Injection of sinus tract at CHI Health St. Elizabeth
555 South 70th Street, Lincoln, NE · Chihealth · · NPI 1336155738
$535.50
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.
$1,071.00
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.
$170.60 with Medica vs $7,934.00 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 | $170.60 | ↓ -68% |
| United | Medicaid|Community Plan | $227.93 | ↓ -57% |
| Centene | Medicaid|NE Total Care | $230.21 | ↓ -57% |
| ELAP | Commercial|All Plans | $564.87 | ↑ +5% |
| Medica | Commercial|Open Access | $614.42 | ↑ +15% |
| Midlands Choice | Commercial|Premier | $614.42 | ↑ +15% |
| Midlands Choice | Commercial|Standard | $683.79 | ↑ +28% |
| MultiPlan PHCS | Commercial|All Plans | $792.80 | ↑ +48% |
| Centene | Medicaid|IA Total Care | $1,206.44 | ↑ +125% |
| Amerigroup | Medicaid|All Plans | $1,206.44 | ↑ +125% |
| IAMolina | Medicaid|All Plans | $1,230.09 | ↑ +130% |
| Humana | Medicare|All Plans | $1,429.64 | ↑ +167% |
| Medica | Medicare|All Plans | $1,429.64 | ↑ +167% |
| United | Medicare|All Plans | $1,429.64 | ↑ +167% |
| BCBS - NE | Medicare|All Plans | $1,429.64 | ↑ +167% |
| Great Plains | Medicare|All Plans | $1,429.64 | ↑ +167% |
| Centene | Medicare|All Plans | $1,472.53 | ↑ +175% |
| Amerigroup | Medicare|All Plans | $1,501.12 | ↑ +180% |
| Medica | Commercial|CHI Health | $2,461.00 | ↑ +360% |
| Medica | Commercial|All Other Plans | $2,892.00 | ↑ +440% |
| Millard Public Schools | Commercial|Narrow Network | $2,946.56 | ↑ +450% |
| One World | Commercial|Narrow Network | $2,946.56 | ↑ +450% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,946.56 | ↑ +450% |
| AMPS | Commercial|All Plans | $3,173.80 | ↑ +493% |
| Millard Public Schools | Commercial|Broad Network | $3,388.54 | ↑ +533% |
| Greater Omaha Packing | Commercial|Broad Network | $3,388.54 | ↑ +533% |
| One World | Commercial|Broad Network | $3,388.54 | ↑ +533% |
| Timpte | Commercial|Broad Network | $3,388.54 | ↑ +533% |
| Creighton University Employees | Commercial|All Plans | $6,675.00 | ↑ +1146% |
| United | Commercial|All Plans | $7,934.00 | ↑ +1382% |
Visitor-reported prices
Comments
Injection of sinus tract at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | not published | $170.60 – $170.60 |
| CHI Health Midlands | Papillion | $911.82 | $170.60 – $1,845.35 |
| CHI Health Schuyler | Schuyler | $843.20 | $212.49 – $1,123.15 |
| CHI Health Immanuel | Omaha | $911.82 | $170.60 – $1,845.35 |
| Lasting Hope Recovery Center | Omaha | $911.82 | $369.07 – $1,845.35 |
| CHI Health Good Samaritan | Kearney | $622.81 | $170.60 – $949.53 |
| CHI Health St. Francis | Grand Island | $650.18 | $170.60 – $1,035.88 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $911.82 | $170.60 – $1,845.35 |