Ortho wrst/hnd w/jnt cstm w/fit&adj 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.

$1,115.21 with Humana vs $1,639.36 with NovaNET — 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
Humana ChoicecareMGMCR $1,115.21
Sarah Cannon Research COMM $1,115.21
Wellpoint MGMCD $1,115.21
Zing MGMCR $1,148.67
WellCare MCR $1,148.67
Evergreen HMO MCR $1,170.97
United VACCN $1,170.97
American Health Advantage MCRSNP $1,170.97
American Health Advantage MCRPFFS $1,170.97
Healthspring MCRPPO $1,170.97
Healthspring MCRHMOTMN $1,170.97
Healthspring MCRHMONonTMN $1,170.97
Devoted Health Plan MCR $1,170.97
American Health Advantage MCRHMO $1,170.97
American Health Advantage MCRPOS $1,170.97
American Health Advantage MCRPPO $1,170.97
Aetna MGMCRSNP $1,182.68
Aetna MGMCRPPO $1,182.68
Aetna MGMCRHMO $1,182.68
ATRIO Golden Times MCR $1,226.73
Signature Advantage MCR $1,241.23
Bright Health MCRNarrow $1,346.62
Prime Health WORKERSCOMP $1,605.90
CorVel Corporation WORKERSCOMP $1,639.36
NovaNET WORKERSCOMP $1,639.36

Visitor-reported prices

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Ortho wrst/hnd w/jnt cstm w/fit&adj at other Tennessee hospitals

Hospital City Cash price Negotiated range
Johnson City Medical Center JOHNSON CITY $243.75 $1,217.17 – $2,653.43
Hancock County Hospital SNEEDVILLE $239.20 $1,040.00 – $1,040.00
Greeneville Community Hospital GREENEVILLE $243.75 $1,131.97 – $2,653.43
Bristol Regional Medical Center BRISTOL $243.75 $1,115.21 – $2,653.43
Franklin Woods Community Hospital JOHNSON CITY $243.75 $1,144.14 – $2,653.43
Holston Valley Medical Center KINGSPORT $243.75 $1,115.21 – $2,653.43
Indian Path Community Hospital KINGSPORT $243.75 $1,115.21 – $2,653.43
Hawkins County Memorial Hospital ROGERSVILLE $243.75 $1,115.21 – $2,653.43

All Tennessee hospitals for this procedure →