Established Patient Office Visit (level 2) at CHI Health St. Elizabeth
555 South 70th Street, Lincoln, NE · Chihealth · · NPI 1336155738
$174.00
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.
$348.00
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.
$60.82 with Medica vs $278.40 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 →
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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|All Other Plans | $60.82 | ↓ -65% |
| Medica | Commercial|ACO | $67.68 | ↓ -61% |
| United | Medicaid|Community Plan | $80.04 | ↓ -54% |
| Centene | Medicaid|NE Total Care | $80.85 | ↓ -54% |
| Medica | Commercial|CHI Health | $108.41 | ↓ -38% |
| ELAP | Commercial|All Plans | $198.36 | ↑ +14% |
| Midlands Choice | Commercial|Premier | $215.76 | ↑ +24% |
| Medica | Commercial|Open Access | $215.76 | ↑ +24% |
| Midlands Choice | Commercial|Standard | $240.12 | ↑ +38% |
| MultiPlan PHCS | Commercial|All Plans | $278.40 | ↑ +60% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | $71.76 | $37.44 – $127.92 |
| Ogallala Community Hospital | Ogallala | $160.46 | $79.20 – $174.60 |
| CHI Health Midlands | Papillion | $70.14 | $20.52 – $108.55 |
| CHI Health Schuyler | Schuyler | $134.30 | $17.57 – $92.85 |
| CHI Health Immanuel | Omaha | $70.14 | $15.96 – $108.55 |
| CHI Health St. Mary's | Nebraska City | $131.14 | $28.71 – $128.64 |
| Lasting Hope Recovery Center | Omaha | $70.14 | $19.38 – $96.90 |
| CHI Health Good Samaritan | Kearney | $203.13 | $60.82 – $309.69 |