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 |
|---|---|---|---|---|
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $374.88 – $612.30 | 20 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $400.56 – $654.25 | 20 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $212.47 – $347.04 | 20 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $645.26 – $1,053.93 | 20 |
| Tert gene targeted seq alys CPT 81345 | $356.92 | $356.92 | $83.34 – $555.60 | 23 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $2.70 – $18.03 | 23 |
| Test for porphobilinogen CPT 84106 | not published | not published | $2.62 – $17.46 | 23 |
| Test for urine cystines CPT 82615 | not published | not published | $4.30 – $28.65 | 23 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $129.31 – $513.47 | 5 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $132.98 – $132.98 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $23.24 – $154.92 | 23 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.34 – $5.49 | 3 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $115.00 | $115.00 | $25.50 – $53.40 | 3 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $282.64 – $461.64 | 20 |
| Test socket above knee HCPCS L5624 | not published | not published | $400.57 – $654.27 | 20 |
| Test socket below knee HCPCS L5620 | not published | not published | $306.32 – $500.33 | 20 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $561.72 – $917.47 | 20 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $525.33 – $858.04 | 20 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $399.44 – $652.42 | 20 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $384.07 – $627.31 | 20 |
| Test socket symes HCPCS L5618 | not published | not published | $329.81 – $538.70 | 20 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $255.63 – $417.52 | 20 |
| Test stress cardiovascular tracing only CPT 93017 | $5,173.61 | $5,173.61 | $79.44 – $3,807.00 | 2 |
| Test urine for lactose CPT 83633 | not published | not published | $5.06 – $33.75 | 23 |
| Test urine for porphyrins CPT 84119 | not published | not published | $6.01 – $40.08 | 23 |
| Test urine urobilinogen CPT 84578 | not published | not published | $2.01 – $13.41 | 23 |
| Tetanus ig im CPT 90389 | not published | not published | $901.57 – $2,084.99 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | $1,419.40 | $1,419.40 | $700.50 – $1,559.63 | 3 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $21.72 – $47.22 | 3 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $61.65 – $411.00 | 23 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $341.79 – $2,278.59 | 23 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $1,313.82 – $8,758.80 | 23 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $269.06 – $1,793.73 | 23 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $11.21 – $183.69 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $11.21 – $183.69 | 3 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $7.99 – $183.69 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $11.21 – $183.69 | 3 |
| Theophylline therapeutic drug level CPT 80198 | $285.00 | $285.00 | $6.36 – $42.42 | 23 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $21.87 – $21.87 | 1 |
| Therapy activation ipnss CPT 93150 | not published | not published | $3,807.00 – $3,807.00 | 1 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $168.77 | $168.77 | $26.68 – $43.59 | 20 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $142.38 | $142.38 | $23.02 – $37.60 | 20 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $72.59 – $72.59 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $94.13 – $510.45 | 5 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $22.29 – $22.29 | 1 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $201.74 – $641.72 | 3 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $135.49 – $412.20 | 3 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $89.82 – $271.28 | 3 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $209.23 | $209.23 | $2.15 – $4.80 | 3 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $5.90 – $5.90 | 1 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $297.04 – $485.16 | 20 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $437.25 – $714.17 | 20 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $242.99 – $396.89 | 20 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $326.27 – $532.90 | 20 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $44.57 – $102.16 | 2 |
| Thiotepa injection HCPCS J9340 | not published | not published | $281.81 – $281.81 | 1 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $161.84 – $264.34 | 20 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $176.42 – $288.15 | 20 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $192.75 – $314.83 | 20 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $4,315.76 – $7,049.08 | 20 |
| Thoracic pad HCPCS L1060 | not published | not published | $103.11 – $168.42 | 20 |
| Thor rib belt custom fabrica HCPCS L0220 | not published | not published | $126.66 – $206.87 | 20 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $52.67 – $280.08 | 5 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | not published | $227.09 – $227.09 | 1 |
| Thrombin time CPT 85670 | $453.00 | $453.00 | $2.60 – $17.31 | 23 |
| Thrombin time titer CPT 85675 | not published | not published | $3.08 – $20.55 | 23 |
| Thrombomodulin CPT 85337 | not published | not published | $7.77 – $51.81 | 23 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $4.33 – $28.89 | 23 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | not published | not published | $2.91 – $19.41 | 23 |
| Thromboxane urine CPT 84431 | not published | not published | $15.80 – $105.33 | 23 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | not published | not published | $881.04 – $1,439.03 | 20 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | not published | not published | $1,634.55 – $2,669.77 | 20 |
| Th/wght bear quad-lat brim c HCPCS L2520 | not published | not published | $476.44 – $778.19 | 20 |
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $873.54 – $1,426.78 | 20 |
| Thyroglobulin antibody CPT 86800 | $426.00 | $426.00 | $7.16 – $47.73 | 23 |
| Thyroid imaging CPT 78013 | $3,892.19 | $3,892.19 | $67.96 – $482.52 | 5 |
| Thyroid met imaging CPT 78015 | not published | not published | $104.16 – $565.73 | 5 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $131.48 – $687.98 | 5 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $155.12 – $769.45 | 5 |
| Thyroid met uptake CPT 78020 | not published | not published | $49.36 – $111.46 | 3 |
| Thyroid (TSH) Test CPT 84443 | not published | not published | $7.56 – $50.40 | 23 |
| Thyroid Ultrasound CPT 76536 | not published | not published | $57.31 – $263.67 | 5 |
| Thyroid uptake measurement CPT 78012 | $2,808.62 | $2,808.62 | $34.40 – $471.74 | 5 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,541.52 – $5,632.95 | 3 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $22.68 – $151.23 | 23 |
| Thyroxine binding globulin (tbg) CPT 84442 | $365.00 | $365.00 | $6.65 – $44.34 | 23 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $56.38 – $92.08 | 20 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $2,391.66 – $3,906.38 | 20 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $401.96 – $401.96 | 1 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $401.96 – $401.96 | 1 |
| Tigecycline injection HCPCS J3243 | $1,126.55 | $1,126.55 | $0.36 – $1.48 | 3 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $5,691.50 – $9,296.12 | 20 |
| Tilt table study CPT 93660 | not published | not published | $300.50 – $300.50 | 1 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $4.33 – $4.33 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $4.34 – $9.14 | 3 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $1,501,307.95 – $1,501,307.95 | 1 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $216.94 – $519.59 | 3 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $4.32 – $51.32 | 2 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $26.38 – $51.33 | 2 |
| Tissue culture placenta CPT 88235 | not published | not published | $67.64 – $450.90 | 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.