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 |
|---|---|---|---|---|
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $560.26 | $560.26 | $9.57 – $54.57 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $560.26 | $560.26 | $15.18 – $122.92 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $881.61 | $881.61 | $22.20 – $358.42 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $881.61 | $881.61 | $27.55 – $656.15 | 5 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $105.40 – $336.92 | 2 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $2.14 – $14.25 | 21 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $25.00 | $25.00 | $2.14 – $14.25 | 21 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $3.89 – $25.95 | 21 |
| Suscept studies macrobroth dilution ea CPT 87188 | $546.44 | $546.44 | $2.99 – $19.92 | 21 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $134.68 – $197.98 | 17 |
| Svc venogram s&i CPT 75827 | not published | not published | $82.47 – $826.97 | 5 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $1.62 – $49.76 | 5 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,758.03 – $4,054.30 | 17 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,381.38 – $4,970.63 | 17 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $311.94 – $458.55 | 17 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $372.40 – $547.43 | 17 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $300.21 – $441.31 | 17 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $549.44 – $807.68 | 17 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $8.27 – $12.76 | 2 |
| Synthetic sentence id test CPT 92576 | not published | not published | $13.69 – $13.69 | 1 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $10.94 – $20.03 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $552.00 | $552.00 | $1.98 – $13.20 | 21 |
| T3 (triiodothyronine) free CPT 84481 | $788.23 | $788.23 | $7.62 – $50.82 | 21 |
| T3 (triiodothyronine) total CPT 84480 | $944.74 | $944.74 | $6.38 – $42.54 | 21 |
| T4 (thyroxine) free CPT 84439 | $1,128.75 | $1,128.75 | $4.06 – $27.06 | 21 |
| T4 (thyroxine) total CPT 84436 | $612.45 | $612.45 | $3.09 – $20.61 | 21 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.69 – $1.56 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.20 – $4.96 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $138.28 | $138.28 | $0.30 – $0.53 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $311.84 – $695.49 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $719.54 | $719.54 | $6.18 – $41.19 | 21 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $17.03 – $37.74 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $86.04 – $195.94 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $83.84 – $198.54 | 3 |
| Talymed HCPCS Q4127 | not published | not published | $83.48 – $336.92 | 2 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $20.33 | $20.33 | $0.36 – $0.36 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.50 – $0.73 | 17 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $341.79 – $2,278.59 | 21 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,313.82 – $8,758.80 | 21 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $269.06 – $1,793.73 | 21 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,800.00 – $4,151.46 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.46 – $0.66 | 3 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $61.65 – $411.00 | 21 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $27.93 – $149.48 | 4 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $7.38 – $39.48 | 4 |
| Tbs techl calculation only CPT 77091 | not published | not published | $19.04 – $310.33 | 5 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $1.51 – $310.33 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $45.00 – $300.00 | 21 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $108.05 | $108.05 | $27.89 – $185.94 | 21 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $516.31 – $1,393.18 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,240.37 – $3,434.27 | 2 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $2,055.13 – $4,502.11 | 3 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $827.26 – $2,121.64 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $88.53 – $163.74 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $2,167.83 – $2,475.44 | 2 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $2,056.76 – $2,458.43 | 3 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $372.00 – $870.79 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $118.13 – $288.56 | 3 |
| Tc-99m maa HCPCS A9540 | not published | not published | $36.00 – $80.53 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $67.80 – $300.67 | 3 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $15.60 – $170.82 | 3 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $2,102.17 – $2,102.17 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $55.65 – $138.09 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $39.63 – $76.11 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $21.74 – $55.76 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $2.11 – $31.85 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $76.86 – $105.34 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $84.00 – $1,194.04 | 3 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $758.15 – $1,748.81 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $320.84 – $1,991.21 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $102.32 – $309.79 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $793.88 – $836.76 | 2 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $142.42 – $142.42 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $146.24 – $146.24 | 1 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $140.36 – $140.36 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $756.97 | $756.97 | $21.14 – $140.94 | 21 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $12.05 – $80.34 | 21 |
| T cells total count CPT 86359 | not published | not published | $16.98 – $113.19 | 21 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $370.86 – $370.86 | 1 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $262.57 – $588.86 | 3 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $56.38 – $82.88 | 17 |
| Telavancin injection HCPCS J3095 | not published | not published | $8.68 – $19.53 | 3 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $89.93 – $476.88 | 4 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $49.10 – $263.12 | 4 |
| Temozolomide HCPCS J8700 | not published | not published | $0.28 – $1.43 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $12.73 – $27.56 | 3 |
| Temperature gradient studies CPT 93740 | not published | not published | $4.67 – $4.67 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $37.07 – $53.85 | 3 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $42,960.43 | $42,960.43 | $195.26 – $495.47 | 3 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $3,156.88 – $3,156.88 | 1 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $3,954.81 – $5,813.57 | 17 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $13.24 – $19.46 | 17 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $128.01 | $128.01 | $1.73 – $6.55 | 3 |
| Teriparatide injection HCPCS J3110 | not published | not published | $63.66 – $207.76 | 2 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $5,061.33 – $7,440.16 | 17 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,908.64 – $5,745.70 | 17 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,483.22 – $2,180.33 | 17 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,029.27 – $1,513.03 | 17 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,574.47 – $2,314.47 | 17 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $427.16 – $627.93 | 17 |
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.