Cocaine 4 % nasal solution 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

$50.08

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.

$82.09

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.

$17.24 with United vs $76.35 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 $17.24 ↓ -66%
Centene Medicaid|NE Total Care $17.42 ↓ -65%
Creighton University Employees Commercial|All Plans $40.23 ↓ -20%
Medica Commercial|CHI Health $41.05 ↓ -18%
Medica Commercial|All Other Plans $41.05 ↓ -18%
ELAP Commercial|All Plans $47.62 ↓ -5%
United Commercial|All Plans $62.39 ↑ +25%
Midlands Choice Commercial|Premier $64.04 ↑ +28%
Medica Commercial|Open Access $64.04 ↑ +28%
Midlands Choice Commercial|Standard $75.53 ↑ +51%
MultiPlan PHCS Commercial|All Plans $76.35 ↑ +52%

Visitor-reported prices

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Cocaine 4 % nasal solution at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $551.62 $136.23 – $643.28
CHI Health Schuyler Schuyler $1,116.36 $162.11 – $856.85
CHI Health Immanuel Omaha $551.62 $105.96 – $643.28
CHI Health Nebraska Heart Lincoln $37.76 $19.71 – $67.32
CHI Health St. Mary's Nebraska City $68.14 $17.59 – $78.81
Lasting Hope Recovery Center Omaha $551.62 $128.66 – $643.28
CHI Health St. Francis Grand Island $48.44 $18.89 – $77.17
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $551.62 $128.66 – $643.28

All Nebraska hospitals for this procedure →