Ot evaluation moderate complexity patient/family at CHI Health Good Samaritan
10 East 31st Street, Kearney, NE · Chihealth · · NPI 1336184019
$225.70
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.
$370.00
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.
$72.58 with Centene vs $344.10 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 →
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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 |
|---|---|---|---|
| Centene | Medicaid|IA Total Care | $72.58 | ↓ -68% |
| Amerigroup | Medicaid|All Plans | $72.58 | ↓ -68% |
| IAMolina | Medicaid|All Plans | $74.01 | ↓ -67% |
| United | Medicaid|Community Plan | $77.70 | ↓ -66% |
| Centene | Medicaid|NE Total Care | $78.48 | ↓ -65% |
| One World | Commercial|Narrow Network | $158.57 | ↓ -30% |
| Greater Omaha Packing | Commercial|Narrow Network | $158.57 | ↓ -30% |
| Millard Public Schools | Commercial|Narrow Network | $158.57 | ↓ -30% |
| Medica | Commercial|All Other Plans | $176.57 | ↓ -22% |
| Creighton University Employees | Commercial|All Plans | $181.30 | ↓ -20% |
| Timpte | Commercial|Broad Network | $182.36 | ↓ -19% |
| Greater Omaha Packing | Commercial|Broad Network | $182.36 | ↓ -19% |
| Millard Public Schools | Commercial|Broad Network | $182.36 | ↓ -19% |
| One World | Commercial|Broad Network | $182.36 | ↓ -19% |
| Medica | Commercial|CHI Health | $198.36 | ↓ -12% |
| Medica | Commercial|ACO | $198.79 | ↓ -12% |
| ELAP | Commercial|All Plans | $214.60 | ↓ -5% |
| United | Commercial|All Plans | $281.20 | ↑ +25% |
| Midlands Choice | Commercial|Premier | $288.60 | ↑ +28% |
| Medica | Commercial|Open Access | $288.60 | ↑ +28% |
| Midlands Choice | Commercial|Standard | $340.40 | ↑ +51% |
| MultiPlan PHCS | Commercial|All Plans | $344.10 | ↑ +52% |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ogallala Community Hospital | Ogallala | $137.09 | $110.88 – $244.44 |
| CHI Health Midlands | Papillion | $101.22 | $43.38 – $204.85 |
| CHI Health Schuyler | Schuyler | $170.85 | $40.92 – $216.26 |
| CHI Health Immanuel | Omaha | $101.22 | $33.74 – $204.85 |
| CHI Health Nebraska Heart | Lincoln | $87.86 | $45.84 – $156.62 |
| CHI Health St. Mary's | Nebraska City | $171.81 | $44.34 – $198.72 |
| Lasting Hope Recovery Center | Omaha | $101.22 | $40.97 – $204.85 |
| CHI Health St. Francis | Grand Island | $122.13 | $47.61 – $194.58 |