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 |
|---|---|---|---|---|
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $8.81 – $58.71 | 22 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $37.11 – $3,807.00 | 2 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $3,415.66 – $5,578.91 | 20 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $2,120.57 – $3,463.60 | 20 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $3,149.45 – $5,144.10 | 20 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $2,621.15 – $4,281.21 | 20 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $3,005.86 – $4,909.58 | 20 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $2,249.23 – $3,673.74 | 20 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $652.85 – $1,066.32 | 20 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $783.46 – $1,279.65 | 20 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $2,852.30 – $4,658.75 | 20 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $26,621.73 – $43,482.16 | 20 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $26,748.00 – $43,688.40 | 20 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $8.75 – $14.29 | 20 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $77.73 – $126.96 | 20 |
| Electrical stimulation/unattended 97014 CPT 97014 | not published | not published | $19.98 – $19.98 | 1 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $9.64 – $9.64 | 1 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $103.80 – $103.80 | 1 |
| Electrocochleography CPT 92584 | not published | not published | $118.76 – $118.76 | 1 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $121.80 – $121.80 | 1 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $6.98 – $6.98 | 1 |
| Electrodes, pair HCPCS A4556 | not published | not published | $13.24 – $21.62 | 20 |
| Electrode stimulation brain CPT 95961 | not published | not published | $61.23 – $61.23 | 1 |
| Electrogastrography CPT 91132 | not published | not published | $5.87 – $5.87 | 1 |
| Electrogastrography w/test CPT 91133 | not published | not published | $5.87 – $5.87 | 1 |
| Electrolyte panel CPT 80051 | $870.00 | $870.00 | $3.15 – $21.03 | 23 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $8.79 – $14.36 | 20 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $9,746.19 – $15,918.78 | 20 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $58.08 – $58.08 | 1 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $66.57 – $66.57 | 1 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $44,644.86 – $72,919.94 | 20 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $35,993.34 – $58,789.12 | 20 |
| Electron microscopy diagnostic CPT 88348 | $1,677.00 | $1,677.00 | $50.11 – $719.25 | 5 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $14.49 – $14.49 | 1 |
| Electrophysiologic study CPT 93624 | not published | not published | $96.07 – $96.07 | 1 |
| Electrophysiology evaluation CPT 93619 | $29,301.22 | $29,301.22 | $389.24 – $389.24 | 1 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $440.20 – $440.20 | 1 |
| Electrophysiology evaluation CPT 93621 | $26,879.29 | $26,879.29 | $3,126.99 – $3,126.99 | 1 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $2,004.71 – $2,004.71 | 1 |
| Electrophysiology evaluation CPT 93641 | $8,351.18 | $8,351.18 | $355.80 – $355.80 | 1 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $100.39 – $100.39 | 1 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $71.36 – $71.36 | 1 |
| Electrophys map 3d add-on CPT 93613 | $37,163.22 | $37,163.22 | $381.53 – $381.53 | 1 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $8.23 – $54.87 | 22 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $12.24 – $30.58 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $357.79 – $826.64 | 3 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $9.38 – $21.31 | 3 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $223.10 – $499.58 | 3 |
| Emboli detcj wo IV mbubb njx CPT 93897 | not published | not published | $354.97 – $354.97 | 1 |
| Embolization s&i CPT 75894 | $13,029.50 | $13,029.50 | $261.88 – $1,299.66 | 3 |
| Embryo hatching CPT 89253 | not published | not published | $149.16 – $238.50 | 3 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $35.01 – $35.01 | 1 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $44.14 – $44.14 | 1 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $32.95 – $32.95 | 1 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $17.53 – $17.53 | 1 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $84.34 – $84.34 | 1 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $9.80 – $9.80 | 1 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $239.04 – $390.43 | 20 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $282.47 – $461.36 | 20 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $99.25 – $162.11 | 20 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $1,231.59 – $2,011.59 | 20 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $783.42 – $1,279.59 | 20 |
| Encephalitis, california igg/igm CPT 86651 | $59.52 | $59.52 | $5.94 – $39.57 | 23 |
| Encephalitis, st louis igg/igm CPT 86653 | $60.00 | $60.00 | $5.94 – $39.57 | 23 |
| Encephalitis, western equine igg/igm CPT 86654 | $59.52 | $59.52 | $5.94 – $39.57 | 23 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $584.62 – $954.88 | 20 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $140.95 – $230.22 | 20 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $864.16 – $1,411.46 | 20 |
| Endo assay seven anal CPT 81506 | not published | not published | $31.01 – $206.76 | 23 |
| Endo below knee alignable sy HCPCS L5910 | not published | not published | $399.05 – $651.78 | 20 |
| Endo bk ultra-light material HCPCS L5940 | not published | not published | $552.69 – $902.73 | 20 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $89.88 – $123.60 | 3 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $58.90 – $106.36 | 3 |
| Endo hip ultra-light materia HCPCS L5960 | not published | not published | $1,062.20 – $1,734.92 | 20 |
| Endo knee-shin fluid swg/sta HCPCS L5828 | not published | not published | $3,111.47 – $5,082.07 | 20 |
| Endo knee-shin fluid swing p HCPCS L5824 | not published | not published | $1,689.71 – $2,759.87 | 20 |
| Endo knee-shin frct swg & st HCPCS L5812 | not published | not published | $622.85 – $1,017.33 | 20 |
| Endo knee-shin frct swg & st HCPCS L5818 | not published | not published | $1,058.10 – $1,728.23 | 20 |
| Endo knee-shin hydral swg ph HCPCS L5814 | not published | not published | $4,138.10 – $6,758.90 | 20 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | not published | not published | $803.57 – $1,312.50 | 20 |
| Endo knee-shin pneum swg frc HCPCS L5822 | not published | not published | $1,876.29 – $3,064.61 | 20 |
| Endo knee-shin pneum/swg pha HCPCS L5830 | not published | not published | $2,090.75 – $3,414.88 | 20 |
| Endo knee-shin polyc mch sta HCPCS L5816 | not published | not published | $942.70 – $1,539.74 | 20 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $228.63 – $228.63 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $114.17 – $114.17 | 1 |
| Endo poly hip, pneu/hyd/rot HCPCS L5961 | not published | not published | $5,065.02 – $8,272.87 | 20 |
| Endoscopy swallow (fees) vid CPT 92612 | $238.48 | $238.48 | $166.24 – $271.52 | 20 |
| Endoskeletal axial rotation HCPCS L5984 | not published | not published | $627.67 – $1,025.19 | 20 |
| Endoskel knee-shin mnl lock HCPCS L5810 | not published | not published | $536.44 – $876.18 | 20 |
| Endoskel posit rotat unit HCPCS L5926 | not published | not published | $627.67 – $1,025.19 | 20 |
| Energy storing foot HCPCS L5976 | not published | not published | $617.05 – $1,007.85 | 20 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $44.79 – $97.31 | 3 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.84 – $0.87 | 2 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.64 – $1.40 | 3 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $5.39 – $35.94 | 23 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $7.20 – $48.00 | 23 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $6.04 – $40.26 | 23 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $94.38 – $94.38 | 1 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $19.81 – $132.09 | 23 |
| Enzyme histochemistry CPT 88319 | not published | not published | $10.43 – $656.15 | 5 |
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.