Surgical pathology level 5 gross & microscopic examination 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

$881.61

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.

$881.61

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.

$22.20 with BCBS 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
BCBS TENNCARE $22.20 ↓ -97%
BCBS COVERKIDS $23.98 ↓ -97%
BCBS BlueCare $64.16 ↓ -93%
Bright Health HIX $149.87 ↓ -83%
Oscar HIX $161.33 ↓ -82%
Kentucky Labor Cabinet WORKERSCOMP $162.30 ↓ -82%
NHC Advantage, Inc. MCRHMO $167.51 ↓ -81%
Apex Health MCR $167.51 ↓ -81%
Pruitt Health (AllyAlign) MCR $167.51 ↓ -81%
BCBS NetworkP $183.23 ↓ -79%
Ambetter CORE $196.60 ↓ -78%
Ambetter Select $204.53 ↓ -77%
Aetna NewBusiness $209.74 ↓ -76%
Aetna COMM $209.74 ↓ -76%
Bright Health SmallGroup $211.59 ↓ -76%
United OptionsPPO $215.11 ↓ -76%
Humana TRICARE $220.40 ↓ -75%
Amerigroup MGMCR $273.30 ↓ -69%
Cigna PPO $275.06 ↓ -69%
United AllPayerAppendix $291.26 ↓ -67%
United HeritageSelect $291.26 ↓ -67%
United CorePayer $291.26 ↓ -67%
Humana NarrowExchangeNetwork $315.44 ↓ -64%
Humana BroadNetwork $315.44 ↓ -64%
Humana HumanaChoice $315.44 ↓ -64%
Humana HumanaChoiceCare $315.44 ↓ -64%
Cigna NewBusiness $358.42 ↓ -59%
United GlobalBenefitPlan $396.72 ↓ -55%
Cigna OAP $407.05 ↓ -54%
Aetna NAP $440.81 ↓ -50%
BGFH SingleSource DIRECTNETWORK $440.81 ↓ -50%
Multiplan COMM $484.89 ↓ -45%
Southern Health Partners Prison $528.97 ↓ -40%
Employers Health Network COMM $617.13 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $661.21 ↓ -25%
BGFH SingleSource LEASEDNETWORK $749.37 ↓ -15%
Beech Street COMM $811.08 ↓ -8%
BCBS MCR $2,000.00 ↑ +127%

Visitor-reported prices

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Surgical pathology level 5 gross & microscopic examination at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $161.76 $22.20 – $570.20
CHI Memorial Hospital Hixson Hixson $294.82 $33.04 – $697.20
62-1166050 BMH Carroll County Huntingdon $115.23 $22.20 – $656.94
CHI Memorial Hospital Chattanooga Chattanooga $421.31 $33.04 – $697.20
Johnson City Medical Center JOHNSON CITY $235.20 $34.65 – $729.17
Ascension Saint Thomas DeKalb Smithville $161.76 $22.20 – $570.20
Ascension Saint Thomas Highlands Sparta $161.76 $22.20 – $570.20
Ascension Saint Thomas River Park McMinnville $161.76 $28.54 – $570.20

All Tennessee hospitals for this procedure →