Supplies, drugs & other prices at CommonSpirit - Memorial Hospital - Chattanooga
Chattanooga, TN · every code in this section with a posted price and a Medicare benchmark.
51 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,854.44 | $4,384 | 2.6× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,150.99 | $2,721 | 1.6× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,159.45 | $2,741 | 3.6× |
| Adm tocilizu covid-19 1st (M0249) | $784.25 | $1,854 | 1.9× |
| Adm tocilizu covid-19 2nd (M0250) | $784.25 | $1,854 | 1.9× |
| Covid-19 lab test non-cdc (U0002) | $96.45 | $228 | 1.9× |
| Diab manage trn per indiv (G0108) | $29.61 | $70 | 0.5× |
| Diab manage trn ind/group (G0109) | $21.15 | $50 | 1.3× |
| Direct refer hospital observ (G0379) | $70.22 | $166 | 0.1× |
| Drug test def 1-7 classes (G0480) | $227.58 | $538 | 2.0× |
| Elec stim other than wound (G0283) | $93.49 | $221 | 7.4× |
| Hbot, full body chamber, 30m (G0277) | $368.44 | $871 | 2.9× |
| Inj for sacroiliac jt anesth (G0260) | $905.65 | $2,141 | 1.4× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $48,209.31 | $113,970 | 1.7× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $12,448.89 | $29,430 | 1.6× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $12,448.89 | $29,430 | 1.6× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $34,542.18 | $81,660 | 1.7× |
| Mra w/cont, abd (C8900) | $2,312.55 | $5,467 | 7.2× |
| Mra w/cont, chest (C8909) | $1,333.72 | $3,153 | 4.1× |
| Mra w/cont, pelvis (C8918) | $583.74 | $1,380 | 1.8× |
| Mra w/o cont, abd (C8901) | $1,811.29 | $4,282 | 8.2× |
| Mra w/o cont, chest (C8910) | $887.88 | $2,099 | 4.0× |
| Mra w/o cont, pelvis (C8919) | $1,509.69 | $3,569 | 6.9× |
| Mra w/o fol w/cont, abd (C8902) | $2,786.31 | $6,587 | 8.7× |
| Mra w/o fol w/cont, chest (C8911) | $1,509.69 | $3,569 | 4.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,237.65 | $7,654 | 10.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $583.74 | $1,380 | 1.8× |
| Mri w/o fol w/cont, breast, (C8908) | $2,563.38 | $6,060 | 8.0× |
| Oth resp proc, group (G0239) | $50.34 | $119 | 1.5× |
| Pathogen test for platelets (P9100) | $22 | $52 | 0.4× |
| Perc d-e cor revasc chro sin (C9607) | $15,758.02 | $37,253 | 0.9× |
| Perc d-e cor revasc t cabg s (C9604) | $15,449.23 | $36,523 | 1.5× |
| Perc d-e cor stent ather s (C9602) | $15,758.02 | $37,253 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $15,449.23 | $36,523 | 1.5× |
| Perq Sacral Augmt Bilat Inj (0201T) likely a partial charge, not the full procedure |
$1,390.41 | $3,287 | 0.2× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) | $9,095.35 | $21,502 | 0.9× |
| Psa screening (G0103) | $38.50 | $91 | 2.0× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) | $5,754.92 | $13,605 | 1.7× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) | $5,754.92 | $13,605 | 1.7× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $920.03 | $2,175 | 1.6× |
| Revasc intra lithotrip-ather (C9766) | $16,475.85 | $38,950 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $16,475.85 | $38,950 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $12,274.62 | $29,018 | 1.2× |
| Revasc lithotrip tibi/perone (C9772) | $16,120.53 | $38,110 | 1.5× |
| Revasc lithotrip-stent-ather (C9767) | $26,526.33 | $62,710 | 1.6× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $34,542.18 | $81,660 | 1.7× |
| Therapeutic procd strg endur (G0237) | $50.34 | $119 | 1.9× |
| Tomosynthesis, mammo (G0279) | $38.92 | $92 | 3.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $26,503.92 | $62,657 | 1.6× |
| Tte w or w/o fol w/con,stres (C8928) | $1,417.90 | $3,352 | 2.0× |
| Tte w or wo fol wcon,doppler (C8929) | $1,701.31 | $4,022 | 2.4× |