CENTENNIAL MEDICAL CENTER AT ASHLAND CITY
313 NORTH MAIN STREET, Ashland City, TN · Tristarhealth · · NPI 1265487193
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| H pylori ag ia CPT 87339 | not published | not published | $7.20 – $48.00 | 21 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $30.31 – $202.08 | 21 |
| H pylori (c-13) breath CPT 83013 | $797.62 | $797.62 | $30.31 – $202.08 | 21 |
| H pylori drug admin CPT 83014 | not published | not published | $3.54 – $23.58 | 21 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $305.57 – $3,911.85 | 21 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $197.52 – $1,755.72 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $263.20 – $1,754.70 | 21 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $263.20 – $1,754.70 | 21 |
| Hsv dna dir probe CPT 87528 | not published | not published | $9.02 – $60.15 | 21 |
| Htt gene charac alleles CPT 81274 | not published | not published | $123.67 – $824.49 | 21 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $61.65 – $411.00 | 21 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $9.36 – $62.43 | 21 |
| Human ig IV CPT 90283 | not published | not published | $73.52 – $250.56 | 2 |
| Human ig sc CPT 90284 | not published | not published | $19.69 – $64.08 | 2 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $13,042.68 | $13,042.68 | $3.78 – $4.53 | 3 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $39.34 – $84.30 | 3 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.63 – $1.33 | 2 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.44 – $0.95 | 3 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $204.89 | $204.89 | $5.10 – $11.63 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $304.34 | $304.34 | $12.81 – $126.78 | 2 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $1,335.56 | $1,335.56 | $43.83 – $575.87 | 2 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $32.50 – $47.77 | 17 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $23.97 – $35.24 | 17 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $11.27 – $16.57 | 17 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $9.33 – $13.72 | 17 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $17.45 – $25.65 | 17 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.81 – $0.81 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $24.62 – $58.46 | 3 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $5.80 – $5.80 | 1 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $10.36 – $15.23 | 17 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $55.99 – $82.31 | 17 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $33.89 – $49.82 | 17 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $23.15 – $34.03 | 17 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $9.78 – $14.38 | 17 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $6.68 – $9.82 | 17 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.17 – $0.37 | 2 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $105.51 – $105.51 | 1 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $3.35 – $3.35 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.03 | 3 |
| Hydroxyurea 500 mg HCPCS S0176 | $20.33 | $20.33 | $0.70 – $0.70 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $347.24 | $347.24 | $17.98 – $34.45 | 3 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.12 – $5.30 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $8.05 – $53.70 | 21 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $21.40 – $46.75 | 3 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $24.78 – $68.30 | 3 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $130.14 – $130.14 | 1 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $4.58 – $30.54 | 21 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $376.64 – $2,687.32 | 4 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $235.46 – $1,509.87 | 4 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $79.18 – $1,749.84 | 4 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $265.00 – $1,931.15 | 4 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $372.52 – $3,082.04 | 4 |
| Hypnotherapy CPT 90880 | not published | not published | $94.20 – $94.20 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $21.38 – $48.57 | 3 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $33.88 – $313.62 | 5 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $274.85 – $274.85 | 1 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $6,130.09 – $6,153.43 | 3 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $2,961.60 – $3,677.51 | 3 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $115.01 – $320.41 | 3 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $45.00 – $1,721.55 | 3 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $218.81 – $1,243.01 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $1,042.27 – $2,525.48 | 2 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $63.79 – $83.86 | 2 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $11.73 – $55.04 | 2 |
| I131 max 100uci HCPCS A9531 | not published | not published | $4.49 – $11.50 | 2 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $95.76 – $1,857.86 | 3 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $6.04 – $40.26 | 21 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $1,052.00 | $1,052.00 | $15.79 – $105.27 | 21 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $8.14 – $54.27 | 21 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $20.38 – $135.84 | 21 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $27.17 – $35.62 | 3 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,101.85 – $7,345.68 | 21 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $3.64 – $8.43 | 3 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $3,090.28 | $3,090.28 | $357.96 – $526.05 | 3 |
| Icatibant injection HCPCS J1744 | not published | not published | $83.92 – $832.55 | 3 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $85.78 – $85.78 | 1 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $6.79 – $6.79 | 1 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $4.37 – $4.37 | 1 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.37 – $4.37 | 1 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $53.18 – $106.13 | 3 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $645,093.12 – $1,478,916.58 | 2 |
| Identify sperm tissue CPT 89264 | not published | not published | $49.76 – $317.83 | 3 |
| Idh1 common variants CPT 81120 | not published | not published | $86.96 – $579.75 | 21 |
| Idh2 common variants CPT 81121 | not published | not published | $133.11 – $887.37 | 21 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $878.06 – $1,290.75 | 17 |
| Idursulfase injection HCPCS J1743 | not published | not published | $663.37 – $1,478.97 | 3 |
| Ifnl3 gene CPT 81283 | not published | not published | $33.02 – $220.11 | 21 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $824.63 | $824.63 | $30.10 – $65.83 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $93.29 – $621.93 | 21 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $30.85 – $205.65 | 21 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $89.10 – $593.97 | 21 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $99.93 – $883.56 | 21 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $77.73 – $518.19 | 21 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $557.49 | $557.49 | $33.28 – $119.38 | 5 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $557.49 | $557.49 | $55.98 – $291.26 | 5 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $557.49 | $557.49 | $9.00 – $149.16 | 5 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $17.35 – $35.46 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $17.69 – $117.93 | 21 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $11.80 – $11.80 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $182.49 – $421.14 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.