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 |
|---|---|---|---|---|
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $46.32 – $46.32 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $74.50 – $74.50 | 1 |
| Progesterone CPT 84144 | $28.42 | $96.00 | $18.53 – $67.20 | 10 |
| Prolactin CPT 84146 | $33.16 | $112.00 | $17.21 – $78.40 | 10 |
| Promethazine 25 mg tablet HCPCS Q0169 | $13.16 | $44.44 | $0.05 – $0.21 | 8 |
| Promethazine hcl injection HCPCS J2550 | $18.08 | $61.05 | $2.26 – $42.74 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $39.86 | $134.63 | $0.17 – $42.79 | 8 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $21.65 | $73.13 | $3.75 – $42.89 | 9 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $405.99 – $405.99 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $53.50 | $180.73 | $1.59 – $67.65 | 9 |
| Protein c activity CPT 85303 | $20.13 | $68.00 | $12.29 – $47.60 | 10 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $68.97 | $233.00 | $9.53 – $163.10 | 10 |
| Protein s total CPT 85305 | $21.91 | $74.00 | $10.30 – $51.80 | 10 |
| Protein total 24 hour urine CPT 84156 | $10.07 | $34.00 | $3.26 – $23.80 | 10 |
| Protein total body fluid CPT 84157 | $13.32 | $45.00 | $3.26 – $31.50 | 10 |
| Protein total serum plasma whole blood CPT 84155 | $33.16 | $112.00 | $3.26 – $78.40 | 10 |
| Prothrombin complex kcentra HCPCS J7168 | $108.20 | $365.54 | $68.72 – $240.51 | 8 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $35.23 | $119.00 | $3.50 – $83.30 | 10 |
| Prq card angio/athrect addl CPT 92925 | $4,864.76 | $16,435.00 | $3,287.00 – $11,504.50 | 4 |
| Prq cardiac angio addl art CPT 92921 | $3,675.73 | $12,418.00 | $2,483.60 – $8,692.60 | 4 |
| Prq card revasc chronic addl CPT 92944 | $4,108.19 | $13,879.00 | $2,775.80 – $9,715.30 | 4 |
| Prq card revasc mi 1 vsl CPT 92941 | $10,810.81 | $36,523.00 | $819.58 – $25,566.10 | 5 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $11,026.89 | $37,253.00 | $1,493.51 – $26,077.10 | 5 |
| Prq card stent w/angio addl CPT 92929 | $4,108.19 | $13,879.00 | $2,775.80 – $9,715.30 | 4 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $10,810.81 | $36,523.00 | $728.79 – $25,566.10 | 5 |
| Prq revasc byp graft addl CPT 92938 | $4,432.31 | $14,974.00 | $2,994.80 – $10,481.80 | 3 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $10,810.81 | $36,523.00 | $729.25 – $25,566.10 | 5 |
| Prq trlml c athrc st angiop1 CPT 92933 | $11,026.89 | $37,253.00 | $817.98 – $26,077.10 | 5 |
| Prq trluml c angiop 1art&/br CPT 92920 | $10,486.40 | $35,427.00 | $655.51 – $24,798.90 | 5 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $10,810.81 | $36,523.00 | $781.92 – $25,566.10 | 5 |
| Prq trluml revsc ch occ ant CPT 92943 | $10,810.81 | $36,523.00 | $819.10 – $25,566.10 | 5 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $30.21 – $30.21 | 1 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $30.21 – $30.21 | 1 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $207.20 | $700.00 | $140.00 – $490.00 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $60.41 – $60.41 | 1 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $219.04 | $740.00 | $72.50 – $518.00 | 4 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $196.84 | $665.00 | $54.37 – $465.50 | 4 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $196.84 | $665.00 | $64.44 – $465.50 | 4 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $526.00 | $1,777.00 | $355.40 – $1,243.90 | 3 |
| PSA (Prostate) Test CPT 84153 | $31.38 | $106.00 | $16.34 – $74.20 | 10 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $47.96 | $162.00 | $18.77 – $189.52 | 6 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $37.00 | $125.00 | $18.81 – $189.52 | 6 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $66.60 | $225.00 | $19.48 – $189.52 | 6 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $53.28 | $180.00 | $19.24 – $189.52 | 6 |
| Pt application of modality traction mechanical CPT 97012 | $64.53 | $218.00 | $19.18 – $189.52 | 6 |
| Pt evaluation high complexity patient/family CPT 97163 | $197.44 | $667.00 | $70.00 – $392.70 | 6 |
| Pt evaluation low complexity patient/family CPT 97161 | $166.06 | $561.00 | $70.00 – $392.70 | 6 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $144.45 | $488.00 | $70.00 – $341.60 | 6 |
