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 |
|---|---|---|---|---|
| MRA without fol w/cont, pelvis HCPCS C8920 | $408.48 | $1,380.00 | $276.00 – $2,459.00 | 9 |
| MRI breast without cont bi CPT 77047 | $376.81 | $1,273.00 | $150.50 – $2,459.00 | 10 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $181.45 | $613.00 | $122.60 – $2,459.00 | 10 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $549.08 | $1,855.00 | $315.33 – $2,459.00 | 10 |
| MRI chest without contrast CPT 71550 | $1,288.79 | $4,354.00 | $186.96 – $3,047.80 | 10 |
| MRI chest without & w/contrast CPT 71552 | $1,385.88 | $4,682.00 | $315.33 – $2,459.00 | 10 |
| MRI chest w IV cont CPT 71551 | $1,122.44 | $3,792.00 | $278.75 – $2,654.40 | 10 |
| MRI guid ndl plc s&i CPT 77021 | $731.42 | $2,471.00 | $443.19 – $2,459.00 | 8 |
| MRI loex nonjt w IV cont CPT 73719 | $1,322.53 | $4,468.00 | $278.75 – $3,127.60 | 10 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,322.53 | $4,468.00 | $186.96 – $3,127.60 | 10 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,739.89 | $5,878.00 | $315.33 – $4,114.60 | 10 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,160.62 | $3,921.00 | $186.96 – $2,744.70 | 10 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,682.17 | $5,683.00 | $315.33 – $2,459.00 | 10 |
| MRI orbit fac&nck w IV cont CPT 70542 | $403.75 | $1,364.00 | $272.80 – $2,459.00 | 10 |
| MRI tmj CPT 70336 | $1,215.38 | $4,106.00 | $186.96 – $2,874.20 | 10 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,210.35 | $4,089.00 | $186.96 – $2,862.30 | 10 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,597.52 | $5,397.00 | $315.33 – $3,577.70 | 10 |
| MRI without fol w/cont, breast HCPCS C8908 | $1,793.76 | $6,060.00 | $338.16 – $4,242.00 | 10 |
| Mr spectroscopy CPT 76390 | $1,586.27 | $5,359.00 | $245.06 – $3,751.30 | 10 |
| Mthfr gene analy common variants CPT 81291 | $72.23 | $244.00 | $38.77 – $170.80 | 10 |
| Multiple sleep latency test CPT 95805 | $3,634.29 | $12,278.00 | $235.98 – $8,594.60 | 4 |
| Mumps antibody igg CPT 86735 | $32.86 | $111.00 | $11.59 – $77.70 | 10 |
| Muscle-skin graft leg CPT 15738 | $1,096.09 | $3,703.00 | $740.60 – $2,592.10 | 2 |
| Mycobacteria dna amp probe CPT 87551 | $102.12 | $345.00 | $24.67 – $241.50 | 10 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $29.86 | $100.85 | $0.09 – $0.30 | 8 |
| Mycophenolic acid HCPCS J7518 | $29.97 | $101.22 | $0.70 – $2.45 | 8 |
| Mycoplasma antibody igm CPT 86738 | $27.24 | $92.00 | $11.76 – $64.40 | 10 |
| Myelogphy 2/> spine regions CPT 72270 | $672.52 | $2,272.00 | $148.54 – $1,590.40 | 6 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $796.24 | $2,690.00 | $538.00 – $1,883.00 | 2 |
| Myelography via inj w/s&i cervical CPT 62302 | $796.24 | $2,690.00 | $538.00 – $1,883.00 | 2 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $842.12 | $2,845.00 | $450.80 – $1,577.80 | 2 |
| Myelography via inj w/s&i thoracic CPT 62303 | $796.24 | $2,690.00 | $538.00 – $1,883.00 | 2 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $58.61 | $198.00 | $10.25 – $138.60 | 10 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,276.36 | $4,312.00 | $839.59 – $3,018.40 | 7 |
| Myocrd img pet 2rtracer CPT 78432 | $2,967.40 | $10,025.00 | $115.89 – $7,017.50 | 6 |
| Myocrd img pet 2rtracer CT CPT 78433 | $3,264.29 | $11,028.00 | $126.64 – $7,719.60 | 6 |
| Myocrd img pet mlt rst&strs CPT 78492 | $1,276.36 | $4,312.00 | $839.59 – $3,018.40 | 7 |
| Myocrd img pet rst&strs CT CPT 78431 | $2,670.81 | $9,023.00 | $108.59 – $6,316.10 | 6 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $1,721.24 | $5,815.00 | $93.54 – $4,070.50 | 6 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $22.99 | $77.64 | $3.55 – $54.35 | 9 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $54.67 | $184.67 | $13.12 – $45.92 | 8 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $457.03 | $1,544.00 | $82.87 – $1,080.80 | 4 |
| Natriuretic peptide CPT 83880 | $102.72 | $347.00 | $30.15 – $221.20 | 10 |
| Natural killer cells total count CPT 86357 | $48.25 | $163.00 | $29.62 – $114.10 | 10 |
| Navigational bronchoscopy 31627 CPT 31627 | $1,780.44 | $6,015.00 | $1,203.00 – $4,210.50 | 3 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $90.88 | $307.00 | $9.61 – $214.90 | 4 |
