How many shoppable procedure prices are published for Tristar Ashland City Medical Center?

Tristar Ashland City Medical Center in Ashland City, TN currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Tristar Ashland City Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Tristar Ashland City Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Rural Emergency Hospital Proprietary Updated: 2026-03-01

Tristar Ashland City Medical Center

313 North Main St, Ashland City, TN 37015 · 124 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.41×vs. Fair Market Price

Typical commercial prices here are +41% above the fair benchmark (1.41×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness56

Price Logic97

Peer Alignment68

Clean Billing83

Real Cash Discount7

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Tristar Ashland City Medical Center prices routine shoppable procedures near 2.0× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 2.1× Medicare (p75 2.26×, +126% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#79 of 84 in TN · 92nd State Percentile#2,484 of 3,385 in U.S. · 73rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
Captive ER (2.9×) & laboratory (1.6×) services average 1.05× higher multiples than routine shoppable care (2.0×)
Upper-quartile procedures (Q75 2.26×) jump +126% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 19.9× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.05× Divergence

2.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+126% Upper Tail

Q25 0.85× · Q50 1.00× · Q75 2.26×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.5× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.3× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.9× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Tristar Ashland City Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$19,259	$13,413	1.4×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,301	$2,540	1.7×
Inguinal hernia repair CPT Code: `49505`	—	$3,839	$3,629	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,536	$3,446	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,435	$2,680	1.3×
C-section delivery (full package) CPT Code: `59510`	—	$3,435	$2,975	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,552	$3,372	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$2,559	$6,109	0.4×
Breast lump removal CPT Code: `19120`	—	$2,490	$3,875	0.6×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$2,198	$257	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$2,198	$269	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$2,198	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$2,198	$364	unverified
MRI, knee or other leg joint CPT Code: `73721`	$11,152	$2,000	$369	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$1,947	$8,223	0.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$1,947	$19,087	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,804	$981	1.8×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,804	$987	1.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,804	$1,256	1.4×
Blood transfusion CPT Code: `36430`	$1,455	$1,571	$498	3.2×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,432	$1,021	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,244	$855	1.5×
Residential mental health treatment HCPCS Code: `H2036`	—	$1,109	$406	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$950	$30,775	0.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,176	$800	$583	1.4×
Rabies immune globulin HCPCS Code: `90375`	—	$729	$322	2.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,756	$714	$134	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$19,592	$677	$511	unverified
Ultrasound, pelvis CPT Code: `76856`	$3,035	$577	$130	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$18,859	$459	$303	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$8,633	$459	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$9,176	$459	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$12,310	$459	$258	unverified
CT scan, sinuses CPT Code: `70486`	$9,729	$459	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$9,729	$459	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$10,965	$459	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$11,987	$459	$168	unverified
CT scan, pelvis CPT Code: `72192`	$8,954	$459	$163	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$19,972	$459	$448	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$2,316	$440	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,316	$440	$126	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$4,363	$372	$151	unverified
MRI, brain (no contrast) CPT Code: `70551`	$10,544	$316	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$11,472	$338	$338	unverified
X-ray, hip CPT Code: `73502`	$2,154	$267	$93	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,390	$288	$272	unverified
X-ray, foot CPT Code: `73630`	$1,963	$229	$92	2.5×
X-ray, shoulder CPT Code: `73030`	$1,979	$229	$92	unverified
X-ray, hand CPT Code: `73130`	$1,963	$234	$93	unverified
X-ray, ankle CPT Code: `73610`	$1,963	$232	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$772	$194	$64	unverified
Speech therapy (language evaluation) CPT Code: `92507`	—	$155	$86	1.8×
X-ray, pelvis CPT Code: `72170`	$1,067	$155	$110	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$165	$19,432	0.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$157	$17,936	unverified
X-ray, lower back CPT Code: `72110`	$2,963	$155	$112	unverified
Prosthetic fitting and training CPT Code: `97761`	—	$82	$45	1.8×
X-ray, chest (single view) CPT Code: `71045`	$1,223	$84	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$1,421	$84	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,647	$84	$93	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$107	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	—	$88	$123	0.7×
Family therapy session CPT Code: `90847`	—	$100	$173	0.6×
Neurobehavioral status check CPT Code: `96116`	—	$96	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$3,914	$835	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$611	$203	3.0×
Pneumococcal vaccine HCPCS Code: `90732`	$1,635	$354	$140	unverified
Culture, bacterial CPT Code: `87070`	$1,118	$326	$9	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$153	$111	1.4×
Drug screening test HCPCS Code: `G0480`	$499	$114	$116	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$527	$98	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$819	$105	$56	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$69	$25	2.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$66	$37	1.8×
Colorectal cancer screening HCPCS Code: `G0010`	$289	$82	$49	unverified
Speech therapy (group session) CPT Code: `92508`	—	$48	$27	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$179	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$179	$51	$49	1.0×
Orthotic fitting and training CPT Code: `97760`	—	$45	$51	0.9×
Care planning with family CPT Code: `90887`	—	$65	$107	0.6×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$41	$87	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$207	$62	$25	unverified
Physical therapy (gait training) CPT Code: `97116`	—	$36	$33	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	—	$61	$110	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$1,181	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$2,928	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,896	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$1,175	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$2,848	$30	$31	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$34	$38	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$53	$123	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$607	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	—	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$278	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$626	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$1,777	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$695	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$893	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$530	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$445	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$508	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$747	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$1,519	$15	$15	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$2,038	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$2,362	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,747	$17	$18	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$35	$40	0.9×
Blood test, liver function panel CPT Code: `80076`	$1,181	$8	$9	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	—	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	—	$28	$34	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$607	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$448	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$12	$35	0.3×
Group therapy session CPT Code: `90853`	—	$24	$100	0.2×
Blood antibody screen CPT Code: `86850`	$1,016	$10	$46	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$15	$201	0.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$1,011	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$574	$7	$7	unverified
Culture, blood CPT Code: `87040`	$893	$11	$11	unverified

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Tristar Ashland City Medical Center (Zero PHI Required)

CMS CCN: 440779

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $19,259

1. Amount on Your Bill or Quote ($) Pre-filled with Tristar Ashland City Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Tristar Ashland City Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$32,809 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($46,222) is $32,809 above the denoised Fair BaseRate ($13,413) and 3.5× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Tristar Ashland City Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Tristar Ashland City Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-06·administrative_or_closure
Met Requirements
Recorded
2023-12-06·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Tristar Ashland City Medical Center.

Price Index: 1.41× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

-44.1%

Humana

-41.3%

Apex Health

+81.9%

Health Net

+307.9%

Amerigroup

+323.4%

HealthPartners

+338.5%

Median Household Income$82,015U.S. Census ACS

Local Uninsured Share9.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 65/100 · Caution CMS CCN 440779

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 440779) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-01

Validated Rate Rows4,618 (CMS v3.0.0)

File Integrity DigestVerified · CCN 440779

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy