Acyclovir 400 mg tablet at CHI Health Immanuel
6901 N 72nd St, Omaha, NE · Chihealth · · NPI 1912085184
$33.77
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.
$80.40
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.
$6.56 with United vs $39.78 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 |
|---|---|---|---|
| United | Medicaid|Community Plan | $6.56 | ↓ -81% |
| Centene | Medicaid|NE Total Care | $7.02 | ↓ -79% |
| ELAP | Commercial|All Plans | $17.79 | ↓ -47% |
| Medica | Commercial|CHI Health | $23.40 | ↓ -31% |
| Medica | Commercial|All Other Plans | $23.40 | ↓ -31% |
| Medica | Commercial|Open Access | $24.34 | ↓ -28% |
| QuikTrip | Commercial|All Plans | $28.08 | ↓ -17% |
| PHCS | Commercial|All Plans | $33.23 | ↓ -2% |
| United | Commercial|All Plans | $34.64 | ↑ +3% |
| Midlands Choice | Commercial|Standard | $35.10 | ↑ +4% |
| Midlands Choice | Commercial|Premier | $35.10 | ↑ +4% |
| MultiPlan | Commercial|All Plans | $39.78 | ↑ +18% |
Visitor-reported prices
Comments
Acyclovir 400 mg tablet at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lasting Hope Recovery Center | Omaha | $33.77 | $7.96 – $39.78 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $33.77 | $7.96 – $39.78 |
| CHI Health Lakeside | Omaha | $33.77 | $7.49 – $39.78 |
| CHI Health Midlands | Papillion | $33.77 | $8.43 – $39.78 |
| CHI Health Schuyler | Schuyler | $68.34 | $10.03 – $52.99 |
| CHI Health Plainview | Plainview | $67.54 | $28.55 – $63.38 |