Biopsy of salivary gland 42400 at CHI Health St. Elizabeth
555 South 70th Street, Lincoln, NE · Chihealth · · NPI 1336155738
$700.50
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.
$1,401.00
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.
$100.72 with Medica vs $6,169.00 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 |
|---|---|---|---|
| Medica | Commercial|ACO | $100.72 | ↓ -86% |
| United | Medicaid|Community Plan | $322.23 | ↓ -54% |
| Centene | Medicaid|NE Total Care | $325.46 | ↓ -54% |
| Amerigroup | Medicaid|All Plans | $573.04 | ↓ -18% |
| Centene | Medicaid|IA Total Care | $573.04 | ↓ -18% |
| IAMolina | Medicaid|All Plans | $584.27 | ↓ -17% |
| Humana | Medicare|All Plans | $679.06 | ↓ -3% |
| Medica | Medicare|All Plans | $679.06 | ↓ -3% |
| United | Medicare|All Plans | $679.06 | ↓ -3% |
| BCBS - NE | Medicare|All Plans | $679.06 | ↓ -3% |
| Great Plains | Medicare|All Plans | $679.06 | ↓ -3% |
| Centene | Medicare|All Plans | $699.43 | ↓ -0% |
| Amerigroup | Medicare|All Plans | $713.01 | ↑ +2% |
| ELAP | Commercial|All Plans | $798.57 | ↑ +14% |
| Medica | Commercial|Open Access | $868.62 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $868.62 | ↑ +24% |
| Midlands Choice | Commercial|Standard | $966.69 | ↑ +38% |
| MultiPlan PHCS | Commercial|All Plans | $1,120.80 | ↑ +60% |
| AMPS | Commercial|All Plans | $1,507.51 | ↑ +115% |
| Medica | Commercial|CHI Health | $2,056.00 | ↑ +194% |
| Medica | Commercial|All Other Plans | $2,415.00 | ↑ +245% |
| One World | Commercial|Narrow Network | $2,946.56 | ↑ +321% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,946.56 | ↑ +321% |
| Millard Public Schools | Commercial|Narrow Network | $2,946.56 | ↑ +321% |
| One World | Commercial|Broad Network | $3,388.54 | ↑ +384% |
| Timpte | Commercial|Broad Network | $3,388.54 | ↑ +384% |
| Greater Omaha Packing | Commercial|Broad Network | $3,388.54 | ↑ +384% |
| Millard Public Schools | Commercial|Broad Network | $3,388.54 | ↑ +384% |
| Creighton University Employees | Commercial|All Plans | $5,192.00 | ↑ +641% |
| United | Commercial|All Plans | $6,169.00 | ↑ +781% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | not published | $100.72 – $100.72 |
| CHI Health Midlands | Papillion | $524.58 | $100.72 – $1,061.65 |
| CHI Health Immanuel | Omaha | $524.58 | $100.72 – $1,061.65 |
| CHI Health St. Mary's | Nebraska City | $981.06 | $253.19 – $1,134.72 |
| Lasting Hope Recovery Center | Omaha | $524.58 | $212.33 – $1,061.65 |
| CHI Health Good Samaritan | Kearney | $870.47 | $100.72 – $1,327.11 |
| CHI Health St. Francis | Grand Island | $841.93 | $100.72 – $1,341.38 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $524.58 | $100.72 – $1,061.65 |