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 |
|---|---|---|---|---|
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $192.58 – $192.58 | 1 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $207.32 – $1,598.64 | 4 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $182.00 – $1,180.24 | 4 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $146.39 – $870.48 | 4 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $101.74 – $764.80 | 4 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $108.83 – $108.83 | 1 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $254.36 – $254.36 | 1 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $151.23 – $151.23 | 1 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $18.28 – $233.79 | 4 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $29.07 – $47.48 | 20 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $2.09 – $4.53 | 3 |
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $3.29 – $3.29 | 1 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $15.79 – $105.27 | 23 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $9.58 – $113.19 | 23 |
| Aqmbf pet rest & rx stress CPT 78434 | not published | not published | $29.63 – $2,672.00 | 3 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $5.42 – $36.15 | 23 |
| Aquaporin-4 antibody elisa CPT 86051 | $972.00 | $972.00 | $5.19 – $34.59 | 23 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $27.75 – $45.33 | 20 |
| Aquatic exercise - group charge CPT 97150 | not published | not published | $13.58 – $22.19 | 20 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $182.55 – $336.92 | 2 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $45.28 – $73.96 | 20 |
| Arch supp att to shoe metata HCPCS L3080 | not published | not published | $35.35 – $57.74 | 20 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $35.35 – $57.74 | 20 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $1.81 – $1.91 | 2 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $5.01 – $12.59 | 2 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $3.84 – $4.93 | 2 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $1.62 – $4.42 | 2 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $4.75 – $5.01 | 3 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $3.84 – $4.93 | 3 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $1.62 – $4.42 | 3 |
| Ar gene charac alleles CPT 81204 | not published | not published | $61.65 – $411.00 | 23 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $135.61 – $904.05 | 23 |
| Ar gene known famil variant CPT 81174 | not published | not published | $83.34 – $555.60 | 23 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $3.98 – $8.85 | 3 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.87 – $0.93 | 2 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $5.86 – $19.58 | 3 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $336.92 – $389.73 | 2 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $336.92 – $499.60 | 2 |
| Artery xray each vessel 7577426 CPT 75774 | $4,516.33 | $4,516.33 | $71.43 – $179.28 | 3 |
| Artery xray of abdomen 75726-26 CPT 75726 | $9,514.38 | $9,514.38 | $95.08 – $5,757.70 | 5 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $110.52 – $826.97 | 5 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $123.19 – $3,365.20 | 5 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | not published | not published | $106.74 – $3,365.20 | 5 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $10,091.66 | $10,091.66 | $128.55 – $3,365.20 | 5 |
| Artery x-rays chest CPT 75756 | not published | not published | $109.90 – $3,365.20 | 5 |
| Artery x-rays lung CPT 75741 | not published | not published | $86.56 – $3,365.20 | 5 |
| Artery x-rays lung CPT 75746 | not published | not published | $98.54 – $1,327.01 | 5 |
| Artery x-rays lungs CPT 75743 | $8,445.24 | $8,445.24 | $94.44 – $3,365.20 | 5 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $8,939.37 | $8,939.37 | $104.22 – $5,757.70 | 5 |
| Artery x-rays spine CPT 75705 | $6,734.06 | $6,734.06 | $123.14 – $5,757.70 | 5 |
| Artificial larynx HCPCS L8500 | not published | not published | $727.16 – $1,187.69 | 20 |
| Artiss fibrin sealant HCPCS C9250 | not published | not published | $162.78 – $377.57 | 3 |
| Art pressure waveform analys CPT 93050 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Ashkenazi jewish assoc dis CPT 81412 | not published | not published | $597.31 – $7,345.68 | 23 |
| Aspa gene CPT 81200 | not published | not published | $21.26 – $141.75 | 23 |
| Assay acid phosphatase CPT 84060 | not published | not published | $3.44 – $22.92 | 23 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $3.72 – $24.78 | 23 |
| Assay blood catecholamines CPT 82383 | not published | not published | $13.09 – $87.24 | 23 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $9.29 – $61.95 | 23 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $12.57 – $83.82 | 23 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $3.24 – $21.60 | 23 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $10.19 – $67.95 | 23 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $3.32 – $22.11 | 23 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $22.89 – $152.58 | 23 |
| Assay neurflmnt light chain CPT 83884 | not published | not published | $104.61 – $348.69 | 21 |
| Assay of adp & amp CPT 82030 | not published | not published | $11.61 – $77.40 | 23 |
| Assay of androsterone CPT 82160 | not published | not published | $11.50 – $76.65 | 23 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $5.74 – $38.25 | 23 |
| Assay of bradykinin CPT 82286 | not published | not published | $2.32 – $15.48 | 23 |
| Assay of breath ethanol CPT 82075 | not published | not published | $0.01 – $90.00 | 23 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $8.13 – $54.18 | 23 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $5.70 – $38.01 | 23 |
| Assay of corticosterone CPT 82528 | not published | not published | $10.13 – $67.56 | 23 |
| Assay of digoxin free CPT 80163 | not published | not published | $5.98 – $39.84 | 23 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $32.05 – $213.69 | 23 |
| Assay of estrogen CPT 84233 | not published | not published | $39.55 – $263.64 | 23 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $11.81 – $78.72 | 23 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $4.47 – $29.79 | 23 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $17.60 – $117.33 | 23 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $7.56 – $50.40 | 23 |
| Assay of fluoride CPT 82735 | not published | not published | $8.34 – $55.62 | 23 |
| Assay of galactose CPT 82760 | not published | not published | $5.04 – $33.60 | 23 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $5.92 – $39.45 | 23 |
| Assay of glucosidase CPT 82963 | not published | not published | $9.67 – $64.44 | 23 |
| Assay of glutathione CPT 82978 | $209.00 | $209.00 | $6.95 – $46.35 | 23 |
| Assay of haptoglobins CPT 83012 | not published | not published | $12.10 – $80.67 | 23 |
| Assay of idh enzyme CPT 83570 | not published | not published | $3.98 – $26.55 | 23 |
| Assay of interleukin-6 (il-6) CPT 83529 | $168.21 | $168.21 | $7.77 – $51.81 | 23 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $8.92 – $59.46 | 23 |
| Assay of lap enzyme CPT 83670 | not published | not published | $4.41 – $29.43 | 23 |
| Assay of leflunomide CPT 80193 | not published | not published | $17.36 – $115.71 | 23 |
| Assay of lrh hormone CPT 83727 | not published | not published | $7.74 – $51.57 | 23 |
| Assay of methemalbumin CPT 83857 | not published | not published | $4.83 – $32.22 | 23 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $2.91 – $19.41 | 23 |
| Assay of osteocalcin CPT 83937 | $149.00 | $149.00 | $13.43 – $89.55 | 23 |
| Assay of phenylketones CPT 84035 | not published | not published | $1.79 – $11.94 | 23 |
| Assay of pregnanediol CPT 84135 | not published | not published | $9.57 – $63.81 | 23 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $9.47 – $63.15 | 23 |
| Assay of procainamide CPT 80190 | not published | not published | $22.85 – $180.00 | 23 |
| Assay of procainamide w/metab CPT 80192 | $732.64 | $732.64 | $7.54 – $50.25 | 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.