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 |
|---|---|---|---|---|
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $44.31 – $44.31 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $84.96 | $287.00 | $26.38 – $200.90 | 6 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $29.12 | $98.35 | $0.05 – $0.18 | 8 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $21.26 | $71.81 | $0.05 – $0.25 | 9 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $187.21 | $632.45 | $97.03 – $427.21 | 9 |
| Dextran 40 infusion HCPCS J7100 | $41.92 | $141.60 | $20.08 – $141.60 | 9 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $6.22 | $21.00 | $1.07 – $10.51 | 9 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $4.67 | $15.76 | $2.11 – $7.36 | 8 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $22.16 | $74.85 | $1.16 – $5.79 | 9 |
| Dextrose 5 % IV bolus HCPCS J7070 | $7.77 | $26.24 | $1.11 – $5.53 | 9 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $35.82 | $121.00 | $19.75 – $84.70 | 10 |
| Diabetes (HbA1c) Test CPT 83036 | $24.57 | $83.00 | $8.62 – $58.10 | 10 |
| Diab manage trn ind/group HCPCS G0109 | $14.80 | $50.00 | $10.00 – $39.99 | 9 |
| Diag bronchoscope/catheter CPT 31643 | $1,647.84 | $5,567.00 | $1,113.40 – $3,896.90 | 2 |
| Diag laparo separate proc 49320 CPT 49320 | $5,630.22 | $19,021.00 | $3,804.20 – $13,314.70 | 2 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $20.14 – $20.14 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $166.95 | $564.00 | $26.18 – $394.80 | 4 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $737.93 | $2,493.00 | $498.60 – $1,745.10 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $126.99 | $429.00 | $80.13 – $300.30 | 6 |
| Diagnostic Mammogram (one breast) CPT 77065 | $97.68 | $330.00 | $62.74 – $231.00 | 6 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,064.38 | $13,731.00 | $2,746.20 – $9,611.70 | 3 |
| Dialysis one evaluation CPT 90945 | $570.99 | $1,929.00 | $119.23 – $1,350.30 | 3 |
| Dialysis repeated eval CPT 90947 | $222.00 | $750.00 | $150.00 – $525.00 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $55.63 | $187.93 | $0.05 – $0.25 | 9 |
| Dicyclomine injection HCPCS J0500 | $112.02 | $378.44 | $5.22 – $59.83 | 9 |
| Diffusing capacity CPT 94729 | $208.68 | $705.00 | $52.54 – $493.50 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $22.65 | $76.52 | $2.08 – $46.71 | 9 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $9,075.78 | $30,661.41 | $1,436.14 – $21,462.99 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $111.00 | $375.00 | $11.80 – $262.50 | 10 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $137.09 | $463.13 | $20.45 – $187.64 | 9 |
| Dilate biliary duct/ampulla CPT 47542 | $185.30 | $626.00 | $125.20 – $438.20 | 3 |
| Dilate ic vasospasm init CPT 61640 | $3,012.10 | $10,176.00 | $2,035.20 – $7,123.20 | 3 |
| Dilate tear duct opening CPT 68801 | not published | not published | $32.22 – $32.22 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $808.59 | $2,731.71 | $68.86 – $1,912.20 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.13 | $3.81 | $0.32 – $2.67 | 8 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $17.38 | $58.70 | $1.32 – $39.65 | 9 |
| Disaccharidases CPT 82657 | $30.49 | $103.00 | $7.55 – $72.10 | 10 |
| #d/lmeth-l-methamphetamine CPT 80374 | $150.08 | $507.00 | $101.40 – $354.90 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,057.02 | $3,571.00 | $714.20 – $2,499.70 | 2 |
| Dmpk gene detc abnor allele CPT 81234 | $167.84 | $567.00 | $89.43 – $396.90 | 10 |
| Dna antibody native/double stranded CPT 86225 | $21.91 | $74.00 | $12.20 – $46.20 | 10 |
| Dna gardnerella CPT 87510 | $25.76 | $87.00 | $17.82 – $60.90 | 10 |
| Dna trichomonas CPT 87660 | $25.76 | $87.00 | $17.82 – $60.90 | 10 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $41.10 | $138.84 | $7.39 – $55.45 | 9 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,310.67 | $4,427.92 | $0.51 – $354.39 | 9 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $31.75 | $107.26 | $0.80 – $45.36 | 9 |
