X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$762.50

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.

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What you pay up front if you don't use insurance.

$1,250.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$101.72 with Medica vs $1,162.50 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.

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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
Medica Commercial|ACO $101.72 ↓ -87%
Medica Commercial|CHI Health $148.75 ↓ -80%
Medica Commercial|All Other Plans $155.77 ↓ -80%
United Medicaid|Community Plan $262.50 ↓ -66%
Centene Medicaid|NE Total Care $265.13 ↓ -65%
Centene Medicaid|IA Total Care $290.86 ↓ -62%
Amerigroup Medicaid|All Plans $290.86 ↓ -62%
IAMolina Medicaid|All Plans $296.57 ↓ -61%
Humana Medicare|All Plans $338.12 ↓ -56%
Medica Medicare|All Plans $338.12 ↓ -56%
United Medicare|All Plans $338.12 ↓ -56%
PACE Medicare|All Plans $338.12 ↓ -56%
BCBS - NE Medicare|All Plans $338.12 ↓ -56%
Centene Medicare|All Plans $348.26 ↓ -54%
Amerigroup Medicare|All Plans $355.03 ↓ -53%
Great Plains Medicare|All Plans $355.03 ↓ -53%
Creighton University Employees Commercial|All Plans $612.50 ↓ -20%
ELAP Commercial|All Plans $725.00 ↓ -5%
AMPS Commercial|All Plans $750.63 ↓ -2%
United Commercial|All Plans $950.00 ↑ +25%
Midlands Choice Commercial|Premier $975.00 ↑ +28%
Medica Commercial|Open Access $975.00 ↑ +28%
Midlands Choice Commercial|Standard $1,150.00 ↑ +51%
MultiPlan PHCS Commercial|All Plans $1,162.50 ↑ +52%

Visitor-reported prices

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Nebraska hospitals

Hospital City Cash price Negotiated range
Ogallala Community Hospital Ogallala $616.76 $377.96 – $833.23
CHI Health Midlands Papillion $476.70 $101.72 – $964.75
CHI Health Schuyler Schuyler $708.90 $178.65 – $944.26
CHI Health Immanuel Omaha $476.70 $101.72 – $964.75
Lasting Hope Recovery Center Omaha $476.70 $192.95 – $964.75
CHI Health St. Francis Grand Island $793.55 $101.72 – $1,264.30
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $476.70 $101.72 – $964.75
CHI Health St. Elizabeth Lincoln $529.50 $101.72 – $847.20

All Nebraska hospitals for this procedure →