Aspa gene 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.

$21.26 with Wellpoint vs $288.80 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 $21.26
Aetna NewBusiness $37.57
Aetna COMM $37.57
Bright Health SmallGroup $47.25
Bright Health HIX $47.25
Sarah Cannon Research COMM $47.25
United AllPayerAppendix $47.25
Humana ChoicecareMGMCR $47.25
United HeritageSelect $47.25
United CorePayer $47.25
WellCare MCR $48.67
Zing MGMCR $48.67
Ambetter Select $49.14
American Health Advantage MCRPOS $49.61
United VACCN $49.61
American Health Advantage MCRHMO $49.61
Devoted Health Plan MCR $49.61
American Health Advantage MCRPPO $49.61
American Health Advantage MCRSNP $49.61
American Health Advantage MCRPFFS $49.61
Evergreen HMO MCR $49.61
Healthspring MCRPPO $49.61
Healthspring MCRHMONonTMN $49.61
Healthspring MCRHMOTMN $49.61
Aetna MGMCRSNP $50.11
Aetna MGMCRHMO $50.11
Aetna MGMCRPPO $50.11
Ambetter CORE $51.03
ATRIO Golden Times MCR $51.98
Signature Advantage MCR $52.59
Bright Health MCRNarrow $57.05
Prime Health WORKERSCOMP $68.04
CorVel Corporation WORKERSCOMP $69.46
NovaNET WORKERSCOMP $69.46
Cigna NewBusiness $84.20
Cigna OAP $95.62
BCBS TENNCARE $99.93
BCBS COVERKIDS $107.92
BCBS NetworkP $123.00
Oscar HIX $141.75
Humana HumanaChoiceCare $189.00
Humana BroadNetwork $189.00
Humana HumanaChoice $189.00
Humana NarrowExchangeNetwork $189.00
BCBS BlueCare $288.80

Visitor-reported prices

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Aspa gene at other Tennessee hospitals

Hospital City Cash price Negotiated range
Hancock County Hospital SNEEDVILLE $155.02 $23.63 – $103.94
Greeneville Community Hospital GREENEVILLE $157.80 $17.01 – $103.01
Bristol Regional Medical Center BRISTOL $157.80 $23.63 – $113.40
Holston Valley Medical Center KINGSPORT $157.80 $23.63 – $113.40
Hawkins County Memorial Hospital ROGERSVILLE $157.80 $23.63 – $103.01
Ascension Saint Thomas Midtown Nashville not published $17.01 – $218.94
Ascension Saint Thomas DeKalb Smithville not published $42.52 – $261.99
Ascension Saint Thomas Highlands Sparta not published $42.52 – $261.99

All Tennessee hospitals for this procedure →