 | $20.38 – $105.70 | 10 |
| Mayo factor x CPT 85260 | $162.51 | $549.00 | $15.91 – $384.30 | 10 |
| Mayo factor xi CPT 85270 | $160.14 | $541.00 | $15.91 – $378.70 | 10 |
| Mayo fat/lipids feces quantitative CPT 82710 | $216.97 | $733.00 | $14.93 – $513.10 | 10 |
| Mayo fbl culture fungi blood CPT 87103 | $104.20 | $352.00 | $8.01 – $246.40 | 10 |
| Mayo ffspg allergen clam igg CPT 86001 | $5.04 | $17.00 | $4.63 – $14.70 | 10 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $26.35 | $89.00 | $11.77 – $62.30 | 10 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $649.43 | $2,194.00 | $240.31 – $1,491.00 | 5 |
| Mayo hemosiderin qualitative urine CPT 83070 | $49.14 | $166.00 | $4.21 – $116.20 | 10 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $226.15 | $764.00 | $24.67 – $534.80 | 10 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $41.44 | $140.00 | $28.00 – $98.00 | 10 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $20.43 | $69.00 | $11.10 – $48.30 | 10 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $35.23 | $119.00 | $22.93 – $83.30 | 10 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $23.98 | $81.00 | $7.89 – $56.70 | 10 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $17.47 | $59.00 | $12.01 – $41.30 | 10 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $37.30 | $126.00 | $24.13 – $88.20 | 10 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $71.34 | $241.00 | $11.50 – $70.70 | 10 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $150.67 | $509.00 | $13.31 – $46.90 | 10 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $18.36 | $62.00 | $18.49 – $43.40 | 10 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $143.56 | $485.00 | $18.49 – $86.80 | 10 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $42.92 | $145.00 | $29.00 – $101.50 | 2 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $40.85 | $138.00 | $10.65 – $96.60 | 10 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $78.44 | $265.00 | $10.65 – $185.50 | 10 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $55.06 | $186.00 | $24.67 – $130.20 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $49.44 | $167.00 | $22.90 – $116.90 | 10 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $65.72 | $222.00 | $24.67 – $155.40 | 10 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $42.92 | $145.00 | $29.00 – $101.50 | 2 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $90.88 | $307.00 | $38.05 – $214.90 | 10 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $92.95 | $314.00 | $47.12 – $219.80 | 10 |
| Mayo infliximab therapeutic drug level CPT 80230 | $52.10 | $176.00 | $25.18 – $123.20 | 10 |
| Mayo inhab inhibin a CPT 86336 | $58.61 | $198.00 | $13.85 – $138.60 | 10 |
| Mayo insft insulin free CPT 83527 | $14.21 | $48.00 | $11.50 – $33.60 | 10 |
| Mayo insulin antibodies CPT 86337 | $18.65 | $63.00 | $19.01 – $51.41 | 10 |
| Mayo iodine CPT 83789 | $30.49 | $103.00 | $7.55 – $72.10 | 10 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $32.56 | $110.00 | $17.70 – $77.00 | 9 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $42.04 | $142.00 | $17.70 – $99.40 | 10 |
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.