HCA Healthcare · Hermitage, TN
32
In-network payers
521
Disclosed rate categories
196
Beds
3
Care quality
Tristar Summit Medical Center is a 196-bed proprietary hospital in Hermitage, TN, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 521 disclosed rate categories.
CCN (Medicare provider number)
440150
NPI
1982650024
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
196
Care Quality
3
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 Tristar Summit 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
$10,353 - $15,266
from 4 insurers · median $12,468
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
$10,495 - $19,694
from 4 insurers · median $18,544
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
Medicine & Surgery · Inpatient
MS-DRG 460
$31,070 - $85,045
from 4 insurers · median $74,841
26 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 470
$27,210 - $58,860
from 4 insurers · median $40,629
19 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$340 - $4,700
from 4 insurers · median $2,646
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$10,353 - $15,266
from 4 insurers · median $12,468
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
Digestive procedures
CPT 43239
$2,713 - $4,666
from 4 insurers · median $3,612
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,668 - $4,953
from 4 insurers · median $3,612
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,681 - $4,666
from 4 insurers · median $3,612
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,381 - $12,158
from 4 insurers · median $6,630
47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$6,066 - $7,602
from 3 insurers · median $7,041
27 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$2,603 - $4,666
from 4 insurers · median $3,612
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$33,862 - $58,397
from 4 insurers · median $52,731
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 66984
$4,290 - $7,437
from 4 insurers · median $6,314
Typical for a hospital with this service line
CT imaging
CPT 74177
$299 - $341
from 3 insurers · median $310
Common here, based on CMS Medicare volume
Urology
CPT 50590
$6,300 - $12,211
from 4 insurers · median $8,174
54 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Mammography
CPT 77067
$99 - $340
from 4 insurers · median $123
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$146 - $207
from 3 insurers · median $155
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$157 - $314
from 3 insurers · median $310
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$347 - $1,624
from 4 insurers · median $879
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$174 - $1,093
from 3 insurers · median $616
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$124 - $390
from 3 insurers · median $341
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$184 - $1,482
from 4 insurers · median $501
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$3,171 - $7,024
from 4 insurers · median $3,612
Typical for a hospital with this service line
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* | 18 | 308% | 13 | 1 |
| Insurer B* | 24 | 198% | 15 | 6 |
| Insurer C* | 24 | 197% | 9 | 8 |
| Insurer D* | 24 | 186% | 11 | 9 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 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 Tristar Summit Medical Center.
5655 Frist Boulevard, Hermitage, TN 37076
(615) 316-3000
The nearest hospitals of similar type and size. Their rates are compared with Tristar Summit Medical Center for the same insurers and services above.
Metro Nashville General Hospital
▼ Rates typically 37% lower than Tristar Summit Medical Center (21 services)
Vanderbilt Wilson County Hospital
▼ Rates typically 10% lower than Tristar Summit Medical Center (21 services)
Sumner Regional Medical Center
Rates about the same as Tristar Summit Medical Center (21 services)
Williamson Medical Center
▼ Rates typically 14% lower than Tristar Summit Medical Center (21 services)
Saint Thomas Rutherford Hospital
▼ Rates typically 15% lower than Tristar Summit Medical Center (21 services)
Northcrest Medical Center
Rates about the same as Tristar Summit Medical Center (21 services)
Tristar Skyline Madison Campus
Tristar Hendersonville Medical Center
Tristar Southern Hills Medical Center
Tristar Skyline Medical Center
About Tristar Summit Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Tristar Summit Medical Center range from $174 to $1,093 across 3 insurers. Blue Cross Blue Shield's rate is $1,093. The median at nearby comparable hospitals is $504. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Tristar Summit Medical Center range from $299 to $341 across 3 insurers. UnitedHealthcare's rate is $341. The median at nearby comparable hospitals is $507. 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 Tristar Summit Medical Center range from $2,668 to $4,953 across 4 insurers. Blue Cross Blue Shield's rate is $2,668. The median at nearby comparable hospitals is $2,484. 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 Tristar Summit Medical Center range from $10,353 to $15,266 across 4 insurers. Cigna's rate is $11,751. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tristar Summit Medical Center range from $99 to $340 across 4 insurers. UnitedHealthcare's rate is $137. The median at nearby comparable hospitals is $167. 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 Tristar Summit Medical Center range from $27,210 to $58,860 across 4 insurers. Aetna's rate is $43,161. The median at nearby comparable hospitals is $28,747. What a patient pays depends on their plan's deductible, coinsurance and network status.
Tristar Summit Medical Center has 196 beds. Facility type: Short Term Acute Care Hospital.
Tristar Summit Medical Center is located at 5655 Frist Boulevard, Hermitage, TN 37076. Its main phone number is (615) 316-3000.
Tristar Summit Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440150.
The National Provider Identifier (NPI) on file for Tristar Summit Medical Center is 1982650024.
Tristar Summit Medical Center is affiliated with HCA Healthcare.
Tristar Summit Medical Center lists 32 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.
521 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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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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