Ammonia 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

$1,590.18

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.

Full explanation →

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

$1,590.18

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.

$6.56 with Wellpoint 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
Wellpoint MGMCD $6.56 ↓ -100%
Aetna NewBusiness $11.59 ↓ -99%
Aetna COMM $11.59 ↓ -99%
United AllPayerAppendix $14.57 ↓ -99%
Humana ChoicecareMGMCR $14.57 ↓ -99%
United CorePayer $14.57 ↓ -99%
United HeritageSelect $14.57 ↓ -99%
Bright Health HIX $14.57 ↓ -99%
Bright Health SmallGroup $14.57 ↓ -99%
Sarah Cannon Research COMM $14.57 ↓ -99%
WellCare MCR $15.01 ↓ -99%
Zing MGMCR $15.01 ↓ -99%
Ambetter Select $15.15 ↓ -99%
Devoted Health Plan MCR $15.30 ↓ -99%
Healthspring MCRHMOTMN $15.30 ↓ -99%
Healthspring MCRHMONonTMN $15.30 ↓ -99%
Healthspring MCRPPO $15.30 ↓ -99%
Evergreen HMO MCR $15.30 ↓ -99%
American Health Advantage MCRPFFS $15.30 ↓ -99%
United VACCN $15.30 ↓ -99%
American Health Advantage MCRSNP $15.30 ↓ -99%
American Health Advantage MCRPPO $15.30 ↓ -99%
American Health Advantage MCRPOS $15.30 ↓ -99%
American Health Advantage MCRHMO $15.30 ↓ -99%
Aetna MGMCRHMO $15.45 ↓ -99%
Aetna MGMCRSNP $15.45 ↓ -99%
Aetna MGMCRPPO $15.45 ↓ -99%
Ambetter CORE $15.73 ↓ -99%
ATRIO Golden Times MCR $16.03 ↓ -99%
Signature Advantage MCR $16.22 ↓ -99%
Bright Health MCRNarrow $17.59 ↓ -99%
BCBS NetworkP $19.88 ↓ -99%
Prime Health WORKERSCOMP $20.98 ↓ -99%
CorVel Corporation WORKERSCOMP $21.42 ↓ -99%
NovaNET WORKERSCOMP $21.42 ↓ -99%
Cigna NewBusiness $25.95 ↓ -98%
BCBS TENNCARE $28.67 ↓ -98%
Cigna OAP $29.47 ↓ -98%
BCBS COVERKIDS $30.96 ↓ -98%
Oscar HIX $43.71 ↓ -97%
Humana HumanaChoiceCare $58.28 ↓ -96%
Humana BroadNetwork $58.28 ↓ -96%
Humana HumanaChoice $58.28 ↓ -96%
Humana NarrowExchangeNetwork $58.28 ↓ -96%
BCBS BlueCare $82.86 ↓ -95%
Kentucky Labor Cabinet WORKERSCOMP $292.75 ↓ -82%
NHC Advantage, Inc. MCRHMO $302.13 ↓ -81%
Pruitt Health (AllyAlign) MCR $302.13 ↓ -81%
Apex Health MCR $302.13 ↓ -81%
United OptionsPPO $388.00 ↓ -76%
Humana TRICARE $397.55 ↓ -75%
Amerigroup MGMCR $492.96 ↓ -69%
Cigna PPO $496.14 ↓ -69%
United GlobalBenefitPlan $715.58 ↓ -55%
Aetna NAP $795.09 ↓ -50%
BGFH SingleSource DIRECTNETWORK $795.09 ↓ -50%
Multiplan COMM $874.60 ↓ -45%
Southern Health Partners Prison $954.11 ↓ -40%
Employers Health Network COMM $1,113.13 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $1,192.63 ↓ -25%
BGFH SingleSource LEASEDNETWORK $1,351.65 ↓ -15%
Beech Street COMM $1,462.97 ↓ -8%
BCBS MCR $2,000.00 ↑ +26%

Visitor-reported prices

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Ammonia at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $48.83 $5.25 – $56.45
CHI Memorial Hospital Hixson Hixson $150.08 $12.44 – $354.90
62-1166050 BMH Carroll County Huntingdon $48.76 $12.68 – $29.14
CHI Memorial Hospital Chattanooga Chattanooga $214.47 $12.44 – $354.90
Johnson City Medical Center JOHNSON CITY $25.50 $7.29 – $31.76
Ascension Saint Thomas DeKalb Smithville $48.83 $10.22 – $56.45
Ascension Saint Thomas Highlands Sparta $48.83 $10.22 – $56.45
Ascension Saint Thomas River Park McMinnville $48.83 $10.22 – $56.45

All Tennessee hospitals for this procedure →