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 |
|---|---|---|---|---|
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $3.49 – $23.25 | 21 |
| Blood volume CPT 78122 | not published | not published | $68.96 – $611.66 | 5 |
| Bls-emergency HCPCS A0429 | not published | not published | $506.58 – $506.58 | 1 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,919.53 – $2,821.71 | 17 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | not published | not published | $336.92 – $336.92 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | not published | not published | $34.23 – $154.52 | 5 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $95.49 – $664.90 | 5 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $64.93 – $554.43 | 5 |
| Bone marrow imaging body CPT 78104 | not published | not published | $105.95 – $602.01 | 5 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $53.17 – $471.74 | 5 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $82.41 – $471.74 | 5 |
| Bone marrow interpretation CPT 85097 | not published | not published | $37.15 – $656.15 | 5 |
| Bone mineral dual photon CPT 78351 | not published | not published | $11.28 – $57.72 | 5 |
| Bone mineral single photon CPT 78350 | not published | not published | $19.10 – $67.82 | 5 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $27.26 – $154.52 | 5 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $134.88 – $134.88 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $12.10 – $17.79 | 17 |
| Boot j walker l HCPCS L4386 | not published | not published | $195.89 – $287.96 | 17 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $207.41 – $304.89 | 17 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $195.89 – $287.96 | 17 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $338.06 – $496.95 | 17 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $338.06 – $496.95 | 17 |
| Borrelia antibody CPT 86619 | not published | not published | $6.02 – $40.14 | 21 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $1,647.87 | $1,647.87 | $7.66 – $51.09 | 21 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $15.79 – $105.27 | 21 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.15 – $7.10 | 3 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.54 – $10.29 | 21 |
| Botulism ig IV CPT 90288 | not published | not published | $60,394.20 – $60,394.20 | 1 |
| Bowel imaging CPT 78290 | not published | not published | $79.18 – $841.54 | 5 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $210.31 – $309.16 | 17 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $541.86 – $796.53 | 17 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $271.84 – $399.60 | 17 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $636.95 – $936.32 | 17 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,037.71 – $1,525.43 | 17 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $157.92 – $232.14 | 17 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $120.83 – $177.62 | 17 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $88.64 – $130.30 | 17 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $94.39 – $138.75 | 17 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $319.33 – $469.42 | 17 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $922.75 – $1,356.44 | 17 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $772.46 – $1,135.52 | 17 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $507.93 – $746.66 | 17 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,836.64 – $2,699.86 | 17 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,166.60 – $3,184.90 | 17 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $797.49 – $1,172.31 | 17 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,268.47 – $1,864.65 | 17 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,131.90 – $1,663.89 | 17 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $347.63 – $511.02 | 17 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $112.21 – $164.95 | 17 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,131.99 – $3,134.03 | 17 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $700.49 – $1,029.72 | 17 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $931.51 – $1,369.32 | 17 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $148.99 – $219.02 | 17 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $556.31 – $817.78 | 17 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,157.34 – $1,701.29 | 17 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $149.59 – $219.90 | 17 |
| Brace m arm board HCPCS L3809 | not published | not published | $281.19 – $413.35 | 17 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,682.10 – $2,472.69 | 17 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,228.92 – $1,806.51 | 17 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $281.19 – $413.35 | 17 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $145.10 – $213.30 | 17 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $67.37 – $99.03 | 17 |
| Brachytx isodose complex CPT 77318 | not published | not published | $135.33 – $989.63 | 4 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $99.67 – $731.69 | 4 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $76.49 – $555.05 | 4 |
| Braf gene CPT 81210 | $1,708.36 | $1,708.36 | $78.93 – $526.20 | 21 |
| Brain flow imaging only CPT 78610 | not published | not published | $41.13 – $611.66 | 5 |
| Brain image < 4 views CPT 78600 | not published | not published | $75.17 – $471.74 | 5 |
| Brain image 4+ views CPT 78605 | not published | not published | $88.49 – $611.66 | 5 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $88.49 – $551.85 | 5 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $100.79 – $846.88 | 5 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $18,797.98 | $18,797.98 | $275.76 – $904.15 | 4 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $222.72 – $624.61 | 4 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $11,471.75 | $11,471.75 | $223.96 – $593.65 | 4 |
| Brain MRI (with and without contrast) CPT 70553 | $19,592.10 | $19,592.10 | $425.72 – $887.81 | 4 |
| Brain MRI (with contrast) CPT 70552 | not published | not published | $331.56 – $750.33 | 4 |
| Brain MRI (without contrast) CPT 70551 | $10,544.21 | $10,544.21 | $275.76 – $540.88 | 4 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $53.85 – $79.16 | 17 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $210.60 – $1,404.00 | 21 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $262.90 – $1,752.69 | 21 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $40.62 – $1,125.75 | 21 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $135.61 – $904.05 | 21 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $127.30 – $848.64 | 21 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $83.30 – $974.93 | 21 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $40.62 – $1,125.75 | 21 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $127.30 – $848.64 | 21 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $166.55 – $1,320.00 | 21 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $821.20 – $5,474.64 | 21 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $155.28 – $228.26 | 17 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $403.72 – $593.47 | 17 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $403.72 – $593.47 | 17 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $10.56 – $10.56 | 1 |
| Breathing response hypoxia CPT 94450 | not published | not published | $11.61 – $11.61 | 1 |
| Breath recording infant CPT 94772 | not published | not published | $107.77 – $107.77 | 1 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $42.48 – $311.44 | 20 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $4.98 – $36.25 | 20 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $297.11 – $711.39 | 3 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $598,359.73 – $1,297,043.03 | 2 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $13.39 – $19.68 | 17 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.87 – $0.99 | 2 |
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.