Visits & medical services prices at TriStar Summit Medical Center
Hermitage, TN · every code in this section with a posted price and a Medicare benchmark.
117 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Ablation av node (93650) | $55,313.49 | $55,313.49 | 7.4× |
| Airway inhalation treatment (94640) | $684.67 | $684.67 | 3.3× |
| Arrhythmia induction (93618) | $32,397.95 | $32,397.95 | 27.7× |
| Assessment of aphasia (96105) | $852.99 | $852.99 | 8.8× |
| Behavioral and qualitative analysis of voice and resonance (92524) | $852.99 | $852.99 | 7.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,905.98 | $1,905.98 | 5.3× |
| Canalith Repositioning (95992) | $432.68 | $432.68 | 10.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $5,173.61 | $5,173.61 | 25.0× |
| Cardioversion (92960) | $2,817.22 | $2,817.22 | 4.4× |
| Caregiver training 1st 30 min (97550) | $502.76 | $502.76 | 9.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $251.38 | $251.38 | 9.6× |
| Cbt 1st hour (94644) | $1,218.99 | $1,218.99 | 9.6× |
| Chemotx Admn Cns Req Spinal Puncture (96450) | $1,857.07 | $1,857.07 | 5.9× |
| Color/duplex Doppler, complete (93975) | $2,936.65 | $2,936.65 | 12.8× |
| Cpap initiation and management (94660) | $2,513.28 | $2,513.28 | 12.0× |
| Cpt initial (94667) | $512.49 | $512.49 | 4.0× |
| Critical care (99291) | $6,780.72 | $6,780.72 | 8.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $985.15 | $985.15 | 5.1× |
| Demo &/or eval,pt use,aerosol device (94664) | $694.89 | $694.89 | 3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) | $4,269.28 | $4,269.28 | 18.7× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) | $1,741.75 | $1,741.75 | 17.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) | $2,498.29 | $2,498.29 | 10.9× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) | $2,664.74 | $2,664.74 | 26.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,741.75 | $1,741.75 | 17.4× |
| Duplex scan extracranial art compl bi study (93880) | $2,734.11 | $2,734.11 | 11.9× |
| Echo Heart Xthoracic,Limited (93308) | $1,653.14 | $1,653.14 | 7.2× |
| Echo transesophageal (93312) | $7,586.79 | $7,586.79 | 14.5× |
| EEG awake asleep (95819) | $3,214.86 | $3,214.86 | 15.5× |
| EEG awake drowsy (95816) | $3,214.86 | $3,214.86 | 15.5× |
| EEG cerebral death evaluation (95824) | $3,214.86 | $3,214.86 | 9.0× |
| EEG coma or sleep only (95822) | $3,114.10 | $3,114.10 | 15.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $11,575.65 | $11,575.65 | 55.9× |
| EKG (93005) | $919.45 | $919.45 | 16.2× |
| EKG rhythm strip (93041) | $615.08 | $615.08 | 10.9× |
| Ep & ablate supravent arrhyt (93653) | $142,590.39 | $142,590.39 | 5.7× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $29,301.22 | $29,301.22 | 3.9× |
| Er level 1 (99281) | $667.16 | $667.16 | 8.2× |
| Er level ii (99282) | $937.91 | $937.91 | 6.4× |
| Er level iii (99283) | $2,112.76 | $2,112.76 | 8.1× |
| Er level IV (99284) | $3,652.64 | $3,652.64 | 9.1× |
| Er level v (99285) | $4,752.53 | $4,752.53 | 8.3× |
| Evaluation of speech fluency (92521) | $852.99 | $852.99 | 6.4× |
| Evaluation of speech sound production (92522) | $877.73 | $877.73 | 7.8× |
| Evaluation of swallowing function (92610) | $852.99 | $852.99 | 10.1× |
| External Ecg Scanning Analysis Report (93226) | $1,723.15 | $1,723.15 | 30.4× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) | $238.48 | $238.48 | 1.2× |
| Flow volume loop (94375) | $865.19 | $865.19 | 4.2× |
| Group Therapeutic Procedures (97150) | $282.25 | $282.25 | 15.6× |
| Holter Monitor Recording (93225) | $1,204.48 | $1,204.48 | 9.4× |
| Immunization Admin (90471) | $340.85 | $340.85 | 4.9× |
| IV infusion hydration each additional hour (96361) | $218.08 | $218.08 | 4.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $1,058.89 | $1,058.89 | 5.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) | $235.52 | $235.52 | 3.4× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) | $1,113.96 | $1,113.96 | 5.5× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) | $78.56 | $78.56 | 1.7× |
| IV push initial (96374) | $1,094.81 | $1,094.81 | 5.4× |
| Manual therapy 15 min (97140) | $513.04 | $513.04 | 18.5× |
| Massage 15 min (97124) | $513.04 | $513.04 | 17.3× |
