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 |
|---|---|---|---|---|
| Cell function assay w/stim CPT 86352 | $262.85 | $888.00 | $117.40 – $410.90 | 10 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $140.96 – $140.96 | 1 |
| Cerebrospinal fld flw imag CPT 78645 | $301.63 | $1,019.00 | $144.62 – $713.30 | 6 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,537.30 | $11,950.31 | $37.63 – $4,315.83 | 9 |
| #cf-97variants CPT 81220 | $80.22 | $271.00 | $189.70 – $960.00 | 10 |
| Change cystostomy tube; complex 51710 CPT 51710 | $734.08 | $2,480.00 | $496.00 – $1,736.00 | 2 |
| Change cystostomy tube simple CPT 51705 | $230.88 | $780.00 | $156.00 – $546.00 | 3 |
| Change g-tube to g-j perc CPT 49446 | $1,344.14 | $4,541.00 | $908.20 – $3,178.70 | 3 |
| Change nephroureteral cath CPT 50387 | $2,209.94 | $7,466.00 | $1,493.20 – $5,226.20 | 3 |
| Change of ureter tube/stent CPT 50688 | $2,088.28 | $7,055.00 | $1,411.00 – $4,938.50 | 2 |
| Change of windpipe airway 31502 CPT 31502 | $227.33 | $768.00 | $153.60 – $537.60 | 3 |
| Change ureter stent percut CPT 50382 | $1,496.28 | $5,055.00 | $1,011.00 – $3,538.50 | 3 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $42.28 – $42.28 | 1 |
| Chemo adm cns w/lmbr punct CPT 96450 | $259.89 | $878.00 | $106.00 – $614.60 | 5 |
| Chemo ia push tecnique CPT 96420 | $136.76 | $462.00 | $56.76 – $323.40 | 5 |
| Chest 2 vws w oblique CPT 71048 | $116.63 | $394.00 | $28.07 – $275.80 | 6 |
| Chest apical lordotic proj CPT 71047 | $99.16 | $335.00 | $27.28 – $234.50 | 6 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,604.92 | $5,422.00 | $176.05 – $3,795.40 | 10 |
| Chest CT scan (with contrast) CPT 71260 | $1,410.15 | $4,764.00 | $157.26 – $3,334.80 | 10 |
| Chest CT scan (without contrast) CPT 71250 | $1,215.68 | $4,107.00 | $78.34 – $2,874.90 | 10 |
| Chest X-ray CPT 71046 | $203.36 | $687.00 | $21.40 – $480.90 | 6 |
| Chest X-ray (single view) CPT 71045 | $135.57 | $458.00 | $11.61 – $320.60 | 6 |
| Chg pr pul rehab for copd patients CPT 94626 | $68.38 | $231.00 | $46.20 – $419.00 | 3 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $342.77 | $1,158.00 | $80.86 – $810.60 | 6 |
| Chlamydia culture CPT 87110 | $45.88 | $155.00 | $17.40 – $108.50 | 10 |
| Chlnggrphy intraop addl s&i CPT 74301 | $106.86 | $361.00 | $32.14 – $252.70 | 4 |
| Chloride CPT 82435 | $42.63 | $144.00 | $4.09 – $100.80 | 10 |
| Chloride 24 hour urine CPT 82436 | $41.74 | $141.00 | $4.47 – $98.70 | 10 |
| Chloroprocaine hcl injection HCPCS J2401 | $38.04 | $128.48 | $20.72 – $72.50 | 8 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $65.66 | $221.82 | $16.95 – $109.98 | 9 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $43.32 | $146.34 | $4.02 – $102.44 | 9 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $50.40 | $170.27 | $0.84 – $2.92 | 8 |
| Cholangiogram percutaneous compl CPT 47532 | $2,223.56 | $7,512.00 | $1,502.40 – $5,258.40 | 2 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $426.84 | $1,442.00 | $41.41 – $1,009.40 | 4 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,968.40 | $6,650.00 | $1,330.00 – $4,655.00 | 3 |
| Cholesterol CPT 82465 | $6.52 | $22.00 | $3.86 – $15.40 | 10 |
| Cholesterol body fluid CPT 84999 | $141.79 | $479.00 | $13.80 – $50.58 | 4 |
| Cholesterol (Lipid) Test CPT 80061 | $24.57 | $83.00 | $11.89 – $58.10 | 10 |
| Cholinesterase CPT 82480 | $10.36 | $35.00 | $7.00 – $24.50 | 10 |
| Chromatography CPT 83021 | $23.68 | $80.00 | $7.55 – $50.40 | 10 |
| Chromo high res and frag x - sendout CPT 81243 | $68.08 | $230.00 | $37.23 – $350.01 | 10 |
| Chromosome analysis 15-20 cell count CPT 88262 | $38.19 | $129.00 | $90.30 – $235.92 | 10 |
| Chromosome karyotype study CPT 88280 | $58.32 | $197.00 | $22.29 – $137.90 | 10 |
| Chylomicron screen, bf - sendout CPT 82664 | $120.48 | $407.00 | $30.51 – $284.90 | 10 |
| Cidofovir injection HCPCS J0740 | $553.58 | $1,870.20 | $367.34 – $1,309.14 | 9 |
| Cilastatin sodium injection HCPCS J0743 | $28.36 | $95.78 | $9.24 – $67.05 | 9 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $19.92 | $67.27 | $1.45 – $44.15 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $100.68 – $100.68 | 1 |
| Circumcision (newborn) CPT 54150 | not published | not published | $58.40 – $58.40 | 1 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $180.92 | $611.20 | $0.05 – $0.25 | 9 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $192.06 | $648.82 | $13.52 – $317.83 | 9 |
