Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at SKYLINE MADISON CAMPUS

3441 DICKERSON PIKE, NASHVILLE, TN · Tristarhealth · · NPI 1295780476

Source: hospital's published price file ↗ · Published Mar 12, 2026 · Ingested Sep 16, 2026

not published by hospital

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.

not published by hospital

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.

$175.66 with Cigna vs $1,453.34 with TriWest Healthcare — 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 $175.66
Cigna OAP $199.74
Aetna MGMCRHMO $222.45
Aetna MGMCRPPO $222.45
Aetna MGMCRSNP $222.45
Kentucky Labor Cabinet WORKERSCOMP $273.02
United HeritageSelect $336.92
United AllPayerAppendix $336.92
United CorePayer $336.92
BCBS NetworkP $341.09
Ambetter Select $344.06
United OptionsPPO $366.30
Humana TRICARE $370.75
Cigna PPO $483.46
Centurion PRISON $611.00
United GlobalBenefitPlan $667.35
Signature Advantage MCR $741.50
Aetna NAP $741.50
BGFH SingleSource DIRECTNETWORK $741.50
Humana BH COMM $963.95
Employers Health Network COMM $1,038.10
Odom's TN Pride Sausage WORKERSCOMP $1,112.25
Multiplan COMM $1,216.06
BGFH SingleSource LEASEDNETWORK $1,260.55
Beech Street COMM $1,305.04
Prime Health COMMPPO $1,305.04
TriWest Healthcare FED $1,453.34

Visitor-reported prices

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

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $440.90 $172.83 – $290.74
CHI Memorial Hospital Hixson Hixson $330.93 $61.80 – $309.00
CHI Memorial Hospital Chattanooga Chattanooga $472.92 $64.89 – $309.00
Johnson City Medical Center JOHNSON CITY $1,520.10 $1.00 – $253.15
Ascension Saint Thomas DeKalb Smithville $433.50 $61.98 – $290.74
Ascension Saint Thomas Highlands Sparta $441.84 $61.98 – $290.74
Ascension Saint Thomas River Park McMinnville $543.99 $61.98 – $290.74
Ascension Saint Thomas Rutherford Murfreesboro $635.07 $172.83 – $290.74

All Tennessee hospitals for this procedure →