| Maximum voluntary ventilation (94200) | $247.10 | $247.10 | 4.4× |
| Mechanical chest wall oscillation (94669) | $1,180.24 | $1,180.24 | 5.6× |
| Mechanical traction (97012) | $508.91 | $508.91 | 35.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $142.38 | $142.38 | 4.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $168.77 | $168.77 | 4.6× |
| Methacholine challenge (94070) | $3,447.87 | $3,447.87 | 9.6× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) | $1,425.82 | $1,425.82 | 15.6× |
| Multiple sleep latency test (95805) | $7,295.75 | $7,295.75 | 8.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $855.08 | $855.08 | 4.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,050.65 | $1,050.65 | 2.7× |
| Newborn resuscitation (99465) | $3,688.49 | $3,688.49 | 5.8× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) | $488.07 | $488.07 | 3.8× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) | $2,391.85 | $2,391.85 | 11.5× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) | $467.70 | $467.70 | 10.1× |
| Ot eval high complex 60 min (97167) | $479.98 | $479.98 | 4.8× |
| Ot eval low complex 30 min (97165) | $441.81 | $441.81 | 4.4× |
| Ot eval mod complex 45 min (97166) | $460.90 | $460.90 | 4.6× |
| Ot re-eval est plan care (97168) | $291.48 | $291.48 | 4.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $686.32 | $686.32 | 5.5× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) | $523.74 | $523.74 | 4.2× |
| Plethysmography (94726) | $1,154.28 | $1,154.28 | 3.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $12,532.80 | $12,532.80 | 15.2× |
| Pt Electrical Stimulation (97032) | $570.70 | $570.70 | 38.8× |
| Pt eval high complex 45 min (97163) | $502.76 | $502.76 | 5.1× |
| Pt eval low complex 20 min (97161) | $464.63 | $464.63 | 4.7× |
| Pt Gait Training Therapy (97116) | $405.91 | $405.91 | 14.0× |
| Pt group caregiver training (97552) | $502.76 | $502.76 | 22.8× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) | $172.94 | $172.94 | 5.3× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) | $483.68 | $483.68 | 4.9× |
| Pt re-evaluation (97164) | $307.96 | $307.96 | 4.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) | $432.68 | $432.68 | 13.4× |
| Pt Ultrasound Therapy (97035) | $391.46 | $391.46 | 27.3× |
| Pulm function test by gas (94727) | $820.19 | $820.19 | 4.0× |
| Rt Chest Wall Manipulation,Subsequent (94668) | $364.80 | $364.80 | 2.9× |
| Sleep study unattended (95806) | $567.91 | $567.91 | 2.7× |
| Speech group therapy (92508) | $115.35 | $115.35 | 4.8× |
| Speech sound lang comprehen (92523) | $1,071.40 | $1,071.40 | 4.7× |
| Spirometry (94010) | $1,030.08 | $1,030.08 | 5.0× |
| Stress echo (93350) | $5,988.20 | $5,988.20 | 11.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) | $375.15 | $375.15 | 16.8× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) | $375.15 | $375.15 | 17.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $318.25 | $318.25 | 4.6× |
| Therapeutic Activities (97530) | $432.68 | $432.68 | 12.3× |
| Therapeutic phlebotomy (99195) | $455.17 | $455.17 | 3.6× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) | $1,838.95 | $1,838.95 | 8.0× |
| Transcranial Doppler Limited (93888) | $1,190.84 | $1,190.84 | 11.9× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) | $7,892.54 | $7,892.54 | 15.1× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) | $4,771.76 | $4,771.76 | 20.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $632.52 | $632.52 | 8.3× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) | $632.52 | $632.52 | 7.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $522.76 | $522.76 | 11.6× |
| Unlisted Cardiovascular Service/Procedure (93799) | $5,820.06 | $5,820.06 | 47.1× |
| Vasc Duplex Extrem Venous,Bilat (93970) | $3,706.26 | $3,706.26 | 16.2× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) | $1,794.12 | $1,794.12 | 8.7× |
| Veeg by tech 2-12 hours unmonitored (95711) | $11,575.65 | $11,575.65 | 55.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $11,575.65 | $11,575.65 | 32.3× |
| Ventilation assist & mgmt inpatient 1st day (94002) | $7,560.17 | $7,560.17 | 12.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $6,375.90 | $6,375.90 | 10.8× |
| Vital capacity total (94150) | $167.01 | $167.01 | 1.4× |