Skyla, 13.5 mg at CHI Health St. Elizabeth
555 South 70th Street, Lincoln, NE · Chihealth · · NPI 1336155738
$455.12
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.
$910.24
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.
$209.36 with United vs $1,937.44 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 |
|---|---|---|---|
| United | Medicaid|Community Plan | $209.36 | ↓ -54% |
| Centene | Medicaid|NE Total Care | $211.45 | ↓ -54% |
| ELAP | Commercial|All Plans | $518.84 | ↑ +14% |
| Medica | Commercial|Open Access | $564.35 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $564.35 | ↑ +24% |
| Midlands Choice | Commercial|Standard | $628.07 | ↑ +38% |
| MultiPlan PHCS | Commercial|All Plans | $728.20 | ↑ +60% |
| Medica | Commercial|ACO | $910.24 | ↑ +100% |
| Amerigroup | Medicaid|All Plans | $928.45 | ↑ +104% |
| Centene | Medicaid|IA Total Care | $928.45 | ↑ +104% |
| IAMolina | Medicaid|All Plans | $946.65 | ↑ +108% |
| Medica | Commercial|CHI Health | $1,850.15 | ↑ +307% |
| Medica | Commercial|All Other Plans | $1,937.44 | ↑ +326% |
Visitor-reported prices
Comments
Skyla, 13.5 mg at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | $418.72 | $218.46 – $946.65 |
| CHI Health Midlands | Papillion | $1,529.21 | $655.38 – $3,094.82 |
| CHI Health Schuyler | Schuyler | $3,094.82 | $779.90 – $4,122.30 |
| CHI Health Immanuel | Omaha | $1,529.21 | $509.74 – $3,094.82 |
| CHI Health St. Mary's | Nebraska City | $755.50 | $194.98 – $873.84 |
| Lasting Hope Recovery Center | Omaha | $1,529.21 | $618.97 – $3,094.82 |
| CHI Health Good Samaritan | Kearney | $555.25 | $191.16 – $946.65 |
| CHI Health St. Francis | Grand Island | $537.05 | $209.36 – $946.65 |