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 |
|---|---|---|---|---|
| Warde erythropoietin CPT 82668 | $29.60 | $100.00 | $16.70 – $70.00 | 10 |
| Warde estrogen fractionated CPT 82671 | $56.54 | $191.00 | $28.69 – $133.70 | 10 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $15.40 | $52.00 | $10.40 – $36.40 | 2 |
| Warde folic acid rbc CPT 82747 | $23.68 | $80.00 | $14.20 – $56.00 | 10 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $18.06 | $61.00 | $8.61 – $42.70 | 10 |
| Warde gastrin CPT 82941 | $26.35 | $89.00 | $15.67 – $62.30 | 10 |
| Warde growth hormone (hgh) CPT 83003 | $21.61 | $73.00 | $14.82 – $51.10 | 10 |
| Warde helminth antibody strongyloides igg CPT 86682 | $26.35 | $89.00 | $11.56 – $62.30 | 10 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $15.40 | $52.00 | $11.44 – $36.40 | 10 |
| Warde hepatitis a antibody CPT 86708 | $24.87 | $84.00 | $11.00 – $58.80 | 10 |
| Warde hepatitis be antibody CPT 86707 | $18.06 | $61.00 | $10.28 – $42.70 | 10 |
| Warde hepatitis delta agent antibody CPT 86692 | $28.42 | $96.00 | $15.24 – $67.20 | 10 |
| Warde immunofixation electrophoresis urine CPT 86335 | $100.94 | $341.00 | $26.07 – $207.90 | 10 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $20.13 | $68.00 | $10.24 – $47.60 | 10 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $329.75 | $1,114.00 | $109.67 – $742.70 | 10 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $49.14 | $166.00 | $17.57 – $116.20 | 10 |
| Warde lipoprotein (a) CPT 83695 | $123.44 | $417.00 | $11.50 – $291.90 | 10 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $110.12 | $372.00 | $30.15 – $260.40 | 10 |
| Warde mitochondrial antibody each CPT 86381 | $35.52 | $120.00 | $24.00 – $84.00 | 2 |
| Warde neutralization rabies CPT 86382 | $55.06 | $186.00 | $15.02 – $130.20 | 10 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $13.32 | $45.00 | $11.77 – $31.50 | 10 |
| Warde protein c antigen CPT 85302 | $22.80 | $77.00 | $10.68 – $53.90 | 10 |
| Warde sex hormone binding globulin CPT 84270 | $37.30 | $126.00 | $19.31 – $88.20 | 10 |
| Warde somatomedin CPT 84305 | $34.04 | $115.00 | $18.89 – $60.20 | 10 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $6.52 | $22.00 | $4.89 – $15.40 | 10 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $21.61 | $73.00 | $14.00 – $51.10 | 10 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $68.97 | $233.00 | $10.65 – $163.10 | 10 |
| Warde topiramate therapeutic drug level CPT 80201 | $90.28 | $305.00 | $10.59 – $213.50 | 10 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $49.44 | $167.00 | $23.16 – $116.90 | 10 |
| Warde viscosity CPT 85810 | $16.28 | $55.00 | $10.37 – $38.50 | 10 |
| Warde vitamin a CPT 84590 | $17.76 | $60.00 | $10.30 – $42.00 | 10 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $49.14 | $166.00 | $18.86 – $116.20 | 10 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $214.31 | $724.00 | $24.96 – $506.80 | 10 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $21.91 | $74.00 | $8.78 – $51.80 | 10 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $27.83 | $94.00 | $34.20 – $92.45 | 10 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $36.12 | $122.00 | $12.59 – $85.40 | 10 |
| Warde zinc CPT 84630 | $20.43 | $69.00 | $10.12 – $48.30 | 10 |
| Wbc automated CPT 85048 | $5.63 | $19.00 | $2.26 – $13.30 | 10 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $47.70 – $47.70 | 1 |
| Western blot test CPT 84181 | $29.90 | $101.00 | $15.13 – $70.70 | 10 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $323.24 | $1,092.00 | $170.93 – $768.89 | 4 |
| Whole mitochondrial genome CPT 81460 | $1,570.28 | $5,305.00 | $840.09 – $3,713.50 | 10 |
| Whole mitochondrial genome CPT 81465 | $1,141.68 | $3,857.00 | $610.97 – $2,699.90 | 10 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $370.30 | $1,251.00 | $49.68 – $3,642.00 | 5 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $202.17 | $683.00 | $48.30 – $3,642.00 | 5 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $388.06 | $1,311.00 | $51.42 – $3,642.00 | 5 |
| Wrist X-ray CPT 73110 | $320.57 | $1,083.00 | $22.82 – $508.20 | 6 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $3,313.72 | $11,195.00 | $2,239.00 – $7,836.50 | 3 |
| X-ray abdomen 1 view CPT 74018 | $225.26 | $761.00 | $19.84 – $532.70 | 6 |
| X-ray abdomen 2 views CPT 74019 | $256.64 | $867.00 | $23.75 – $606.90 | 6 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $267.88 | $905.00 | $31.17 – $633.50 | 6 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $171.09 | $578.00 | $28.47 – $404.60 | 6 |
