Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at CHI Health Good Samaritan
10 East 31st Street, Kearney, NE · Chihealth · · NPI 1336184019
$4.54
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.
$7.43
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.
$0.04 with BCBS - NE vs $0.26 with MultiPlan PHCS — 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 |
|---|---|---|---|
| BCBS - NE | Commercial|BluePrint | $0.04 | ↓ -99% |
| BCBS - NE | Commercial|All Other Plans | $0.05 | ↓ -99% |
| Centene | Medicaid|NE Total Care | $0.06 | ↓ -99% |
| United | Medicaid|Community Plan | $0.06 | ↓ -99% |
| Greater Omaha Packing | Commercial|Narrow Network | $0.10 | ↓ -98% |
| Millard Public Schools | Commercial|Narrow Network | $0.10 | ↓ -98% |
| One World | Commercial|Narrow Network | $0.10 | ↓ -98% |
| Medica | Commercial|CHI Health | $0.10 | ↓ -98% |
| Timpte | Commercial|Broad Network | $0.11 | ↓ -98% |
| Greater Omaha Packing | Commercial|Broad Network | $0.11 | ↓ -98% |
| Millard Public Schools | Commercial|Broad Network | $0.11 | ↓ -98% |
| One World | Commercial|Broad Network | $0.11 | ↓ -98% |
| Medica | Commercial|All Other Plans | $0.11 | ↓ -98% |
| Medica | Commercial|ACO | $0.13 | ↓ -97% |
| Creighton University Employees | Commercial|All Plans | $0.14 | ↓ -97% |
| ELAP | Commercial|All Plans | $0.16 | ↓ -96% |
| United | Commercial|All Plans | $0.21 | ↓ -95% |
| Medica | Commercial|Open Access | $0.22 | ↓ -95% |
| Midlands Choice | Commercial|Premier | $0.22 | ↓ -95% |
| Midlands Choice | Commercial|Standard | $0.25 | ↓ -94% |
| MultiPlan PHCS | Commercial|All Plans | $0.26 | ↓ -94% |
Visitor-reported prices
Comments
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Midlands | Papillion | $41.79 | $0.04 – $84.58 |
| CHI Health Schuyler | Schuyler | $84.58 | $21.32 – $112.66 |
| CHI Health Immanuel | Omaha | $41.79 | $0.04 – $84.58 |
| CHI Health Nebraska Heart | Lincoln | $3.42 | $0.04 – $0.23 |
| CHI Health St. Mary's | Nebraska City | $6.17 | $0.06 – $0.26 |
| Lasting Hope Recovery Center | Omaha | $41.79 | $0.05 – $84.58 |
| CHI Health St. Francis | Grand Island | $4.39 | $0.04 – $0.26 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $41.79 | $0.04 – $84.58 |