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 |
|---|---|---|---|---|
| Srs linear based CPT 77372 | $4,013.47 | $13,559.00 | $929.41 – $9,491.30 | 6 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $84.36 | $285.00 | $57.00 – $199.50 | 6 |
| Staph a dna amp probe CPT 87640 | $41.44 | $140.00 | $24.67 – $98.00 | 10 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $15,942.86 | $53,861.00 | $10,772.20 – $37,702.70 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $2,399.97 | $8,108.00 | $1,178.20 – $5,891.00 | 9 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $238.28 | $805.00 | $47.00 – $235.00 | 9 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $1,112.96 | $3,760.00 | $0.20 – $1.00 | 9 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,114.13 | $57,818.00 | $7,709.00 – $26,981.50 | 3 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $4,563.73 | $15,418.00 | $3,083.60 – $10,792.60 | 4 |
| Stent placemt retro carotid CPT 37217 | $1,452.77 | $4,908.00 | $981.60 – $3,435.60 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $5,484.29 | $18,528.00 | $3,705.60 – $12,969.60 | 3 |
| St evaluate speech sound production CPT 92522 | $76.37 | $258.00 | $51.60 – $189.52 | 6 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $144.16 | $487.00 | $70.00 – $340.90 | 6 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $263.44 | $890.00 | $52.63 – $623.00 | 6 |
| St evaluation swallow function CPT 92610 | $156.29 | $528.00 | $48.34 – $369.60 | 6 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $20.14 – $20.14 | 1 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $20.14 – $20.14 | 1 |
| Strapping of hand or finger CPT 29280 | not published | not published | $20.14 – $20.14 | 1 |
| Strapping of knee CPT 29530 | not published | not published | $24.17 – $24.17 | 1 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $20.14 – $20.14 | 1 |
| Strep b assay w/optic CPT 87802 | $26.35 | $89.00 | $10.65 – $62.30 | 10 |
| Strep b dna amp probe CPT 87653 | $30.79 | $104.00 | $24.67 – $72.80 | 10 |
| Stress test pulmonary CPT 94618 | $141.20 | $477.00 | $13.28 – $333.90 | 4 |
| St treatment speech individual CPT 92507 | $184.12 | $622.00 | $41.75 – $189.52 | 6 |
| St treatment swallow dysfunction/oral CPT 92526 | $149.19 | $504.00 | $47.76 – $352.80 | 6 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $20.83 | $70.34 | $0.17 – $39.51 | 5 |
| Sugars single quant CPT 84378 | $50.92 | $172.00 | $10.24 – $120.40 | 10 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $3,557.98 | $12,020.20 | $2,404.04 – $8,414.14 | 8 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $21.88 | $73.91 | $13.97 – $66.30 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $44.70 | $151.00 | $4.20 – $105.70 | 6 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $95.61 | $323.00 | $10.02 – $226.10 | 6 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $173.76 | $587.00 | $14.24 – $410.90 | 6 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $78.15 | $264.00 | $22.59 – $184.80 | 6 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $294.82 | $996.00 | $33.04 – $697.20 | 6 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $412.04 | $1,392.00 | $41.00 – $974.40 | 6 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $5.92 | $20.00 | $4.21 – $14.00 | 10 |
| Susceptibility mic per plate CPT 87186 | $21.91 | $74.00 | $7.69 – $51.80 | 10 |
| Suscept studies macrobroth dilution ea CPT 87188 | $8.00 | $27.00 | $5.90 – $18.90 | 10 |
| Svc venogram s&i CPT 75827 | $1,287.31 | $4,349.00 | $148.10 – $3,044.30 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $35.82 | $121.00 | $3.91 – $84.70 | 10 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $0.30 | $1.00 | $0.20 – $1.00 | 9 |
| T3 (triiodothyronine) free CPT 84481 | $33.75 | $114.00 | $15.04 – $79.80 | 10 |
| T3 (triiodothyronine) total CPT 84480 | $23.39 | $79.00 | $12.59 – $55.30 | 10 |
| T4 (thyroxine) free CPT 84439 | $52.10 | $176.00 | $8.01 – $123.20 | 10 |
| T4 (thyroxine) total CPT 84436 | $15.40 | $52.00 | $6.10 – $36.40 | 10 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $138.72 | $468.63 | $0.35 – $8.29 | 8 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $315.46 | $1,065.74 | $104.41 – $746.02 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $206.32 | $697.00 | $12.20 – $487.90 | 10 |
| Tas congenital car anomal CPT 33741 | not published | not published | $874.70 – $874.70 | 1 |
