Estrogens total-sendout 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

$606.94

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.

$606.94

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.

$9.77 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 $9.77 ↓ -98%
Aetna NewBusiness $17.26 ↓ -97%
Aetna COMM $17.26 ↓ -97%
United AllPayerAppendix $21.70 ↓ -96%
Humana ChoicecareMGMCR $21.70 ↓ -96%
United CorePayer $21.70 ↓ -96%
United HeritageSelect $21.70 ↓ -96%
Bright Health HIX $21.70 ↓ -96%
Bright Health SmallGroup $21.70 ↓ -96%
Sarah Cannon Research COMM $21.70 ↓ -96%
WellCare MCR $22.35 ↓ -96%
Zing MGMCR $22.35 ↓ -96%
Ambetter Select $22.57 ↓ -96%
Devoted Health Plan MCR $22.79 ↓ -96%
Healthspring MCRHMOTMN $22.79 ↓ -96%
Healthspring MCRHMONonTMN $22.79 ↓ -96%
Healthspring MCRPPO $22.79 ↓ -96%
Evergreen HMO MCR $22.79 ↓ -96%
American Health Advantage MCRPFFS $22.79 ↓ -96%
United VACCN $22.79 ↓ -96%
American Health Advantage MCRSNP $22.79 ↓ -96%
American Health Advantage MCRPPO $22.79 ↓ -96%
American Health Advantage MCRPOS $22.79 ↓ -96%
American Health Advantage MCRHMO $22.79 ↓ -96%
Aetna MGMCRHMO $23.01 ↓ -96%
Aetna MGMCRSNP $23.01 ↓ -96%
Aetna MGMCRPPO $23.01 ↓ -96%
Ambetter CORE $23.43 ↓ -96%
ATRIO Golden Times MCR $23.87 ↓ -96%
Signature Advantage MCR $24.15 ↓ -96%
Bright Health MCRNarrow $26.20 ↓ -96%
BCBS NetworkP $29.60 ↓ -95%
Prime Health WORKERSCOMP $31.25 ↓ -95%
CorVel Corporation WORKERSCOMP $31.90 ↓ -95%
NovaNET WORKERSCOMP $31.90 ↓ -95%
Cigna NewBusiness $38.65 ↓ -94%
BCBS TENNCARE $41.63 ↓ -93%
Cigna OAP $43.89 ↓ -93%
BCBS COVERKIDS $44.96 ↓ -93%
Oscar HIX $65.10 ↓ -89%
Humana HumanaChoiceCare $86.80 ↓ -86%
Humana BroadNetwork $86.80 ↓ -86%
Humana HumanaChoice $86.80 ↓ -86%
Humana NarrowExchangeNetwork $86.80 ↓ -86%
Kentucky Labor Cabinet WORKERSCOMP $111.74 ↓ -82%
NHC Advantage, Inc. MCRHMO $115.32 ↓ -81%
Pruitt Health (AllyAlign) MCR $115.32 ↓ -81%
Apex Health MCR $115.32 ↓ -81%
BCBS BlueCare $120.31 ↓ -80%
United OptionsPPO $148.09 ↓ -76%
Humana TRICARE $151.74 ↓ -75%
Amerigroup MGMCR $188.15 ↓ -69%
Cigna PPO $189.37 ↓ -69%
United GlobalBenefitPlan $273.12 ↓ -55%
Aetna NAP $303.47 ↓ -50%
BGFH SingleSource DIRECTNETWORK $303.47 ↓ -50%
Multiplan COMM $333.82 ↓ -45%
Southern Health Partners Prison $364.16 ↓ -40%
Employers Health Network COMM $424.86 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $455.21 ↓ -25%
BGFH SingleSource LEASEDNETWORK $515.90 ↓ -15%
Beech Street COMM $558.38 ↓ -8%
BCBS MCR $2,000.00 ↑ +230%

Visitor-reported prices

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Estrogens total-sendout at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $84.30 $7.81 – $83.52
CHI Memorial Hospital Hixson Hixson $25.16 $19.28 – $59.50
62-1166050 BMH Carroll County Huntingdon $19.32 $18.88 – $43.40
CHI Memorial Hospital Chattanooga Chattanooga $35.96 $17.85 – $59.50
Johnson City Medical Center JOHNSON CITY $38.10 $10.85 – $47.31
Ascension Saint Thomas DeKalb Smithville $120.93 $15.21 – $83.52
Ascension Saint Thomas Highlands Sparta $120.93 $15.21 – $83.52
Ascension Saint Thomas River Park McMinnville $120.93 $15.21 – $83.52

All Tennessee hospitals for this procedure →