SUMMIT MEDICAL CENTER
100 SUMMIT BLVD, MT JULIET, TN · Tristarhealth · · NPI 1982650024
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 |
|---|---|---|---|---|
| #cf-97variants CPT 81220 | not published | not published | $250.47 – $1,669.80 | 23 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $123.00 – $1,305.21 | 23 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $75.94 – $506.25 | 23 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $43.75 – $291.66 | 23 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $210.43 – $343.70 | 20 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $46.80 – $993.44 | 5 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,857.07 | $1,857.07 | $141.34 – $141.34 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $265.35 – $265.35 | 1 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $288.57 – $288.57 | 1 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $263.04 – $263.04 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $23.13 – $23.13 | 1 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $58.17 – $58.17 | 1 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $59.12 – $59.12 | 1 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $68.63 – $68.63 | 1 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $45.31 – $45.31 | 1 |
| Chemotaxis assay CPT 86155 | not published | not published | $7.20 – $47.97 | 23 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $128.82 – $128.82 | 1 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $225.62 – $225.62 | 1 |
| Chest 2 vws w oblique CPT 71048 | $1,531.77 | $1,531.77 | $22.76 – $154.52 | 5 |
| Chest apical lordotic proj CPT 71047 | $1,531.77 | $1,531.77 | $22.12 – $92.37 | 5 |
| Chest CT scan (with and without contrast) CPT 71270 | not published | not published | $233.36 – $459.25 | 4 |
| Chest CT scan (with contrast) CPT 71260 | not published | not published | $215.84 – $459.25 | 4 |
| Chest CT scan (without contrast) CPT 71250 | not published | not published | $154.52 – $459.25 | 4 |
| Chest X-ray CPT 71046 | not published | not published | $17.35 – $83.86 | 5 |
| Chest X-ray (single view) CPT 71045 | not published | not published | $9.41 – $83.86 | 5 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $92.54 – $92.54 | 1 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $901.07 | $901.07 | $65.53 – $245.97 | 5 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $93.36 – $622.38 | 23 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $117.36 – $782.37 | 23 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $37.82 – $37.82 | 1 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $24.32 – $24.32 | 1 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $30.75 – $30.75 | 1 |
| Chlamydia culture CPT 87110 | $1,377.00 | $1,377.00 | $8.82 – $58.80 | 23 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $5.39 – $35.94 | 23 |
| Chlamydia type CPT 87140 | $90.72 | $90.72 | $2.51 – $16.71 | 23 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $9.02 – $60.15 | 23 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $19.28 – $128.52 | 23 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $17.89 – $39.64 | 3 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $58.38 – $133.19 | 3 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $26.10 – $54.88 | 2 |
| Chloride CPT 82435 | $440.83 | $440.83 | $2.07 – $13.80 | 23 |
| Chloride 24 hour urine CPT 82436 | $719.00 | $719.00 | $2.59 – $17.25 | 23 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.39 – $0.39 | 1 |
| Chloroprocaine hcl injection HCPCS J2401 | $130.26 | $130.26 | $0.04 – $0.11 | 2 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.74 – $1.54 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $2,343.27 | $2,343.27 | $39.71 – $154.04 | 3 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $296.18 | $296.18 | $35.50 – $62.99 | 3 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $78.76 | $78.76 | $0.45 – $0.45 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $163.39 – $163.39 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $2,369.59 | $2,369.59 | $23.06 – $53.17 | 3 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $381.92 – $381.92 | 1 |
| Cholesterol CPT 82465 | $550.01 | $550.01 | $1.96 – $13.05 | 23 |
| Cholesterol body fluid CPT 84999 | not published | not published | $45.75 – $45.75 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | not published | not published | $6.03 – $40.17 | 23 |
| Choline c-11 HCPCS A9515 | not published | not published | $6,000.00 – $6,668.54 | 3 |
| Cholinesterase CPT 82480 | $130.00 | $130.00 | $3.54 – $23.61 | 23 |
| Cholinesterase challenge CPT 95857 | not published | not published | $53.12 – $53.12 | 1 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $22.32 – $40.81 | 3 |
| Chrom analysis CPT 88273 | not published | not published | $15.66 – $104.43 | 23 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $7.87 – $117.00 | 23 |
| Chromatography CPT 83021 | $386.00 | $386.00 | $8.13 – $54.18 | 23 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $5.35 – $35.67 | 23 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $25.67 – $171.12 | 23 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $78.15 – $520.98 | 23 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $77.93 – $519.51 | 23 |
| Chromosome analysis 15-20 cell count CPT 88262 | $516.00 | $516.00 | $56.47 – $376.47 | 23 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $77.93 – $519.51 | 23 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $67.63 – $450.87 | 23 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $118.95 – $793.02 | 23 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $77.93 – $519.51 | 23 |
| Chromosome analys placenta CPT 88267 | not published | not published | $84.86 – $565.71 | 23 |
| Chromosome banding study CPT 88283 | not published | not published | $30.87 – $205.80 | 23 |
| Chromosome count additional CPT 88285 | not published | not published | $12.11 – $80.73 | 23 |
| Chromosome karyotype study CPT 88280 | $1,072.00 | $1,072.00 | $15.06 – $100.41 | 23 |
| Chromosome study additional CPT 88289 | not published | not published | $15.49 – $103.29 | 23 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $5.61 – $37.38 | 23 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $27.68 – $184.50 | 23 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,378.41 – $2,251.41 | 20 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $7,670.19 – $12,527.97 | 20 |
| Cidofovir injection HCPCS J0740 | not published | not published | $638.00 – $1,389.87 | 3 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $199.50 – $325.85 | 20 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $8.57 – $18.82 | 3 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $676,327.75 – $1,557,271.36 | 2 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.03 – $2.62 | 2 |
| Cine/video x-rays CPT 76120 | not published | not published | $42.41 – $290.76 | 5 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $28.03 – $56.08 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $107.54 | $107.54 | $2.30 – $5.30 | 3 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $35.81 – $90.05 | 2 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $3.50 – $5.59 | 3 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $148.28 – $988.53 | 23 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,453.46 | $1,453.46 | $12.47 – $19.66 | 3 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $90.49 – $90.49 | 1 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $56.36 – $56.36 | 1 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $81.81 – $81.81 | 1 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $43.01 – $43.01 | 1 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $50.33 – $50.33 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $2.96 – $5.06 | 2 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $284.10 – $464.03 | 20 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $11.40 – $38.08 | 3 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $352.60 | $352.60 | $19.80 – $45.66 | 3 |
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.