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 |
|---|---|---|---|---|
| Thyroid uptake measurement CPT 78012 | $134.09 | $453.00 | $80.01 – $317.10 | 6 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $4,319.71 | $14,593.60 | $382.97 – $9,021.89 | 9 |
| Thyroxine binding globulin (tbg) CPT 84442 | $23.09 | $78.00 | $13.13 – $54.60 | 10 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $19,821.05 | $66,963.00 | $13,392.60 – $46,874.10 | 3 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $7,889.88 | $26,655.00 | $5,206.00 – $18,658.50 | 4 |
| Tigecycline injection HCPCS J3243 | $194.05 | $655.56 | $1.03 – $88.41 | 9 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $267.15 | $902.51 | $5.86 – $174.14 | 9 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $1,249.38 – $1,249.38 | 1 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $499.50 – $499.50 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $4.44 | $15.00 | $3.79 – $10.50 | 10 |
| Tissue transglutaminase iga CPT 86364 | $13.32 | $45.00 | $9.00 – $31.50 | 2 |
| Tl-201 thallium diag per mci HCPCS A9505 | $28.42 | $96.00 | $19.20 – $67.20 | 7 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $111.39 | $376.29 | $2.94 – $40.79 | 9 |
| Tobramycin peak therapeutic drug level CPT 80200 | $103.60 | $350.00 | $14.32 – $245.00 | 10 |
| Tocilizumab for covid-19 HCPCS Q0249 | $5,596.58 | $18,907.36 | $812.69 – $2,844.40 | 8 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $27.24 | $92.00 | $18.02 – $64.40 | 5 |
| Tomosynthesis breast screen bilateral CPT 77063 | $16.58 | $56.00 | $11.20 – $77.99 | 6 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $271.78 | $918.16 | $1.07 – $382.92 | 9 |
| Total tau CPT 84394 | $158.66 | $536.00 | $107.20 – $375.20 | 2 |
| Toxoplasma antibody igg CPT 86777 | $12.14 | $41.00 | $12.78 – $34.57 | 10 |
| Toxoplasma antibody igm CPT 86778 | $13.32 | $45.00 | $12.80 – $34.58 | 10 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $4,577.94 | $15,466.00 | $3,093.20 – $10,826.20 | 2 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $7,607.47 | $25,700.89 | $198.34 – $14,995.18 | 9 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $302.22 | $1,021.00 | $204.20 – $714.70 | 2 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $20.72 | $70.00 | $14.00 – $94.19 | 9 |
| Transcath biopsy CPT 37200 | $858.40 | $2,900.00 | $580.00 – $2,030.00 | 3 |
| Transcath closure of asd CPT 93580 | $3,203.32 | $10,822.00 | $1,184.42 – $7,669.00 | 5 |
| Transcatheter bx s&i CPT 75970 | $1,037.78 | $3,506.00 | $486.57 – $2,454.20 | 4 |
| Transcath mv repair addl prosthesis CPT 33419 | $1,767.72 | $5,972.00 | $1,194.40 – $5,206.00 | 3 |
| Transcath mv repair init prosthesis CPT 33418 | $3,088.47 | $10,434.00 | $2,086.80 – $7,303.80 | 2 |
| Transcath occlusion cns CPT 61624 | $4,794.32 | $16,197.00 | $3,239.40 – $11,337.90 | 3 |
| Transcath occlusion non-cns CPT 61626 | $1,534.17 | $5,183.00 | $1,036.60 – $3,628.10 | 3 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $3,197.99 | $10,804.00 | $2,160.80 – $7,562.80 | 2 |
| Transferrin CPT 84466 | $29.90 | $101.00 | $11.35 – $70.70 | 10 |
| Transfusion blood/blood component(s) CPT 36430 | $1,220.41 | $4,123.00 | $45.56 – $1,026.90 | 4 |
| Transperi needle place pros CPT 55875 | $5,102.16 | $17,237.00 | $3,447.40 – $12,065.90 | 2 |
| Transposition of vein valve CPT 34510 | $5,361.45 | $18,113.00 | $3,622.60 – $12,679.10 | 3 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $9,206.08 | $31,101.60 | $59.12 – $8,277.43 | 9 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $7,620.16 | $25,743.78 | $13.71 – $18,020.65 | 9 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $5,212.75 | $17,610.62 | $12.88 – $12,327.44 | 9 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $338.04 | $1,142.00 | $70.60 – $247.10 | 2 |
| Treat eyelid by injection CPT 68200 | not published | not published | $24.17 – $24.17 | 1 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $73.41 | $248.00 | $40.44 – $189.52 | 6 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $42.04 | $142.00 | $15.33 – $446.00 | 6 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $142.68 | $482.00 | $18.65 – $337.40 | 6 |
| Treatment of ankle fracture 27786 CPT 27786 | not published | not published | $128.87 – $128.87 | 1 |
| Treatment radiation delivery level 2 CPT 77407 | $237.99 | $804.00 | $65.36 – $562.80 | 5 |
| Treponema pallidum antibody CPT 86780 | $36.12 | $122.00 | $11.76 – $85.40 | 10 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $39.46 | $133.28 | $1.23 – $45.07 | 9 |
| Trichinella antibody CPT 86784 | $49.44 | $167.00 | $11.16 – $116.90 | 10 |
