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 |
|---|---|---|---|---|
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $568.32 | $1,920.00 | $384.00 – $1,344.00 | 6 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $140.96 – $140.96 | 1 |
| Pinworm exam CPT 87172 | $39.67 | $134.00 | $3.79 – $93.80 | 10 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $34.25 | $115.68 | $0.05 – $0.25 | 8 |
| Place cath intracranial art CPT 36228 | $1,265.70 | $4,276.00 | $855.20 – $2,993.20 | 3 |
| Place cath xtrnl carotid CPT 36227 | $4,159.69 | $14,053.00 | $1,855.00 – $6,492.50 | 3 |
| Place cecostomy tube perc CPT 49442 | $1,396.53 | $4,718.00 | $943.60 – $3,302.60 | 3 |
| Place duod/jej tube perc CPT 49441 | $2,600.96 | $8,787.00 | $1,757.40 – $6,150.90 | 3 |
| Place gastrostomy tube perc CPT 49440 | $1,204.43 | $4,069.00 | $813.80 – $2,848.30 | 3 |
| Placement bile duct support CPT 47801 | $1,790.80 | $6,050.00 | $1,210.00 – $4,235.00 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,294.12 | $4,372.00 | $874.40 – $3,060.40 | 3 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,930.22 | $6,521.00 | $1,304.20 – $4,564.70 | 2 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $4,613.16 | $15,585.00 | $3,117.00 – $10,909.50 | 3 |
| Place non-slctv cath thoracic arta CPT 36221 | $2,662.23 | $8,994.00 | $1,630.20 – $5,705.70 | 4 |
| Place right device/marker pros CPT 55876 | $1,045.48 | $3,532.00 | $706.40 – $2,472.40 | 3 |
| Place slctv cath carotd art uni CPT 36224 | $8,319.68 | $28,107.00 | $3,766.20 – $13,181.70 | 3 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,991.75 | $16,864.00 | $2,248.60 – $7,870.10 | 3 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $8,319.68 | $28,107.00 | $3,653.80 – $12,788.30 | 3 |
| Place slctv cath subclavian art CPT 36225 | $4,991.75 | $16,864.00 | $2,192.40 – $7,673.40 | 3 |
| Place slctv cath vertebral art uni CPT 36226 | $8,319.68 | $28,107.00 | $3,766.20 – $13,181.70 | 3 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $108.64 | $367.00 | $54.99 – $291.54 | 4 |
| Plastic surgery neck CPT 15819 | not published | not published | $985.19 – $985.19 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $157.18 | $531.00 | $19.09 – $371.70 | 10 |
| Platelet automated CPT 85049 | $76.96 | $260.00 | $3.98 – $182.00 | 10 |
| Platelet pheresis each unit HCPCS P9034 | $1,027.72 | $3,472.00 | $293.69 – $2,430.40 | 4 |
| Platelet pheresis irr ea HCPCS P9036 | $1,108.52 | $3,745.00 | $398.66 – $2,621.50 | 4 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $445.78 | $1,506.00 | $301.20 – $1,054.20 | 4 |
| Platelets irradiated ea unit HCPCS P9032 | $1,314.54 | $4,441.00 | $118.05 – $3,108.70 | 4 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $206.32 | $697.00 | $78.49 – $487.90 | 4 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $289.79 | $979.00 | $113.58 – $685.30 | 4 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,063.83 | $3,594.00 | $348.43 – $2,515.80 | 4 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,425.84 | $4,817.00 | $472.10 – $3,371.90 | 4 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $896.88 | $3,030.00 | $437.26 – $2,121.00 | 4 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $1,943.24 | $6,565.00 | $1,313.00 – $4,595.50 | 2 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $3,171.05 | $10,713.00 | $2,142.60 – $7,499.10 | 3 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $915.53 | $3,093.00 | $618.60 – $2,165.10 | 2 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $915.53 | $3,093.00 | $618.60 – $2,165.10 | 2 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,172.53 | $10,718.00 | $2,143.60 – $7,502.60 | 2 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $413.52 | $1,397.00 | $279.40 – $977.90 | 2 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $160.44 | $542.00 | $48.01 – $379.40 | 4 |
| Plmt access bil tree sm bwl CPT 47541 | $3,617.42 | $12,221.00 | $2,444.20 – $8,554.70 | 2 |
| Plmt biliary drainage cath CPT 47534 | $1,943.24 | $6,565.00 | $1,313.00 – $4,595.50 | 2 |
| Plmt nephroureteral catheter CPT 50433 | $2,115.22 | $7,146.00 | $1,429.20 – $5,002.20 | 2 |
| Plmt ureteral stent prq CPT 50694 | $915.53 | $3,093.00 | $618.60 – $2,165.10 | 2 |
| Pm device progr eval dual CPT 93280 | $38.19 | $129.00 | $24.61 – $90.30 | 5 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $60.98 | $206.00 | $17.19 – $144.20 | 10 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,195.14 | $7,416.00 | $312.48 – $2,335.90 | 4 |
| Potassium 24 hour urine CPT 84133 | $60.68 | $205.00 | $3.82 – $143.50 | 10 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $56.06 | $189.36 | $0.18 – $7.36 | 9 |
