Epstein barr viral capsid antigen antibody igm 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

$66.49

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.

$109.00

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.

$17.57 with Amerigroup vs $101.37 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 $17.57 ↓ -74%
Centene Medicaid|IA Total Care $17.57 ↓ -74%
IAMolina Medicaid|All Plans $17.92 ↓ -73%
Medica Medicare|All Plans $18.14 ↓ -73%
BCBS - NE Medicare|All Plans $18.14 ↓ -73%
United Medicare|All Plans $18.14 ↓ -73%
Humana Medicare|All Plans $18.14 ↓ -73%
PACE Medicare|All Plans $18.14 ↓ -73%
Centene Medicare|All Plans $18.68 ↓ -72%
Great Plains Medicare|All Plans $19.05 ↓ -71%
Amerigroup Medicare|All Plans $19.05 ↓ -71%
United Medicaid|Community Plan $22.89 ↓ -66%
Centene Medicaid|NE Total Care $23.12 ↓ -65%
Medica Commercial|ACO $34.67 ↓ -48%
Medica Commercial|CHI Health $37.30 ↓ -44%
Medica Commercial|All Other Plans $39.06 ↓ -41%
AMPS Commercial|All Plans $40.27 ↓ -39%
Creighton University Employees Commercial|All Plans $53.41 ↓ -20%
Millard Public Schools Commercial|Narrow Network $60.64 ↓ -9%
One World Commercial|Narrow Network $60.64 ↓ -9%
Greater Omaha Packing Commercial|Narrow Network $60.64 ↓ -9%
ELAP Commercial|All Plans $63.22 ↓ -5%
Timpte Commercial|Broad Network $69.74 ↑ +5%
Greater Omaha Packing Commercial|Broad Network $69.74 ↑ +5%
Millard Public Schools Commercial|Broad Network $69.74 ↑ +5%
One World Commercial|Broad Network $69.74 ↑ +5%
United Commercial|All Plans $82.84 ↑ +25%
Midlands Choice Commercial|Premier $85.02 ↑ +28%
Medica Commercial|Open Access $85.02 ↑ +28%
Midlands Choice Commercial|Standard $100.28 ↑ +51%
MultiPlan PHCS Commercial|All Plans $101.37 ↑ +52%

Visitor-reported prices

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Epstein barr viral capsid antigen antibody igm at other Nebraska hospitals

Hospital City Cash price Negotiated range
Ogallala Community Hospital Ogallala $47.62 $24.20 – $53.35
CHI Health Midlands Papillion $74.76 $17.57 – $145.35
CHI Health Schuyler Schuyler $171.70 $18.14 – $188.16
CHI Health Immanuel Omaha $74.76 $17.57 – $145.35
CHI Health Nebraska Heart Lincoln $11.04 $5.52 – $40.27
CHI Health St. Mary's Nebraska City $93.79 $18.14 – $108.48
Lasting Hope Recovery Center Omaha $74.76 $17.57 – $145.35
CHI Health St. Francis Grand Island $50.74 $17.57 – $80.84

All Nebraska hospitals for this procedure →