Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance 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

$1,172.79

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.

$1,413.00

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.

$55.05 with Amerigroup vs $246.72 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 $55.05 ↓ -95%
IAMolina Medicaid|All Plans $56.13 ↓ -95%
United Medicare|All Plans $102.80 ↓ -91%
Humana Medicare|All Plans $102.80 ↓ -91%
PACE Medicare|All Plans $102.80 ↓ -91%
BCBS - NE Medicare|All Plans $102.80 ↓ -91%
Medica Medicare|All Plans $102.80 ↓ -91%
Centene Medicare|All Plans $104.86 ↓ -91%
Centene Medicaid|NE Total Care $105.37 ↓ -91%
United Medicaid|Community Plan $105.37 ↓ -91%
Great Plains Medicare|All Plans $107.94 ↓ -91%
Amerigroup Medicare|All Plans $107.94 ↓ -91%
AMPS Commercial|All Plans $228.22 ↓ -81%
BCBS - NE Commercial|BluePrint $231.95 ↓ -80%
Medica Commercial|All Other Plans $233.87 ↓ -80%
Medica Commercial|CHI Health $233.87 ↓ -80%
MultiPlan PHCS Commercial|All Plans $244.15 ↓ -79%
BCBS - NE Commercial|All Other Plans $244.15 ↓ -79%
One World Commercial|Narrow Network $246.72 ↓ -79%
Midlands Choice Commercial|Standard $246.72 ↓ -79%
Timpte Commercial|Broad Network $246.72 ↓ -79%
United Commercial|All Plans $246.72 ↓ -79%
Midlands Choice Commercial|Premier $246.72 ↓ -79%
Medica Commercial|ACO $246.72 ↓ -79%
Medica Commercial|Open Access $246.72 ↓ -79%
Greater Omaha Packing Commercial|Broad Network $246.72 ↓ -79%
Greater Omaha Packing Commercial|Narrow Network $246.72 ↓ -79%
Millard Public Schools Commercial|Broad Network $246.72 ↓ -79%
Millard Public Schools Commercial|Narrow Network $246.72 ↓ -79%
One World Commercial|Broad Network $246.72 ↓ -79%

Visitor-reported prices

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Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance at other Nebraska hospitals

Hospital City Cash price Negotiated range
Ogallala Community Hospital Ogallala $1,429.48 $104.28 – $788.04
CHI Health Midlands Papillion $429.66 $96.71 – $869.55
CHI Health Schuyler Schuyler $761.60 $55.05 – $290.98
CHI Health Immanuel Omaha $429.66 $96.71 – $869.55
Lasting Hope Recovery Center Omaha $429.66 $173.91 – $869.55
CHI Health Good Samaritan Kearney $1,808.04 $96.71 – $2,756.52
CHI Health St. Francis Grand Island $1,748.76 $96.71 – $2,786.16
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $429.66 $96.71 – $869.55

All Nebraska hospitals for this procedure →