| Potassium serum/plasma/whole blood CPT 84132 | $13.03 | $44.00 | $4.09 – $30.80 | 10 |
| Pq biliary strict dil s&i CPT 74363 | $564.18 | $1,906.00 | $129.66 – $1,334.20 | 4 |
| Pq dr cath chg w cont s&i CPT 75984 | $194.48 | $657.00 | $82.04 – $459.90 | 5 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $3,190.29 | $10,778.00 | $2,155.60 – $7,544.60 | 2 |
| Pq thr inj ext pse CPT 36002 | $872.61 | $2,948.00 | $424.60 – $1,486.10 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,557.85 | $5,263.00 | $1,052.60 – $3,684.10 | 2 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,116.00 | $10,527.00 | $2,105.40 – $7,368.90 | 2 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,116.00 | $10,527.00 | $2,105.40 – $7,368.90 | 2 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,334.37 | $4,508.00 | $901.60 – $3,155.60 | 2 |
| Pr application of long arm splint CPT 29105 | $37.60 | $127.00 | $25.40 – $88.90 | 3 |
| Pr application splint static short arm CPT 29125 | $129.65 | $438.00 | $24.17 – $306.60 | 4 |
| Pr biopsy skin punch single lesion CPT 11104 | $258.41 | $873.00 | $174.60 – $611.10 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | $2,177.97 | $7,358.00 | $1,471.60 – $5,150.60 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $2,269.73 | $7,668.00 | $1,533.60 – $5,367.60 | 2 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $215.20 | $727.00 | $58.92 – $508.90 | 3 |
| Prealbumin CPT 84134 | $37.30 | $126.00 | $12.95 – $88.20 | 10 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $2.25 | $7.57 | $0.05 – $0.25 | 8 |
| Prednisone 1 mg tablet HCPCS J7512 | $15.00 | $50.66 | $0.01 – $0.18 | 8 |
| Pregabalin - sendout CPT 80366 | $68.08 | $230.00 | $46.00 – $161.00 | 2 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $165.76 | $560.00 | $44.28 – $392.00 | 6 |
| Prepare donor heart CPT 33944 | not published | not published | $742.78 – $742.78 | 1 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $436.47 – $436.47 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $66.45 – $66.45 | 1 |
| Prep skin to 100cm2 other CPT 15004 | $704.19 | $2,379.00 | $475.80 – $1,665.30 | 2 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $2,270.92 | $7,672.00 | $1,534.40 – $5,370.40 | 2 |
| Pressure velocity wire add ves CPT 93572 | $235.03 | $794.00 | $158.80 – $7,669.00 | 5 |
| Pretreat rbc absorption reference CPT 86978 | $47.07 | $159.00 | $28.17 – $111.30 | 5 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $29.60 | $100.00 | $1.34 – $70.00 | 5 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,091.95 | $3,689.00 | $38.26 – $2,582.30 | 4 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,184.60 | $4,002.00 | $86.59 – $2,801.40 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $389.84 | $1,317.00 | $92.63 – $921.90 | 4 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $38.19 | $129.00 | $22.34 – $90.30 | 5 |
| Prgrmg eval implantable dfb CPT 93282 | $20.13 | $68.00 | $13.60 – $47.60 | 5 |
| Prgrmg eval implantable dfb CPT 93283 | $22.80 | $77.00 | $15.40 – $53.90 | 5 |
| Prgrmg eval implantable dfb CPT 93284 | $26.64 | $90.00 | $18.00 – $63.00 | 5 |
| Prgr stim/pace a/iv drug CPT 93623 | $291.86 | $986.00 | $197.20 – $690.20 | 4 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $3,121.03 | $10,544.00 | $2,108.80 – $7,380.80 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,716.51 | $5,799.00 | $1,159.80 – $5,206.00 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $555.60 | $1,877.00 | $375.40 – $1,313.90 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $205.72 | $695.00 | $38.26 – $486.50 | 4 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $383.32 | $1,295.00 | $259.00 – $906.50 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $139.72 | $472.00 | $74.39 – $330.40 | 5 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $12.14 | $41.00 | $8.20 – $28.70 | 2 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $666.10 | $2,250.31 | $25.45 – $198.42 | 9 |
| Procalcitonin CPT 84145 | $48.25 | $163.00 | $23.79 – $114.10 | 10 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $37.27 | $125.91 | $4.75 – $43.51 | 9 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $15.20 | $51.34 | $0.11 – $0.47 | 8 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $30.21 – $30.21 | 1 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $74.50 – $74.50 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $74.50 – $74.50 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $78.54 – $78.54 | 1 |
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.