Inj, levothyroxine, freskabi 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

$10.84

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.

$13.06

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.

$2.80 with Amerigroup vs $12.54 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
Amerigroup Medicaid|All Plans $2.80 ↓ -74%
IAMolina Medicaid|All Plans $2.86 ↓ -74%
BCBS - NE Medicare|All Plans $5.23 ↓ -52%
Medica Medicare|All Plans $5.23 ↓ -52%
Humana Medicare|All Plans $5.23 ↓ -52%
United Medicare|All Plans $5.23 ↓ -52%
PACE Medicare|All Plans $5.23 ↓ -52%
Centene Medicare|All Plans $5.33 ↓ -51%
Centene Medicaid|NE Total Care $5.36 ↓ -51%
United Medicaid|Community Plan $5.36 ↓ -51%
Great Plains Medicare|All Plans $5.49 ↓ -49%
Amerigroup Medicare|All Plans $5.49 ↓ -49%
AMPS Commercial|All Plans $11.60 ↑ +7%
BCBS - NE Commercial|BluePrint $11.79 ↑ +9%
Medica Commercial|All Other Plans $11.89 ↑ +10%
Medica Commercial|CHI Health $11.89 ↑ +10%
MultiPlan PHCS Commercial|All Plans $12.41 ↑ +14%
BCBS - NE Commercial|All Other Plans $12.41 ↑ +14%
Timpte Commercial|Broad Network $12.54 ↑ +16%
Medica Commercial|Open Access $12.54 ↑ +16%
Midlands Choice Commercial|Premier $12.54 ↑ +16%
Midlands Choice Commercial|Standard $12.54 ↑ +16%
United Commercial|All Plans $12.54 ↑ +16%
Greater Omaha Packing Commercial|Broad Network $12.54 ↑ +16%
Greater Omaha Packing Commercial|Narrow Network $12.54 ↑ +16%
Millard Public Schools Commercial|Broad Network $12.54 ↑ +16%
Millard Public Schools Commercial|Narrow Network $12.54 ↑ +16%
One World Commercial|Broad Network $12.54 ↑ +16%
One World Commercial|Narrow Network $12.54 ↑ +16%
Medica Commercial|ACO $12.54 ↑ +16%

Visitor-reported prices

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Inj, levothyroxine, freskabi at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $161.49 $58.75 – $277.40
CHI Health Schuyler Schuyler $326.83 $69.91 – $369.50
CHI Health Immanuel Omaha $161.49 $45.69 – $277.40
Lasting Hope Recovery Center Omaha $161.49 $55.48 – $277.40
CHI Health Good Samaritan Kearney $46.91 $2.75 – $12.15
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $161.49 $55.48 – $277.40
CHI Health Plainview Plainview $322.98 $199.08 – $441.95
CHI Health Lakeside Omaha $161.49 $52.22 – $277.40

All Nebraska hospitals for this procedure →