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 |
|---|---|---|---|---|
| Culture aerobic additional method definitive id each CPT 87077 | $112.48 | $380.00 | $7.18 – $45.50 | 10 |
| Culture afb any source CPT 87116 | $137.64 | $465.00 | $9.60 – $325.50 | 10 |
| Culture anaerobic additional method definitive id each CPT 87076 | $93.54 | $316.00 | $7.18 – $221.20 | 10 |
| Culture anaerobic except blood CPT 87075 | $24.57 | $83.00 | $8.41 – $58.10 | 10 |
| Culture bact stool aero addl path ea CPT 87046 | $33.45 | $113.00 | $2.97 – $79.10 | 10 |
| Culture body fluid CPT 87070 | $21.91 | $74.00 | $7.65 – $46.20 | 10 |
| Culture fungi definitive id mold CPT 87107 | $31.68 | $107.00 | $9.17 – $74.90 | 10 |
| Culture fungi definitive id yeast CPT 87106 | $112.78 | $381.00 | $9.17 – $58.10 | 10 |
| Culture fungi other (except blood) CPT 87102 | $21.91 | $74.00 | $7.46 – $51.80 | 10 |
| Culture fungi skin/hair/nail CPT 87101 | $19.24 | $65.00 | $6.85 – $45.50 | 10 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $76.37 | $258.00 | $9.72 – $180.60 | 10 |
| Culture mycoplasma any source CPT 87109 | $116.33 | $393.00 | $13.67 – $275.10 | 10 |
| Culture quantitative aerobic other source CPT 87071 | $14.80 | $50.00 | $5.93 – $35.00 | 10 |
| Culture screening strep group a CPT 87081 | $21.61 | $73.00 | $5.89 – $51.10 | 10 |
| Culture typing added method CPT 87158 | $76.37 | $258.00 | $4.65 – $180.60 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $87.03 | $294.00 | $31.18 – $117.60 | 10 |
| Culture urine each isolate CPT 87088 | $18.36 | $62.00 | $7.20 – $43.40 | 10 |
| Cutter lead HCPCS C1773 | $534.28 | $1,805.00 | $85.80 – $300.30 | 2 |
| Cv line/pic reposition CPT 36597 | $1,898.55 | $6,414.00 | $1,282.80 – $4,489.80 | 3 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $18.96 | $64.04 | $0.05 – $0.25 | 9 |
| Cyclic citrullinated peptide antibody CPT 86200 | $167.24 | $565.00 | $11.50 – $395.50 | 10 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $553.10 | $1,868.56 | $0.05 – $0.18 | 8 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $268.13 | $905.82 | $0.66 – $353.25 | 8 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $86.17 | $291.11 | $35.48 – $124.16 | 8 |
| Cyclosporine 2 hour CPT 80158 | $43.81 | $148.00 | $7.50 – $103.60 | 10 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $25.22 | $85.20 | $0.10 – $0.48 | 8 |
| Cyclosporine oral 100 mg HCPCS J7502 | $226.38 | $764.79 | $0.26 – $1.29 | 8 |
| Cyp2d6 gene com variants CPT 81226 | $264.63 | $894.00 | $40.00 – $847.71 | 10 |
| Cystatin c CPT 82610 | $46.18 | $156.00 | $12.08 – $109.20 | 10 |
| Cystine urine quantitative CPT 82131 | $58.61 | $198.00 | $14.98 – $138.60 | 10 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $265.22 | $896.00 | $41.10 – $627.20 | 6 |
| Cystometrogram w/up 51727 CPT 51727 | $271.73 | $918.00 | $183.60 – $642.60 | 3 |
| Cystoscopy and treatment CPT 52234 | $1,381.73 | $4,668.00 | $933.60 – $3,267.60 | 2 |
| Cystoscopy (Bladder Scope) CPT 52000 | $520.37 | $1,758.00 | $351.60 – $1,230.60 | 2 |
| Cystoscopy chemodenervation CPT 52287 | $1,482.67 | $5,009.00 | $1,001.80 – $3,506.30 | 3 |
| Cystoscopy & ureter catheter CPT 52005 | $1,421.40 | $4,802.00 | $960.40 – $3,361.40 | 2 |
| Cysto/uretero w/lithotripsy CPT 52356 | $3,176.08 | $10,730.00 | $2,146.00 – $7,511.00 | 3 |
| Cystouretero w/lithotripsy CPT 52353 | $1,437.38 | $4,856.00 | $971.20 – $3,399.20 | 2 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $1,419.62 | $4,796.00 | $959.20 – $3,357.20 | 2 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $145.36 | $491.06 | $1.15 – $290.36 | 9 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $25.76 | $87.00 | $12.78 – $60.90 | 10 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $25.76 | $87.00 | $14.97 – $60.90 | 10 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $46.77 | $158.00 | $35.43 – $110.60 | 6 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $58.91 | $199.00 | $18.00 – $139.30 | 10 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $80.81 | $273.00 | $9.20 – $191.10 | 6 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $24.28 | $82.00 | $5.14 – $57.40 | 6 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $174.64 | $590.00 | $15.09 – $413.00 | 6 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $51.21 | $173.00 | $18.43 – $163.90 | 6 |
