LifePoint Health · Gallatin, TN
35
In-network payers
278
Disclosed rate categories
155
Beds
2
Care quality
Sumner Regional Medical Center is a 155-bed proprietary hospital in Gallatin, TN, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 278 disclosed rate categories.
CCN (Medicare provider number)
440003
NPI
1447571658
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
155
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Sumner Regional Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$7,073 - $10,041
from 4 insurers · median $7,768
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$10,375 - $17,899
from 4 insurers · median $11,986
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$7,073 - $10,041
from 4 insurers · median $7,768
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$37,267 - $85,433
from 4 insurers · median $50,660
Hospital reports neurosurgical services to CMS
Mammography
CPT 77067
$168 - $732
from 4 insurers · median $465
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$699 - $2,289
from 4 insurers · median $1,646
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,471 - $4,493
from 4 insurers · median $3,103
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$26,495 - $71,718
from 4 insurers · median $33,472
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 45385
$1,423 - $8,626
from 4 insurers · median $3,103
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$22,003 - $55,072
from 4 insurers · median $30,788
Hospital reports orthopedic surgery services to CMS
Urology
CPT 50590
$4,364 - $10,831
from 4 insurers · median $10,065
44 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,503 - $6,215
from 4 insurers · median $3,103
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,661 - $29,722
from 4 insurers · median $7,658
16 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$42 - $658
from 4 insurers · median $396
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$289 - $828
from 3 insurers · median $453
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,370 - $3,707
from 4 insurers · median $2,816
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$727 - $9,014
from 4 insurers · median $1,893
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$2,026 - $24,119
from 4 insurers · median $5,115
12 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Gynecology
CPT 58571
$2,813 - $52,338
from 4 insurers · median $10,542
Typical for a hospital with this service line
CT imaging
CPT 70450
$151 - $289
from 3 insurers · median $245
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$999 - $6,193
from 4 insurers · median $4,433
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$181 - $1,223
from 4 insurers · median $761
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95811
$999 - $8,555
from 4 insurers · median $5,741
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$289 - $429
from 3 insurers · median $402
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 21 | 639% | 15 | 3 |
| Insurer B* | 24 | 227% | 14 | 6 |
| Insurer C* | 24 | 204% | 6 | 14 |
| Insurer D* | 24 | 143% | 9 | 12 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Sumner Regional Medical Center.
555 Hartsville Pike, Gallatin, TN 37066
(615) 452-4210
The nearest hospitals of similar type and size. Their rates are compared with Sumner Regional Medical Center for the same insurers and services above.
Tristar Hendersonville Medical Center
▼ Rates typically 8% lower than Sumner Regional Medical Center (21 services)
Vanderbilt Wilson County Hospital
Rates about the same as Sumner Regional Medical Center (21 services)
Tristar Summit Medical Center
▼ Rates typically 10% lower than Sumner Regional Medical Center (21 services)
Tristar Skyline Medical Center
Rates about the same as Sumner Regional Medical Center (21 services)
Metro Nashville General Hospital
▼ Rates typically 55% lower than Sumner Regional Medical Center (19 services)
Northcrest Medical Center
▲ Rates typically 9% higher than Sumner Regional Medical Center (21 services)
Starr Regional Medical Center
Athens Regional Medical Center
Crockett Hospital
So Tenn Reg Med Ctr Of Pulaski
About Sumner Regional Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sumner Regional Medical Center range from $289 to $828 across 3 insurers. UnitedHealthcare's rate is $828. The median at nearby comparable hospitals is $341. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Sumner Regional Medical Center range from $1,423 to $8,626 across 4 insurers. Aetna's rate is $8,626. The median at nearby comparable hospitals is $3,394. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Sumner Regional Medical Center range from $7,073 to $10,041 across 4 insurers. Cigna's rate is $7,691. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sumner Regional Medical Center range from $168 to $732 across 4 insurers. Cigna's rate is $168. The median at nearby comparable hospitals is $126. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Sumner Regional Medical Center range from $22,003 to $55,072 across 4 insurers. Blue Cross Blue Shield's rate is $30,800. The median at nearby comparable hospitals is $39,430. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sumner Regional Medical Center has 155 beds. Facility type: Short Term Acute Care Hospital.
Sumner Regional Medical Center is located at 555 Hartsville Pike, Gallatin, TN 37066. Its main phone number is (615) 452-4210.
Sumner Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440003.
The National Provider Identifier (NPI) on file for Sumner Regional Medical Center is 1447571658.
Sumner Regional Medical Center is affiliated with LifePoint Health.
Sumner Regional Medical Center lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
278 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers