CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Tristar Summit Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$87
about 0.7× the $118 Medicare rate · typically $71–$182
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
About the fair price
about $8 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $87 This hospital $95 Cash price $778 Hospital's list price $778

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $42 Priciest $95

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $87 (about 0.7× the $118 Medicare rate). Tristar Summit Medical Center charges insurers about $95, or about $778 in cash — about the fair price. Located in Hermitage, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $198 - $382 168%
Blue Cross Blue Shieldmajor $87 - $163 74%
Aetnamajor $106 - $424 90%
Cignamajor $567 - $678 482%
Humanamajor $177 - $551 151%
Health Net $496 - $593 422%
Oscar Health $130 - $155 111%
+ 9 smaller / regional plans $130 - $721
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 5655 Frist Blvd, Hermitage, TN 37076
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals