Observation direct referral from physician office for admission at CHI Health Good Samaritan
10 East 31st Street, Kearney, NE · Chihealth · · NPI 1336184019
$153.11
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.
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What you pay up front if you don't use insurance.
$251.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$52.71 with United vs $1,288.64 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 →
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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 ?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 | $52.71 | ↓ -66% |
| Centene | Medicaid|NE Total Care | $53.24 | ↓ -65% |
| Creighton University Employees | Commercial|All Plans | $122.99 | ↓ -20% |
| ELAP | Commercial|All Plans | $145.58 | ↓ -5% |
| United | Commercial|All Plans | $190.76 | ↑ +25% |
| Midlands Choice | Commercial|Premier | $195.78 | ↑ +28% |
| Medica | Commercial|Open Access | $195.78 | ↑ +28% |
| Midlands Choice | Commercial|Standard | $230.92 | ↑ +51% |
| MultiPlan PHCS | Commercial|All Plans | $233.43 | ↑ +52% |
| Centene | Medicaid|IA Total Care | $499.34 | ↑ +226% |
| Amerigroup | Medicaid|All Plans | $499.34 | ↑ +226% |
| IAMolina | Medicaid|All Plans | $509.13 | ↑ +233% |
| Humana | Medicare|All Plans | $580.47 | ↑ +279% |
| Medica | Medicare|All Plans | $580.47 | ↑ +279% |
| United | Medicare|All Plans | $580.47 | ↑ +279% |
| PACE | Medicare|All Plans | $580.47 | ↑ +279% |
| BCBS - NE | Medicare|All Plans | $580.47 | ↑ +279% |
| Centene | Medicare|All Plans | $597.88 | ↑ +290% |
| Great Plains | Medicare|All Plans | $609.49 | ↑ +298% |
| Amerigroup | Medicare|All Plans | $609.49 | ↑ +298% |
| AMPS | Commercial|All Plans | $1,288.64 | ↑ +742% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ogallala Community Hospital | Ogallala | $357.74 | $287.76 – $634.38 |
| CHI Health Midlands | Papillion | $273.42 | $117.18 – $553.35 |
| CHI Health Schuyler | Schuyler | $99.45 | $25.07 – $132.47 |
| CHI Health Immanuel | Omaha | $273.42 | $91.14 – $553.35 |
| Lasting Hope Recovery Center | Omaha | $273.42 | $110.67 – $553.35 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $273.42 | $110.67 – $553.35 |
| CHI Health St. Elizabeth | Lincoln | $123.00 | $56.58 – $196.80 |
| CHI Health Plainview | Plainview | $98.28 | $71.37 – $158.45 |