X-ray skull < 4 views 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

$3,294.52

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.

$3,294.52

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.

$16.29 with BCBS vs $3,030.96 with Beech Street — 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 $16.29 ↓ -100%
BCBS COVERKIDS $17.71 ↓ -99%
BCBS NetworkP $22.26 ↓ -99%
Humana HumanaChoiceCare $34.24 ↓ -99%
Humana NarrowExchangeNetwork $34.24 ↓ -99%
Humana BroadNetwork $34.24 ↓ -99%
Humana HumanaChoice $34.24 ↓ -99%
BCBS BlueCare $47.11 ↓ -99%
Aetna NewBusiness $47.61 ↓ -99%
Aetna COMM $47.61 ↓ -99%
Cigna NewBusiness $87.03 ↓ -97%
Cigna OAP $98.86 ↓ -97%
United AllPayerAppendix $154.52 ↓ -95%
United CorePayer $154.52 ↓ -95%
United HeritageSelect $154.52 ↓ -95%
Kentucky Labor Cabinet WORKERSCOMP $606.52 ↓ -82%
Pruitt Health (AllyAlign) MCR $625.96 ↓ -81%
Apex Health MCR $625.96 ↓ -81%
NHC Advantage, Inc. MCRHMO $625.96 ↓ -81%
United OptionsPPO $803.86 ↓ -76%
Humana TRICARE $823.63 ↓ -75%
Amerigroup MGMCR $1,021.30 ↓ -69%
Cigna PPO $1,027.89 ↓ -69%
United GlobalBenefitPlan $1,482.53 ↓ -55%
Aetna NAP $1,647.26 ↓ -50%
BGFH SingleSource DIRECTNETWORK $1,647.26 ↓ -50%
Multiplan COMM $1,811.99 ↓ -45%
Southern Health Partners Prison $1,976.71 ↓ -40%
BCBS MCR $2,000.00 ↓ -39%
Employers Health Network COMM $2,306.16 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $2,470.89 ↓ -25%
BGFH SingleSource LEASEDNETWORK $2,800.34 ↓ -15%
Beech Street COMM $3,030.96 ↓ -8%

Visitor-reported prices

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X-ray skull < 4 views at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $95.84 $17.71 – $179.33
CHI Memorial Hospital Hixson Hixson $148.00 $26.36 – $350.00
62-1166050 BMH Carroll County Huntingdon $111.78 $17.71 – $194.20
CHI Memorial Hospital Chattanooga Chattanooga $211.50 $26.36 – $350.00
Johnson City Medical Center JOHNSON CITY $65.85 $20.54 – $212.67
Ascension Saint Thomas DeKalb Smithville $127.67 $17.71 – $179.33
Ascension Saint Thomas Highlands Sparta $127.67 $17.71 – $179.33
Ascension Saint Thomas River Park McMinnville $121.58 $22.18 – $179.33

All Tennessee hospitals for this procedure →