Crtj pericardial window/prtl resecj w/drg/bx at CHI Health Nebraska Heart
7500 S 91ST ST, Lincoln, NE · Chihealth · · NPI 1699718437
$822.02
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.
$1,787.00
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.
$428.88 with United vs $4,317.00 with United — 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 |
|---|---|---|---|
| United | Medicaid|Community Plan | $428.88 | ↓ -48% |
| Centene | Medicaid|NE Total Care | $433.17 | ↓ -47% |
| Centene | Medicaid|IA Total Care | $890.23 | ↑ +8% |
| Amerigroup | Medicaid|All Plans | $890.23 | ↑ +8% |
| IAMolina | Medicaid|All Plans | $907.68 | ↑ +10% |
| Millard Public Schools | Commercial|Narrow Network | $1,107.94 | ↑ +35% |
| One World | Commercial|Narrow Network | $1,107.94 | ↑ +35% |
| Greater Omaha Packing | Commercial|Narrow Network | $1,107.94 | ↑ +35% |
| Midlands Choice | Commercial|Standard | $1,250.90 | ↑ +52% |
| Medica | Commercial|Open Access | $1,250.90 | ↑ +52% |
| Greater Omaha Packing | Commercial|Broad Network | $1,268.77 | ↑ +54% |
| Timpte | Commercial|Broad Network | $1,268.77 | ↑ +54% |
| One World | Commercial|Broad Network | $1,268.77 | ↑ +54% |
| Millard Public Schools | Commercial|Broad Network | $1,268.77 | ↑ +54% |
| MultiPlan PHCS | Commercial|All Plans | $1,340.25 | ↑ +63% |
| Medica | Commercial|ACO | $1,380.02 | ↑ +68% |
| ELAP | Commercial|All Plans | $1,465.34 | ↑ +78% |
| Medica | Commercial|CHI Health | $2,143.00 | ↑ +161% |
| Medica | Commercial|All Other Plans | $2,517.00 | ↑ +206% |
| United | Commercial|All Plans | $4,317.00 | ↑ +425% |
Visitor-reported prices
Comments
Crtj pericardial window/prtl resecj w/drg/bx at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health St. Elizabeth | Lincoln | not published | $890.23 – $1,380.02 |
| CHI Health Midlands | Papillion | $743.40 | $318.60 – $1,504.50 |
| CHI Health Immanuel | Omaha | $743.40 | $247.80 – $1,504.50 |
| Lasting Hope Recovery Center | Omaha | $743.40 | $300.90 – $1,504.50 |
| CHI Health St. Francis | Grand Island | $1,054.33 | $411.01 – $1,679.78 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $743.40 | $300.90 – $1,504.50 |
| CHI Health Lakeside | Omaha | $743.40 | $283.20 – $1,504.50 |
| CHI Health Good Samaritan | Kearney | not published | $890.23 – $1,380.02 |