| X-ray ankle 2 views (both sides) CPT 73600 | $180.27 | $609.00 | $21.15 – $426.30 | 6 |
| X-ray bone age studies CPT 77072 | $50.03 | $169.00 | $14.29 – $118.30 | 6 |
| X-ray bone length studies CPT 77073 | $146.23 | $494.00 | $30.50 – $345.80 | 6 |
| X-ray bone survey complete CPT 77075 | $547.01 | $1,848.00 | $66.08 – $1,293.60 | 6 |
| X-ray cervical spine 2-3 views CPT 72040 | $101.53 | $343.00 | $25.52 – $240.10 | 6 |
| X-ray cervical spine 4-5 views CPT 72050 | $338.33 | $1,143.00 | $37.67 – $800.10 | 6 |
| X-ray cervical spine >= 6 views CPT 72052 | $429.80 | $1,452.00 | $47.52 – $1,016.40 | 6 |
| X-ray clavicle complete (both sides) CPT 73000 | $247.16 | $835.00 | $22.38 – $584.50 | 6 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $338.92 | $1,145.00 | $71.77 – $801.50 | 6 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $338.92 | $1,145.00 | $94.18 – $801.50 | 6 |
| X-ray elbow 2 views (both sides) CPT 73070 | $103.01 | $348.00 | $22.38 – $243.60 | 6 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $291.27 | $984.00 | $24.26 – $459.20 | 6 |
| Xray endovasc thor ao repr CPT 75956 | $511.20 | $1,727.00 | $345.40 – $1,208.90 | 5 |
| Xray endovasc thor ao repr CPT 75957 | $623.08 | $2,105.00 | $385.44 – $1,473.50 | 5 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $390.13 | $1,318.00 | $49.61 – $922.60 | 6 |
| X-ray exam of arm infant CPT 73092 | $54.76 | $185.00 | $21.15 – $129.50 | 6 |
| X-ray exam of eye sockets CPT 70200 | $76.96 | $260.00 | $33.26 – $182.00 | 6 |
| X-ray exam of sinuses CPT 70210 | $139.42 | $471.00 | $26.36 – $329.70 | 6 |
| X-ray exam thorac spine4/>vw CPT 72074 | $134.98 | $456.00 | $38.50 – $319.20 | 6 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $115.74 | $391.00 | $17.79 – $273.70 | 6 |
| X-ray facial bones complete > 3 views CPT 70150 | $304.00 | $1,027.00 | $33.26 – $718.90 | 6 |
| X-ray femur >=2 views (both sides) CPT 73552 | $99.46 | $336.00 | $24.72 – $235.20 | 6 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $205.43 | $694.00 | $17.79 – $485.80 | 6 |
| X-ray foot 2 views (both sides) CPT 73620 | $181.45 | $613.00 | $21.15 – $429.10 | 6 |
| X-ray forearm 2 views (both sides) CPT 73090 | $234.73 | $793.00 | $22.38 – $555.10 | 6 |
| X-ray hand 2 views (both sides) CPT 73120 | $55.36 | $187.00 | $21.15 – $130.90 | 6 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $153.92 | $520.00 | $20.30 – $364.00 | 6 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $108.93 | $368.00 | $30.15 – $257.60 | 6 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $325.90 | $1,101.00 | $36.39 – $770.70 | 6 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $65.42 | $221.00 | $21.61 – $154.70 | 6 |
| X-ray humerus >= 2 views left CPT 73060 | $199.80 | $675.00 | $24.26 – $472.50 | 6 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $265.52 | $897.00 | $22.38 – $418.60 | 6 |
| X-ray knee 3 views (both sides) CPT 73562 | $122.25 | $413.00 | $24.26 – $171.50 | 6 |
| X-ray knee ap standing bilateral CPT 73565 | $282.98 | $956.00 | $21.15 – $669.20 | 6 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $118.11 | $399.00 | $21.15 – $279.30 | 6 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $186.48 | $630.00 | $37.67 – $441.00 | 6 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $548.79 | $1,854.00 | $38.50 – $1,297.80 | 6 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $365.27 | $1,234.00 | $49.61 – $863.80 | 6 |
| X-ray mandible complete > 4 views CPT 70110 | $182.04 | $615.00 | $26.36 – $430.50 | 6 |
| X-ray nasal bones complete > 3 views CPT 70160 | $216.97 | $733.00 | $22.38 – $513.10 | 6 |
| X-ray neck soft tissue CPT 70360 | $165.17 | $558.00 | $17.79 – $390.60 | 6 |
| X-ray pelvis 1-2 views CPT 72170 | $80.81 | $273.00 | $22.38 – $191.10 | 6 |
| X-ray pelvis complete > 3 views CPT 72190 | $188.26 | $636.00 | $28.47 – $445.20 | 6 |
| Xray place dist ext thor ao CPT 75959 | $1,339.40 | $4,525.00 | $225.00 – $3,167.50 | 5 |
| Xray place prox ext thor ao CPT 75958 | $643.80 | $2,175.00 | $257.01 – $1,522.50 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $429.20 | $1,450.00 | $96.55 – $1,015.00 | 6 |
| X-ray ribs 2 views left CPT 71100 | $241.54 | $816.00 | $24.26 – $571.20 | 6 |
| X-ray ribs 3 views bilateral CPT 71110 | $422.40 | $1,427.00 | $33.26 – $998.90 | 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.