Coombs direct 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

$40.87

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.

$67.00

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.

$10.08 with Medica vs $124.85 with AMPS — 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
Medica Commercial|ACO $10.08 ↓ -75%
Medica Commercial|CHI Health $11.08 ↓ -73%
Medica Commercial|All Other Plans $11.60 ↓ -72%
United Medicaid|Community Plan $14.07 ↓ -66%
Centene Medicaid|NE Total Care $14.22 ↓ -65%
Creighton University Employees Commercial|All Plans $32.83 ↓ -20%
ELAP Commercial|All Plans $38.86 ↓ -5%
Amerigroup Medicaid|All Plans $48.38 ↑ +18%
Centene Medicaid|IA Total Care $48.38 ↑ +18%
IAMolina Medicaid|All Plans $49.33 ↑ +21%
United Commercial|All Plans $50.92 ↑ +25%
Midlands Choice Commercial|Premier $52.26 ↑ +28%
Medica Commercial|Open Access $52.26 ↑ +28%
Greater Omaha Packing Commercial|Narrow Network $54.01 ↑ +32%
One World Commercial|Narrow Network $54.01 ↑ +32%
Millard Public Schools Commercial|Narrow Network $54.01 ↑ +32%
Humana Medicare|All Plans $56.24 ↑ +38%
PACE Medicare|All Plans $56.24 ↑ +38%
BCBS - NE Medicare|All Plans $56.24 ↑ +38%
United Medicare|All Plans $56.24 ↑ +38%
Medica Medicare|All Plans $56.24 ↑ +38%
Centene Medicare|All Plans $57.93 ↑ +42%
Great Plains Medicare|All Plans $59.05 ↑ +44%
Amerigroup Medicare|All Plans $59.05 ↑ +44%
Midlands Choice Commercial|Standard $61.64 ↑ +51%
Timpte Commercial|Broad Network $62.11 ↑ +52%
Millard Public Schools Commercial|Broad Network $62.11 ↑ +52%
One World Commercial|Broad Network $62.11 ↑ +52%
Greater Omaha Packing Commercial|Broad Network $62.11 ↑ +52%
MultiPlan PHCS Commercial|All Plans $62.31 ↑ +52%
AMPS Commercial|All Plans $124.85 ↑ +205%

Visitor-reported prices

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Coombs direct at other Nebraska hospitals

Hospital City Cash price Negotiated range
Ogallala Community Hospital Ogallala $92.16 $52.80 – $116.40
CHI Health Midlands Papillion $93.66 $10.08 – $189.55
CHI Health Schuyler Schuyler $82.45 $5.39 – $89.18
CHI Health Immanuel Omaha $93.66 $10.08 – $189.55
CHI Health Nebraska Heart Lincoln $39.56 $8.37 – $55.76
CHI Health St. Mary's Nebraska City $81.34 $5.39 – $53.76
Lasting Hope Recovery Center Omaha $93.66 $22.66 – $189.55
CHI Health St. Francis Grand Island $66.67 $10.08 – $53.00

All Nebraska hospitals for this procedure →