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 |
|---|---|---|---|---|
| Polycentric hinge pair HCPCS L6600 | not published | not published | $229.64 – $337.57 | 17 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $761.37 – $761.37 | 1 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $156.45 – $156.45 | 1 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $209.96 – $209.96 | 1 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $4.73 – $31.53 | 21 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $27,987.60 – $64,205.31 | 3 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $61.86 – $90.93 | 17 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $61.86 – $90.93 | 17 |
| Positional nystagmus test CPT 92532 | not published | not published | $16.24 – $16.24 | 1 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $11.25 – $75.00 | 20 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $538.21 – $791.17 | 17 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $501.19 – $736.75 | 17 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $667.75 – $981.59 | 17 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,667.22 – $2,450.81 | 17 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $2,043.12 – $3,003.39 | 17 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $616.07 – $905.62 | 17 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $511.51 – $751.92 | 17 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $2,249.69 – $3,307.04 | 17 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,495.35 – $2,198.16 | 17 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $491.64 – $722.71 | 17 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,975.19 – $2,903.53 | 17 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,705.99 – $2,507.81 | 17 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $1,156.71 – $1,156.71 | 1 |
| Potassium 24 hour urine CPT 84133 | $508.05 | $508.05 | $2.13 – $14.19 | 21 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.14 – $0.32 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $2.62 – $17.49 | 20 |
| Potassium serum/plasma/whole blood CPT 84132 | $530.01 | $530.01 | $2.14 – $14.28 | 21 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.94 – $4.32 | 17 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $5.04 – $7.41 | 17 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $7.85 – $11.54 | 17 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $6.21 – $9.13 | 17 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $3.12 – $4.59 | 17 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $5.11 – $7.51 | 17 |
| Powder prem protct 1oz HCPCS A4371 | $20.50 | $20.50 | $5.20 – $7.64 | 17 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $61.65 – $411.00 | 21 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $72.20 – $162.80 | 3 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | not published | $50.71 – $147.24 | 3 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $370.92 – $1,040.71 | 3 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $104.04 – $275.71 | 3 |
| Pr application of long arm splint CPT 29105 | not published | not published | $164.26 – $164.26 | 1 |
| Pr application splint static short arm CPT 29125 | not published | not published | $133.09 – $133.09 | 1 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | not published | not published | $11.74 – $11.74 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $39.59 – $138.12 | 18 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $53.19 – $53.19 | 1 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $73.50 – $73.50 | 1 |
| Prealbumin CPT 84134 | $1,224.90 | $1,224.90 | $6.57 – $43.77 | 21 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $10.54 – $3,807.00 | 2 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $45.41 – $3,807.00 | 2 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.64 – $0.64 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $58.15 | $58.15 | $0.30 – $2.44 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.03 | 2 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $208.23 – $306.10 | 17 |
| Pregabalin - sendout CPT 80366 | not published | not published | $0.01 – $86.44 | 2 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $6.77 – $45.15 | 21 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $2,889.24 | $2,889.24 | $54.71 – $277.55 | 5 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $2,396.62 | $2,396.62 | $27.37 – $222.49 | 5 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $46.00 – $46.00 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $678.85 – $678.85 | 1 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $1,156.71 – $1,156.71 | 1 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $1,156.71 – $1,156.71 | 1 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,473.76 – $3,636.43 | 17 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $2,943.01 – $4,326.22 | 17 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $2,379.43 – $3,497.76 | 17 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $2,887.94 – $4,245.27 | 17 |
| Prepare donor heart CPT 33944 | not published | not published | $428.28 – $428.28 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.76 – $325.87 | 3 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,215.83 – $3,257.27 | 17 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,076.09 – $3,051.85 | 17 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,782.34 – $2,620.04 | 17 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,114.56 – $3,108.40 | 17 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $760.34 – $760.34 | 1 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $657.62 – $657.62 | 1 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $131.80 – $131.80 | 1 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $145.58 – $145.58 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $626.36 – $920.75 | 17 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $22.20 – $149.16 | 5 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $18.93 – $125.96 | 5 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $25.74 – $149.16 | 5 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $0.90 – $104.96 | 5 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $14.80 – $291.26 | 5 |
| Preventive counseling group CPT 99411 | not published | not published | $38.11 – $38.11 | 1 |
| Preventive counseling group CPT 99412 | not published | not published | $31.84 – $31.84 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $13.53 – $13.53 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $41.00 – $41.00 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $66.37 – $66.37 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $88.89 – $88.89 | 1 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $17.50 – $3,807.00 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $15.01 – $3,807.00 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $14.18 – $3,807.00 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $18.37 – $3,807.00 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $20.88 – $3,807.00 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $23.67 – $3,807.00 | 2 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $265.19 – $265.19 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $123.30 – $123.30 | 1 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $95.75 – $95.75 | 1 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $57.98 – $57.98 | 1 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $61.95 – $61.95 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $45.18 – $45.18 | 1 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $30.52 – $30.52 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,528.26 | $2,528.26 | $347.64 – $913.00 | 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.