Fluoroguide for spine inject 77003-26 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

$595.36

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.

$976.00

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.

$145.24 with Medica vs $907.68 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
Medica Commercial|ACO $145.24 ↓ -76%
Medica Commercial|CHI Health $203.67 ↓ -66%
United Medicaid|Community Plan $204.96 ↓ -66%
Centene Medicaid|NE Total Care $207.01 ↓ -65%
Medica Commercial|All Other Plans $213.28 ↓ -64%
One World Commercial|Narrow Network $368.80 ↓ -38%
Millard Public Schools Commercial|Narrow Network $368.80 ↓ -38%
Greater Omaha Packing Commercial|Narrow Network $368.80 ↓ -38%
Timpte Commercial|Broad Network $424.12 ↓ -29%
Greater Omaha Packing Commercial|Broad Network $424.12 ↓ -29%
Millard Public Schools Commercial|Broad Network $424.12 ↓ -29%
One World Commercial|Broad Network $424.12 ↓ -29%
Creighton University Employees Commercial|All Plans $478.24 ↓ -20%
ELAP Commercial|All Plans $566.08 ↓ -5%
United Commercial|All Plans $741.76 ↑ +25%
Medica Commercial|Open Access $761.28 ↑ +28%
Midlands Choice Commercial|Premier $761.28 ↑ +28%
Midlands Choice Commercial|Standard $897.92 ↑ +51%
MultiPlan PHCS Commercial|All Plans $907.68 ↑ +52%

Visitor-reported prices

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Fluoroguide for spine inject 77003-26 at other Nebraska hospitals

Hospital City Cash price Negotiated range
Ogallala Community Hospital Ogallala $66.55 $59.40 – $130.95
CHI Health Midlands Papillion $438.90 $145.24 – $816.85
CHI Health Schuyler Schuyler $425.85 $107.32 – $567.24
CHI Health Immanuel Omaha $438.90 $134.54 – $816.85
CHI Health St. Mary's Nebraska City $534.52 $137.95 – $618.24
Lasting Hope Recovery Center Omaha $438.90 $163.37 – $816.85
CHI Health St. Francis Grand Island $618.91 $145.24 – $986.06
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $438.90 $145.24 – $816.85

All Nebraska hospitals for this procedure →