Closure laceration vestibule mouth > 2.5 cm cmplx at CHI Health St. Mary's
1301 GRUNDMAN BLVD, Nebraska City, NE · Chihealth · · NPI 1528016995
$1,578.66
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.
$1,902.00
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.
$188.50 with Amerigroup vs $844.80 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 | $188.50 | ↓ -88% |
| IAMolina | Medicaid|All Plans | $192.20 | ↓ -88% |
| United | Medicare|All Plans | $220.00 | ↓ -86% |
| Humana | Medicare|All Plans | $220.00 | ↓ -86% |
| PACE | Medicare|All Plans | $220.00 | ↓ -86% |
| BCBS - NE | Medicare|All Plans | $220.00 | ↓ -86% |
| Medica | Medicare|All Plans | $220.00 | ↓ -86% |
| Centene | Medicare|All Plans | $224.40 | ↓ -86% |
| Great Plains | Medicare|All Plans | $231.00 | ↓ -85% |
| Amerigroup | Medicare|All Plans | $231.00 | ↓ -85% |
| Centene | Medicaid|NE Total Care | $360.80 | ↓ -77% |
| United | Medicaid|Community Plan | $360.80 | ↓ -77% |
| AMPS | Commercial|All Plans | $488.40 | ↓ -69% |
| BCBS - NE | Commercial|BluePrint | $794.20 | ↓ -50% |
| Medica | Commercial|CHI Health | $800.80 | ↓ -49% |
| Medica | Commercial|All Other Plans | $800.80 | ↓ -49% |
| MultiPlan PHCS | Commercial|All Plans | $836.00 | ↓ -47% |
| BCBS - NE | Commercial|All Other Plans | $836.00 | ↓ -47% |
| One World | Commercial|Narrow Network | $844.80 | ↓ -46% |
| Midlands Choice | Commercial|Standard | $844.80 | ↓ -46% |
| Timpte | Commercial|Broad Network | $844.80 | ↓ -46% |
| United | Commercial|All Plans | $844.80 | ↓ -46% |
| Midlands Choice | Commercial|Premier | $844.80 | ↓ -46% |
| Medica | Commercial|ACO | $844.80 | ↓ -46% |
| Medica | Commercial|Open Access | $844.80 | ↓ -46% |
| Greater Omaha Packing | Commercial|Broad Network | $844.80 | ↓ -46% |
| Greater Omaha Packing | Commercial|Narrow Network | $844.80 | ↓ -46% |
| Millard Public Schools | Commercial|Broad Network | $844.80 | ↓ -46% |
| Millard Public Schools | Commercial|Narrow Network | $844.80 | ↓ -46% |
| One World | Commercial|Broad Network | $844.80 | ↓ -46% |
Visitor-reported prices
Comments
Closure laceration vestibule mouth > 2.5 cm cmplx at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Midlands | Papillion | $1,684.62 | $382.66 – $3,409.35 |
| CHI Health Schuyler | Schuyler | $1,454.35 | $188.50 – $862.40 |
| CHI Health Immanuel | Omaha | $1,684.62 | $382.66 – $3,409.35 |
| Lasting Hope Recovery Center | Omaha | $1,684.62 | $681.87 – $3,409.35 |
| CHI Health Good Samaritan | Kearney | $780.80 | $268.80 – $1,190.40 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $1,684.62 | $382.66 – $3,409.35 |
| CHI Health St. Elizabeth | Lincoln | $640.00 | $294.40 – $1,024.00 |
| CHI Health Plainview | Plainview | $1,437.24 | $220.00 – $862.40 |