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 |
|---|---|---|---|---|
| Rmvl tv pm lead dual CPT 33235 | $1,719.76 | $5,810.00 | $1,162.00 – $4,067.00 | 3 |
| Rmvl tv pm lead sgl CPT 33234 | $988.05 | $3,338.00 | $667.60 – $2,336.60 | 3 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $7,065.50 | $23,869.93 | $4,773.99 – $16,708.96 | 8 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $83.47 | $281.98 | $0.05 – $0.18 | 8 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $39,283.02 | $132,712.90 | $8,894.52 – $31,130.82 | 8 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,898.55 | $6,414.00 | $1,282.80 – $4,489.80 | 2 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,509.60 | $5,100.00 | $470.05 – $3,570.00 | 6 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,714.73 | $5,793.00 | $921.47 – $4,055.10 | 6 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $710.70 | $2,401.00 | $480.20 – $1,680.70 | 2 |
| Rpl tun-cvad w subq port CPT 36582 | $2,853.74 | $9,641.00 | $1,928.20 – $6,748.70 | 2 |
| Rpl tun-cvad w subq pump CPT 36583 | $7,905.87 | $26,709.00 | $5,341.80 – $18,696.30 | 2 |
| Rpl tun cvc wo subq port CPT 36581 | $1,365.45 | $4,613.00 | $922.60 – $3,229.10 | 2 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $5,347.54 | $18,066.00 | $3,613.20 – $12,646.20 | 3 |
| Rsv assay w/optic CPT 87807 | $23.39 | $79.00 | $10.65 – $55.30 | 10 |
| Rubella antibody igg CPT 86762 | $32.56 | $110.00 | $12.78 – $77.00 | 10 |
| Rubeola antibody igg CPT 86765 | $29.31 | $99.00 | $11.45 – $69.30 | 10 |
| Russell viper venom diluted CPT 85613 | $15.99 | $54.00 | $8.51 – $37.80 | 10 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,468.53 | $18,474.73 | $20.66 – $12,932.32 | 9 |
| Salmonella antibody CPT 86768 | $24.87 | $84.00 | $11.72 – $58.80 | 10 |
| Sarscov coronavirus ag ia CPT 87426 | $41.44 | $140.00 | $29.61 – $98.00 | 9 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $82.88 | $280.00 | $48.06 – $196.00 | 9 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $525.40 | $1,775.00 | $132.73 – $1,242.50 | 5 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $452.00 | $1,527.00 | $132.73 – $1,068.90 | 5 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $515.04 | $1,740.00 | $132.73 – $1,218.00 | 5 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $194.48 | $657.00 | $94.40 – $459.90 | 5 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $350.17 | $1,183.00 | $132.73 – $828.10 | 5 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $259.60 | $877.00 | $94.40 – $613.90 | 5 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $296.30 | $1,001.00 | $132.73 – $700.70 | 5 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $497.88 | $1,682.00 | $94.40 – $1,177.40 | 5 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $208.98 | $706.00 | $94.40 – $494.20 | 5 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $650.61 | $2,198.00 | $439.60 – $1,538.60 | 2 |
| Screening Mammogram CPT 77067 | $98.28 | $332.00 | $66.27 – $232.40 | 6 |
| Screening prostate cancer PSA HCPCS G0103 | $26.94 | $91.00 | $16.34 – $63.70 | 10 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $3,770.16 | $12,737.00 | $155.00 – $775.00 | 9 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $4,644.54 | $15,691.00 | $3,138.20 – $10,983.70 | 3 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $956.68 | $3,232.00 | $646.40 – $5,206.00 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $53.88 | $182.00 | $2.40 – $127.40 | 10 |
| Semen analysis presence/motility CPT 89321 | $15.40 | $52.00 | $7.25 – $36.40 | 10 |
| Serpina1 gene CPT 81332 | $74.60 | $252.00 | $38.77 – $176.40 | 10 |
| Set radiation therapy field CPT 77280 | $468.28 | $1,582.00 | $73.87 – $1,107.40 | 6 |
| Set radiation therapy field CPT 77285 | $771.08 | $2,605.00 | $205.32 – $1,823.50 | 6 |
| Set radiation therapy field CPT 77290 | $918.20 | $3,102.00 | $205.32 – $2,171.40 | 6 |
| Sex transformation f to m CPT 55980 | not published | not published | $2,391.43 – $2,391.43 | 1 |
