Egd/remov tum/polyp/hot bx forcep 43250 at CHI Health St. Mary's
1301 GRUNDMAN BLVD, Nebraska City, NE · Chihealth · · NPI 1528016995
$1,092.28
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.
$1,316.00
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.
$281.89 with Amerigroup vs $1,263.36 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 | $281.89 | ↓ -74% |
| IAMolina | Medicaid|All Plans | $287.42 | ↓ -74% |
| United | Medicare|All Plans | $526.40 | ↓ -52% |
| Humana | Medicare|All Plans | $526.40 | ↓ -52% |
| PACE | Medicare|All Plans | $526.40 | ↓ -52% |
| BCBS - NE | Medicare|All Plans | $526.40 | ↓ -52% |
| Medica | Medicare|All Plans | $526.40 | ↓ -52% |
| Centene | Medicare|All Plans | $536.93 | ↓ -51% |
| Centene | Medicaid|NE Total Care | $539.56 | ↓ -51% |
| United | Medicaid|Community Plan | $539.56 | ↓ -51% |
| Great Plains | Medicare|All Plans | $552.72 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $552.72 | ↓ -49% |
| AMPS | Commercial|All Plans | $1,168.61 | ↑ +7% |
| BCBS - NE | Commercial|BluePrint | $1,187.69 | ↑ +9% |
| Medica | Commercial|All Other Plans | $1,197.56 | ↑ +10% |
| Medica | Commercial|CHI Health | $1,197.56 | ↑ +10% |
| MultiPlan PHCS | Commercial|All Plans | $1,250.20 | ↑ +14% |
| BCBS - NE | Commercial|All Other Plans | $1,250.20 | ↑ +14% |
| One World | Commercial|Narrow Network | $1,263.36 | ↑ +16% |
| Midlands Choice | Commercial|Standard | $1,263.36 | ↑ +16% |
| Timpte | Commercial|Broad Network | $1,263.36 | ↑ +16% |
| United | Commercial|All Plans | $1,263.36 | ↑ +16% |
| Midlands Choice | Commercial|Premier | $1,263.36 | ↑ +16% |
| Medica | Commercial|ACO | $1,263.36 | ↑ +16% |
| Medica | Commercial|Open Access | $1,263.36 | ↑ +16% |
| Greater Omaha Packing | Commercial|Broad Network | $1,263.36 | ↑ +16% |
| Greater Omaha Packing | Commercial|Narrow Network | $1,263.36 | ↑ +16% |
| Millard Public Schools | Commercial|Broad Network | $1,263.36 | ↑ +16% |
| Millard Public Schools | Commercial|Narrow Network | $1,263.36 | ↑ +16% |
| One World | Commercial|Broad Network | $1,263.36 | ↑ +16% |
Visitor-reported prices
Comments
Egd/remov tum/polyp/hot bx forcep 43250 at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Schuyler | Schuyler | $1,118.60 | $281.89 – $1,489.98 |
| CHI Health Plainview | Plainview | $1,105.44 | $802.76 – $1,782.13 |
| CHI Health Midlands | Papillion | not published | $315.99 – $315.99 |
| CHI Health Immanuel | Omaha | not published | $315.99 – $315.99 |
| CHI Health Nebraska Heart | Lincoln | not published | $315.99 – $315.99 |
| CHI Health Good Samaritan | Kearney | not published | $315.99 – $315.99 |
| CHI Health St. Francis | Grand Island | not published | $315.99 – $315.99 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | not published | $315.99 – $315.99 |