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 |
|---|---|---|---|---|
| Urinary reflex study CPT 51792 | not published | not published | $64.55 – $64.55 | 1 |
| Urine Culture Test CPT 87086 | $13.32 | $45.00 | $7.18 – $31.50 | 10 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $6.95 – $6.95 | 1 |
| Urine pregnancy test CPT 81025 | $26.35 | $89.00 | $5.62 – $62.30 | 10 |
| Urography, antegrade CPT 74425 | $300.44 | $1,015.00 | $54.81 – $710.50 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $29.87 | $100.89 | $15.19 – $68.18 | 9 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $98.28 | $332.01 | $12.46 – $62.27 | 9 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $61.66 | $208.30 | $34.97 – $138.46 | 13 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $0.08 | $0.25 | $0.05 – $23.36 | 13 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $48.03 | $162.26 | $27.55 – $134.07 | 13 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $24.93 | $84.22 | $9.87 – $58.96 | 13 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $78.38 | $264.79 | $42.70 – $185.36 | 13 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $71.70 | $242.21 | $12.59 – $54.96 | 13 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $210.06 | $709.65 | $134.37 – $470.27 | 9 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $144.23 | $487.23 | $97.45 – $341.07 | 8 |
| Vaccine mmr live subcutaneous CPT 90707 | $114.68 | $387.40 | $77.48 – $271.18 | 9 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $126.36 | $426.89 | $30.21 – $298.83 | 13 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $244.91 | $827.39 | $107.77 – $562.66 | 13 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $296.23 | $1,000.77 | $59.75 – $209.13 | 8 |
| Vaccine rabies im CPT 90675 | $423.47 | $1,430.64 | $164.00 – $870.29 | 9 |
| Vaccine tdap >=7 years im CPT 90715 | $60.63 | $204.82 | $40.97 – $143.38 | 9 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $50.48 | $170.52 | $29.25 – $102.37 | 9 |
| Valproic acid total therapeutic drug level CPT 80164 | $157.77 | $533.00 | $12.04 – $373.10 | 10 |
| Valrubicin injection HCPCS J9357 | $3,839.12 | $12,969.97 | $769.17 – $7,335.43 | 9 |
| Valvuloplasty aortic CPT 92986 | $9,894.69 | $33,428.00 | $1,622.23 – $23,399.60 | 5 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $259.05 | $875.15 | $12.13 – $42.46 | 8 |
| Vancomycin peak therapeutic drug level CPT 80202 | $33.45 | $113.00 | $12.04 – $79.10 | 10 |
| Varicella zoster antibody igg CPT 86787 | $22.50 | $76.00 | $11.45 – $53.20 | 10 |
| Vasectomy CPT 55250 | not published | not published | $142.97 – $142.97 | 1 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $170.99 | $577.66 | $0.05 – $0.18 | 8 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $18,581.08 | $62,773.91 | $11.92 – $43,941.74 | 9 |
| Veeg unmon 12-26 hrs CPT 95714 | $662.45 | $2,238.00 | $339.89 – $1,566.60 | 4 |
| Veeg unmon 2-12 hrs CPT 95711 | $331.23 | $1,119.00 | $177.15 – $783.30 | 4 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $3,155.96 | $10,662.00 | $2,132.40 – $7,463.40 | 3 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $3,313.72 | $11,195.00 | $2,239.00 – $7,836.50 | 3 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $3,313.72 | $11,195.00 | $2,239.00 – $7,836.50 | 3 |
| Vein x-ray kidney CPT 75831 | $3,386.54 | $11,441.00 | $153.53 – $8,008.70 | 6 |
| Vein x-ray liver CPT 75891 | $3,386.54 | $11,441.00 | $158.29 – $8,008.70 | 6 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,646.36 | $5,562.00 | $157.73 – $3,893.40 | 6 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,993.27 | $6,734.00 | $156.59 – $4,713.80 | 6 |
| Vein x-ray skull CPT 75870 | $3,412.88 | $11,530.00 | $158.29 – $8,071.00 | 6 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $13.93 – $26.51 | 2 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $26.51 – $26.51 | 1 |
| Venogram ext bil s&i CPT 75822 | $574.84 | $1,942.00 | $62.58 – $1,359.40 | 6 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $542.28 | $1,832.00 | $39.77 – $1,282.40 | 6 |
| Venous mech thrombectomy CPT 37187 | $4,498.61 | $15,198.00 | $2,766.20 – $9,681.70 | 3 |
| Venous m-thrombectomy add-on CPT 37188 | $4,633.59 | $15,654.00 | $3,130.80 – $10,957.80 | 3 |
| Venous sampling s&i CPT 75893 | $869.06 | $2,936.00 | $159.42 – $2,055.20 | 6 |
| Ventilator each subsequent day CPT 94003 | $654.76 | $2,212.00 | $76.56 – $1,548.40 | 6 |
