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 |
|---|---|---|---|---|
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $70.47 – $469.77 | 22 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $27.96 – $186.42 | 22 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $7.71 – $51.42 | 23 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $27.96 – $186.42 | 23 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $8.09 – $53.94 | 23 |
| Ductogram sgl duct CPT 77053 | $2,616.24 | $2,616.24 | $37.07 – $313.62 | 5 |
| Duodenal motility study CPT 91022 | not published | not published | $177.38 – $177.38 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $280.52 – $664.90 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $159.62 – $388.02 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $118.40 – $389.09 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,794.12 | $1,794.12 | $113.52 – $432.84 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $167.94 – $508.13 | 2 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $24.03 – $24.03 | 1 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $336.92 – $336.92 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $101.52 – $228.62 | 3 |
| Dxa bone density axl vrt fx CPT 77085 | $1,665.68 | $1,665.68 | $36.05 – $154.52 | 5 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $158.16 – $158.16 | 1 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $40.72 – $40.72 | 1 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $8.18 – $8.18 | 1 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $31.28 – $31.28 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $84.20 – $84.20 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $27.21 – $27.21 | 1 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $53.44 – $53.44 | 1 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $25.11 – $25.11 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $27.17 – $27.17 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $134.59 – $134.59 | 1 |
| Ear protector evaluation CPT 92596 | not published | not published | $28.47 – $28.47 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $690.35 – $1,536.34 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $919.45 | $919.45 | $21.25 – $3,807.00 | 2 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $13.95 – $3,807.00 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $615.08 | $615.08 | $6.77 – $3,807.00 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $111.09 – $3,807.00 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $1,204.48 | $1,204.48 | $58.64 – $3,807.00 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,723.15 | $1,723.15 | $103.25 – $3,807.00 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $18.31 – $3,807.00 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $18.31 – $3,807.00 | 2 |
| Ecg record/review CPT 93268 | not published | not published | $57.68 – $3,807.00 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $46.45 – $3,807.00 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $7,892.54 | $7,892.54 | $230.59 – $3,807.00 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $568.20 | $568.20 | $68.65 – $3,807.00 | 2 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,653.14 | $1,653.14 | $91.59 – $3,807.00 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $2,522.34 | $2,522.34 | $52.56 – $3,807.00 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $41.80 – $154.52 | 5 |
| Echo exam of eye CPT 76519 | not published | not published | $46.53 – $154.52 | 5 |
| Echo exam of eye CPT 76529 | not published | not published | $41.17 – $169.17 | 5 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $2.60 – $23.58 | 5 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $79.64 – $657.03 | 5 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $28.74 – $367.12 | 5 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $41.48 – $154.52 | 5 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $6.64 – $154.52 | 5 |
| Echo exam uterus 76831- CPT 76831 | $2,182.18 | $2,182.18 | $61.09 – $313.62 | 5 |
| Echograp trans r pros study CPT 76873 | not published | not published | $82.78 – $315.93 | 5 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $20.68 – $128.42 | 3 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $20.84 – $464.60 | 2 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $11.53 – $51.32 | 3 |
| Echo guide for artery repair CPT 76936 | not published | not published | $154.98 – $525.61 | 5 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $49.39 – $134.68 | 3 |
| Echo guide for transfusion CPT 76941 | not published | not published | $52.22 – $237.68 | 3 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $11.53 – $124.96 | 3 |
| Echo guide villus sampling CPT 76945 | not published | not published | $53.86 – $124.96 | 3 |
| Echo stress CPT 93350 | $5,988.20 | $5,988.20 | $163.08 – $3,807.00 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $35.59 – $3,807.00 | 2 |
| Echo tee guidance CPT 93355 | not published | not published | $295.97 – $295.97 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $7,586.79 | $7,586.79 | $167.57 – $3,807.00 | 2 |
| Echo transesophageal CPT 93313 | not published | not published | $15.28 – $3,807.00 | 2 |
| Echo transesophageal CPT 93314 | not published | not published | $178.05 – $3,807.00 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $187.49 – $3,807.00 | 2 |
| Echo transesophageal CPT 93317 | not published | not published | $187.49 – $3,807.00 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $689.81 – $3,807.00 | 2 |
| Echo transthoracic CPT 93303 | not published | not published | $180.51 – $3,807.00 | 2 |
| Echo transthoracic CPT 93304 | not published | not published | $90.85 – $3,807.00 | 2 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $4,771.76 | $4,771.76 | $182.47 – $3,807.00 | 2 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $141.39 – $141.39 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $5.70 – $37.98 | 23 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $54.78 – $119.33 | 2 |
| Eculizumab injection HCPCS J1300 | not published | not published | $279.58 – $279.58 | 1 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $7,898.29 – $16,455.65 | 3 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.87 – $1.57 | 2 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $23.44 – $38.28 | 20 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $97.25 – $158.85 | 20 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $32.35 – $32.35 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $66.09 – $66.09 | 1 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $3,214.86 | $3,214.86 | $19.86 – $19.86 | 1 |
| Eeg during surgery CPT 95955 | not published | not published | $93.57 – $93.57 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $82.66 – $82.66 | 1 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $23.33 – $23.33 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $3,214.86 | $3,214.86 | $62.62 – $62.62 | 1 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $66.09 – $66.09 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $3,114.10 | $3,114.10 | $85.50 – $85.50 | 1 |
| Eeg recording awake and asleep CPT 95819 | $3,214.86 | $3,214.86 | $62.62 – $62.62 | 1 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $341.79 – $341.79 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $341.79 – $341.79 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $655.79 – $655.79 | 1 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $655.79 – $655.79 | 1 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $341.79 – $341.79 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $655.79 – $655.79 | 1 |
| E equine encephalitis igg CPT 86652 | $60.00 | $60.00 | $5.94 – $39.57 | 23 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $39.58 – $85.38 | 3 |
| Egfr gene com variants CPT 81235 | $1,602.00 | $1,602.00 | $146.06 – $973.74 | 23 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $1,985.95 | $1,985.95 | $15.79 – $105.27 | 23 |
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.