Blood smear microscopic w manual differential wbc count 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

$626.15

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.

$626.15

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.

$1.71 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 $1.71 ↓ -100%
Aetna NewBusiness $3.02 ↓ -100%
Aetna COMM $3.02 ↓ -100%
United AllPayerAppendix $3.80 ↓ -99%
Humana ChoicecareMGMCR $3.80 ↓ -99%
United CorePayer $3.80 ↓ -99%
United HeritageSelect $3.80 ↓ -99%
Bright Health HIX $3.80 ↓ -99%
Bright Health SmallGroup $3.80 ↓ -99%
Sarah Cannon Research COMM $3.80 ↓ -99%
WellCare MCR $3.91 ↓ -99%
Zing MGMCR $3.91 ↓ -99%
Ambetter Select $3.95 ↓ -99%
Devoted Health Plan MCR $3.99 ↓ -99%
Healthspring MCRHMOTMN $3.99 ↓ -99%
Healthspring MCRHMONonTMN $3.99 ↓ -99%
Healthspring MCRPPO $3.99 ↓ -99%
Evergreen HMO MCR $3.99 ↓ -99%
American Health Advantage MCRPFFS $3.99 ↓ -99%
United VACCN $3.99 ↓ -99%
American Health Advantage MCRSNP $3.99 ↓ -99%
American Health Advantage MCRPPO $3.99 ↓ -99%
American Health Advantage MCRPOS $3.99 ↓ -99%
American Health Advantage MCRHMO $3.99 ↓ -99%
Aetna MGMCRSNP $4.03 ↓ -99%
Aetna MGMCRHMO $4.03 ↓ -99%
Aetna MGMCRPPO $4.03 ↓ -99%
Ambetter CORE $4.11 ↓ -99%
ATRIO Golden Times MCR $4.18 ↓ -99%
Signature Advantage MCR $4.23 ↓ -99%
Bright Health MCRNarrow $4.59 ↓ -99%
BCBS NetworkP $4.69 ↓ -99%
Prime Health WORKERSCOMP $5.47 ↓ -99%
NovaNET WORKERSCOMP $5.59 ↓ -99%
CorVel Corporation WORKERSCOMP $5.59 ↓ -99%
BCBS TENNCARE $6.77 ↓ -99%
Cigna NewBusiness $6.93 ↓ -99%
BCBS COVERKIDS $7.31 ↓ -99%
Cigna OAP $7.86 ↓ -99%
Oscar HIX $11.40 ↓ -98%
Humana NarrowExchangeNetwork $15.20 ↓ -98%
Humana HumanaChoice $15.20 ↓ -98%
Humana BroadNetwork $15.20 ↓ -98%
Humana HumanaChoiceCare $15.20 ↓ -98%
BCBS BlueCare $19.57 ↓ -97%
Kentucky Labor Cabinet WORKERSCOMP $115.27 ↓ -82%
NHC Advantage, Inc. MCRHMO $118.97 ↓ -81%
Apex Health MCR $118.97 ↓ -81%
Pruitt Health (AllyAlign) MCR $118.97 ↓ -81%
United OptionsPPO $152.78 ↓ -76%
Humana TRICARE $156.54 ↓ -75%
Amerigroup MGMCR $194.11 ↓ -69%
Cigna PPO $195.36 ↓ -69%
United GlobalBenefitPlan $281.77 ↓ -55%
BGFH SingleSource DIRECTNETWORK $313.07 ↓ -50%
Aetna NAP $313.07 ↓ -50%
Multiplan COMM $344.38 ↓ -45%
Southern Health Partners Prison $375.69 ↓ -40%
Employers Health Network COMM $438.31 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $469.61 ↓ -25%
BGFH SingleSource LEASEDNETWORK $532.23 ↓ -15%
Beech Street COMM $576.06 ↓ -8%
BCBS MCR $2,000.00 ↑ +219%

Visitor-reported prices

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Blood smear microscopic w manual differential wbc count at other Tennessee hospitals

Hospital City Cash price Negotiated range
CHI Memorial Hospital Hixson Hixson $29.01 $3.05 – $68.60
62-1166050 BMH Carroll County Huntingdon $36.57 $3.31 – $7.60
CHI Memorial Hospital Chattanooga Chattanooga $41.46 $3.05 – $68.60
Johnson City Medical Center JOHNSON CITY $6.00 $1.90 – $8.28
Ascension Saint Thomas Rutherford Murfreesboro $19.16 $3.42 – $13.54
Hancock County Hospital SNEEDVILLE $5.75 $2.44 – $8.66
Greeneville Community Hospital GREENEVILLE $6.00 $1.71 – $8.28
Bristol Regional Medical Center BRISTOL $6.00 $1.90 – $9.12

All Tennessee hospitals for this procedure →