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 |
|---|---|---|---|---|
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $97.68 | $330.00 | $9.87 – $231.00 | 4 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | not published | not published | $169.15 – $169.15 | 1 |
| Complx repair fccmnaxghf 13131 CPT 13131 | not published | not published | $140.96 – $140.96 | 1 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $591.41 | $1,998.00 | $104.72 – $1,398.60 | 3 |
| Composite byp grft pros&vein CPT 35681 | $2,843.68 | $9,607.00 | $1,921.40 – $6,724.90 | 3 |
| Concentration infection agents any type CPT 87015 | $12.73 | $43.00 | $5.94 – $30.10 | 10 |
| Condylomata destruction 56420 CPT 56420 | $190.92 | $645.00 | $129.00 – $451.50 | 3 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $435.84 | $1,472.41 | $61.42 – $1,030.69 | 9 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $782.92 | $2,645.00 | $23.32 – $1,851.50 | 6 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $66.31 | $224.00 | $8.87 – $156.80 | 6 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $137.94 | $466.00 | $24.26 – $326.20 | 6 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $38.19 | $129.00 | $14.24 – $93.21 | 6 |
| Contrast baths charges CPT 97034 | $90.28 | $305.00 | $15.02 – $213.50 | 6 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,764.76 | $5,962.00 | $137.15 – $4,173.40 | 6 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,782.40 | $9,400.00 | $149.96 – $6,580.00 | 6 |
| Control nosebleed pack+caut 30905 CPT 30905 | $128.17 | $433.00 | $86.60 – $303.10 | 2 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $142.97 – $142.97 | 1 |
| Control of nosebleedantersmpl 30901 CPT 30901 | not published | not published | $44.31 – $44.31 | 1 |
| Conversion ext bil drg cath CPT 47535 | $2,664.89 | $9,003.00 | $1,800.60 – $6,302.10 | 2 |
| Convert nephrostomy catheter CPT 50434 | $752.73 | $2,543.00 | $508.60 – $1,780.10 | 2 |
| Coombs direct CPT 86880 | $7.40 | $25.00 | $5.39 – $17.50 | 7 |
| Coombs indirect titer reference CPT 86886 | $35.52 | $120.00 | $5.18 – $84.00 | 7 |
| Copper cu 64 dotatate diag HCPCS A9592 | $2,959.71 | $9,999.00 | $1,999.80 – $6,999.30 | 6 |
| Core ndl bx lng/med perq CPT 32408 | $1,665.89 | $5,628.00 | $1,125.60 – $3,939.60 | 2 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $7,074.40 | $23,900.00 | $915.27 – $16,730.00 | 5 |
| Coronary angio/lv gram/lt heart CPT 93458 | $7,074.40 | $23,900.00 | $833.60 – $16,730.00 | 5 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $7,074.40 | $23,900.00 | $969.31 – $16,730.00 | 5 |
| Coronary art/grft angio s&i CPT 93455 | $2,522.81 | $8,523.00 | $819.12 – $7,669.00 | 5 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $2,522.81 | $8,523.00 | $699.34 – $7,669.00 | 5 |
| Cortisol total am CPT 82533 | $98.28 | $332.00 | $14.48 – $232.40 | 10 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $47.53 | $160.57 | $26.34 – $131.68 | 9 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $47.36 | $160.00 | $32.00 – $112.00 | 2 |
| Covid-19 convalescent plasma HCPCS C9507 | $914.64 | $3,090.00 | $618.00 – $2,163.00 | 3 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $548.79 | $1,854.00 | $370.80 – $1,297.80 | 2 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $548.79 | $1,854.00 | $370.80 – $1,297.80 | 2 |
| Covid-19 lab test non-cdc HCPCS U0002 | $67.49 | $228.00 | $35.92 – $159.60 | 9 |
| #covid19rsv-rsv CPT 87634 | $91.47 | $309.00 | $56.57 – $216.30 | 10 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $46.18 | $156.00 | $11.57 – $109.20 | 10 |
| C-peptide CPT 84681 | $42.63 | $144.00 | $18.49 – $100.80 | 10 |
| Crbrospnl fld flw imag cistern CPT 78630 | $577.80 | $1,952.00 | $212.01 – $1,366.40 | 6 |
| C-reactive protein CPT 86140 | $87.03 | $294.00 | $4.59 – $205.80 | 10 |
| C-reactive protein high sensitivity CPT 86141 | $90.28 | $305.00 | $11.50 – $213.50 | 10 |
| C-reactive protein, quantitative CPT 86406 | $14.21 | $48.00 | $9.44 – $33.60 | 10 |
| Creatine kinase CPT 82550 | $15.40 | $52.00 | $5.78 – $36.40 | 10 |
| Creatine kinase isoenzymes CPT 82552 | $23.98 | $81.00 | $11.90 – $56.70 | 10 |
| Creatine kinase mb CPT 82553 | $207.20 | $700.00 | $10.26 – $490.00 | 10 |
| Creatine - sendout CPT 82540 | $26.64 | $90.00 | $4.12 – $63.00 | 10 |
| Creatinine CPT 82565 | $9.18 | $31.00 | $4.55 – $21.70 | 10 |
| Creatinine 24 hour urine CPT 82570 | $13.03 | $44.00 | $4.59 – $30.80 | 10 |
| Creatinine clearance urine CPT 82575 | $118.11 | $399.00 | $8.39 – $279.30 | 10 |
| #creutz-prot.,western blot CPT 84182 | $314.95 | $1,064.00 | $15.99 – $171.50 | 10 |