| Doppler echo complete CPT 93320 | $312.58 | $1,056.00 | $77.84 – $989.00 | 4 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $340.40 | $1,150.00 | $87.27 – $7,669.00 | 5 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $271.14 | $916.00 | $78.90 – $557.90 | 5 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $162.80 | $550.00 | $52.82 – $385.00 | 5 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $24,754.34 | $83,629.51 | $16,725.91 – $58,540.66 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $204.29 | $690.14 | $0.05 – $0.25 | 9 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,759.64 | $9,323.10 | $87.10 – $1,066.03 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $46.32 – $46.32 | 1 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $42.28 – $42.28 | 1 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $52.36 – $52.36 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $58.40 – $58.40 | 1 |
| Drainage of kidney lesion CPT 50390 | $700.34 | $2,366.00 | $473.20 – $1,656.20 | 2 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $44.31 – $44.31 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $140.96 – $140.96 | 1 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $104.72 – $104.72 | 1 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $163.10 – $163.10 | 1 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $114.78 – $114.78 | 1 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $181.23 – $181.23 | 1 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $126.86 – $126.86 | 1 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $213.45 – $213.45 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $48.33 – $48.33 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | $3,344.51 | $11,299.00 | $2,259.80 – $7,909.30 | 2 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $76.51 – $76.51 | 1 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $18.13 – $18.13 | 1 |
| Drain cath image guided visceral pq CPT 49405 | $517.71 | $1,749.00 | $349.80 – $1,224.30 | 3 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $597.04 | $2,017.00 | $403.40 – $1,411.90 | 2 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $48.33 – $48.33 | 1 |
| Drain lower leg lesion 27603 CPT 27603 | $1,306.25 | $4,413.00 | $882.60 – $3,089.10 | 2 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $469.19 – $469.19 | 1 |
| Drain thigh/knee lesion 27301 CPT 27301 | $2,914.42 | $9,846.00 | $1,969.20 – $6,399.90 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $565.36 | $1,910.00 | $61.94 – $1,241.50 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $325.60 | $1,100.00 | $28.19 – $770.00 | 4 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $243.02 | $821.00 | $164.20 – $533.65 | 2 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $606.80 | $2,050.00 | $410.00 – $1,435.00 | 3 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $338.33 | $1,143.00 | $228.60 – $800.10 | 3 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $46.32 – $46.32 | 1 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,611.72 | $5,445.00 | $66.45 – $3,811.50 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $25.41 | $85.84 | $2.42 – $60.09 | 9 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $10.96 | $37.00 | $10.68 – $25.90 | 9 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $156.29 | $528.00 | $5.20 – $20.60 | 10 |
| Drug admin & hemodynmic meas CPT 93463 | $87.32 | $295.00 | $59.00 – $7,669.00 | 5 |
| Drug assay posaconazole CPT 80187 | $32.56 | $110.00 | $17.70 – $77.00 | 10 |
| Drug assay vedolizumab CPT 80280 | $49.73 | $168.00 | $25.18 – $117.60 | 10 |
| Drug assay voriconazole CPT 80285 | $35.23 | $119.00 | $17.70 – $83.30 | 10 |
| Drug of abuse screen urine CPT 80305 | $21.32 | $72.00 | $9.77 – $50.40 | 10 |
| Drug test def 1-7 classes HCPCS G0480 | $159.25 | $538.00 | $55.96 – $358.40 | 10 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $103.60 | $350.00 | $52.09 – $245.00 | 10 |
| Duplex scan bilateral study 93985 CPT 93985 | $285.35 | $964.00 | $163.11 – $674.80 | 5 |
| Duplex scan unilateral study 93986 CPT 93986 | $137.35 | $464.00 | $78.45 – $324.80 | 5 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $221.12 | $747.00 | $94.40 – $522.90 | 5 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $271.14 | $916.00 | $78.90 – $641.20 | 5 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $417.96 | $1,412.00 | $132.73 – $988.40 | 5 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $9,080.81 | $30,678.41 | $51.70 – $5,119.75 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | $152.74 | $516.00 | $44.49 – $361.20 | 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.