Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at HORIZON MEDICAL CENTER

107 NATCHEZ PARK DR, DICKSON, TN · Tristarhealth · · NPI 1871530832

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 16, 2026

$464.00

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.

$464.00

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.

$31.21 with Cigna vs $426.88 with Beech Street — 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
Cigna NewBusiness $31.21 ↓ -93%
Cigna OAP $35.49 ↓ -92%
Aetna MGMCRPPO $69.60 ↓ -85%
Aetna MGMCRHMO $69.60 ↓ -85%
Aetna MGMCRSNP $69.60 ↓ -85%
Kentucky Labor Cabinet WORKERSCOMP $85.42 ↓ -82%
BCBS NetworkP $106.72 ↓ -77%
Ambetter Select $107.65 ↓ -77%
Humana TRICARE $116.00 ↓ -75%
United OptionsPPO $142.45 ↓ -69%
Cigna PPO $169.82 ↓ -63%
Centurion PRISON $191.17 ↓ -59%
United GlobalBenefitPlan $208.80 ↓ -55%
Signature Advantage MCR $232.00 ↓ -50%
Aetna NAP $232.00 ↓ -50%
BGFH SingleSource DIRECTNETWORK $232.00 ↓ -50%
Employers Health Network COMM $324.80 ↓ -30%
United HeritageSelect $336.92 ↓ -27%
United CorePayer $336.92 ↓ -27%
United AllPayerAppendix $336.92 ↓ -27%
Odom's TN Pride Sausage WORKERSCOMP $348.00 ↓ -25%
Cigna Evernorth Behavioral Health COMM $371.20 ↓ -20%
BGFH SingleSource LEASEDNETWORK $394.40 ↓ -15%
Multiplan COMM $417.60 ↓ -10%
Beech Street COMM $426.88 ↓ -8%

Visitor-reported prices

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Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Tennessee hospitals

Hospital City Cash price Negotiated range
SKYLINE MADISON CAMPUS NASHVILLE $568.00 $31.21 – $336.92
Fort Sanders Regional Medical Center Knoxville $8,824.20 $112.91 – $11,409.79
CENTENNIAL MEDICAL CENTER AT ASHLAND CITY Ashland City not published $31.21 – $336.92
HENDERSONVILLE MEDICAL CENTER HENDERSONVILLE not published $31.21 – $336.92
NORTHCREST MEDICAL CENTER SPRINGFIELD not published $31.21 – $336.92
SOUTHERN HILLS MEDICAL CENTER ANTIOCH not published $31.21 – $336.92
STONECREST MEDICAL CENTER Smyrna not published $31.21 – $336.92
SUMMIT MEDICAL CENTER MT JULIET not published $31.21 – $336.92

All Tennessee hospitals for this procedure →