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 |
|---|---|---|---|---|
| X-ray exam of femur 1 CPT 73551 | not published | not published | $12.88 – $83.86 | 5 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $13.07 – $83.86 | 5 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $46.84 – $313.62 | 5 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $16.29 – $154.52 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $19.26 – $313.62 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $29.38 – $174.60 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $38.17 – $309.65 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $17.60 – $93.44 | 5 |
| X-ray exam of sinuses CPT 70210 | not published | not published | $16.29 – $83.86 | 5 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $24.58 – $313.62 | 5 |
| X-ray exam of teeth CPT 70300 | not published | not published | $6.72 – $83.86 | 5 |
| X-ray exam of teeth CPT 70310 | not published | not published | $10.99 – $313.62 | 5 |
| X-ray exam si joints CPT 72200 | not published | not published | $13.84 – $154.52 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $23.80 – $154.52 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $10.99 – $83.86 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $1,787.16 | $1,787.16 | $20.56 – $154.52 | 5 |
| X-ray fallopian tube CPT 74742 | not published | not published | $50.97 – $114.32 | 3 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $15.28 – $85.96 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $10.99 – $100.91 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $13.07 – $83.86 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $13.84 – $83.86 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $13.07 – $154.52 | 5 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $9.59 – $83.86 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $12.55 – $83.86 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $2,367.21 | $2,367.21 | $24.89 – $154.52 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $1,941.44 | $1,941.44 | $18.64 – $154.52 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $2,154.34 | $2,154.34 | $22.49 – $154.52 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $27.06 – $154.52 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $13.36 – $83.86 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $15.00 – $83.86 | 5 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $20.68 – $154.52 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $13.84 – $83.86 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $15.00 – $100.91 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | not published | not published | $13.07 – $100.91 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $13.07 – $83.86 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $23.29 – $154.52 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $2,962.81 | $2,962.81 | $23.80 – $154.52 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $2,640.13 | $2,640.13 | $30.66 – $154.52 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $29.38 – $313.62 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $2,071.47 | $2,071.47 | $16.29 – $154.52 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $13.84 – $95.57 | 5 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $63.24 – $63.24 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $961.27 | $961.27 | $13.84 – $93.44 | 5 |
| X-ray neck soft tissue CPT 70360 | $753.65 | $753.65 | $10.99 – $83.86 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $13.84 – $83.86 | 5 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $50.94 – $313.62 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $16.29 – $84.90 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $1,067.32 | $1,067.32 | $13.84 – $154.52 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $1,608.89 | $1,608.89 | $17.60 – $154.52 | 5 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $165.15 – $623.84 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $187.25 – $707.96 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $68.44 – $616.10 | 5 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $15.00 – $83.86 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | not published | not published | $20.56 – $154.52 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $17.60 – $154.52 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $2,752.96 | $2,752.96 | $23.29 – $154.52 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,963.17 | $1,963.17 | $16.29 – $154.52 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,326.82 | $1,326.82 | $15.00 – $83.86 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $13.84 – $154.52 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $10.99 – $83.86 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $12.55 – $83.86 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | not published | not published | $20.56 – $87.03 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $27.29 – $313.62 | 5 |
| X-ray skull < 4 views CPT 70250 | $3,294.52 | $3,294.52 | $16.29 – $154.52 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $2,145.94 | $2,145.94 | $23.29 – $154.52 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $32.60 – $193.27 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | not published | not published | $33.88 – $261.94 | 5 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $32.19 – $130.48 | 3 |
| X-ray spine single view CPT 72020 | $1,218.50 | $1,218.50 | $10.99 – $83.86 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $18.36 – $97.70 | 5 |
| X-ray sternum > 2 views CPT 71120 | $1,326.82 | $1,326.82 | $17.08 – $83.86 | 5 |
| X-ray surgical specimen CPT 76098 | not published | not published | $9.64 – $657.03 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | not published | not published | $33.88 – $308.90 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | not published | not published | $21.86 – $132.88 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $2,640.13 | $2,640.13 | $17.08 – $154.52 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $1,814.24 | $1,814.24 | $19.26 – $154.52 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | not published | not published | $17.60 – $83.86 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $16.96 – $97.70 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $30.90 – $176.64 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $13.84 – $83.86 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $10.99 – $83.86 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | not published | not published | $42.95 – $341.20 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | not published | not published | $38.17 – $341.20 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $13.07 – $83.86 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $30.66 – $341.20 | 5 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $139.26 – $3,807.00 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $149.73 – $3,807.00 | 2 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $336.92 – $3,604.68 | 2 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $5.81 – $38.73 | 21 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.76 – $4.21 | 3 |
| Yersinia antibody CPT 86793 | not published | not published | $5.94 – $39.57 | 21 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $78,127.16 – $150,585.06 | 3 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $314.36 – $336.92 | 2 |
| Ziconotide injection HCPCS J2278 | not published | not published | $11.86 – $28.01 | 3 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.85 – $4.00 | 3 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.93 – $1.93 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $23.09 – $153.93 | 21 |
| Zika virus igm antibody CPT 86794 | not published | not published | $7.58 – $50.55 | 21 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.79 – $2.63 | 17 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $459.57 | $459.57 | $6.34 – $24.25 | 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.