Biopsy roof of mouth at CHI Health St. Francis
2620 West Faidley Avenue, Grand Island, NE · Chihealth · · NPI 1982675955
$1,695.66
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.
$2,874.00
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.
$210.15 with Medica vs $6,795.90 with Timpte — 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 |
|---|---|---|---|
| Medica | Commercial|ACO | $210.15 | ↓ -88% |
| United | Medicaid|Community Plan | $661.02 | ↓ -61% |
| Centene | Medicaid|NE Total Care | $667.64 | ↓ -61% |
| Amerigroup | Medicaid|All Plans | $1,206.44 | ↓ -29% |
| Centene | Medicaid|IA Total Care | $1,206.44 | ↓ -29% |
| IAMolina | Medicaid|All Plans | $1,230.09 | ↓ -27% |
| Humana | Medicare|All Plans | $1,420.40 | ↓ -16% |
| Medica | Medicare|All Plans | $1,420.40 | ↓ -16% |
| United | Medicare|All Plans | $1,420.40 | ↓ -16% |
| BCBS - NE | Medicare|All Plans | $1,420.40 | ↓ -16% |
| Centene | Medicare|All Plans | $1,463.01 | ↓ -14% |
| Great Plains | Medicare|All Plans | $1,491.42 | ↓ -12% |
| Amerigroup | Medicare|All Plans | $1,491.42 | ↓ -12% |
| Creighton University Employees | Commercial|All Plans | $1,580.70 | ↓ -7% |
| United | Commercial|All Plans | $1,810.62 | ↑ +7% |
| ELAP | Commercial|All Plans | $1,839.36 | ↑ +8% |
| Medica | Commercial|Open Access | $2,385.42 | ↑ +41% |
| Midlands Choice | Commercial|Premier | $2,385.42 | ↑ +41% |
| Medica | Commercial|CHI Health | $2,461.00 | ↑ +45% |
| MultiPlan PHCS | Commercial|All Plans | $2,701.56 | ↑ +59% |
| Midlands Choice | Commercial|Standard | $2,701.56 | ↑ +59% |
| Medica | Commercial|All Other Plans | $2,892.00 | ↑ +71% |
| AMPS | Commercial|All Plans | $3,153.29 | ↑ +86% |
| One World | Commercial|Narrow Network | $5,909.48 | ↑ +249% |
| Greater Omaha Packing | Commercial|Narrow Network | $5,909.48 | ↑ +249% |
| Millard Public Schools | Commercial|Narrow Network | $5,909.48 | ↑ +249% |
| Millard Public Schools | Commercial|Broad Network | $6,795.90 | ↑ +301% |
| One World | Commercial|Broad Network | $6,795.90 | ↑ +301% |
| Greater Omaha Packing | Commercial|Broad Network | $6,795.90 | ↑ +301% |
| Timpte | Commercial|Broad Network | $6,795.90 | ↑ +301% |
Visitor-reported prices
Comments
Biopsy roof of mouth at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ogallala Community Hospital | Ogallala | $100.80 | $98.12 – $216.31 |
| CHI Health St. Mary's | Nebraska City | $1,093.11 | $282.11 – $1,264.32 |
| CHI Health Midlands | Papillion | not published | $210.15 – $210.15 |
| CHI Health Immanuel | Omaha | not published | $210.15 – $210.15 |
| CHI Health Nebraska Heart | Lincoln | not published | $210.15 – $210.15 |
| CHI Health Good Samaritan | Kearney | not published | $210.15 – $210.15 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | not published | $210.15 – $210.15 |
| CHI Health St. Elizabeth | Lincoln | not published | $210.15 – $210.15 |