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 |
|---|---|---|---|---|
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $25.13 | $84.87 | $0.05 – $0.25 | 9 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $2,383.99 | $8,054.00 | $1,610.80 – $5,637.80 | 2 |
| Opn ax/subcla art expos CPT 34715 | $3,005.59 | $10,154.00 | $2,030.80 – $7,107.80 | 2 |
| Opn ilac art expos cndt crtj CPT 34833 | $1,846.45 | $6,238.00 | $1,247.60 – $4,366.60 | 3 |
| Organic acids total quant ea spec CPT 83918 | $31.97 | $108.00 | $14.62 – $75.60 | 10 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $3,748.63 | $12,664.27 | $17.93 – $2,538.60 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $20.89 | $70.55 | $0.05 – $0.25 | 9 |
| Oscillation chest wall mechanical per session CPT 94669 | $228.52 | $772.00 | $41.12 – $540.40 | 6 |
| Osmolality blood CPT 83930 | $29.90 | $101.00 | $5.87 – $70.70 | 10 |
| Osmolality urine CPT 83935 | $47.96 | $162.00 | $6.06 – $113.40 | 10 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $3,266.96 | $11,037.00 | $2,207.40 – $7,725.90 | 2 |
| Ot evaluation high complexity patient/family CPT 97167 | $156.88 | $530.00 | $70.00 – $371.00 | 6 |
| Ot evaluation low complexity patient/family CPT 97165 | $154.22 | $521.00 | $70.00 – $364.70 | 6 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $135.28 | $457.00 | $70.00 – $319.90 | 6 |
| Oth resp proc, group HCPCS G0239 | $35.23 | $119.00 | $15.33 – $189.52 | 6 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $63.35 | $214.00 | $42.80 – $189.52 | 6 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $26.64 | $90.00 | $18.00 – $189.52 | 6 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $82.59 | $279.00 | $29.75 – $195.30 | 6 |
| Ot re-evaluation patient/family CPT 97168 | $44.70 | $151.00 | $30.20 – $189.52 | 6 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $78.44 | $265.00 | $32.76 – $189.52 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $72.52 | $245.00 | $15.63 – $189.52 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $72.52 | $245.00 | $16.37 – $189.52 | 6 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $90.58 | $306.00 | $30.21 – $214.20 | 6 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $77.85 | $263.00 | $22.49 – $189.52 | 6 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $30.20 | $102.00 | $20.40 – $189.52 | 6 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $41.33 | $139.60 | $1.39 – $54.76 | 9 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $311.60 | $1,052.69 | $0.06 – $322.88 | 9 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $20.11 | $67.93 | $0.60 – $42.32 | 9 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $315.47 | $1,065.76 | $0.12 – $397.77 | 9 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,444.18 | $11,635.72 | $6.78 – $8,145.01 | 9 |
| Palonosetron hcl HCPCS J2469 | $91.61 | $309.47 | $1.24 – $45.80 | 9 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $78.46 | $265.05 | $17.83 – $89.12 | 9 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $3,586.94 | $12,118.04 | $67.89 – $8,482.63 | 9 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $22.41 | $75.69 | $11.81 – $41.33 | 8 |
| Papaverin hcl injection HCPCS J2440 | $63.35 | $214.01 | $1.45 – $82.74 | 9 |
| Parathormone (pth) intact CPT 83970 | $184.12 | $622.00 | $36.67 – $435.40 | 10 |
| Parathyrd planar w/spect&ct CPT 78072 | $186.48 | $630.00 | $90.92 – $751.96 | 6 |
| Parathyroid planar imaging CPT 78070 | $290.08 | $980.00 | $76.38 – $686.00 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $169.91 | $574.00 | $114.80 – $401.80 | 3 |
| Partial removal of foot bone CPT 28288 | $1,430.57 | $4,833.00 | $966.60 – $3,383.10 | 2 |
| Partial removal of sternum CPT 21620 | $7,109.92 | $24,020.00 | $4,804.00 – $16,814.00 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | $3,271.69 | $11,053.00 | $2,210.60 – $7,737.10 | 2 |
| Pegaspargase injection HCPCS J9266 | $40,546.09 | $136,980.03 | $4,340.57 – $95,886.03 | 9 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $9,689.49 | $32,734.74 | $6,546.95 – $22,914.32 | 8 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $3,367.03 | $11,375.07 | $112.90 – $7,962.55 | 9 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $1,010.61 | $3,414.22 | $682.85 – $2,389.96 | 8 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $726.68 | $2,455.00 | $176.05 – $1,718.50 | 10 |
| Pelvic CT scan (with contrast) CPT 72193 | $586.38 | $1,981.00 | $157.26 – $1,467.00 | 10 |
| Pelvic CT scan (without contrast) CPT 72192 | $501.13 | $1,693.00 | $78.34 – $1,467.00 | 10 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,737.23 | $5,869.00 | $315.33 – $2,459.00 | 10 |
