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 |
|---|---|---|---|---|
| Mayo lamotrigine therapeutic drug level CPT 80175 | $15.40 | $52.00 | $11.77 – $36.40 | 10 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $18.65 | $63.00 | $11.37 – $44.10 | 10 |
| Mayo legionella antibody CPT 86713 | $20.13 | $68.00 | $13.59 – $47.60 | 10 |
| Mayo leptospira antibody igm CPT 86720 | $19.84 | $67.00 | $11.72 – $46.90 | 10 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $21.32 | $72.00 | $13.76 – $50.40 | 10 |
| Mayo manganese CPT 83785 | $8.00 | $27.00 | $18.90 – $50.10 | 10 |
| Mayo metanephrines plasma CPT 83835 | $34.93 | $118.00 | $15.04 – $82.60 | 10 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $47.36 | $160.00 | $10.40 – $36.40 | 2 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $22.20 | $75.00 | $15.00 – $52.50 | 2 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $169.32 | $572.00 | $12.92 – $400.40 | 10 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $106.56 | $360.00 | $12.17 – $63.00 | 10 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $242.13 | $818.00 | $89.43 – $555.80 | 10 |
| Mayo muramidase CPT 85549 | $21.91 | $74.00 | $16.66 – $51.80 | 10 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $22.20 | $75.00 | $15.00 – $52.50 | 2 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $13.32 | $45.00 | $6.50 – $33.93 | 10 |
| Mayo myoglobin CPT 83874 | $19.54 | $66.00 | $11.47 – $46.20 | 10 |
| Mayo nickel CPT 83885 | $31.97 | $108.00 | $21.76 – $75.60 | 10 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $30.20 | $102.00 | $14.62 – $71.40 | 10 |
| Mayo organic acids qualitative each specimen CPT 83919 | $21.61 | $73.00 | $14.62 – $51.10 | 10 |
| Mayo oxalate 24 hour urine CPT 83945 | $20.13 | $68.00 | $11.44 – $47.60 | 10 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $45.29 | $153.00 | $10.25 – $107.10 | 10 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $20.13 | $68.00 | $13.36 – $47.60 | 10 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $137.05 | $463.00 | $10.70 – $324.10 | 10 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $36.41 | $123.00 | $24.67 – $86.10 | 10 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $26.35 | $89.00 | $15.97 – $62.30 | 10 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $24.87 | $84.00 | $12.23 – $58.80 | 10 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $13.03 | $44.00 | $7.50 – $30.80 | 10 |
| Mayo pregnenolone CPT 84140 | $35.23 | $119.00 | $18.36 – $83.30 | 10 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $21.61 | $73.00 | $14.74 – $51.10 | 10 |
| Mayo proinsulin CPT 84206 | $170.50 | $576.00 | $15.82 – $403.20 | 10 |
| Mayo psaft prostate specific antigen free CPT 84154 | $38.48 | $130.00 | $16.34 – $91.00 | 10 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $311.99 | $1,054.00 | $12.01 – $737.80 | 10 |
| Mayo receptor assay transferrin soluble CPT 84238 | $176.42 | $596.00 | $32.49 – $417.20 | 10 |
| Mayo renin CPT 84244 | $40.56 | $137.00 | $19.54 – $95.90 | 10 |
| Mayo repu protein electrophoresis urine CPT 84166 | $52.10 | $176.00 | $15.84 – $123.20 | 10 |
| Mayo selenium CPT 84255 | $42.04 | $142.00 | $22.68 – $99.40 | 10 |
| Mayo serotonin CPT 84260 | $42.63 | $144.00 | $27.52 – $100.80 | 10 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $54.76 | $185.00 | $17.19 – $129.50 | 10 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $83.18 | $281.00 | $12.20 – $196.70 | 10 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $19.84 | $67.00 | $13.40 – $46.90 | 2 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $8.59 | $29.00 | $3.79 – $20.30 | 10 |
| Mayo tau phosphorylated 217 each CPT 84393 | $158.66 | $536.00 | $107.20 – $375.20 | 2 |
| Mayo tgrp testosterone free CPT 84402 | $22.80 | $77.00 | $22.62 – $53.90 | 10 |
| Mayo tgrp testosterone total CPT 84403 | $62.16 | $210.00 | $22.93 – $147.00 | 10 |
| Mayo thyroglobulin CPT 84432 | $35.23 | $119.00 | $14.27 – $83.30 | 10 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $47.96 | $162.00 | $9.04 – $113.40 | 10 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $21.02 | $71.00 | $11.00 – $49.70 | 10 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $65.42 | $221.00 | $44.20 – $154.70 | 10 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $30.49 | $103.00 | $9.24 – $72.10 | 10 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $61.57 | $208.00 | $12.04 – $145.60 | 10 |
