Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at CHI Memorial Hospital - Georgia

4710 Battlefield Pkwy, Ringgold, GA · CommonSpirit Health · · NPI 1356860621

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$330.93

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$1,118.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$46.35 with Peach State vs $250.29 with Aetna — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Peach State Medicaid|All Plans $46.35 ↓ -86%
Amerigroup Medicaid|All Plans $58.71 ↓ -82%
CareSource Medicaid|All Plans $61.80 ↓ -81%
Wellcare Medicaid|All Plans $61.80 ↓ -81%
Employers Health Network Commercial|All Plans $139.05 ↓ -58%
Cigna Commercial|Open Access $153.02 ↓ -54%
Cigna Commercial|LocalPlus $153.02 ↓ -54%
Multiplan Commercial|All Plans $185.40 ↓ -44%
Alliant Health Commercial|All Plans $197.76 ↓ -40%
Humana Commercial|All Plans $216.30 ↓ -35%
Aetna Commercial|PPO $250.29 ↓ -24%
Aetna Commercial|All Other Plans $250.29 ↓ -24%
Aetna Commercial|HMO $250.29 ↓ -24%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Georgia hospitals

Hospital City Cash price Negotiated range
Wellstar Cobb Hospital Austell $5,089.62 $126.40 – $233.84
Wellstar Douglas Hospital Douglasville $5,089.62 $125.26 – $231.74
Wellstar Kennestone Hospital Marietta $5,089.62 $126.40 – $233.84
Wellstar MCG Health Augusta $5,089.62 $109.05 – $264.46
Wellstar North Fulton Hospital Roswell $5,089.62 $126.40 – $233.84
Wellstar Paulding Hospital Hiram $5,089.62 $126.40 – $233.84
Wellstar Roosevelt Long Term Acute Care at Warm Springs P O Box 280 $5,089.62 not published
Wellstar Spalding Regional Hospital Griffin $5,089.62 $124.82 – $244.65

All Georgia hospitals for this procedure →