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 |
|---|---|---|---|---|
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $1,022.98 | $3,456.00 | $691.20 – $2,419.20 | 3 |
| Amputation of foot at ankle CPT 27889 | $7,109.92 | $24,020.00 | $4,804.00 – $16,814.00 | 2 |
| Amputation of lower leg CPT 27882 | $975.92 | $3,297.00 | $659.40 – $2,307.90 | 3 |
| Amputation thru metatarsal CPT 28805 | $1,723.91 | $5,824.00 | $1,164.80 – $4,076.80 | 3 |
| Amputation toe interphalangeal joint CPT 28825 | $1,705.26 | $5,761.00 | $1,152.20 – $4,032.70 | 2 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $1,024.46 | $3,461.00 | $692.20 – $2,422.70 | 2 |
| Amylase CPT 82150 | $15.40 | $52.00 | $5.75 – $36.40 | 10 |
| Ana ds-dna CPT 86226 | $200.40 | $677.00 | $10.76 – $473.90 | 10 |
| Anal/urinary muscle study CPT 51784 | $146.23 | $494.00 | $18.51 – $345.80 | 4 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $18.84 – $18.84 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | $79.63 | $269.00 | $40.00 – $188.30 | 10 |
| Analysis gene f5 leiden variant CPT 81241 | $69.86 | $236.00 | $40.00 – $165.20 | 10 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $41.44 | $140.00 | $28.00 – $98.00 | 2 |
| Anca screen with reflex to titer -quest CPT 86021 | $104.79 | $354.00 | $13.38 – $247.80 | 10 |
| An cholangiogram percutaneous compl CPT 47531 | $431.57 | $1,458.00 | $291.60 – $1,020.60 | 2 |
| An fluoro guide for cvp CPT 77001 | $258.41 | $873.00 | $67.43 – $611.10 | 5 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $1,568.51 | $5,299.00 | $1,059.80 – $3,709.30 | 3 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $3,655.31 | $12,349.00 | $2,469.80 – $8,644.30 | 3 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $8,442.81 | $28,523.00 | $3,777.40 – $13,220.90 | 3 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $2,598.00 | $8,777.00 | $1,755.40 – $6,143.90 | 4 |
| Angioscopy CPT 35400 | not published | not published | $133.23 – $133.23 | 1 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $80.72 | $272.67 | $54.54 – $190.87 | 8 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $4,810.89 | $16,253.00 | $3,250.60 – $11,377.10 | 3 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $2,185.37 | $7,383.00 | $1,476.60 – $5,206.00 | 3 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $4,370.44 | $14,765.00 | $2,953.00 – $10,335.50 | 2 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $2,185.37 | $7,383.00 | $1,476.60 – $5,206.00 | 3 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $4,370.44 | $14,765.00 | $2,953.00 – $10,335.50 | 2 |
| Ankle X-ray CPT 73610 | $250.42 | $846.00 | $22.82 – $394.80 | 6 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $331.23 | $1,119.00 | $223.80 – $783.30 | 3 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $28.19 – $28.19 | 1 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $22.80 | $77.00 | $11.45 – $53.90 | 10 |
| Antibody elution rbc reference CPT 86860 | $93.54 | $316.00 | $6.12 – $221.20 | 6 |
| Antibody htlv/hiv confirm test CPT 86689 | $144.75 | $489.00 | $17.19 – $342.30 | 10 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $44.11 | $149.00 | $14.85 – $104.30 | 10 |
| Antibody id rbc panel CPT 86870 | $131.13 | $443.00 | $6.12 – $310.10 | 6 |
| Antibody influenza virus CPT 86710 | $29.01 | $98.00 | $12.04 – $68.60 | 10 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $38.19 | $129.00 | $11.43 – $90.30 | 10 |
| Antibody screen rbc CPT 86850 | $83.48 | $282.00 | $9.77 – $197.40 | 7 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $106.63 | $360.21 | $0.67 – $251.60 | 13 |
| Antihemophilic viii/vwf comp HCPCS J7186 | $105.96 | $357.94 | $0.67 – $250.56 | 13 |
| Anti-inhibitor HCPCS J7198 | $108.55 | $366.70 | $1.23 – $243.18 | 13 |
| Anti mog serum - sendout CPT 86362 | $207.20 | $700.00 | $140.00 – $490.00 | 2 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $17.17 | $58.00 | $11.60 – $40.60 | 2 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $17.17 | $58.00 | $11.60 – $40.60 | 2 |
| Antinuclear antibodies CPT 86038 | $24.28 | $82.00 | $10.74 – $57.40 | 10 |
| Antinuclear antibodies titer CPT 86039 | $84.36 | $285.00 | $9.91 – $199.50 | 10 |
| Antiphosphatidylserine antibody CPT 86148 | $100.94 | $341.00 | $14.27 – $238.70 | 10 |
| Antistreptolysin o titer CPT 86060 | $34.34 | $116.00 | $6.49 – $81.20 | 10 |
| Antithrombin iii activity CPT 85300 | $22.50 | $76.00 | $10.53 – $53.20 | 10 |