| Ventilator initial day CPT 94002 | $680.80 | $2,300.00 | $105.43 – $1,610.00 | 6 |
| Very long chain fatty acids CPT 82726 | $103.60 | $350.00 | $7.55 – $245.00 | 10 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $215.57 | $728.26 | $4.42 – $509.79 | 9 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $140.05 | $473.14 | $5.51 – $330.95 | 9 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $215.37 | $727.59 | $10.49 – $333.88 | 9 |
| Virus isolation addl studies ea CPT 87253 | $24.87 | $84.00 | $17.94 – $58.80 | 10 |
| Visc & infraren abd 1 prosth CPT 34845 | $1,811.23 | $6,119.00 | $1,223.80 – $4,283.30 | 3 |
| Visc & infraren abd 2 prosth CPT 34846 | $1,811.23 | $6,119.00 | $1,223.80 – $4,283.30 | 3 |
| Visc & infraren abd 3 prosth CPT 34847 | $1,901.80 | $6,425.00 | $1,285.00 – $4,497.50 | 3 |
| Vital capacity test CPT 94150 | $161.62 | $546.00 | $3.81 – $382.20 | 4 |
| Vitamin b-12 CPT 82607 | $34.64 | $117.00 | $13.39 – $81.90 | 10 |
| Vitamin D Test CPT 82306 | $93.24 | $315.00 | $26.30 – $220.50 | 10 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $160.14 | $541.00 | $21.73 – $378.70 | 4 |
| Volume measurement urine timed CPT 81050 | $7.70 | $26.00 | $2.66 – $18.20 | 10 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $168.29 | $568.54 | $1.16 – $77.03 | 9 |
| Vsrctv std tcd icr art compl CPT 93896 | $135.87 | $459.00 | $91.80 – $518.00 | 3 |
| Warde 1003990 aldosterone CPT 82088 | $74.00 | $250.00 | $36.20 – $175.00 | 10 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $49.44 | $167.00 | $24.70 – $116.90 | 10 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $17.17 | $58.00 | $11.46 – $40.60 | 10 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $43.22 | $146.00 | $22.43 – $102.20 | 10 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $20.13 | $68.00 | $13.77 – $47.60 | 10 |
| Warde 1015200 kappa light chain free CPT 83521 | $23.98 | $81.00 | $16.20 – $56.70 | 2 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $9.77 | $33.00 | $7.12 – $23.10 | 10 |
| Warde 3008005 oligoclonal bands CPT 83916 | $47.96 | $162.00 | $17.86 – $113.40 | 10 |
| Warde 3016000 west nile virus antibody CPT 86788 | $26.64 | $90.00 | $14.97 – $63.00 | 10 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $24.57 | $83.00 | $12.78 – $58.10 | 10 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $10.36 | $35.00 | $10.89 – $26.28 | 10 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $21.91 | $74.00 | $7.90 – $51.80 | 10 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $38.78 | $131.00 | $15.97 – $91.70 | 10 |
| Warde 3400852 arsenic CPT 82175 | $39.08 | $132.00 | $16.86 – $92.40 | 10 |
| Warde 3708165 mercury urine CPT 83825 | $57.43 | $194.00 | $14.44 – $135.80 | 10 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $22.20 | $75.00 | $15.00 – $52.50 | 2 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $17.17 | $58.00 | $11.60 – $40.60 | 2 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $22.20 | $75.00 | $6.22 – $52.50 | 10 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $65.72 | $222.00 | $34.31 – $155.40 | 10 |
| Warde aldolase CPT 82085 | $26.05 | $88.00 | $8.62 – $61.60 | 10 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $23.68 | $80.00 | $14.08 – $56.00 | 10 |
| Warde amiodarone therapeutic drug level CPT 80151 | $22.80 | $77.00 | $12.17 – $53.90 | 9 |
| Warde analysis gene hfe common variants CPT 81256 | $46.18 | $156.00 | $40.00 – $122.88 | 10 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $209.87 | $709.00 | $98.40 – $496.30 | 10 |
| Warde anti-mullerian hormone CPT 82166 | $45.88 | $155.00 | $13.60 – $47.60 | 2 |
| Warde apolipoprotein b CPT 82172 | $32.27 | $109.00 | $13.77 – $76.30 | 10 |
| Warde cadmium blood CPT 82300 | $40.56 | $137.00 | $20.55 – $95.90 | 10 |
| Warde calcitonin CPT 82308 | $35.23 | $119.00 | $23.79 – $83.30 | 10 |
| Warde calculus (stone) infrared CPT 82365 | $22.50 | $76.00 | $11.46 – $53.20 | 10 |
| Warde clozapine therapeutic drug level CPT 80159 | $25.76 | $87.00 | $16.43 – $60.90 | 10 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $45.88 | $155.00 | $19.51 – $72.10 | 10 |
| Warde collagen cross links c-telopeptide CPT 82523 | $31.97 | $108.00 | $16.60 – $75.60 | 10 |
| Warde complement total hemolytic CPT 86162 | $47.36 | $160.00 | $18.05 – $112.00 | 10 |
| Warde copper CPT 82525 | $29.31 | $99.00 | $11.03 – $69.30 | 10 |
| Warde cryoglobulin CPT 82595 | $42.92 | $145.00 | $5.75 – $101.50 | 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.