Caffeine citrate 20 mg/ml inj for po at CHI Health St. Mary's

1301 GRUNDMAN BLVD, Nebraska City, NE · Chihealth · · NPI 1528016995

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

$7.88

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.

$9.49

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.

$2.04 with Amerigroup vs $9.12 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 →

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
Amerigroup Medicaid|All Plans $2.04 ↓ -74%
IAMolina Medicaid|All Plans $2.08 ↓ -74%
United Medicare|All Plans $3.80 ↓ -52%
Humana Medicare|All Plans $3.80 ↓ -52%
PACE Medicare|All Plans $3.80 ↓ -52%
BCBS - NE Medicare|All Plans $3.80 ↓ -52%
Medica Medicare|All Plans $3.80 ↓ -52%
Centene Medicare|All Plans $3.88 ↓ -51%
Centene Medicaid|NE Total Care $3.90 ↓ -51%
United Medicaid|Community Plan $3.90 ↓ -51%
Great Plains Medicare|All Plans $3.99 ↓ -49%
Amerigroup Medicare|All Plans $3.99 ↓ -49%
AMPS Commercial|All Plans $8.43 ↑ +7%
BCBS - NE Commercial|BluePrint $8.57 ↑ +9%
Medica Commercial|All Other Plans $8.64 ↑ +10%
Medica Commercial|CHI Health $8.64 ↑ +10%
MultiPlan PHCS Commercial|All Plans $9.02 ↑ +14%
BCBS - NE Commercial|All Other Plans $9.02 ↑ +14%
One World Commercial|Narrow Network $9.12 ↑ +16%
Midlands Choice Commercial|Standard $9.12 ↑ +16%
Timpte Commercial|Broad Network $9.12 ↑ +16%
United Commercial|All Plans $9.12 ↑ +16%
Midlands Choice Commercial|Premier $9.12 ↑ +16%
Medica Commercial|ACO $9.12 ↑ +16%
Medica Commercial|Open Access $9.12 ↑ +16%
Greater Omaha Packing Commercial|Broad Network $9.12 ↑ +16%
Greater Omaha Packing Commercial|Narrow Network $9.12 ↑ +16%
Millard Public Schools Commercial|Broad Network $9.12 ↑ +16%
Millard Public Schools Commercial|Narrow Network $9.12 ↑ +16%
One World Commercial|Broad Network $9.12 ↑ +16%

Visitor-reported prices

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Caffeine citrate 20 mg/ml inj for po at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $59.78 $0.47 – $84.58
CHI Health Schuyler Schuyler $120.97 $21.32 – $112.66
CHI Health Immanuel Omaha $59.78 $0.47 – $84.58
CHI Health Nebraska Heart Lincoln $4.37 $0.56 – $7.79
Lasting Hope Recovery Center Omaha $59.78 $0.59 – $84.58
CHI Health Good Samaritan Kearney $5.79 $0.47 – $8.83
CHI Health St. Francis Grand Island $5.60 $0.56 – $8.93
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $59.78 $0.47 – $84.58

All Nebraska hospitals for this procedure →