Amantadine (symmetrel)-sendout at CHI Health Good Samaritan

10 East 31st Street, Kearney, NE · Chihealth · · NPI 1336184019

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

$106.75

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.

$175.00

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.

$36.75 with United vs $162.75 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 →

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
United Medicaid|Community Plan $36.75 ↓ -66%
Centene Medicaid|NE Total Care $37.12 ↓ -65%
Medica Commercial|CHI Health $46.45 ↓ -56%
Medica Commercial|ACO $46.66 ↓ -56%
Medica Commercial|All Other Plans $48.64 ↓ -54%
Creighton University Employees Commercial|All Plans $85.75 ↓ -20%
ELAP Commercial|All Plans $101.50 ↓ -5%
United Commercial|All Plans $133.00 ↑ +25%
Midlands Choice Commercial|Premier $136.50 ↑ +28%
Medica Commercial|Open Access $136.50 ↑ +28%
Midlands Choice Commercial|Standard $161.00 ↑ +51%
MultiPlan PHCS Commercial|All Plans $162.75 ↑ +52%

Visitor-reported prices

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Amantadine (symmetrel)-sendout at other Nebraska hospitals

Hospital City Cash price Negotiated range
Ogallala Community Hospital Ogallala $198.61 $64.68 – $142.59
CHI Health Midlands Papillion $199.50 $46.45 – $403.75
CHI Health Schuyler Schuyler $345.95 $87.18 – $460.81
CHI Health Immanuel Omaha $199.50 $46.45 – $403.75
CHI Health St. Mary's Nebraska City $208.33 $53.77 – $240.96
Lasting Hope Recovery Center Omaha $199.50 $75.92 – $403.75
CHI Health St. Francis Grand Island $217.12 $46.45 – $345.92
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $199.50 $46.45 – $403.75

All Nebraska hospitals for this procedure →