| Antithrombin iii injection HCPCS J7197 | $111.85 | $377.85 | $1.38 – $262.95 | 9 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $4,622.04 | $15,614.98 | $14.47 – $631.58 | 9 |
| Aortic circulation assist 33971 CPT 33971 | $4,104.93 | $13,868.00 | $2,773.60 – $9,707.60 | 3 |
| Aortic dysfunction/dilation CPT 81410 | $614.50 | $2,076.00 | $328.99 – $1,453.20 | 10 |
| Aortic dysfunction/dilation CPT 81411 | $1,646.36 | $5,562.00 | $881.34 – $3,893.40 | 10 |
| Apheresis plasma CPT 36514 | $1,749.36 | $5,910.00 | $1,182.00 – $4,137.00 | 3 |
| Apheresis platelets CPT 36513 | $1,207.09 | $4,078.00 | $815.60 – $2,854.60 | 3 |
| Apheresis rbc CPT 36512 | $1,207.09 | $4,078.00 | $815.60 – $2,854.60 | 3 |
| Apheresis wbc CPT 36511 | $1,312.17 | $4,433.00 | $886.60 – $3,103.10 | 3 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,021.98 | $6,831.00 | $1,366.20 – $4,781.70 | 3 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,011.14 | $3,416.00 | $683.20 – $2,391.20 | 3 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,011.14 | $3,416.00 | $683.20 – $2,391.20 | 3 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $4,144.89 | $14,003.00 | $2,800.60 – $9,802.10 | 3 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $2,082.66 | $7,036.00 | $1,407.20 – $4,925.20 | 3 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $1,011.14 | $3,416.00 | $683.20 – $2,391.20 | 3 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $32.22 – $32.22 | 1 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $48.33 – $48.33 | 1 |
| Application clubfoot cast CPT 29450 | not published | not published | $34.23 – $34.23 | 1 |
| Application finger splntstatic 29130 CPT 29130 | $48.25 | $163.00 | $16.10 – $114.10 | 4 |
| Application lower leg splint 29515 CPT 29515 | not published | not published | $30.21 – $30.21 | 1 |
| Application multi layer compression below knee (both sides) CPT 29581 | $187.08 | $632.00 | $126.40 – $442.40 | 3 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $50.35 – $50.35 | 1 |
| Application of forearm cast 29075 CPT 29075 | not published | not published | $34.23 – $34.23 | 1 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $42.28 – $42.28 | 1 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $60.41 – $60.41 | 1 |
| Application of paste boot 29580 CPT 29580 | $174.64 | $590.00 | $66.96 – $375.20 | 4 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $40.27 – $40.27 | 1 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,021.98 | $6,831.00 | $1,366.20 – $4,781.70 | 3 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,021.98 | $6,831.00 | $1,366.20 – $4,781.70 | 3 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $171.98 | $581.00 | $116.20 – $581.00 | 9 |
| Appl long leg cast brace CPT 29358 | not published | not published | $86.59 – $86.59 | 1 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $48.55 | $164.00 | $8.32 – $189.52 | 6 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $58.40 – $58.40 | 1 |
| Apply forearm splintdynamic 29126 CPT 29126 | $37.89 | $128.00 | $25.60 – $89.60 | 3 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $34.23 – $34.23 | 1 |
| Apply interstit radiat compl CPT 77778 | $914.05 | $3,088.00 | $215.77 – $2,161.60 | 6 |
| Apply of finger splint 29131 CPT 29131 | $48.25 | $163.00 | $24.17 – $114.10 | 4 |
| Apply rigid leg cast 29445 CPT 29445 | $119.00 | $402.00 | $80.40 – $281.40 | 3 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $48.33 – $48.33 | 1 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $316.07 | $1,067.79 | $1.48 – $747.46 | 9 |
| #aptt mix-1:1 incubated CPT 87532 | $129.95 | $439.00 | $24.67 – $307.30 | 10 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $207.20 | $700.00 | $136.00 – $476.00 | 2 |
| Aqmbf pet rest & rx stress CPT 78434 | $1,762.68 | $5,955.00 | $36.55 – $4,168.50 | 5 |
| Aquaporin-4 antibody cba each CPT 86052 | $170.20 | $575.00 | $115.00 – $402.50 | 2 |
| Aquaporin-4 antibody elisa CPT 86051 | $97.68 | $330.00 | $66.00 – $231.00 | 2 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $86.14 | $291.00 | $30.97 – $203.70 | 6 |
| Aquatic exercise - group charge CPT 97150 | $64.24 | $217.00 | $22.68 – $189.52 | 6 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $1,294.08 | $4,371.89 | $5.71 – $496.93 | 9 |
| Art byp aortofemoral 35647 CPT 35647 | $3,313.72 | $11,195.00 | $2,239.00 – $7,836.50 | 3 |
| Art bypass axillary-femoral 35621 CPT 35621 | $3,217.23 | $10,869.00 | $2,173.80 – $7,608.30 | 3 |
| Art bypass carotid-subclavian 35606 CPT 35606 | $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.