Anca screen with reflex to titer -quest 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

$147.62

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.

$242.00

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.

$14.59 with Amerigroup vs $225.06 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
Amerigroup Medicaid|All Plans $14.59 ↓ -90%
Centene Medicaid|IA Total Care $14.59 ↓ -90%
IAMolina Medicaid|All Plans $14.87 ↓ -90%
Medica Medicare|All Plans $15.05 ↓ -90%
BCBS - NE Medicare|All Plans $15.05 ↓ -90%
United Medicare|All Plans $15.05 ↓ -90%
Humana Medicare|All Plans $15.05 ↓ -90%
PACE Medicare|All Plans $15.05 ↓ -90%
Centene Medicare|All Plans $15.50 ↓ -90%
Amerigroup Medicare|All Plans $15.80 ↓ -89%
Great Plains Medicare|All Plans $15.80 ↓ -89%
Medica Commercial|ACO $29.00 ↓ -80%
Medica Commercial|CHI Health $30.94 ↓ -79%
Medica Commercial|All Other Plans $32.40 ↓ -78%
AMPS Commercial|All Plans $33.41 ↓ -77%
United Medicaid|Community Plan $50.82 ↓ -66%
Centene Medicaid|NE Total Care $51.33 ↓ -65%
Creighton University Employees Commercial|All Plans $118.58 ↓ -20%
ELAP Commercial|All Plans $140.36 ↓ -5%
Greater Omaha Packing Commercial|Narrow Network $150.98 ↑ +2%
One World Commercial|Narrow Network $150.98 ↑ +2%
Millard Public Schools Commercial|Narrow Network $150.98 ↑ +2%
Timpte Commercial|Broad Network $173.63 ↑ +18%
Greater Omaha Packing Commercial|Broad Network $173.63 ↑ +18%
Millard Public Schools Commercial|Broad Network $173.63 ↑ +18%
One World Commercial|Broad Network $173.63 ↑ +18%
United Commercial|All Plans $183.92 ↑ +25%
Midlands Choice Commercial|Premier $188.76 ↑ +28%
Medica Commercial|Open Access $188.76 ↑ +28%
Midlands Choice Commercial|Standard $222.64 ↑ +51%
MultiPlan PHCS Commercial|All Plans $225.06 ↑ +52%

Visitor-reported prices

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Anca screen with reflex to titer -quest at other Nebraska hospitals

Hospital City Cash price Negotiated range
Ogallala Community Hospital Ogallala $42.24 $23.76 – $52.38
CHI Health Midlands Papillion $734.16 $14.59 – $1,485.80
CHI Health Schuyler Schuyler $869.55 $15.05 – $1,002.54
CHI Health Immanuel Omaha $734.16 $14.59 – $1,485.80
Lasting Hope Recovery Center Omaha $734.16 $14.59 – $1,485.80
CHI Health St. Francis Grand Island $139.83 $14.59 – $222.78
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $734.16 $14.59 – $1,485.80
CHI Health St. Elizabeth Lincoln $121.00 $14.59 – $193.60

All Nebraska hospitals for this procedure →