| Triglycerides CPT 84478 | $15.40 | $52.00 | $5.10 – $36.40 | 10 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $1,389.13 | $4,693.00 | $938.60 – $3,285.10 | 3 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $1,389.13 | $4,693.00 | $938.60 – $3,285.10 | 3 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $784.40 | $2,650.00 | $530.00 – $1,855.00 | 4 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $737.64 | $2,492.00 | $498.40 – $1,744.40 | 4 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $12,291.40 | $41,525.00 | $8,305.00 – $29,067.50 | 3 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,225.22 | $10,896.00 | $2,179.20 – $7,627.20 | 3 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,375.22 | $4,646.00 | $929.20 – $3,252.20 | 3 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,375.22 | $4,646.00 | $929.20 – $3,252.20 | 3 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $1,375.22 | $4,646.00 | $929.20 – $3,252.20 | 3 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,375.22 | $4,646.00 | $929.20 – $3,252.20 | 3 |
| Troponin quantitative CPT 84484 | $158.96 | $537.00 | $8.74 – $375.90 | 10 |
| Tte w or without fol w/con,stres HCPCS C8928 | $992.20 | $3,352.00 | $482.03 – $2,346.40 | 4 |
| Tx atrial fib pulm vein isol CPT 93656 | $24,828.48 | $83,880.00 | $1,382.82 – $58,716.00 | 5 |
| Tx l/r atrial fib addl CPT 93657 | $496.69 | $1,678.00 | $335.60 – $12,467.00 | 5 |
| Ua w/micro/comp poc CPT 81000 | $9.48 | $32.00 | $2.81 – $22.40 | 10 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $22,431.23 | $75,781.15 | $15,156.23 – $53,046.81 | 8 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $230.29 | $778.00 | $72.88 – $544.60 | 6 |
| Ultrasound breast complete CPT 76641 | $997.23 | $3,369.00 | $59.85 – $1,887.90 | 6 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $332.71 | $1,124.00 | $59.62 – $629.30 | 6 |
| Ultrasound chest CPT 76604 | $260.48 | $880.00 | $54.81 – $616.00 | 6 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $337.74 | $1,141.00 | $88.03 – $798.70 | 6 |
| Ultrasound guidance for vascular access CPT 76937 | $229.11 | $774.00 | $17.79 – $541.80 | 5 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $352.24 | $1,190.00 | $23.80 – $83.30 | 5 |
| Ultrasound guide intraoperative CPT 76998 | $370.30 | $1,251.00 | $56.78 – $875.70 | 4 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $195.36 | $660.00 | $11.49 – $462.00 | 6 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $250.12 | $845.00 | $31.06 – $591.50 | 5 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $153.63 | $519.00 | $59.65 – $363.30 | 6 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $255.75 | $864.00 | $61.78 – $604.80 | 6 |
| Ultrasound prostate/transrectal CPT 76872 | $289.20 | $977.00 | $64.44 – $683.90 | 6 |
| Ultrasound retroperitoneal limited CPT 76775 | $253.38 | $856.00 | $58.08 – $599.20 | 6 |
| Ultrasound scrotum and contents CPT 76870 | $488.11 | $1,649.00 | $64.44 – $1,154.30 | 6 |
| Ultrasound transvaginal non obstetric CPT 76830 | $319.68 | $1,080.00 | $64.44 – $756.00 | 6 |
| Unlisted orl service/px CPT 92700 | $22.80 | $77.00 | $15.40 – $53.90 | 3 |
| Unlisted procedure microbiology CPT 87999 | $773.45 | $2,613.00 | $50.58 – $942.90 | 5 |
| Unlisted px small intestine CPT 44799 | $918.49 | $3,103.00 | $620.60 – $2,172.10 | 3 |
| Upgrade pm system CPT 33214 | $1,254.16 | $4,237.00 | $847.40 – $2,965.90 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,177.08 | $7,355.00 | $315.33 – $5,148.50 | 10 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,567.62 | $5,296.00 | $278.75 – $3,707.20 | 10 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,415.18 | $4,781.00 | $186.96 – $3,346.70 | 10 |
| Urea nitrogen CPT 84520 | $58.32 | $197.00 | $3.51 – $137.90 | 10 |
| Urea nitrogen 24 hour urine CPT 84540 | $15.40 | $52.00 | $4.21 – $36.40 | 10 |
| Urea nitrogen clearance CPT 84545 | $65.42 | $221.00 | $5.87 – $154.70 | 10 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $249.53 | $843.00 | $61.75 – $590.10 | 5 |
| Urethrocystography void s&i CPT 74455 | $317.02 | $1,071.00 | $66.54 – $749.70 | 6 |
| Uric acid blood CPT 84550 | $75.78 | $256.00 | $4.01 – $179.20 | 10 |
| Uric acid urine CPT 84560 | $8.29 | $28.00 | $4.21 – $19.60 | 10 |
| Urinalysis microscopic only CPT 81015 | $26.35 | $89.00 | $2.70 – $62.30 | 10 |
| Urinalysis (with microscopy) CPT 81001 | $10.07 | $34.00 | $2.81 – $23.80 | 10 |
| Urinalysis (without microscopy) CPT 81003 | $7.70 | $26.00 | $2.00 – $15.40 | 10 |
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.