| Ndl round specialty proguide HCPCS C1715 | $6.22 | $21.00 | $4.20 – $14.70 | 2 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,658.49 | $5,603.00 | $176.05 – $3,922.10 | 10 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,530.03 | $5,169.00 | $157.26 – $3,618.30 | 10 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,168.02 | $3,946.00 | $78.34 – $2,762.20 | 10 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,637.96 | $8,912.00 | $315.33 – $6,238.40 | 10 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,724.20 | $5,825.00 | $278.75 – $4,077.50 | 10 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,724.20 | $5,825.00 | $186.96 – $3,495.00 | 10 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,554.89 | $5,253.00 | $315.33 – $3,677.10 | 10 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,143.45 | $3,863.00 | $278.75 – $2,704.10 | 10 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $285.94 | $966.00 | $186.96 – $2,459.00 | 10 |
| Nelarabine injection HCPCS J9261 | $1,600.66 | $5,407.61 | $74.70 – $3,785.33 | 9 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $26.46 | $89.37 | $0.10 – $43.65 | 9 |
| Nerve conduction 7-8 studies CPT 95910 | $254.56 | $860.00 | $92.50 – $602.00 | 4 |
| Nerve conduction studies 11-12 CPT 95912 | $308.14 | $1,041.00 | $121.31 – $728.70 | 4 |
| Nerve conduction studies 1-2 CPT 95907 | $191.22 | $646.00 | $49.41 – $452.20 | 4 |
| Nerve conduction studies 13+ CPT 95913 | $333.60 | $1,127.00 | $135.64 – $788.90 | 4 |
| Nerve conduction studies 3-4 CPT 95908 | $224.08 | $757.00 | $59.73 – $529.90 | 4 |
| Nerve conduction studies 5-6 CPT 95909 | $384.51 | $1,299.00 | $71.66 – $909.30 | 4 |
| Nerve conduction studies 9-10 CPT 95911 | $285.35 | $964.00 | $107.22 – $674.80 | 4 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $139.42 | $471.00 | $15.03 – $329.70 | 4 |
| New Patient Office Visit (level 2) CPT 99202 | $311.10 | $1,051.00 | $61.08 – $3,642.00 | 6 |
| New Patient Office Visit (level 3) CPT 99203 | $155.70 | $526.00 | $83.93 – $368.20 | 5 |
| New Patient Office Visit (level 4) CPT 99204 | $226.44 | $765.00 | $94.76 – $535.50 | 5 |
| New Patient Office Visit (level 5) CPT 99205 | $287.72 | $972.00 | $94.76 – $680.40 | 5 |
| Nintedanib 150 mg capsule HCPCS J8999 | $38,369.37 | $129,626.24 | $0.05 – $0.18 | 8 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,072.12 | $3,622.00 | $724.40 – $2,535.40 | 4 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $41.10 | $138.84 | $20.56 – $71.96 | 8 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $17,039.82 | $57,566.94 | $17.76 – $6,679.11 | 9 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $535.76 | $1,810.00 | $362.00 – $1,267.00 | 2 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,454.84 | $4,915.00 | $201.11 – $3,440.50 | 6 |
| Nm imaging bone/joint whole body CPT 78306 | $1,017.36 | $3,437.00 | $180.00 – $2,405.90 | 6 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $514.75 | $1,739.00 | $232.29 – $1,217.30 | 6 |
| Nm imaging gastric emptying study CPT 78264 | $898.66 | $3,036.00 | $173.51 – $2,125.20 | 6 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $573.95 | $1,939.00 | $205.09 – $1,357.30 | 6 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,004.04 | $3,392.00 | $243.51 – $2,374.40 | 6 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $909.02 | $3,071.00 | $183.87 – $2,149.70 | 6 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $797.13 | $2,693.00 | $287.43 – $1,885.10 | 6 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $432.76 | $1,462.00 | $184.08 – $1,023.40 | 6 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $537.54 | $1,816.00 | $76.77 – $1,271.20 | 6 |
| Noninv pace analysis CPT 93724 | $343.07 | $1,159.00 | $84.61 – $811.30 | 5 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,306.73 | $7,793.00 | $800.00 – $5,455.10 | 6 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,494.40 | $8,427.00 | $331.44 – $5,898.90 | 5 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $922.93 | $3,118.00 | $331.44 – $2,182.60 | 5 |
| Nuclear rx intra-arterial CPT 79445 | $172.28 | $582.00 | $111.49 – $407.40 | 5 |
| Nuclear rx IV admin CPT 79101 | $468.57 | $1,583.00 | $77.90 – $1,108.10 | 6 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,669.74 | $5,641.00 | $322.99 – $3,948.70 | 6 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $17,675.56 | $59,714.70 | $37.97 – $41,800.29 | 9 |
| Observation direct referral from physician office for admission HCPCS G0379 | $49.14 | $166.00 | $16.76 – $3,642.00 | 9 |
| Observation per hour HCPCS G0378 | $49.14 | $166.00 | $16.76 – $3,642.00 | 8 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $42,134.49 | $142,346.24 | $39.96 – $99,642.37 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $175.81 | $593.95 | $1.25 – $43.17 | 8 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $13,979.02 | $47,226.41 | $100.32 – $22,158.81 | 9 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $3,112.85 | $10,516.38 | $19.38 – $3,738.05 | 9 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $14.22 | $48.04 | $0.01 – $0.38 | 8 |
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.