Bilirubin direct 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

$384.47

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.

$384.47

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.

$2.26 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 $2.26 ↓ -99%
Aetna NewBusiness $4.00 ↓ -99%
Aetna COMM $4.00 ↓ -99%
United AllPayerAppendix $5.02 ↓ -99%
Humana ChoicecareMGMCR $5.02 ↓ -99%
United CorePayer $5.02 ↓ -99%
United HeritageSelect $5.02 ↓ -99%
Bright Health HIX $5.02 ↓ -99%
Bright Health SmallGroup $5.02 ↓ -99%
Sarah Cannon Research COMM $5.02 ↓ -99%
WellCare MCR $5.17 ↓ -99%
Zing MGMCR $5.17 ↓ -99%
Ambetter Select $5.22 ↓ -99%
Devoted Health Plan MCR $5.27 ↓ -99%
Healthspring MCRHMOTMN $5.27 ↓ -99%
Healthspring MCRHMONonTMN $5.27 ↓ -99%
Healthspring MCRPPO $5.27 ↓ -99%
Evergreen HMO MCR $5.27 ↓ -99%
American Health Advantage MCRPFFS $5.27 ↓ -99%
United VACCN $5.27 ↓ -99%
American Health Advantage MCRSNP $5.27 ↓ -99%
American Health Advantage MCRPPO $5.27 ↓ -99%
American Health Advantage MCRPOS $5.27 ↓ -99%
American Health Advantage MCRHMO $5.27 ↓ -99%
Aetna MGMCRSNP $5.32 ↓ -99%
Aetna MGMCRHMO $5.32 ↓ -99%
Aetna MGMCRPPO $5.32 ↓ -99%
Ambetter CORE $5.42 ↓ -99%
ATRIO Golden Times MCR $5.52 ↓ -99%
Signature Advantage MCR $5.59 ↓ -99%
Bright Health MCRNarrow $6.06 ↓ -98%
BCBS NetworkP $6.84 ↓ -98%
Prime Health WORKERSCOMP $7.23 ↓ -98%
NovaNET WORKERSCOMP $7.38 ↓ -98%
CorVel Corporation WORKERSCOMP $7.38 ↓ -98%
BCBS TENNCARE $8.76 ↓ -98%
Cigna NewBusiness $9.23 ↓ -98%
BCBS COVERKIDS $9.46 ↓ -98%
Cigna OAP $10.49 ↓ -97%
Oscar HIX $15.06 ↓ -96%
Humana NarrowExchangeNetwork $20.08 ↓ -95%
Humana HumanaChoice $20.08 ↓ -95%
Humana BroadNetwork $20.08 ↓ -95%
Humana HumanaChoiceCare $20.08 ↓ -95%
BCBS BlueCare $25.32 ↓ -93%
Kentucky Labor Cabinet WORKERSCOMP $70.78 ↓ -82%
NHC Advantage, Inc. MCRHMO $73.05 ↓ -81%
Apex Health MCR $73.05 ↓ -81%
Pruitt Health (AllyAlign) MCR $73.05 ↓ -81%
United OptionsPPO $93.81 ↓ -76%
Humana TRICARE $96.12 ↓ -75%
Amerigroup MGMCR $119.19 ↓ -69%
Cigna PPO $119.95 ↓ -69%
United GlobalBenefitPlan $173.01 ↓ -55%
BGFH SingleSource DIRECTNETWORK $192.24 ↓ -50%
Aetna NAP $192.24 ↓ -50%
Multiplan COMM $211.46 ↓ -45%
Southern Health Partners Prison $230.68 ↓ -40%
Employers Health Network COMM $269.13 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $288.35 ↓ -25%
BGFH SingleSource LEASEDNETWORK $326.80 ↓ -15%
Beech Street COMM $353.71 ↓ -8%
BCBS MCR $2,000.00 ↑ +420%

Visitor-reported prices

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Bilirubin direct at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $49.29 $1.81 – $19.17
CHI Memorial Hospital Hixson Hixson $75.48 $4.46 – $178.50
62-1166050 BMH Carroll County Huntingdon $47.84 $4.37 – $10.04
CHI Memorial Hospital Chattanooga Chattanooga $107.87 $4.46 – $178.50
Johnson City Medical Center JOHNSON CITY $8.85 $2.51 – $10.94
Ascension Saint Thomas DeKalb Smithville $49.31 $3.51 – $19.17
Ascension Saint Thomas Highlands Sparta $49.31 $3.51 – $19.17
Ascension Saint Thomas River Park McMinnville $49.31 $3.51 – $19.17

All Tennessee hospitals for this procedure →