| Tavr perq femoral CPT 33361 | $3,217.52 | $10,870.00 | $2,174.00 – $7,609.00 | 3 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $24.87 | $84.00 | $55.06 – $116.52 | 10 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,210.83 | $7,469.00 | $1,493.80 – $5,228.30 | 7 |
| Tc-99m exametazime diag HCPCS A9521 | $1,096.68 | $3,705.00 | $741.00 – $2,896.64 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $122.55 | $414.00 | $32.60 – $157.85 | 7 |
| Tc-99m maa HCPCS A9540 | $96.80 | $327.00 | $34.58 – $228.90 | 7 |
| Tc-99m mebrofenin HCPCS A9537 | $23.39 | $79.00 | $15.80 – $79.00 | 7 |
| Tc-99m mertiatide HCPCS A9562 | $218.16 | $737.00 | $147.40 – $515.90 | 6 |
| Tc-99m oxidronate HCPCS A9561 | $30.79 | $104.00 | $20.80 – $74.36 | 7 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $65.42 | $221.00 | $20.94 – $154.70 | 6 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $15.99 | $54.00 | $1.84 – $37.80 | 7 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $39.37 | $133.00 | $21.80 – $76.30 | 7 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,038.96 | $3,510.00 | $690.89 – $2,457.00 | 7 |
| Tc-99m sulfur colloid HCPCS A9541 | $166.36 | $562.00 | $64.00 – $320.00 | 7 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $70.45 | $238.00 | $47.60 – $166.60 | 7 |
| Tc-99m tilmanocept diag HCPCS A9520 | $502.32 | $1,697.00 | $168.00 – $1,187.90 | 7 |
| Tcd emboli detect w/inj CPT 93893 | $182.64 | $617.00 | $94.40 – $431.90 | 4 |
| Tcd emboli detect without inj CPT 93892 | $182.64 | $617.00 | $94.40 – $431.90 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $69.86 | $236.00 | $41.73 – $165.20 | 10 |
| T cells absolute cd 4 count CPT 86361 | $38.19 | $129.00 | $23.79 – $90.30 | 10 |
| T cells total count CPT 86359 | $44.40 | $150.00 | $29.62 – $105.00 | 10 |
| Telethx isodose plan cplx CPT 77307 | $894.52 | $3,022.00 | $73.87 – $2,115.40 | 6 |
| Telethx isodose plan simple CPT 77306 | $456.44 | $1,542.00 | $73.87 – $1,079.40 | 6 |
| Temozolomide HCPCS J8700 | $108.99 | $368.20 | $0.32 – $39.76 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,929.17 | $50,436.37 | $60.36 – $26,364.14 | 9 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $17.72 | $59.84 | $4.76 – $41.76 | 9 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $15.40 | $52.00 | $10.40 – $50.78 | 5 |
| Test stress cardiovascular tracing only CPT 93017 | $839.76 | $2,837.00 | $76.28 – $1,985.90 | 4 |
| Tetanus immune globulin inj HCPCS J1670 | $686.43 | $2,319.01 | $50.22 – $1,623.31 | 9 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $8,715.97 | $29,445.84 | $5,889.17 – $20,612.09 | 8 |
| Theophylline therapeutic drug level CPT 80198 | $115.44 | $390.00 | $12.57 – $273.00 | 10 |
| Therapeutic procd strg endur HCPCS G0237 | $35.23 | $119.00 | $11.55 – $189.52 | 6 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $13.62 | $46.00 | $9.20 – $63.07 | 9 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $13.62 | $46.00 | $9.20 – $54.93 | 9 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $20.86 | $70.47 | $0.05 – $0.25 | 8 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,386.17 | $4,683.00 | $936.60 – $3,278.10 | 3 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $5,369.00 – $5,369.00 | 1 |
| Thrombectmy crnry perq mechanical CPT 92973 | $192.70 | $651.00 | $130.20 – $7,669.00 | 5 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,648.35 | $25,839.00 | $5,167.80 – $18,087.30 | 2 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $8,828.20 | $29,825.00 | $5,965.00 – $20,877.50 | 2 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $24,605.30 | $83,126.00 | $16,625.20 – $58,188.20 | 2 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $3,203.91 | $10,824.00 | $2,164.80 – $7,576.80 | 3 |
| Thrombin time CPT 85670 | $17.17 | $58.00 | $5.12 – $40.60 | 10 |
| Thromboendarterectomy common femoral CPT 35371 | $2,029.68 | $6,857.00 | $1,371.40 – $4,799.90 | 3 |
| Thromboendarterectomy sfa CPT 35302 | $2,199.58 | $7,431.00 | $1,486.20 – $5,201.70 | 3 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $29.31 | $99.00 | $5.75 – $69.30 | 10 |
| Thyroglobulin antibody CPT 86800 | $40.26 | $136.00 | $14.13 – $95.20 | 10 |
| Thyroid imaging CPT 78013 | $333.30 | $1,126.00 | $123.97 – $788.20 | 6 |
| Thyroid mets imag whole body CPT 78018 | $522.15 | $1,764.00 | $228.74 – $1,234.80 | 6 |
| Thyroid (TSH) Test CPT 84443 | $57.72 | $195.00 | $14.93 – $136.50 | 10 |
| Thyroid Ultrasound CPT 76536 | $374.74 | $1,266.00 | $59.65 – $886.20 | 6 |
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.