| Pt re-evaluation patient/family CPT 97164 | $46.48 | $157.00 | $31.40 – $189.52 | 6 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $65.42 | $221.00 | $15.51 – $189.52 | 6 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $31.08 | $105.00 | $19.71 – $189.52 | 6 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $38.48 | $130.00 | $18.74 – $189.52 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | $21.32 | $72.00 | $14.40 – $189.52 | 6 |
| Pulmonary vent imaging CPT 78579 | $462.36 | $1,562.00 | $164.16 – $1,093.40 | 6 |
| Pulse ox continuous overnight monitoring CPT 94762 | $148.00 | $500.00 | $51.54 – $350.00 | 4 |
| Pulse ox multiple CPT 94761 | $54.76 | $185.00 | $14.81 – $446.00 | 6 |
| Punc of shunt for asp or inj CPT 61070 | $708.92 | $2,395.00 | $479.00 – $1,676.50 | 2 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $138.24 | $467.00 | $28.59 – $326.90 | 4 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $400.20 | $1,352.00 | $38.26 – $946.40 | 4 |
| Puncture spinal lumbar diagnostic CPT 62270 | $742.08 | $2,507.00 | $44.31 – $1,754.90 | 3 |
| Puraply 1 sq cm HCPCS Q4195 | $99.46 | $336.00 | $67.20 – $314.86 | 9 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,047.25 | $3,538.00 | $707.60 – $2,476.60 | 2 |
| Pvb thoracic single inj site CPT 64461 | $698.27 | $2,359.00 | $471.80 – $1,651.30 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $25.86 | $87.34 | $10.92 – $61.14 | 8 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $940.40 | $3,177.00 | $285.23 – $2,223.90 | 6 |
| Quant diff pulm perf w/imaging CPT 78597 | $345.14 | $1,166.00 | $175.98 – $816.20 | 6 |
| Quest t3 uptake CPT 84479 | $13.03 | $44.00 | $5.75 – $30.80 | 10 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $621.41 | $2,099.34 | $148.52 – $1,448.39 | 9 |
| Radiation physics consult CPT 77336 | $205.72 | $695.00 | $73.87 – $486.50 | 6 |
| Radiation therapy dose plan CPT 77300 | $193.00 | $652.00 | $55.25 – $456.40 | 6 |
| Radiation treatment aid(s) CPT 77332 | $167.84 | $567.00 | $46.70 – $396.90 | 6 |
| Radiation treatment aid(s) CPT 77333 | $254.56 | $860.00 | $14.48 – $602.00 | 6 |
| Radiation treatment aid(s) CPT 77334 | $541.68 | $1,830.00 | $132.87 – $1,281.00 | 6 |
| Radiation treatment delivery CPT 77402 | $205.13 | $693.00 | $65.36 – $485.10 | 5 |
| Radiation treatment delivery CPT 77412 | $280.61 | $948.00 | $98.17 – $663.60 | 5 |
| Radiology port images(s) CPT 77417 | $61.28 | $207.00 | $15.33 – $800.00 | 6 |
| Radiotherapy dose plan imrt CPT 77301 | $2,482.56 | $8,387.00 | $677.90 – $5,870.90 | 6 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $68.38 | $231.00 | $46.20 – $173.05 | 7 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,509.60 | $5,100.00 | $233.16 – $3,570.00 | 6 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $850.12 | $2,872.00 | $182.60 – $2,010.40 | 6 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,509.60 | $5,100.00 | $697.57 – $3,570.00 | 6 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,465.50 | $4,951.00 | $276.26 – $3,465.70 | 6 |
| Radphm lcl tumor plr sgl day CPT 78800 | $425.06 | $1,436.00 | $143.16 – $1,005.20 | 6 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $15,635.23 | $52,821.72 | $37.81 – $7,608.19 | 9 |
| Rapid Strep Test CPT 87880 | $34.34 | $116.00 | $10.65 – $81.20 | 10 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,355.16 | $4,578.24 | $156.10 – $3,204.77 | 9 |
| Rb82 rubidium HCPCS A9555 | $177.60 | $600.00 | $120.00 – $420.00 | 6 |
| Rbc count only automated CPT 85041 | $20.72 | $70.00 | $2.68 – $49.00 | 10 |
| Rechanneling of artery 35305 CPT 35305 | $2,199.58 | $7,431.00 | $1,486.20 – $5,201.70 | 3 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $2,199.58 | $7,431.00 | $1,486.20 – $5,201.70 | 3 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $2,199.58 | $7,431.00 | $1,486.20 – $5,201.70 | 3 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $618.35 | $2,089.00 | $314.19 – $1,462.30 | 4 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $278.54 | $941.00 | $111.00 – $658.70 | 4 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $570.99 | $1,929.00 | $192.83 – $1,350.30 | 4 |
| Redo endovas vena cava filtr CPT 37192 | $1,286.72 | $4,347.00 | $869.40 – $3,042.90 | 3 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $248.36 | $839.03 | $0.05 – $0.25 | 9 |
| Reimplant artery each 35697 CPT 35697 | $1,650.50 | $5,576.00 | $1,115.20 – $3,903.20 | 3 |
| Relocation skin pocket aicd CPT 33223 | $1,365.16 | $4,612.00 | $922.40 – $3,228.40 | 2 |
| Relocation skin pocket pm CPT 33222 | $1,365.16 | $4,612.00 | $922.40 – $3,228.40 | 2 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $763.21 | $2,578.39 | $448.76 – $1,570.65 | 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.