Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at CHI Health St. Mary's
1301 GRUNDMAN BLVD, Nebraska City, NE · Chihealth · · NPI 1528016995
$351.92
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.
$424.00
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.
$59.77 with Amerigroup vs $267.84 with One World — 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 |
|---|---|---|---|
| Amerigroup | Medicaid|All Plans | $59.77 | ↓ -83% |
| IAMolina | Medicaid|All Plans | $60.94 | ↓ -83% |
| United | Medicare|All Plans | $111.60 | ↓ -68% |
| Humana | Medicare|All Plans | $111.60 | ↓ -68% |
| PACE | Medicare|All Plans | $111.60 | ↓ -68% |
| BCBS - NE | Medicare|All Plans | $111.60 | ↓ -68% |
| Medica | Medicare|All Plans | $111.60 | ↓ -68% |
| Centene | Medicare|All Plans | $113.84 | ↓ -68% |
| Centene | Medicaid|NE Total Care | $114.39 | ↓ -67% |
| United | Medicaid|Community Plan | $114.39 | ↓ -67% |
| Great Plains | Medicare|All Plans | $117.18 | ↓ -67% |
| Amerigroup | Medicare|All Plans | $117.18 | ↓ -67% |
| AMPS | Commercial|All Plans | $247.76 | ↓ -30% |
| BCBS - NE | Commercial|BluePrint | $251.80 | ↓ -28% |
| Medica | Commercial|All Other Plans | $253.89 | ↓ -28% |
| Medica | Commercial|CHI Health | $253.89 | ↓ -28% |
| MultiPlan PHCS | Commercial|All Plans | $265.05 | ↓ -25% |
| BCBS - NE | Commercial|All Other Plans | $265.05 | ↓ -25% |
| One World | Commercial|Narrow Network | $267.84 | ↓ -24% |
| Midlands Choice | Commercial|Standard | $267.84 | ↓ -24% |
| Timpte | Commercial|Broad Network | $267.84 | ↓ -24% |
| United | Commercial|All Plans | $267.84 | ↓ -24% |
| Midlands Choice | Commercial|Premier | $267.84 | ↓ -24% |
| Medica | Commercial|ACO | $267.84 | ↓ -24% |
| Medica | Commercial|Open Access | $267.84 | ↓ -24% |
| Greater Omaha Packing | Commercial|Broad Network | $267.84 | ↓ -24% |
| Greater Omaha Packing | Commercial|Narrow Network | $267.84 | ↓ -24% |
| Millard Public Schools | Commercial|Broad Network | $267.84 | ↓ -24% |
| Millard Public Schools | Commercial|Narrow Network | $267.84 | ↓ -24% |
| One World | Commercial|Broad Network | $267.84 | ↓ -24% |
Visitor-reported prices
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Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Midlands | Papillion | $280.56 | $110.94 – $567.80 |
| CHI Health Schuyler | Schuyler | $380.80 | $59.77 – $315.89 |
| CHI Health Immanuel | Omaha | $280.56 | $93.52 – $567.80 |
| CHI Health Nebraska Heart | Lincoln | $440.68 | $110.94 – $785.56 |
| Lasting Hope Recovery Center | Omaha | $280.56 | $113.56 – $567.80 |
| CHI Health Good Samaritan | Kearney | $591.09 | $110.94 – $901.17 |
| CHI Health St. Francis | Grand Island | $580.56 | $110.94 – $924.96 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $280.56 | $110.94 – $567.80 |