| Mayo vasoactive intestinal peptide CPT 84586 | $47.07 | $159.00 | $24.80 – $111.30 | 10 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $120.18 | $406.00 | $17.98 – $284.20 | 10 |
| Mayo vitamin b3 (niacin) CPT 84591 | $23.68 | $80.00 | $10.30 – $56.00 | 10 |
| Mayo vitamin k CPT 84597 | $45.29 | $153.00 | $12.18 – $107.10 | 10 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $42.04 | $142.00 | $11.77 – $99.40 | 10 |
| Measurement post void urine by ultrasound CPT 51798 | $74.60 | $252.00 | $50.40 – $176.40 | 3 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $37.70 | $127.35 | $0.16 – $61.88 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $23.03 | $77.79 | $1.95 – $44.10 | 9 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $6,396.06 | $21,608.31 | $18.67 – $15,125.82 | 9 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $358.11 | $1,209.83 | $0.81 – $42.48 | 8 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $129.47 | $437.38 | $1.73 – $304.83 | 9 |
| Metabolic Blood Panel (Basic) CPT 80048 | $105.38 | $356.00 | $7.51 – $249.20 | 10 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $183.23 | $619.00 | $9.38 – $433.30 | 10 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $33.61 | $113.54 | $8.17 – $48.19 | 9 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $63.70 | $215.18 | $0.17 – $0.59 | 8 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $240.39 | $812.12 | $2.96 – $282.50 | 9 |
| Methotrexate therapeutic drug level CPT 80204 | $45.88 | $155.00 | $25.18 – $108.50 | 9 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,286.29 | $4,345.57 | $1.13 – $307.90 | 8 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $40.91 | $138.19 | $6.06 – $82.60 | 9 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $198.95 | $672.11 | $0.84 – $102.79 | 8 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $33.44 | $112.95 | $0.32 – $15.50 | 8 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $34.00 | $114.84 | $14.15 – $49.51 | 8 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $66.32 | $224.05 | $0.05 – $0.18 | 8 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $20.35 | $68.75 | $0.05 – $0.25 | 9 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $19.92 | $67.27 | $10.95 – $38.33 | 8 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $76.49 | $258.40 | $0.67 – $88.68 | 9 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $50.80 | $171.59 | $0.05 – $0.25 | 9 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $34.12 | $115.26 | $2.01 – $58.67 | 9 |
| Minocycline hydrochloride HCPCS J2265 | $273.65 | $924.47 | $1.16 – $525.38 | 9 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $827.26 | $2,794.79 | $27.90 – $527.47 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $366.31 | $1,237.53 | $24.35 – $664.67 | 9 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,585.08 | $5,355.00 | $1,071.00 – $3,748.50 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $211.35 | $714.00 | $142.80 – $499.80 | 2 |
| Mopath procedure level 5 CPT 81404 | $335.37 | $1,133.00 | $179.40 – $793.10 | 10 |
| Mopath procedure level 7 CPT 81406 | $344.55 | $1,164.00 | $184.65 – $814.80 | 10 |
| Mopath procedure level 9 CPT 81408 | $2,439.04 | $8,240.00 | $1,305.50 – $5,768.00 | 10 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $34.76 | $117.41 | $1.43 – $38.29 | 9 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $18.96 | $64.04 | $12.03 – $42.10 | 8 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $251.02 | $848.04 | $13.37 – $58.59 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $185.60 | $627.00 | $51.96 – $438.90 | 6 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $1,423.33 | $4,808.53 | $961.71 – $3,365.98 | 8 |
| MRA chest w IV cont HCPCS C8909 | $933.29 | $3,153.00 | $298.93 – $2,459.00 | 10 |
| MRA chest wo IV cont HCPCS C8910 | $621.31 | $2,099.00 | $200.49 – $2,459.00 | 10 |
| MRA chest wwo IV cont HCPCS C8911 | $1,056.43 | $3,569.00 | $338.16 – $2,498.30 | 10 |
| MRA pelvis w IV cont HCPCS C8918 | $408.48 | $1,380.00 | $276.00 – $2,459.00 | 9 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,056.43 | $3,569.00 | $200.49 – $2,498.30 | 9 |
| MRA w/cont, abd HCPCS C8900 | $1,618.24 | $5,467.00 | $298.93 – $3,826.90 | 10 |
| MRA without cont, abd HCPCS C8901 | $1,267.48 | $4,282.00 | $200.49 – $2,997.40 | 10 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,949.76 | $6,587.00 | $338.16 – $4,610.90 | 10 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,265.59 | $7,654.00 | $338.16 – $5,357.80 | 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.