| Cytopath tbs c/v manual CPT 88164 | $42.04 | $142.00 | $9.39 – $99.40 | 10 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $130.69 | $441.49 | $4.61 – $296.30 | 9 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $5,000.58 | $16,893.82 | $2.26 – $11,825.68 | 9 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,401.41 | $11,491.25 | $10.21 – $8,043.88 | 9 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $973.35 | $3,288.34 | $0.05 – $310.54 | 9 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $22,977.61 | $77,627.03 | $30.70 – $54,338.93 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $8,097.13 | $27,355.15 | $2.73 – $4,027.09 | 9 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $22,284.19 | $75,284.42 | $133.22 – $46,659.06 | 9 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $354.45 | $1,197.45 | $19.39 – $531.68 | 9 |
| Dch glucoscan CPT 82948 | $5.92 | $20.00 | $2.81 – $14.00 | 10 |
| Dch pulmonary stress test CPT 94621 | $305.77 | $1,033.00 | $68.61 – $723.10 | 4 |
| Dch validity tests CPT 81002 | $10.36 | $35.00 | $2.28 – $24.50 | 10 |
| Deamidated gliadin antibody iga CPT 86258 | $15.40 | $52.00 | $10.40 – $36.40 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $353.13 | $1,193.00 | $238.60 – $835.10 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $116.04 | $392.00 | $75.43 – $269.50 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,228.70 | $4,151.00 | $354.59 – $2,905.70 | 3 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $185.30 | $626.00 | $65.47 – $438.20 | 4 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $823.48 | $2,782.00 | $107.49 – $1,947.40 | 4 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $686.43 | $2,319.00 | $106.43 – $1,623.30 | 3 |
| Debride nail1-5 11720 CPT 11720 | $37.30 | $126.00 | $16.10 – $88.20 | 4 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $46.32 – $46.32 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,096.98 | $3,706.00 | $741.20 – $2,594.20 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $185.30 | $626.00 | $37.52 – $438.20 | 4 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $32.22 – $32.22 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $960.82 | $3,246.00 | $232.90 – $2,272.20 | 3 |
| Decalcification CPT 88311 | $44.40 | $150.00 | $4.20 – $105.00 | 6 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $311.54 | $1,052.47 | $1.59 – $436.22 | 9 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $433.94 | $1,466.00 | $293.20 – $1,026.20 | 3 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $1,625.64 | $5,492.00 | $1,098.40 – $3,844.40 | 2 |
| Decompression fasct forearm CPT 24495 | $6,983.24 | $23,592.00 | $4,718.40 – $16,514.40 | 2 |
| Decompression of lower leg CPT 27600 | $3,010.32 | $10,170.00 | $2,034.00 – $7,119.00 | 2 |
| Decompression of lower leg CPT 27601 | $3,214.86 | $10,861.00 | $2,172.20 – $7,602.70 | 2 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $63.16 | $213.37 | $8.96 – $63.75 | 9 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,145.81 | $3,870.95 | $2.39 – $2,709.67 | 9 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $1,664.71 | $5,624.00 | $1,124.80 – $3,936.80 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $116.63 | $394.00 | $24.23 – $275.80 | 6 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $6,709.74 | $22,668.03 | $10.28 – $8,739.75 | 9 |
| Depo-estradiol cypionate inj HCPCS J1000 | $49.14 | $166.00 | $1.92 – $116.20 | 9 |
| Dermagraft HCPCS Q4106 | $252.49 | $853.00 | $28.86 – $597.10 | 10 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $3,379.73 | $11,418.00 | $2,283.60 – $7,992.60 | 3 |
| Design mlc device for imrt CPT 77338 | $178.49 | $603.00 | $120.60 – $688.23 | 6 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $728.80 | $2,462.15 | $3.53 – $77.35 | 9 |
| Desoxycorticosterone CPT 82633 | $216.08 | $730.00 | $27.52 – $511.00 | 10 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $3,068.64 | $10,367.00 | $2,073.40 – $7,256.90 | 3 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $2,113.44 | $7,140.00 | $1,428.00 – $4,998.00 | 3 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $26.18 – $26.18 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $60.41 – $60.41 | 1 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $26.18 – $26.18 | 1 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $60.41 – $60.41 | 1 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $38.26 – $38.26 | 1 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $126.52 – $126.52 | 1 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $50.35 – $50.35 | 1 |
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.