| Critical care 30-74 minutes CPT 99291 | $757.76 | $2,560.00 | $512.00 – $1,664.00 | 7 |
| Critical care each additional 30 minutes CPT 99292 | $265.22 | $896.00 | $171.17 – $1,222.00 | 6 |
| Crotalidae poly immune fab HCPCS J0840 | $2,886.44 | $9,751.47 | $1,745.18 – $6,826.03 | 9 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $1,931.11 | $6,524.00 | $1,304.80 – $4,566.80 | 3 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $39.96 | $135.00 | $7.62 – $94.50 | 10 |
| Cryoprecipitate each unit HCPCS P9012 | $114.26 | $386.00 | $35.78 – $270.20 | 4 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $42.28 – $42.28 | 1 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $24.17 – $24.17 | 1 |
| Cryptococcus abs qn - sendout CPT 86641 | $66.31 | $224.00 | $12.80 – $156.80 | 10 |
| Crystal identification light microscopy CPT 89060 | $86.44 | $292.00 | $6.36 – $204.40 | 10 |
| CT 3d report other modality w/workstation CPT 76377 | $296.00 | $1,000.00 | $83.99 – $1,467.00 | 8 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,710.88 | $5,780.00 | $184.04 – $4,046.00 | 10 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,539.50 | $5,201.00 | $184.04 – $3,640.70 | 10 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $772.27 | $2,609.00 | $184.04 – $1,826.30 | 10 |
| Cta neck without &/or w/contrast CPT 70498 | $1,252.38 | $4,231.00 | $184.04 – $2,961.70 | 10 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,553.60 | $8,627.00 | $245.15 – $6,038.90 | 10 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,659.08 | $5,605.00 | $184.04 – $3,923.50 | 10 |
| CT Angiogram of the Head CPT 70496 | $1,305.07 | $4,409.00 | $184.04 – $3,086.30 | 10 |
| CT angio hrt w/3d image CPT 75574 | $862.55 | $2,914.00 | $141.03 – $2,039.80 | 10 |
| CT angio pelvis CPT 72191 | $1,054.06 | $3,561.00 | $184.04 – $2,492.70 | 10 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,162.40 | $3,927.00 | $184.04 – $1,832.60 | 10 |
| CT colonography dx CPT 74261 | $368.82 | $1,246.00 | $78.34 – $1,467.00 | 10 |
| CT guidance for needle placement CPT 77012 | $109.52 | $370.00 | $74.00 – $1,467.00 | 8 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $207.80 | $702.00 | $129.23 – $491.40 | 5 |
| CT guid parench tis ablat CPT 77013 | $907.24 | $3,065.00 | $100.36 – $2,145.50 | 8 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $20.43 | $69.00 | $13.80 – $1,467.00 | 10 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $483.08 | $1,632.00 | $141.03 – $1,467.00 | 10 |
| CT hrt w/3d image CPT 75572 | $586.68 | $1,982.00 | $141.03 – $1,467.00 | 10 |
| CT limited or localized follow-up study CPT 76380 | $271.14 | $916.00 | $38.75 – $1,467.00 | 10 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $993.38 | $3,356.00 | $157.26 – $2,349.20 | 10 |
| CT lower extremity without contrast (both sides) CPT 73700 | $694.72 | $2,347.00 | $78.34 – $1,642.90 | 10 |
| CT lwr extremity w/o&w/dye CPT 73702 | $896.00 | $3,027.00 | $176.05 – $2,118.90 | 10 |
| CT neck soft tissue w/contrast CPT 70491 | $1,220.41 | $4,123.00 | $157.26 – $2,886.10 | 10 |
| CT neck soft tissue without contrast CPT 70490 | $1,012.92 | $3,422.00 | $78.34 – $2,395.40 | 10 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,281.39 | $4,329.00 | $176.05 – $3,030.30 | 10 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,044.29 | $3,528.00 | $176.05 – $2,469.60 | 10 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $856.33 | $2,893.00 | $157.26 – $2,025.10 | 10 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $751.25 | $2,538.00 | $78.34 – $1,776.60 | 10 |
| CT scan for therapy guide CPT 77014 | $330.64 | $1,117.00 | $135.76 – $800.00 | 6 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $807.20 | $2,727.00 | $245.15 – $1,908.90 | 10 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $714.55 | $2,414.00 | $245.15 – $1,689.80 | 10 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $607.40 | $2,052.00 | $150.48 – $1,467.00 | 10 |
| CT thoracic spine w/contrast CPT 72129 | $1,390.91 | $4,699.00 | $157.26 – $3,289.30 | 10 |
| CT thoracic spine without contrast CPT 72128 | $1,061.76 | $3,587.00 | $78.34 – $2,510.90 | 10 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $177.60 | $600.00 | $52.81 – $1,467.00 | 10 |
| CT t-spine w /wo contrast CPT 72130 | $1,507.83 | $5,094.00 | $176.05 – $3,565.80 | 10 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,028.01 | $3,473.00 | $157.26 – $2,431.10 | 10 |
| CT upper extremity without contrast (both sides) CPT 73200 | $694.72 | $2,347.00 | $78.34 – $1,642.90 | 10 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,028.01 | $3,473.00 | $176.05 – $2,431.10 | 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.