Vaccine influenza quadrivalent live (laiv4) intranasal at CHI Health St. Elizabeth

555 South 70th Street, Lincoln, NE · Chihealth · · NPI 1336155738

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

$12.25

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$24.50

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.39 with United vs $57.87 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 →

Payer
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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
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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 Medicare|All Plans $5.39 ↓ -56%
Humana Medicare|All Plans $5.39 ↓ -56%
Medica Medicare|All Plans $5.39 ↓ -56%
Great Plains Medicare|All Plans $5.39 ↓ -56%
BCBS - NE Medicare|All Plans $5.39 ↓ -56%
Centene Medicare|All Plans $5.56 ↓ -55%
United Medicaid|Community Plan $5.64 ↓ -54%
Amerigroup Medicare|All Plans $5.66 ↓ -54%
Centene Medicaid|NE Total Care $5.70 ↓ -53%
AMPS Commercial|All Plans $11.97 ↓ -2%
ELAP Commercial|All Plans $13.97 ↑ +14%
Midlands Choice Commercial|Premier $15.19 ↑ +24%
Medica Commercial|Open Access $15.19 ↑ +24%
Midlands Choice Commercial|Standard $16.91 ↑ +38%
MultiPlan PHCS Commercial|All Plans $19.60 ↑ +60%
BCBS - NE Commercial|BluePrint $22.05 ↑ +80%
BCBS - NE Commercial|All Other Plans $24.50 ↑ +100%
Medica Commercial|ACO $24.50 ↑ +100%
Amerigroup Medicaid|All Plans $24.99 ↑ +104%
Centene Medicaid|IA Total Care $24.99 ↑ +104%
IAMolina Medicaid|All Plans $25.48 ↑ +108%
Medica Commercial|CHI Health $55.27 ↑ +351%
Medica Commercial|All Other Plans $57.87 ↑ +372%

Visitor-reported prices

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Vaccine influenza quadrivalent live (laiv4) intranasal at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Nebraska Heart Lincoln $11.27 $5.88 – $25.48
CHI Health Midlands Papillion $17.64 $7.56 – $35.70
CHI Health Schuyler Schuyler $35.70 $9.00 – $47.56
CHI Health Immanuel Omaha $17.64 $5.88 – $35.70
CHI Health St. Mary's Nebraska City $20.34 $5.25 – $23.52
Lasting Hope Recovery Center Omaha $17.64 $7.14 – $35.70
CHI Health Good Samaritan Kearney $14.95 $4.90 – $25.48
CHI Health St. Francis Grand Island $14.46 $5.64 – $25.48

All Nebraska hospitals for this procedure →