Revision of knee joint at CENTENNIAL MEDICAL CENTER AT ASHLAND CITY
313 NORTH MAIN STREET, Ashland City, TN · Tristarhealth · · NPI 1265487193
not published by hospital
Cash price 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 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.
$1,572.19 with BCBS vs $15,288.28 with Devoted Health Plan — 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 →
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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 ?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 ?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 | $1,572.19 | — |
| BCBS | COVERKIDS | $1,703.63 | — |
| Bright Health | HIX | $1,876.00 | — |
| BCBS | BlueCare | $2,179.00 | — |
| NHC Advantage, Inc. | MCRHMO | $2,550.00 | — |
| Apex Health | MCR | $2,550.00 | — |
| Bright Health | SmallGroup | $2,559.00 | — |
| Ambetter | Select | $3,026.00 | — |
| Ambetter | CORE | $3,147.00 | — |
| Oscar | HIX | $3,542.00 | — |
| Cigna | NewBusiness | $4,413.00 | — |
| BCBS | NetworkP | $4,649.00 | — |
| United | CorePayer | $4,679.00 | — |
| Pruitt Health (AllyAlign) | MCR | $4,950.00 | — |
| Humana | HumanaChoice | $4,955.00 | — |
| Humana | BroadNetwork | $4,955.00 | — |
| Humana | NarrowExchangeNetwork | $4,955.00 | — |
| Humana | HumanaChoiceCare | $4,955.00 | — |
| United | HeritageSelect | $4,991.00 | — |
| Cigna | OAP | $5,015.00 | — |
| Aetna | NewBusiness | $5,050.00 | — |
| United | AllPayerAppendix | $6,239.00 | — |
| Aetna | COMM | $6,446.00 | — |
| Zing | MGMCR | $12,813.03 | — |
| Evergreen HMO | MCR | $12,813.03 | — |
| Devoted Health Plan | MCR | $15,288.28 | — |
Visitor-reported prices
Comments
Revision of knee joint at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | not published | $2,187.00 – $2,465.05 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $2,187.00 – $5,112.00 |
| Ascension Saint Thomas Highlands | Sparta | not published | $2,187.00 – $5,112.00 |
| Ascension Saint Thomas River Park | McMinnville | not published | $2,187.00 – $5,112.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $2,187.00 – $2,629.32 |
| Ascension Saint Thomas Hickman | Centerville | not published | $2,187.00 – $2,298.50 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $13,548.88 – $15,396.45 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $13,548.88 – $15,396.45 |