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 |
|---|---|---|---|---|
| Bronchial allergy tests CPT 95070 | not published | not published | $104.49 – $104.49 | 1 |
| Bronchial challenge CPT 94070 | $3,447.87 | $3,447.87 | $69.18 – $69.18 | 1 |
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $183.85 – $300.29 | 20 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $5.82 – $9.51 | 20 |
| Btk gene common variants CPT 81233 | not published | not published | $78.93 – $526.20 | 23 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.39 – $12.40 | 2 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $5.98 – $5.98 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $1.48 – $2.78 | 2 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.70 – $0.95 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $197.00 | $197.00 | $5.24 – $148.35 | 5 |
| Bundled special stain group 2 CPT 88313 | $168.00 | $168.00 | $4.37 – $121.47 | 5 |
| Bundle his recording CPT 93600 | not published | not published | $92.05 – $92.05 | 1 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.03 | 2 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $1.04 – $1.06 | 2 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $26.95 – $26.95 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $16.19 – $16.19 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $24.86 – $24.86 | 1 |
| Buprenorphine and metabolite - sendout CPT 80348 | not published | not published | $0.01 – $65.44 | 2 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $4.70 – $11.16 | 3 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $0.85 – $3.34 | 2 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $2,353.87 – $5,296.10 | 3 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $2,353.87 – $5,296.10 | 3 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $19.47 – $19.47 | 1 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.19 – $2.36 | 3 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $4.74 – $14.68 | 3 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $71.34 – $71.34 | 1 |
| C-1 esterase, berinert HCPCS J0597 | $19,511.07 | $19,511.07 | $84.04 – $201.03 | 3 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $78.10 – $173.92 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $325.37 | $325.37 | $5.40 – $36.00 | 23 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $267.22 – $611.62 | 3 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $449.82 | $449.82 | $3.69 – $48.57 | 2 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $28.28 – $64.02 | 3 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $61.65 – $411.00 | 23 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $380.82 – $2,538.81 | 23 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $83.34 – $555.60 | 23 |
| Cadd pump refill CPT 96521 | not published | not published | $182.28 – $182.28 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $1.70 – $5.38 | 3 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $94.72 – $217.51 | 2 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $20,955.37 | $20,955.37 | $1,329.24 – $3,797.98 | 3 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $36.17 – $241.11 | 23 |
| Calcium 24 hour urine CPT 82340 | $350.59 | $350.59 | $2.71 – $18.09 | 23 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.08 – $0.08 | 1 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | not published | not published | $0.04 – $0.08 | 2 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.05 – $0.08 | 2 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $114.94 | $114.94 | $0.11 – $0.24 | 2 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $11.10 – $30.10 | 2 |
| Calcium infusion test CPT 82331 | not published | not published | $6.00 – $40.02 | 23 |
| Calcium ionized CPT 82330 | $537.00 | $537.00 | $6.16 – $41.04 | 23 |
| Calcium total CPT 82310 | not published | not published | $2.32 – $15.48 | 23 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $5.79 – $38.61 | 23 |
| Calculus analysis qual CPT 82355 | not published | not published | $5.21 – $34.74 | 23 |
| Caloric vestibular test CPT 92533 | not published | not published | $10.49 – $10.49 | 1 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $5.47 – $5.47 | 1 |
| Calprotectin fecal CPT 83993 | $703.00 | $703.00 | $8.83 – $58.89 | 23 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $66.77 – $109.06 | 20 |
| Campylobacter antibody CPT 86625 | not published | not published | $5.90 – $39.36 | 23 |
| Canakinumab injection HCPCS J0638 | not published | not published | $156.93 – $391.51 | 3 |
| Candida dna CPT 87480 | not published | not published | $9.02 – $60.15 | 23 |
| Candida dna quant CPT 87482 | not published | not published | $25.08 – $167.22 | 23 |
| Candida skin test CPT 86485 | not published | not published | $13.40 – $58.36 | 5 |
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $0.01 – $86.44 | 2 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | $0.01 – $66.00 | 2 |
| Cannabinoid synthetic 7/more CPT 80352 | not published | not published | $0.01 – $64.40 | 2 |
| Cannula nasal HCPCS A4615 | not published | not published | $0.94 – $1.53 | 20 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $834.16 – $1,739.73 | 2 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $199.20 | $199.20 | $0.11 – $0.11 | 1 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $4.13 – $9.06 | 3 |
| Carbamazepine free CPT 80157 | not published | not published | $5.96 – $39.75 | 23 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $8.39 – $55.92 | 23 |
| Carbamazepine total therapeutic drug level CPT 80156 | $833.00 | $833.00 | $6.56 – $43.71 | 23 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $288.26 – $646.04 | 3 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $8.13 – $54.18 | 23 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $2.48 – $16.50 | 23 |
| Carbon dioxide CPT 82374 | $300.00 | $300.00 | $2.20 – $14.64 | 23 |
| Carbon graphite lamination HCPCS L2755 | not published | not published | $145.34 – $237.39 | 20 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $3.58 – $7.76 | 3 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $1,473.74 | $1,473.74 | $36.31 – $36.31 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $474.00 | $474.00 | $5.54 – $36.96 | 23 |
| Carcinoembryonic ag (cea) CPT 82378 | $296.00 | $296.00 | $8.53 – $56.88 | 23 |
| Cardiac drug stress test CPT 93024 | not published | not published | $53.01 – $3,807.00 | 2 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $650.13 – $650.13 | 1 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $650.13 – $650.13 | 1 |
| Cardiac MRI w/stress img CPT 75559 | $2,261.27 | $2,261.27 | $313.62 – $1,089.86 | 4 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $125.85 – $1,623.62 | 5 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $149.71 – $1,623.62 | 5 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | not published | not published | $160.52 – $1,623.62 | 5 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $686.32 | $686.32 | $38.02 – $38.02 | 1 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $523.74 | $523.74 | $23.62 – $23.62 | 1 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $91.29 – $471.74 | 5 |
| Cardiac Stress Test CPT 93015 | not published | not published | $156.07 – $3,807.00 | 2 |
| Cardioassist external CPT 92971 | not published | not published | $146.43 – $146.43 | 1 |
| Cardioassist internal CPT 92970 | not published | not published | $358.84 – $358.84 | 1 |
| Cardiolipin antibody iga CPT 86147 | not published | not published | $11.45 – $76.35 | 23 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $597.31 – $9,720.00 | 23 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | not published | not published | $203.00 – $203.00 | 1 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $319.13 – $319.13 | 1 |
| Card MRI veloc flow mapping CPT 75565 | $911.61 | $911.61 | $46.40 – $130.19 | 3 |
| Caregiver health risk assmt CPT 96161 | not published | not published | $52.50 – $52.50 | 1 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $45.80 – $74.81 | 20 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $22.79 – $37.22 | 20 |
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.