Open thrombectomy of av fistula without revision 36831 at CHI Health St. Elizabeth
555 South 70th Street, Lincoln, NE · Chihealth · · NPI 1336155738
$3,607.50
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.
$7,215.00
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.
$1,091.54 with Medica vs $15,961.00 with Medica — 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 | $1,091.54 | ↓ -70% |
| United | Medicaid|Community Plan | $1,659.45 | ↓ -54% |
| Centene | Medicaid|NE Total Care | $1,676.05 | ↓ -54% |
| ELAP | Commercial|All Plans | $4,112.55 | ↑ +14% |
| Centene | Medicaid|IA Total Care | $4,402.70 | ↑ +22% |
| Amerigroup | Medicaid|All Plans | $4,402.70 | ↑ +22% |
| Medica | Commercial|Open Access | $4,473.30 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $4,473.30 | ↑ +24% |
| IAMolina | Medicaid|All Plans | $4,489.02 | ↑ +24% |
| Midlands Choice | Commercial|Standard | $4,978.35 | ↑ +38% |
| Humana | Medicare|All Plans | $5,217.26 | ↑ +45% |
| Medica | Medicare|All Plans | $5,217.26 | ↑ +45% |
| United | Medicare|All Plans | $5,217.26 | ↑ +45% |
| BCBS - NE | Medicare|All Plans | $5,217.26 | ↑ +45% |
| Great Plains | Medicare|All Plans | $5,217.26 | ↑ +45% |
| Centene | Medicare|All Plans | $5,373.78 | ↑ +49% |
| Amerigroup | Medicare|All Plans | $5,478.12 | ↑ +52% |
| MultiPlan PHCS | Commercial|All Plans | $5,772.00 | ↑ +60% |
| Creighton University Employees | Commercial|All Plans | $8,158.00 | ↑ +126% |
| United | Commercial|All Plans | $9,696.00 | ↑ +169% |
| AMPS | Commercial|All Plans | $11,582.32 | ↑ +221% |
| Greater Omaha Packing | Commercial|Narrow Network | $13,049.09 | ↑ +262% |
| Millard Public Schools | Commercial|Narrow Network | $13,049.09 | ↑ +262% |
| One World | Commercial|Narrow Network | $13,049.09 | ↑ +262% |
| Medica | Commercial|CHI Health | $13,584.00 | ↑ +277% |
| Millard Public Schools | Commercial|Broad Network | $15,006.45 | ↑ +316% |
| Timpte | Commercial|Broad Network | $15,006.45 | ↑ +316% |
| One World | Commercial|Broad Network | $15,006.45 | ↑ +316% |
| Greater Omaha Packing | Commercial|Broad Network | $15,006.45 | ↑ +316% |
| Medica | Commercial|All Other Plans | $15,961.00 | ↑ +342% |
Visitor-reported prices
Comments
Open thrombectomy of av fistula without revision 36831 at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | $3,072.80 | $1,091.54 – $5,477.60 |
| CHI Health Midlands | Papillion | $3,856.02 | $891.36 – $4,209.20 |
| CHI Health Immanuel | Omaha | $3,856.02 | $693.28 – $4,209.20 |
| Lasting Hope Recovery Center | Omaha | $3,856.02 | $841.84 – $4,209.20 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $3,856.02 | $841.84 – $4,209.20 |
| CHI Health Lakeside | Omaha | $3,856.02 | $792.32 – $4,209.20 |
| CHI Health Good Samaritan | Kearney | not published | $1,091.54 – $1,091.54 |
| CHI Health St. Francis | Grand Island | not published | $1,091.54 – $1,091.54 |