X-ray thoracolumbar spine including skull cervical & sacral spine 1 view 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

$261.08

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.

$428.00

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.

Full explanation →

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

$56.95 with Medica vs $398.04 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 →

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 $56.95 ↓ -78%
Amerigroup Medicaid|All Plans $71.71 ↓ -73%
Centene Medicaid|IA Total Care $71.71 ↓ -73%
IAMolina Medicaid|All Plans $73.11 ↓ -72%
Medica Commercial|CHI Health $82.10 ↓ -69%
Humana Medicare|All Plans $83.36 ↓ -68%
Medica Medicare|All Plans $83.36 ↓ -68%
United Medicare|All Plans $83.36 ↓ -68%
PACE Medicare|All Plans $83.36 ↓ -68%
BCBS - NE Medicare|All Plans $83.36 ↓ -68%
Centene Medicare|All Plans $85.86 ↓ -67%
Medica Commercial|All Other Plans $85.97 ↓ -67%
Great Plains Medicare|All Plans $87.53 ↓ -66%
Amerigroup Medicare|All Plans $87.53 ↓ -66%
United Medicaid|Community Plan $89.88 ↓ -66%
Centene Medicaid|NE Total Care $90.78 ↓ -65%
AMPS Commercial|All Plans $185.06 ↓ -29%
Creighton University Employees Commercial|All Plans $209.72 ↓ -20%
ELAP Commercial|All Plans $248.24 ↓ -5%
United Commercial|All Plans $325.28 ↑ +25%
Midlands Choice Commercial|Premier $333.84 ↑ +28%
Medica Commercial|Open Access $333.84 ↑ +28%
Midlands Choice Commercial|Standard $393.76 ↑ +51%
MultiPlan PHCS Commercial|All Plans $398.04 ↑ +52%

Visitor-reported prices

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X-ray thoracolumbar spine including skull cervical & sacral spine 1 view at other Nebraska hospitals

Hospital City Cash price Negotiated range
Ogallala Community Hospital Ogallala $249.15 $152.68 – $336.59
CHI Health Midlands Papillion $57.54 $24.66 – $116.45
CHI Health Schuyler Schuyler $94.35 $23.78 – $125.68
CHI Health Immanuel Omaha $57.54 $19.18 – $116.45
CHI Health St. Mary's Nebraska City $133.63 $34.49 – $154.56
Lasting Hope Recovery Center Omaha $57.54 $23.29 – $116.45
CHI Health St. Francis Grand Island $282.02 $56.95 – $449.32
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $57.54 $23.29 – $116.45

All Nebraska hospitals for this procedure →