| Pelvic MRI (with contrast) CPT 72196 | $1,303.00 | $4,402.00 | $278.75 – $2,459.00 | 10 |
| Pelvic MRI (without contrast) CPT 72195 | $1,389.72 | $4,695.00 | $186.96 – $2,459.00 | 10 |
| Pelvic Ultrasound (complete) CPT 76856 | $583.12 | $1,970.00 | $64.44 – $1,379.00 | 6 |
| Pelvic Ultrasound (limited) CPT 76857 | $64.24 | $217.00 | $43.40 – $151.90 | 6 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $12,434.56 | $42,008.62 | $31.99 – $29,406.04 | 9 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $8,636.75 | $29,178.19 | $0.05 – $6.43 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $332.29 | $1,122.57 | $9.70 – $785.80 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $21.31 | $71.97 | $0.87 – $49.05 | 9 |
| Penis study CPT 54240 | $800.09 | $2,703.00 | $540.60 – $1,892.10 | 3 |
| Pentobarbital sodium inj HCPCS J2515 | $1,396.72 | $4,718.62 | $2.47 – $2,945.47 | 9 |
| Perc d-e cor revasc chro add HCPCS C9608 | $5,513.60 | $18,627.00 | $462.50 – $13,038.90 | 5 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $11,026.89 | $37,253.00 | $1,493.51 – $26,077.10 | 5 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,108.19 | $13,879.00 | $462.50 – $9,715.30 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $10,810.81 | $36,523.00 | $1,493.51 – $25,566.10 | 5 |
| Perc d-e cor stent ather br HCPCS C9603 | $10,918.85 | $36,888.00 | $462.50 – $25,821.60 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | $11,026.89 | $37,253.00 | $1,493.51 – $26,077.10 | 5 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,108.19 | $13,879.00 | $462.50 – $9,715.30 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | $10,810.81 | $36,523.00 | $1,493.51 – $25,566.10 | 5 |
| Perc rf ablate renal tumor CPT 50592 | $8,733.19 | $29,504.00 | $3,934.80 – $13,771.80 | 3 |
| Percut ablate liver rf CPT 47382 | $1,949.76 | $6,587.00 | $1,317.40 – $4,610.90 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $105.85 | $357.57 | $51.70 – $250.30 | 8 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,742.26 | $5,886.00 | $1,177.20 – $7,669.00 | 3 |
| Peripheral vascular rehab CPT 93668 | $63.64 | $215.00 | $0.28 – $150.50 | 5 |
| Peri-proc device eval icd CPT 93287 | $38.48 | $130.00 | $15.69 – $750.00 | 5 |
| Peri-proc device eval pm CPT 93286 | $38.48 | $130.00 | $13.87 – $750.00 | 5 |
| Perphenazine 4mg oral HCPCS Q0175 | $38.47 | $129.96 | $0.62 – $10.74 | 8 |
| Perq art m-thrombect &/nfs CPT 61645 | $2,135.94 | $7,216.00 | $1,443.20 – $5,051.20 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | $663.93 | $2,243.00 | $448.60 – $1,570.10 | 2 |
| Perq dev breast 1st strtctc CPT 19283 | $720.76 | $2,435.00 | $487.00 – $1,704.50 | 3 |
| Perq plmt bile duct stent CPT 47538 | $4,200.54 | $14,191.00 | $2,838.20 – $9,933.70 | 2 |
| Perq plmt bile duct stent CPT 47539 | $1,680.10 | $5,676.00 | $1,135.20 – $3,973.20 | 2 |
| Perq plmt bile duct stent CPT 47540 | $1,680.10 | $5,676.00 | $1,135.20 – $3,973.20 | 2 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $14,299.80 | $48,310.13 | $7.15 – $33,817.10 | 9 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,254.04 | $7,615.00 | $839.59 – $5,330.50 | 7 |
| Pet CT whole body initial CPT 78816 | $2,254.04 | $7,615.00 | $839.59 – $5,330.50 | 7 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,395.64 | $4,715.00 | $839.59 – $3,300.50 | 7 |
| Ph body fluid CPT 83986 | $22.80 | $77.00 | $3.18 – $53.90 | 10 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $60.53 | $204.48 | $5.51 – $142.55 | 9 |
| Phenobarbital therapeutic drug level CPT 80184 | $21.32 | $72.00 | $10.17 – $50.40 | 10 |
| Phentolaine mesylate inj HCPCS J2760 | $418.10 | $1,412.50 | $58.22 – $847.19 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $31.01 | $104.74 | $11.52 – $40.30 | 8 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $17.61 | $59.46 | $0.52 – $41.63 | 9 |
| Phenytoin total therapeutic drug level CPT 80185 | $30.20 | $102.00 | $11.77 – $71.40 | 10 |
| Phlebotomy therapeutic CPT 99195 | $51.21 | $173.00 | $19.97 – $121.10 | 4 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,626.23 | $5,494.00 | $1,098.80 – $3,845.80 | 3 |
| Phosphorus CPT 84100 | $51.21 | $173.00 | $4.21 – $121.10 | 10 |
| Phosphorus 24 hour urine CPT 84105 | $8.00 | $27.00 | $4.59 – $18.90 | 10 |
| Photodynamic tx addl 15 min CPT 96571 | $275.58 | $931.00 | $48.71 – $651.70 | 3 |
| Photodynmc tx 30 min add-on CPT 96570 | $275.58 | $931.00 | $93.72 – $651.70 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $39.89 | $134.76 | $0.05 – $0.25 | 9 |
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.