Vaccine influenza quadrivalent live (laiv4) intranasal at CHI Health Good Samaritan
10 East 31st Street, Kearney, NE · Chihealth · · NPI 1336184019
$14.95
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.
$24.50
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.
$4.90 with Humana vs $57.87 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 →
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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 |
|---|---|---|---|
| Humana | Medicare|All Plans | $4.90 | ↓ -67% |
| BCBS - NE | Medicare|All Plans | $4.90 | ↓ -67% |
| Medica | Medicare|All Plans | $4.90 | ↓ -67% |
| PACE | Medicare|All Plans | $4.90 | ↓ -67% |
| Centene | Medicare|All Plans | $5.05 | ↓ -66% |
| Amerigroup | Medicare|All Plans | $5.15 | ↓ -66% |
| United | Medicaid|Community Plan | $5.15 | ↓ -66% |
| Great Plains | Medicare|All Plans | $5.15 | ↓ -66% |
| Centene | Medicaid|NE Total Care | $5.20 | ↓ -65% |
| United | Medicare|All Plans | $6.13 | ↓ -59% |
| AMPS | Commercial|All Plans | $10.88 | ↓ -27% |
| Creighton University Employees | Commercial|All Plans | $12.01 | ↓ -20% |
| ELAP | Commercial|All Plans | $14.21 | ↓ -5% |
| BCBS - NE | Commercial|BluePrint | $18.38 | ↑ +23% |
| United | Commercial|All Plans | $18.62 | ↑ +25% |
| Midlands Choice | Commercial|Premier | $19.11 | ↑ +28% |
| Medica | Commercial|Open Access | $19.11 | ↑ +28% |
| Midlands Choice | Commercial|Standard | $22.54 | ↑ +51% |
| MultiPlan PHCS | Commercial|All Plans | $22.79 | ↑ +52% |
| BCBS - NE | Commercial|All Other Plans | $24.50 | ↑ +64% |
| Medica | Commercial|ACO | $24.50 | ↑ +64% |
| Centene | Medicaid|IA Total Care | $24.99 | ↑ +67% |
| Amerigroup | Medicaid|All Plans | $24.99 | ↑ +67% |
| IAMolina | Medicaid|All Plans | $25.48 | ↑ +70% |
| Medica | Commercial|CHI Health | $55.27 | ↑ +270% |
| Medica | Commercial|All Other Plans | $57.87 | ↑ +287% |
Visitor-reported prices
Comments
Vaccine influenza quadrivalent live (laiv4) intranasal at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Midlands | Papillion | $17.64 | $7.56 – $35.70 |
| CHI Health Schuyler | Schuyler | $35.70 | $9.00 – $47.56 |
| CHI Health Immanuel | Omaha | $17.64 | $5.88 – $35.70 |
| CHI Health Nebraska Heart | Lincoln | $11.27 | $5.88 – $25.48 |
| CHI Health St. Mary's | Nebraska City | $20.34 | $5.25 – $23.52 |
| Lasting Hope Recovery Center | Omaha | $17.64 | $7.14 – $35.70 |
| CHI Health St. Francis | Grand Island | $14.46 | $5.64 – $25.48 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $17.64 | $7.14 – $35.70 |