Tobramycin peak therapeutic drug level 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

?

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

?

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.

$7.26 with Wellpoint vs $68.55 with BCBS — same scan, same building. Share

Negotiated rates by payer
?

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
Wellpoint MGMCD $7.26
Aetna NewBusiness $12.83
Aetna COMM $12.83
Bright Health SmallGroup $16.13
Bright Health HIX $16.13
Sarah Cannon Research COMM $16.13
United AllPayerAppendix $16.13
Humana ChoicecareMGMCR $16.13
United HeritageSelect $16.13
United CorePayer $16.13
WellCare MCR $16.61
Zing MGMCR $16.61
Ambetter Select $16.78
American Health Advantage MCRPOS $16.94
United VACCN $16.94
American Health Advantage MCRHMO $16.94
Devoted Health Plan MCR $16.94
American Health Advantage MCRPPO $16.94
American Health Advantage MCRSNP $16.94
American Health Advantage MCRPFFS $16.94
Evergreen HMO MCR $16.94
Healthspring MCRPPO $16.94
Healthspring MCRHMONonTMN $16.94
Healthspring MCRHMOTMN $16.94
Aetna MGMCRSNP $17.11
Aetna MGMCRHMO $17.11
Aetna MGMCRPPO $17.11
Ambetter CORE $17.42
ATRIO Golden Times MCR $17.74
Signature Advantage MCR $17.95
Bright Health MCRNarrow $19.48
BCBS NetworkP $21.99
Prime Health WORKERSCOMP $23.23
NovaNET WORKERSCOMP $23.71
CorVel Corporation WORKERSCOMP $23.71
BCBS TENNCARE $23.72
BCBS COVERKIDS $25.62
Cigna NewBusiness $28.84
Cigna OAP $32.75
Oscar HIX $48.39
Humana HumanaChoiceCare $64.52
Humana BroadNetwork $64.52
Humana HumanaChoice $64.52
Humana NarrowExchangeNetwork $64.52
BCBS BlueCare $68.55

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Tobramycin peak therapeutic drug level at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $149.93 $5.81 – $62.08
CHI Memorial Hospital Hixson Hixson $103.60 $14.32 – $245.00
62-1166050 BMH Carroll County Huntingdon $32.43 $14.03 – $32.26
CHI Memorial Hospital Chattanooga Chattanooga $148.05 $14.32 – $245.00
Johnson City Medical Center JOHNSON CITY $28.35 $8.07 – $35.16
Ascension Saint Thomas DeKalb Smithville $149.93 $11.31 – $62.08
Ascension Saint Thomas Highlands Sparta $149.93 $11.31 – $62.08
Ascension Saint Thomas River Park McMinnville $149.93 $11.31 – $62.08

All Tennessee hospitals for this procedure →