Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm at SOUTHERN HILLS MEDICAL CENTER
2127 CENTURY FARMS PKWY, ANTIOCH, TN · Tristarhealth · · NPI 1720032345
not published by hospital
Cash price 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.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$57.30 with Aetna vs $336.92 with United — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Aetna | MGMCRHMO | $57.30 | — |
| Aetna | MGMCRPPO | $57.30 | — |
| Aetna | MGMCRSNP | $57.30 | — |
| Kentucky Labor Cabinet | WORKERSCOMP | $70.33 | — |
| BCBS | NetworkP | $87.86 | — |
| Ambetter | Select | $88.62 | — |
| Humana | TRICARE | $95.50 | — |
| Cigna | NewBusiness | $96.26 | — |
| Cigna | OAP | $109.25 | — |
| United | OptionsPPO | $113.45 | — |
| Cigna | PPO | $124.53 | — |
| Centurion | PRISON | $157.38 | — |
| United | GlobalBenefitPlan | $171.90 | — |
| Signature Advantage | MCR | $191.00 | — |
| Aetna | NAP | $191.00 | — |
| BGFH SingleSource | DIRECTNETWORK | $191.00 | — |
| Multiplan | COMM | $221.56 | — |
| Employers Health Network | COMM | $267.40 | — |
| Odom's TN Pride Sausage | WORKERSCOMP | $286.50 | — |
| BGFH SingleSource | LEASEDNETWORK | $324.70 | — |
| Beech Street | COMM | $336.16 | — |
| Prime Health | COMMPPO | $336.16 | — |
| United | CorePayer | $336.92 | — |
| United | AllPayerAppendix | $336.92 | — |
| United | HeritageSelect | $336.92 | — |
Visitor-reported prices
Comments
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | not published | $336.92 – $336.92 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | not published | $336.92 – $336.92 |
| HORIZON MEDICAL CENTER | DICKSON | not published | $336.92 – $336.92 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD | not published | $336.92 – $336.92 |
| SKYLINE MADISON CAMPUS | NASHVILLE | not published | $336.92 – $336.92 |
| STONECREST MEDICAL CENTER | Smyrna | not published | $336.92 – $336.92 |
| SUMMIT MEDICAL CENTER | MT JULIET | not published | $336.92 – $336.92 |