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 |
|---|---|---|---|---|
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $1,742.85 – $11,619.00 | 21 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $1,742.85 – $11,619.00 | 21 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $1,620.00 – $10,800.00 | 21 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $3,499.20 – $23,328.00 | 21 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $615.00 | $615.00 | $0.57 – $0.57 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.03 | 2 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $158.44 | $158.44 | $0.11 – $1.03 | 3 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $8.03 – $8.03 | 1 |
| One way chest drain valve HCPCS A7040 | not published | not published | $57.96 – $85.20 | 17 |
| Oocyte identification CPT 89254 | not published | not published | $149.16 – $425.72 | 3 |
| Ophthalmic biometry CPT 92136 | not published | not published | $32.61 – $32.61 | 1 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $543.87 – $543.87 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $34.36 – $34.36 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $56.21 – $141.80 | 5 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $39.84 – $154.52 | 5 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $32.60 – $154.52 | 5 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $0.01 – $84.92 | 2 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $928.29 – $928.29 | 1 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $529.38 – $655.00 | 2 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $37.06 – $183.72 | 5 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $16.24 – $16.24 | 1 |
| Oral aprepitant HCPCS J8501 | not published | not published | $4.21 – $7.34 | 2 |
| Oral busulfan HCPCS J8510 | not published | not published | $26.82 – $173.74 | 2 |
| Oral everolimus HCPCS J7527 | not published | not published | $3.13 – $3.13 | 1 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $5.39 – $35.94 | 20 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $23.09 – $49.40 | 2 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $24.18 – $59.44 | 2 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $488.38 – $1,007.50 | 2 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $10.62 – $70.80 | 21 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $51.99 – $114.11 | 3 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $34.87 – $75.45 | 3 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $176.16 | $176.16 | $11.27 – $16.93 | 3 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.95 – $44.03 | 17 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $324.72 – $477.34 | 17 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $562.35 – $826.65 | 17 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,441.90 – $2,119.59 | 17 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $892.81 – $1,312.43 | 17 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $304.58 – $447.73 | 17 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $361.18 – $530.93 | 17 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $118.79 – $174.62 | 17 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $304.58 – $447.73 | 17 |
| Orthopantogram CPT 70355 | not published | not published | $8.69 – $83.86 | 5 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $36.18 – $53.18 | 17 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $28.18 – $28.18 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $20.21 – $20.21 | 1 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $62.87 – $92.42 | 17 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $39.28 – $57.74 | 17 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $36.18 – $53.18 | 17 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.85 – $76.22 | 17 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $161.00 – $236.67 | 17 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $529.16 – $777.87 | 17 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $148.55 – $294.84 | 3 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $375.59 – $552.12 | 17 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $1,115.21 – $1,639.36 | 17 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $27.63 – $27.63 | 1 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $39.28 – $57.74 | 17 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.26 – $41.54 | 17 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $105.33 – $154.84 | 17 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $80.14 – $117.81 | 17 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $11.02 – $16.20 | 17 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $66.01 – $97.03 | 17 |
| Osmolality blood CPT 83930 | not published | not published | $2.97 – $19.83 | 21 |
| Osmolality urine CPT 83935 | not published | not published | $3.07 – $20.46 | 21 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $40.69 – $40.69 | 1 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $47.27 – $47.27 | 1 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $51.46 – $51.46 | 1 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.87 – $4.22 | 17 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $59.20 – $87.02 | 17 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.89 – $5.72 | 17 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $5.10 – $7.50 | 17 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $6.78 – $9.97 | 17 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $2.46 – $3.62 | 17 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $12.88 – $18.93 | 17 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $12.14 – $17.85 | 17 |
| Ot evaluation high complexity patient/family CPT 97167 | not published | not published | $64.77 – $124.11 | 18 |
| Ot evaluation low complexity patient/family CPT 97165 | not published | not published | $64.77 – $124.11 | 18 |
| Ot evaluation moderate complexity patient/family CPT 97166 | not published | not published | $64.77 – $124.11 | 18 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $10.41 – $69.39 | 21 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $25.03 – $25.03 | 1 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $19.34 – $19.34 | 1 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $39.61 – $60.64 | 18 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $25.36 – $56.00 | 18 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $19.99 – $34.12 | 18 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $14.03 – $14.03 | 1 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $42.73 – $84.12 | 18 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $22.01 – $42.80 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | not published | not published | $19.43 – $30.27 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | not published | not published | $19.13 – $28.12 | 18 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $20.30 – $35.78 | 18 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $15.11 – $40.30 | 18 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $16.29 – $39.70 | 18 |
| Outrigger HCPCS L1080 | not published | not published | $81.17 – $119.32 | 17 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $225.49 – $331.47 | 17 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $170.87 – $291.21 | 2 |
| Ovulation tests CPT 84830 | not published | not published | $5.71 – $38.10 | 21 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.78 – $1.51 | 3 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.06 – $0.13 | 3 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $3.54 – $6.20 | 2 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $1.17 – $1.17 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $1.68 – $7.13 | 3 |
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.