Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im 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

$19.57

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.

$32.08

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.

$6.42 with Humana vs $46.33 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
Humana Medicare|All Plans $6.42 ↓ -67%
BCBS - NE Medicare|All Plans $6.42 ↓ -67%
Medica Medicare|All Plans $6.42 ↓ -67%
PACE Medicare|All Plans $6.42 ↓ -67%
Centene Medicare|All Plans $6.61 ↓ -66%
Amerigroup Medicare|All Plans $6.74 ↓ -66%
United Medicaid|Community Plan $6.74 ↓ -66%
Great Plains Medicare|All Plans $6.74 ↓ -66%
Centene Medicaid|NE Total Care $6.81 ↓ -65%
United Medicare|All Plans $8.02 ↓ -59%
AMPS Commercial|All Plans $14.25 ↓ -27%
Creighton University Employees Commercial|All Plans $15.72 ↓ -20%
ELAP Commercial|All Plans $18.61 ↓ -5%
BCBS - NE Commercial|BluePrint $18.98 ↓ -3%
Amerigroup Medicaid|All Plans $20.26 ↑ +4%
Centene Medicaid|IA Total Care $20.26 ↑ +4%
IAMolina Medicaid|All Plans $20.65 ↑ +6%
United Commercial|All Plans $24.39 ↑ +25%
Midlands Choice Commercial|Premier $25.03 ↑ +28%
Medica Commercial|Open Access $25.03 ↑ +28%
BCBS - NE Commercial|All Other Plans $25.30 ↑ +29%
Midlands Choice Commercial|Standard $29.52 ↑ +51%
MultiPlan PHCS Commercial|All Plans $29.84 ↑ +52%
Medica Commercial|ACO $32.08 ↑ +64%
Medica Commercial|CHI Health $44.25 ↑ +126%
Medica Commercial|All Other Plans $46.33 ↑ +137%

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $17.64 $7.20 – $34.00
CHI Health Schuyler Schuyler $35.70 $8.57 – $45.29
CHI Health Immanuel Omaha $17.64 $5.60 – $34.00
CHI Health Nebraska Heart Lincoln $14.76 $7.70 – $26.31
CHI Health St. Mary's Nebraska City $26.63 $6.88 – $30.80
Lasting Hope Recovery Center Omaha $17.64 $6.80 – $34.00
CHI Health St. Francis Grand Island $18.93 $7.38 – $30.16
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $17.64 $6.80 – $34.00

All Nebraska hospitals for this procedure →