Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-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

$568.00

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.

$568.00

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 $556.64 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 $31.21 ↓ -95%
Cigna OAP $35.49 ↓ -94%
Aetna MGMCRHMO $85.20 ↓ -85%
Aetna MGMCRPPO $85.20 ↓ -85%
Aetna MGMCRSNP $85.20 ↓ -85%
Kentucky Labor Cabinet WORKERSCOMP $104.57 ↓ -82%
BCBS NetworkP $130.64 ↓ -77%
Ambetter Select $131.78 ↓ -77%
United OptionsPPO $140.30 ↓ -75%
Humana TRICARE $142.00 ↓ -75%
Cigna PPO $185.17 ↓ -67%
Centurion PRISON $234.02 ↓ -59%
United GlobalBenefitPlan $255.60 ↓ -55%
Signature Advantage MCR $284.00 ↓ -50%
Aetna NAP $284.00 ↓ -50%
BGFH SingleSource DIRECTNETWORK $284.00 ↓ -50%
United AllPayerAppendix $336.92 ↓ -41%
United CorePayer $336.92 ↓ -41%
United HeritageSelect $336.92 ↓ -41%
Humana BH COMM $369.20 ↓ -35%
Employers Health Network COMM $397.60 ↓ -30%
Odom's TN Pride Sausage WORKERSCOMP $426.00 ↓ -25%
Multiplan COMM $465.76 ↓ -18%
BGFH SingleSource LEASEDNETWORK $482.80 ↓ -15%
Beech Street COMM $499.84 ↓ -12%
Prime Health COMMPPO $499.84 ↓ -12%
TriWest Healthcare FED $556.64 ↓ -2%

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
HORIZON MEDICAL CENTER DICKSON $464.00 $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 →