Vaccine pneumococcal conjugate 13 valent (pcv13) im at CHI Health Creighton University Medical Center - Bergan Mercy
7500 Mercy Road, Omaha, NE · Chihealth · · NPI 1508941097
$406.29
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.
$967.35
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.
$159.48 with Centene vs $797.36 with MultiPlan — 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 |
|---|---|---|---|
| Centene | Medicaid|NE Total Care | $159.48 | ↓ -61% |
| United | Medicaid|Community Plan | $159.48 | ↓ -61% |
| BCBS - NE | Medicare|All Plans | $187.62 | ↓ -54% |
| United | Medicare|All Plans | $187.62 | ↓ -54% |
| Medica | Medicare|All Plans | $187.62 | ↓ -54% |
| PACE | Medicare|All Plans | $187.62 | ↓ -54% |
| Humana | Medicare|All Plans | $187.62 | ↓ -54% |
| Todays Options | Medicare|All Plans | $191.37 | ↓ -53% |
| Centene | Medicare|All Plans | $193.25 | ↓ -52% |
| Amerigroup | Medicare|All Plans | $197.00 | ↓ -52% |
| Great Plains | Medicare|All Plans | $197.00 | ↓ -52% |
| BCBS - NE | Commercial|BluePrint | $219.05 | ↓ -46% |
| Amerigroup | Medicaid|All Plans | $233.79 | ↓ -42% |
| Centene | Medicaid|IA Total Care | $233.79 | ↓ -42% |
| IAMolina | Medicaid|All Plans | $238.38 | ↓ -41% |
| BCBS - NE | Commercial|All Other Plans | $292.07 | ↓ -28% |
| ELAP | Commercial|All Plans | $309.57 | ↓ -24% |
| AMPS | Commercial|All Plans | $401.50 | ↓ -1% |
| United | Commercial|All Plans | $425.68 | ↑ +5% |
| Medica | Commercial|Open Access | $487.80 | ↑ +20% |
| Medica | Commercial|CHI Health | $530.43 | ↑ +31% |
| Medica | Commercial|ACO | $541.78 | ↑ +33% |
| Medica | Commercial|All Other Plans | $555.45 | ↑ +37% |
| QuikTrip | Commercial|All Plans | $562.85 | ↑ +39% |
| PHCS | Commercial|All Plans | $666.03 | ↑ +64% |
| Midlands Choice | Commercial|Standard | $703.56 | ↑ +73% |
| Midlands Choice | Commercial|Premier | $703.56 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $797.36 | ↑ +96% |
Visitor-reported prices
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Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Immanuel | Omaha | $406.29 | $131.33 – $797.36 |
| Lasting Hope Recovery Center | Omaha | $406.29 | $159.48 – $797.36 |
| CHI Health Lakeside | Omaha | $406.29 | $150.10 – $797.36 |
| CHI Health Midlands | Papillion | $406.29 | $168.86 – $797.36 |
| CHI Health Schuyler | Schuyler | $822.25 | $200.94 – $1,062.09 |
| CHI Health Nebraska Heart | Lincoln | $178.00 | $92.87 – $317.30 |
| CHI Health St. Mary's | Nebraska City | $321.17 | $82.89 – $371.47 |
| CHI Health Good Samaritan | Kearney | $236.04 | $77.39 – $359.86 |