Skyla, 13.5 mg 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

$555.25

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.

$910.24

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.

$191.16 with United vs $1,937.44 with Medica — 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
United Medicaid|Community Plan $191.16 ↓ -66%
Centene Medicaid|NE Total Care $193.07 ↓ -65%
Creighton University Employees Commercial|All Plans $446.02 ↓ -20%
ELAP Commercial|All Plans $527.94 ↓ -5%
United Commercial|All Plans $691.79 ↑ +25%
Midlands Choice Commercial|Premier $709.99 ↑ +28%
Medica Commercial|Open Access $709.99 ↑ +28%
Midlands Choice Commercial|Standard $837.43 ↑ +51%
MultiPlan PHCS Commercial|All Plans $846.53 ↑ +52%
Medica Commercial|ACO $910.24 ↑ +64%
Centene Medicaid|IA Total Care $928.45 ↑ +67%
Amerigroup Medicaid|All Plans $928.45 ↑ +67%
IAMolina Medicaid|All Plans $946.65 ↑ +70%
Medica Commercial|CHI Health $1,850.15 ↑ +233%
Medica Commercial|All Other Plans $1,937.44 ↑ +249%

Visitor-reported prices

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Skyla, 13.5 mg at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $1,529.21 $655.38 – $3,094.82
CHI Health Schuyler Schuyler $3,094.82 $779.90 – $4,122.30
CHI Health Immanuel Omaha $1,529.21 $509.74 – $3,094.82
CHI Health Nebraska Heart Lincoln $418.72 $218.46 – $946.65
CHI Health St. Mary's Nebraska City $755.50 $194.98 – $873.84
Lasting Hope Recovery Center Omaha $1,529.21 $618.97 – $3,094.82
CHI Health St. Francis Grand Island $537.05 $209.36 – $946.65
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $1,529.21 $618.97 – $3,094.82

All Nebraska hospitals for this procedure →