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 |
|---|---|---|---|---|
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $491.37 – $722.31 | 17 |
| Shoulder harness HCPCS L5699 | not published | not published | $289.51 – $425.58 | 17 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $642.83 – $944.96 | 17 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $400.72 – $1,100.16 | 4 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $304.48 – $920.54 | 4 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $254.04 – $559.65 | 4 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $510.16 – $749.94 | 17 |
| Shoulder X-ray CPT 73030 | not published | not published | $15.00 – $83.86 | 5 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $89.33 – $131.32 | 17 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $64.18 – $94.34 | 17 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $79.62 – $117.04 | 17 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $20.56 – $186.24 | 5 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $5.50 – $36.66 | 21 |
| Sialography s&i CPT 70390 | not published | not published | $46.44 – $313.62 | 5 |
| Sickling rbc CPT 85660 | $422.93 | $422.93 | $2.48 – $16.53 | 21 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $35.53 – $3,807.00 | 2 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.33 – $0.33 | 1 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $684.63 – $1,006.41 | 17 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $175.15 – $291.84 | 3 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $154.52 – $154.52 | 1 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $226.75 – $333.32 | 17 |
| Sinus CT scan (with and without contrast) CPT 70488 | $806.40 | $806.40 | $184.23 – $459.25 | 4 |
| Sinus CT scan (with contrast) CPT 70487 | $9,909.77 | $9,909.77 | $147.35 – $459.25 | 4 |
| Sinus CT scan (without contrast) CPT 70486 | $9,728.92 | $9,728.92 | $123.03 – $459.25 | 4 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $86.25 – $3,365.20 | 5 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $298.76 – $439.18 | 17 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $137.13 – $201.58 | 17 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $68,835.85 – $144,170.89 | 3 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.66 – $2.57 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $141.03 – $230.84 | 3 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $292.13 – $429.43 | 17 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.01 – $86.44 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.01 – $47.16 | 2 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $8.94 – $13.14 | 17 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $3.94 – $24.67 | 5 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,218.28 – $3,369.26 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $78.66 – $524.43 | 21 |
| Sleep study attended CPT 95807 | not published | not published | $156.45 – $156.45 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $156.45 – $156.45 | 1 |
| Sleep study unattended CPT 95806 | not published | not published | $150.07 – $150.07 | 1 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $239.92 – $352.68 | 17 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $10.98 – $16.14 | 17 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $76.50 – $112.45 | 17 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $63.79 – $63.79 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $181.70 – $181.70 | 1 |
| Slp pure tone screening CPT 92551 | not published | not published | $9.74 – $9.74 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $37.38 – $37.38 | 1 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $156.13 – $156.13 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $8,373.47 – $20,594.59 | 3 |
| Small animal inoculation CPT 87003 | not published | not published | $7.58 – $50.52 | 21 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.03 – $374.97 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $2.43 – $16.17 | 21 |
| Smear gram stain CPT 87205 | $678.35 | $678.35 | $1.92 – $12.81 | 21 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $2.61 – $17.37 | 21 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $480.60 | $480.60 | $2.70 – $17.97 | 21 |
| Smear wet mount CPT 87210 | not published | not published | $2.62 – $17.46 | 21 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $135.61 – $904.05 | 21 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $83.34 – $555.60 | 21 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $21.15 – $141.00 | 21 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $22.98 – $153.21 | 21 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,329.23 – $1,953.97 | 17 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $1,013.24 – $1,489.46 | 17 |
| Socket insert above knee HCPCS L5658 | not published | not published | $445.13 – $654.34 | 17 |
| Socket insert below knee HCPCS L5655 | not published | not published | $344.08 – $505.80 | 17 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $461.57 – $678.51 | 17 |
| Socket insert symes HCPCS L5654 | not published | not published | $406.02 – $596.85 | 17 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $725.39 – $1,066.32 | 17 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $870.51 – $1,279.65 | 17 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $38.45 – $56.52 | 17 |
| Sock wool above knee HCPCS L8430 | not published | not published | $33.75 – $49.61 | 17 |
| Sodium 24 hour urine CPT 84300 | $376.24 | $376.24 | $2.28 – $15.18 | 21 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $130.77 | $130.77 | $3.33 – $5.27 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $130.77 | $130.77 | $1.67 – $3.42 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.83 – $1.75 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $136.49 | $136.49 | $0.15 – $0.27 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.38 – $5.86 | 3 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $90.42 – $193.37 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $444.90 | $444.90 | $2.16 – $14.43 | 21 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.98 – $2.33 | 2 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $99.79 – $146.69 | 17 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $4,035.93 | 21 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $3,587.49 | 21 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $9,865.53 | 21 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $3,139.05 | 21 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.46 – $6.56 | 17 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $10.62 – $15.61 | 17 |
| Somatosensory testing CPT 95927 | not published | not published | $65.37 – $65.37 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $192.00 – $436.99 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $8,968.65 | 21 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $2,690.61 | 21 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $27.79 – $66.49 | 3 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $197.34 – $290.09 | 17 |
| Special physics consult CPT 77370 | not published | not published | $90.96 – $471.20 | 4 |
| Special pump services CPT 99190 | not published | not published | $98.73 – $98.73 | 1 |
| Special pump services CPT 99191 | not published | not published | $62.07 – $62.07 | 1 |
| Special pump services CPT 99192 | not published | not published | $45.86 – $45.86 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $13.33 – $101.52 | 4 |
| Special radiation treatment CPT 77470 | not published | not published | $40.86 – $208.97 | 4 |
| Special teletx port plan CPT 77321 | not published | not published | $37.39 – $157.48 | 4 |
| Specific gravity body fluid CPT 84315 | not published | not published | $1.48 – $9.84 | 21 |
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.