Ankle X-ray 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.

Full explanation →

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.

$14.10 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 TENNCARE $14.10
BCBS COVERKIDS $15.33
BCBS NetworkP $22.26
Humana HumanaChoiceCare $32.84
Humana NarrowExchangeNetwork $32.84
Humana HumanaChoice $32.84
Humana BroadNetwork $32.84
BCBS BlueCare $40.78
Aetna NewBusiness $48.91
Aetna COMM $48.91
United CorePayer $83.86
United AllPayerAppendix $83.86
United HeritageSelect $83.86
Cigna NewBusiness $89.17
Cigna OAP $101.28
Kentucky Labor Cabinet WORKERSCOMP $361.42
Pruitt Health (AllyAlign) MCR $373.00
Apex Health MCR $373.00
NHC Advantage, Inc. MCRHMO $373.00
United OptionsPPO $479.01
Humana TRICARE $490.79
Amerigroup MGMCR $608.58
Cigna PPO $612.51
United GlobalBenefitPlan $883.43
Aetna NAP $981.59
BGFH SingleSource DIRECTNETWORK $981.59
Multiplan COMM $1,079.74
Southern Health Partners Prison $1,177.90
Employers Health Network COMM $1,374.22
Odom's TN Pride Sausage WORKERSCOMP $1,472.38
BGFH SingleSource LEASEDNETWORK $1,668.69
Beech Street COMM $1,806.12
BCBS MCR $2,000.00

Visitor-reported prices

visitor-reported
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Ankle X-ray at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $82.80 $15.33 – $127.70
CHI Memorial Hospital Hixson Hixson $250.42 $22.82 – $394.80
62-1166050 BMH Carroll County Huntingdon $103.04 $15.33 – $160.80
CHI Memorial Hospital Chattanooga Chattanooga $357.86 $22.82 – $394.80
Johnson City Medical Center JOHNSON CITY $76.35 $17.78 – $177.03
Ascension Saint Thomas DeKalb Smithville $139.32 $15.33 – $127.70
Ascension Saint Thomas Highlands Sparta $139.32 $15.33 – $127.70
Ascension Saint Thomas River Park McMinnville $132.66 $22.18 – $127.70

All Tennessee hospitals for this procedure →