| Sex transformation m to f CPT 55970 | not published | not published | $1,292.34 – $1,292.34 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $34.23 – $34.23 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $208.68 | $705.00 | $46.32 – $493.50 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $56.38 – $56.38 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $76.51 – $76.51 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $30.21 – $30.21 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $42.28 – $42.28 | 1 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $50.35 – $50.35 | 1 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $68.46 – $68.46 | 1 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $26.18 – $26.18 | 1 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $38.26 – $38.26 | 1 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $50.35 – $50.35 | 1 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $279.13 | $943.00 | $188.60 – $943.00 | 9 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,560.52 | $5,272.00 | $315.33 – $3,690.40 | 10 |
| Shoulder MRI (with contrast) CPT 73222 | $1,416.96 | $4,787.00 | $278.75 – $3,350.90 | 10 |
| Shoulder MRI (without contrast) CPT 73221 | $957.27 | $3,234.00 | $186.96 – $2,459.00 | 10 |
| Shoulder X-ray CPT 73030 | $268.77 | $908.00 | $24.26 – $635.60 | 6 |
| Sickling rbc CPT 85660 | $31.38 | $106.00 | $4.89 – $72.10 | 10 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $72.50 – $72.50 | 1 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $90.62 – $90.62 | 1 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $37.89 | $128.00 | $25.60 – $89.60 | 4 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $17.92 – $17.92 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $142.54 | $481.53 | $96.31 – $337.08 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $974.14 | $3,291.00 | $176.05 – $2,303.70 | 10 |
| Sinus CT scan (with contrast) CPT 70487 | $880.90 | $2,976.00 | $157.26 – $2,083.20 | 10 |
| Sinus CT scan (without contrast) CPT 70486 | $667.19 | $2,254.00 | $78.34 – $1,577.80 | 10 |
| Sinus/juglr venogram s&i CPT 75860 | $612.72 | $2,070.00 | $154.90 – $1,449.00 | 6 |
| Sirolimus, oral HCPCS J7520 | $2,170.16 | $7,331.60 | $3.85 – $5,132.12 | 8 |
| Skin Biopsy CPT 11102 | $258.41 | $873.00 | $174.60 – $611.10 | 2 |
| Sleep Study (Polysomnography) CPT 95810 | $2,195.14 | $7,416.00 | $232.84 – $2,335.90 | 4 |
| Sleep study unattended CPT 95806 | $254.56 | $860.00 | $123.64 – $602.00 | 4 |
| Slitting of prepuce CPT 54000 | not published | not published | $52.36 – $52.36 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | $63.64 | $215.00 | $43.00 – $150.50 | 4 |
| Small bowel endoscopy CPT 44364 | $1,788.14 | $6,041.00 | $1,208.20 – $4,228.70 | 2 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $0.08 | $0.25 | $0.05 – $0.18 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $93.54 | $316.00 | $4.79 – $221.20 | 10 |
| Smear gram stain CPT 87205 | $55.65 | $188.00 | $2.95 – $131.60 | 10 |
| Smear nasal eosinophil CPT 89190 | $30.49 | $103.00 | $4.21 – $72.10 | 10 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $8.00 | $27.00 | $5.32 – $18.90 | 10 |
| Smear wet mount CPT 87210 | $67.49 | $228.00 | $3.79 – $159.60 | 10 |
| Sodium 24 hour urine CPT 84300 | $13.03 | $44.00 | $4.32 – $30.80 | 10 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $6.22 | $21.00 | $2.11 – $10.51 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $6.16 | $20.78 | $1.06 – $5.27 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $5.45 | $18.38 | $0.76 – $6.58 | 9 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $7.77 | $26.24 | $0.09 – $9.20 | 8 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $52.95 | $178.87 | $2.19 – $60.64 | 8 |
| Sodium serum/plasma/whole blood CPT 84295 | $8.29 | $28.00 | $4.28 – $19.60 | 10 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $127.08 | $429.32 | $85.87 – $300.53 | 8 |
| Special physics consult CPT 77370 | $228.52 | $772.00 | $73.87 – $540.40 | 6 |
| Special radiation dosimetry CPT 77331 | $249.83 | $844.00 | $21.57 – $590.80 | 6 |
| Special radiation treatment CPT 77470 | $358.76 | $1,212.00 | $50.97 – $848.40 | 6 |
| Special teletx port plan CPT 77321 | $759.54 | $2,566.00 | $67.14 – $1,796.20 | 6 |
| Specific gravity body fluid CPT 84315 | $16.28 | $55.00 | $2.23 – $38.50 | 10 |
| Specimen fat stain CPT 89125 | $58.91 | $199.00 | $3.84 – $139.30 | 10 |
| Sperm antibody test CPT 89325 | $53.88 | $182.00 | $9.49 – $127.40 | 10 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $742.08 | $2,507.00 | $501.40 – $1,754.90 | 2 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $293.64 | $992.00 | $42.19 – $694.40 | 4 |
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.