Fluoroguide needle placement 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.

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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.

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The hospital's undiscounted list price — almost no one pays this.

$32.18 with BCBS vs $156.14 with Aetna — 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.

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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 $32.18
BCBS COVERKIDS $34.98
BCBS NetworkP $65.76
BCBS BlueCare $93.05
Humana BroadNetwork $104.64
Humana HumanaChoice $104.64
Humana HumanaChoiceCare $104.64
Humana NarrowExchangeNetwork $104.64
Aetna NewBusiness $156.14
Aetna COMM $156.14

Visitor-reported prices

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Fluoroguide needle placement at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $173.37 $34.98 – $180.45
CHI Memorial Hospital Hixson Hixson $255.75 $52.06 – $604.80
62-1166050 BMH Carroll County Huntingdon $233.91 $34.98 – $93.50
CHI Memorial Hospital Chattanooga Chattanooga $365.48 $52.06 – $604.80
Johnson City Medical Center JOHNSON CITY $69.30 $40.58 – $269.81
Ascension Saint Thomas DeKalb Smithville $230.94 $34.98 – $180.47
Ascension Saint Thomas River Park McMinnville $219.93 $52.26 – $180.47
Ascension Saint Thomas Rutherford Murfreesboro $311.94 $34.98 – $180.47

All Tennessee hospitals for this procedure →