| Clearance of airways CPT 31720 | $145.34 | $491.00 | $98.20 – $343.70 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $28.19 | $95.22 | $0.05 – $0.18 | 8 |
| Clip ligating vesolock lg HCPCS C1760 | $164.28 | $555.00 | $111.00 – $555.00 | 9 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $604.88 | $2,043.48 | $9.36 – $1,430.44 | 9 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $35.57 | $120.15 | $21.72 – $97.57 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,588.34 | $5,366.00 | $1,073.20 – $3,756.20 | 2 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $140.96 – $140.96 | 1 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $66.45 – $66.45 | 1 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $251.60 | $850.00 | $170.00 – $595.00 | 3 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $78.54 – $78.54 | 1 |
| Closure paravalvlr leak pq CPT 33999 | $926.48 | $3,130.00 | $626.00 – $2,191.00 | 3 |
| Clot factor xii hageman CPT 85280 | $160.14 | $541.00 | $17.19 – $378.70 | 10 |
| Clot factor xiii fibrin scrn CPT 85291 | $120.18 | $406.00 | $7.90 – $284.20 | 10 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $241.24 | $815.00 | $130.90 – $529.75 | 3 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $134.91 – $134.91 | 1 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $88.60 – $88.60 | 1 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $60.41 – $60.41 | 1 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $130.90 – $130.90 | 1 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $660.38 | $2,231.00 | $446.20 – $1,450.15 | 2 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $112.77 – $112.77 | 1 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $132.91 – $132.91 | 1 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $136.92 – $136.92 | 1 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $82.56 – $82.56 | 1 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $260.48 | $880.00 | $176.00 – $572.00 | 2 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $66.45 – $66.45 | 1 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $395.46 | $1,336.00 | $267.20 – $868.40 | 2 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $40.27 – $40.27 | 1 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $136.92 – $136.92 | 1 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $118.81 – $118.81 | 1 |
| #cmvcul-virus inoculation shell CPT 87254 | $23.68 | $80.00 | $6.15 – $56.00 | 10 |
| Cmv pcr-sendout CPT 87496 | $46.18 | $156.00 | $24.67 – $109.20 | 10 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $4,789.51 | $16,180.76 | $1.24 – $11,326.54 | 13 |
| Coagulation time activated teg CPT 85347 | $77.85 | $263.00 | $3.78 – $184.10 | 10 |
| Cocaine 4 % nasal solution HCPCS C9046 | $74.54 | $251.81 | $1.13 – $57.59 | 9 |
| Cold agglutinin titer CPT 86157 | $74.30 | $251.00 | $7.16 – $175.70 | 10 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $2,272.99 | $7,679.00 | $1,535.80 – $5,375.30 | 3 |
| Colistimethate sodium inj HCPCS J0770 | $48.74 | $164.65 | $16.55 – $65.63 | 9 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $60.98 | $206.00 | $41.20 – $144.20 | 3 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $60.98 | $206.00 | $41.20 – $144.20 | 3 |
| Collection of venous blood by venipuncture CPT 36415 | $17.76 | $60.00 | $2.10 – $42.00 | 10 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $40.27 – $40.27 | 1 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $119.00 | $402.00 | $37.73 – $281.40 | 5 |
| Compatibility test each unit electronic CPT 86923 | $94.72 | $320.00 | $23.35 – $224.00 | 5 |
| Compatibility test each unit immediate spin technique CPT 86920 | $100.94 | $341.00 | $32.70 – $238.70 | 5 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $271.73 | $918.00 | $183.60 – $642.60 | 3 |
| Complement antigen each component c3 CPT 86160 | $51.51 | $174.00 | $10.66 – $121.80 | 10 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $23.53 – $23.53 | 1 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $639.36 | $2,160.00 | $432.00 – $1,404.00 | 2 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $591.41 | $1,998.00 | $399.60 – $1,398.60 | 2 |
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.