Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr 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

$468.72

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.

$468.72

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.

$1.94 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 NetworkP $1.94 ↓ -100%
Cigna NewBusiness $2.96 ↓ -99%
Cigna OAP $3.37 ↓ -99%
United HeritageSelect $5.49 ↓ -99%
United AllPayerAppendix $5.49 ↓ -99%
United CorePayer $5.49 ↓ -99%
Aetna MGMCRHMO $70.31 ↓ -85%
Aetna MGMCRPPO $70.31 ↓ -85%
Aetna MGMCRSNP $70.31 ↓ -85%
Kentucky Labor Cabinet WORKERSCOMP $86.29 ↓ -82%
Ambetter Select $108.74 ↓ -77%
United OptionsPPO $114.37 ↓ -76%
Humana TRICARE $117.18 ↓ -75%
Amerigroup MGMCR $145.30 ↓ -69%
Cigna PPO $146.24 ↓ -69%
United GlobalBenefitPlan $210.92 ↓ -55%
BGFH SingleSource DIRECTNETWORK $234.36 ↓ -50%
Multiplan COMM $257.80 ↓ -45%
Southern Health Partners Prison $281.23 ↓ -40%
Employers Health Network COMM $328.10 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $351.54 ↓ -25%
BGFH SingleSource LEASEDNETWORK $398.41 ↓ -15%
Beech Street COMM $431.22 ↓ -8%
BCBS MCR $2,000.00 ↑ +327%

Visitor-reported prices

visitor-reported
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Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $11.19 $2.92 – $8.66
CHI Memorial Hospital Hixson Hixson $111.39 $2.94 – $40.79
62-1166050 BMH Carroll County Huntingdon $122.88 $2.02 – $8.66
CHI Memorial Hospital Chattanooga Chattanooga $159.18 $2.94 – $40.79
Johnson City Medical Center JOHNSON CITY $142.03 $4.17 – $7.99
Ascension Saint Thomas Rutherford Murfreesboro $11.19 $2.92 – $8.66
Hancock County Hospital SNEEDVILLE $7.80 $4.17 – $7.99
Greeneville Community Hospital GREENEVILLE $142.03 $4.17 – $7.99

All Tennessee hospitals for this procedure →