CHI Memorial Hospital - Georgia — price list

← Hospital overviewVerified from CHI Memorial Hospital - Georgia’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

470 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Acne surgery Outpatient	10040 CPT	—	—	$0.65 – $3,196	—
Ad-on coa drug eluding balloon Inpatient	0914T CPT	$10,754	$3,183	$8,711 – $8,711	—
Ad-on coa drug eluding balloon Outpatient	0914T CPT	$10,754	$3,183	$1,613 – $8,711	—
Allogeneic bone marrow transplant Inpatient	0071 APR-DRG	—	—	$46,220 – $46,220	—
Allogeneic bone marrow transplant Inpatient	0072 APR-DRG	—	—	$48,636 – $48,636	—
Allogeneic bone marrow transplant Inpatient	0073 APR-DRG	—	—	$59,351 – $59,351	—
Allogeneic bone marrow transplant Inpatient	0074 APR-DRG	—	—	$108,055 – $108,055	—
Allogeneic bone marrow transplant Inpatient	014 MS-DRG	—	—	$87,275 – $194,576	—
Alteration in consciousness Inpatient	0521 APR-DRG	—	—	$4,474 – $4,474	—
Alteration in consciousness Inpatient	0522 APR-DRG	—	—	$6,758 – $6,758	—
Alteration in consciousness Inpatient	0523 APR-DRG	—	—	$8,401 – $8,401	—
Alteration in consciousness Inpatient	0524 APR-DRG	—	—	$12,712 – $12,712	—
Anoxic and other severe brain damage Inpatient	0591 APR-DRG	—	—	$3,869 – $3,869	—
Anoxic and other severe brain damage Inpatient	0592 APR-DRG	—	—	$6,001 – $6,001	—
Anoxic and other severe brain damage Inpatient	0593 APR-DRG	—	—	$8,963 – $8,963	—
Anoxic and other severe brain damage Inpatient	0594 APR-DRG	—	—	$11,888 – $11,888	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0081 APR-DRG	—	—	$5,236 – $5,236	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0082 APR-DRG	—	—	$21,864 – $21,864	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0083 APR-DRG	—	—	$57,833 – $57,833	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0084 APR-DRG	—	—	$57,833 – $57,833	—
Autologous bone marrow transplant with cc/mcc Inpatient	016 MS-DRG	—	—	$41,883 – $89,640	—
Autologous bone marrow transplant without cc/mcc Inpatient	017 MS-DRG	—	—	$19,200 – $89,640	—
Bacterial and tuberculous infections of nervous system Inpatient	0491 APR-DRG	—	—	$6,953 – $6,953	—
Bacterial and tuberculous infections of nervous system Inpatient	0492 APR-DRG	—	—	$12,700 – $12,700	—
Bacterial and tuberculous infections of nervous system Inpatient	0493 APR-DRG	—	—	$15,088 – $15,088	—
Bacterial and tuberculous infections of nervous system Inpatient	0494 APR-DRG	—	—	$22,421 – $22,421	—
Bacterial and tuberculous infections of nervous system with cc Inpatient	095 MS-DRG	—	—	$13,545 – $35,601	—
Bacterial and tuberculous infections of nervous system with mcc Inpatient	094 MS-DRG	—	—	$20,582 – $68,250	—
Bacterial and tuberculous infections of nervous system without cc/mcc Inpatient	096 MS-DRG	—	—	$11,640 – $35,601	—
Brain contusion or laceration and complicated skull fracture coma < 1 hour or no coma Inpatient	0561 APR-DRG	—	—	$5,014 – $5,014	—