Polatuzumab vedotin-piiq 140 mg intravenous solution at CHI Health St. Francis
2620 West Faidley Avenue, Grand Island, NE · Chihealth · · NPI 1982675955
$10,660.91
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.
$18,069.33
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.
$122.12 with Centene vs $3,639.69 with Midlands Choice — 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 |
|---|---|---|---|
| Centene | Medicaid|IA Total Care | $122.12 | ↓ -99% |
| Amerigroup | Medicaid|All Plans | $122.12 | ↓ -99% |
| IAMolina | Medicaid|All Plans | $124.52 | ↓ -99% |
| BCBS - NE | Commercial|BluePrint | $126.89 | ↓ -99% |
| BCBS - NE | Medicare|All Plans | $130.63 | ↓ -99% |
| Medica | Medicare|All Plans | $130.63 | ↓ -99% |
| United | Medicare|All Plans | $130.63 | ↓ -99% |
| Humana | Medicare|All Plans | $130.63 | ↓ -99% |
| Centene | Medicare|All Plans | $134.55 | ↓ -99% |
| Great Plains | Medicare|All Plans | $137.16 | ↓ -99% |
| Amerigroup | Medicare|All Plans | $137.16 | ↓ -99% |
| BCBS - NE | Commercial|All Other Plans | $140.99 | ↓ -99% |
| Medica | Commercial|CHI Health | $242.83 | ↓ -98% |
| Medica | Commercial|All Other Plans | $254.29 | ↓ -98% |
| Greater Omaha Packing | Commercial|Narrow Network | $255.48 | ↓ -98% |
| One World | Commercial|Narrow Network | $255.48 | ↓ -98% |
| Millard Public Schools | Commercial|Narrow Network | $255.48 | ↓ -98% |
| Medica | Commercial|ACO | $261.01 | ↓ -98% |
| AMPS | Commercial|All Plans | $290.00 | ↓ -97% |
| Timpte | Commercial|Broad Network | $293.80 | ↓ -97% |
| Greater Omaha Packing | Commercial|Broad Network | $293.80 | ↓ -97% |
| Millard Public Schools | Commercial|Broad Network | $293.80 | ↓ -97% |
| One World | Commercial|Broad Network | $293.80 | ↓ -97% |
| United | Medicaid|Community Plan | $890.57 | ↓ -92% |
| Centene | Medicaid|NE Total Care | $899.47 | ↓ -92% |
| Creighton University Employees | Commercial|All Plans | $2,129.61 | ↓ -80% |
| United | Commercial|All Plans | $2,439.37 | ↓ -77% |
| ELAP | Commercial|All Plans | $2,478.09 | ↓ -77% |
| Medica | Commercial|Open Access | $3,213.77 | ↓ -70% |
| Midlands Choice | Commercial|Premier | $3,213.77 | ↓ -70% |
| MultiPlan PHCS | Commercial|All Plans | $3,639.69 | ↓ -66% |
| Midlands Choice | Commercial|Standard | $3,639.69 | ↓ -66% |
Visitor-reported prices
Comments
Polatuzumab vedotin-piiq 140 mg intravenous solution at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Midlands | Papillion | $37,945.60 | $105.74 – $16,456.05 |
| CHI Health Schuyler | Schuyler | $76,794.66 | $4,146.93 – $21,919.45 |
| CHI Health Immanuel | Omaha | $37,945.60 | $105.74 – $16,456.05 |
| CHI Health Nebraska Heart | Lincoln | $8,311.90 | $122.12 – $3,175.05 |
| CHI Health St. Mary's | Nebraska City | $14,997.55 | $829.39 – $3,717.13 |
| Lasting Hope Recovery Center | Omaha | $37,945.60 | $122.12 – $16,456.05 |
| CHI Health Good Samaritan | Kearney | $11,022.30 | $105.74 – $3,600.97 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $37,945.60 | $105.74 – $16,456.05 |