Biopsy of lip 40490 at CHI Health St. Elizabeth
555 South 70th Street, Lincoln, NE · Chihealth · · NPI 1336155738
not published by hospital
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.
not published by hospital
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.
$131.38 with Medica vs $11,995.87 with One World — 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 |
|---|---|---|---|
| Medica | Commercial|ACO | $131.38 | — |
| Amerigroup | Medicaid|All Plans | $189.14 | — |
| Centene | Medicaid|IA Total Care | $189.14 | — |
| IAMolina | Medicaid|All Plans | $192.85 | — |
| Humana | Medicare|All Plans | $224.12 | — |
| Medica | Medicare|All Plans | $224.12 | — |
| United | Medicare|All Plans | $224.12 | — |
| BCBS - NE | Medicare|All Plans | $224.12 | — |
| Great Plains | Medicare|All Plans | $224.12 | — |
| Centene | Medicare|All Plans | $230.84 | — |
| Amerigroup | Medicare|All Plans | $235.33 | — |
| AMPS | Commercial|All Plans | $497.55 | — |
| Medica | Commercial|CHI Health | $1,381.00 | — |
| Medica | Commercial|All Other Plans | $1,621.00 | — |
| Creighton University Employees | Commercial|All Plans | $3,708.00 | — |
| United | Commercial|All Plans | $4,406.00 | — |
| One World | Commercial|Narrow Network | $10,431.19 | — |
| Greater Omaha Packing | Commercial|Narrow Network | $10,431.19 | — |
| Millard Public Schools | Commercial|Narrow Network | $10,431.19 | — |
| Millard Public Schools | Commercial|Broad Network | $11,995.87 | — |
| Timpte | Commercial|Broad Network | $11,995.87 | — |
| Greater Omaha Packing | Commercial|Broad Network | $11,995.87 | — |
| One World | Commercial|Broad Network | $11,995.87 | — |
| Midlands Choice | Commercial|Standard | not published by hospital | — |
| United | Medicaid|Community Plan | not published by hospital | — |
| Medica | Commercial|Open Access | not published by hospital | — |
| Centene | Medicaid|NE Total Care | not published by hospital | — |
| ELAP | Commercial|All Plans | not published by hospital | — |
| MultiPlan PHCS | Commercial|All Plans | not published by hospital | — |
| Midlands Choice | Commercial|Premier | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of lip 40490 at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | not published | $131.38 – $131.38 |
| Ogallala Community Hospital | Ogallala | $66.44 | $64.68 – $142.59 |
| CHI Health Schuyler | Schuyler | $644.30 | $162.37 – $858.21 |
| CHI Health Plainview | Plainview | $636.72 | $462.38 – $1,026.49 |
| CHI Health Midlands | Papillion | not published | $131.38 – $131.38 |
| CHI Health Immanuel | Omaha | not published | $131.38 – $131.38 |
| CHI Health Good Samaritan | Kearney | not published | $131.38 – $131.38 |
| CHI Health St. Francis | Grand Island | not published | $131.38 – $131.38 |