Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at CHI Health Good Samaritan
10 East 31st Street, Kearney, NE · Chihealth · · NPI 1336184019
$4,270.00
Cash price 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.
?
What you pay up front if you don't use insurance.
$7,000.00
Gross charge 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.
?
The hospital's undiscounted list price — almost no one pays this.
$110.25 with United vs $488.25 with MultiPlan PHCS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 ?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 ?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 | $110.25 | ↓ -97% |
| Centene | Medicaid|NE Total Care | $111.36 | ↓ -97% |
| BCBS - NE | Commercial|BluePrint | $120.28 | ↓ -97% |
| BCBS - NE | Commercial|All Other Plans | $160.37 | ↓ -96% |
| Creighton University Employees | Commercial|All Plans | $257.25 | ↓ -94% |
| Medica | Commercial|CHI Health | $281.94 | ↓ -93% |
| Medica | Commercial|ACO | $286.27 | ↓ -93% |
| Medica | Commercial|All Other Plans | $295.24 | ↓ -93% |
| ELAP | Commercial|All Plans | $304.50 | ↓ -93% |
| One World | Commercial|Narrow Network | $378.00 | ↓ -91% |
| Millard Public Schools | Commercial|Narrow Network | $378.00 | ↓ -91% |
| Greater Omaha Packing | Commercial|Narrow Network | $378.00 | ↓ -91% |
| United | Commercial|All Plans | $399.00 | ↓ -91% |
| Medica | Commercial|Open Access | $409.50 | ↓ -90% |
| Midlands Choice | Commercial|Premier | $409.50 | ↓ -90% |
| Greater Omaha Packing | Commercial|Broad Network | $435.75 | ↓ -90% |
| Millard Public Schools | Commercial|Broad Network | $435.75 | ↓ -90% |
| One World | Commercial|Broad Network | $435.75 | ↓ -90% |
| Timpte | Commercial|Broad Network | $435.75 | ↓ -90% |
| Midlands Choice | Commercial|Standard | $483.00 | ↓ -89% |
| MultiPlan PHCS | Commercial|All Plans | $488.25 | ↓ -89% |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Midlands | Papillion | $2,940.00 | $32.73 – $154.53 |
| CHI Health Schuyler | Schuyler | $5,950.00 | $342.83 – $1,812.09 |
| CHI Health Immanuel | Omaha | $2,940.00 | $25.46 – $154.53 |
| CHI Health Nebraska Heart | Lincoln | $3,220.00 | $144.33 – $1,713.80 |
| CHI Health St. Mary's | Nebraska City | $5,810.00 | $447.68 – $2,006.40 |
| Lasting Hope Recovery Center | Omaha | $2,940.00 | $30.91 – $154.53 |
| CHI Health St. Francis | Grand Island | $4,130.00 | $60.14 – $245.77 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $2,940.00 | $30.91 – $154.53 |