Alteplase 100 mg infusion from pyxis vial at CENTENNIAL MEDICAL CENTER AT ASHLAND CITY

313 NORTH MAIN STREET, Ashland City, TN · Tristarhealth · · NPI 1265487193

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

not published by hospital

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$111.82 with BCBS vs $2,000.00 with BCBS — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
BCBS NetworkP $111.82
Cigna NewBusiness $113.26
Cigna OAP $128.79
United AllPayerAppendix $248.65
United CorePayer $248.65
United HeritageSelect $248.65
Kentucky Labor Cabinet WORKERSCOMP $311.15
Ambetter Select $392.11
United OptionsPPO $412.39
Humana TRICARE $422.53
Amerigroup MGMCR $523.93
Cigna PPO $527.31
United GlobalBenefitPlan $760.55
BGFH SingleSource DIRECTNETWORK $845.05
Multiplan COMM $929.56
Southern Health Partners Prison $1,014.07
Employers Health Network COMM $1,183.08
Odom's TN Pride Sausage WORKERSCOMP $1,267.58
BGFH SingleSource LEASEDNETWORK $1,436.59
Beech Street COMM $1,554.90
BCBS MCR $2,000.00

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other Tennessee hospitals

Hospital City Cash price Negotiated range
Johnson City Medical Center JOHNSON CITY $11,037.54 $30.45 – $204.55
Hancock County Hospital SNEEDVILLE $4,048.17 $22.41 – $166.23
Greeneville Community Hospital GREENEVILLE $11,037.54 $16.14 – $204.55
Bristol Regional Medical Center BRISTOL $11,037.54 $26.89 – $225.20
Franklin Woods Community Hospital JOHNSON CITY $4,871.66 $30.45 – $204.55
Holston Valley Medical Center KINGSPORT $11,037.54 $26.89 – $225.20
Indian Path Community Hospital KINGSPORT $4,871.66 $30.45 – $225.20
Hawkins County Memorial Hospital ROGERSVILLE $4,871.66 $22.41 – $204.55

All Tennessee hospitals for this procedure →