Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at CHI Health Immanuel

6901 N 72nd St, Omaha, NE · Chihealth · · NPI 1912085184

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

$6,394.90

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.

$15,225.93

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.

$9.27 with United vs $102.05 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
United Medicaid|Community Plan $9.27 ↓ -100%
Centene Medicaid|NE Total Care $9.93 ↓ -100%
One World Commercial|Narrow Network $19.20 ↓ -100%
Millard Public Schools Commercial|Narrow Network $19.20 ↓ -100%
Greater Omaha Packing Commercial|Narrow Network $19.20 ↓ -100%
Timpte Commercial|Broad Network $21.85 ↓ -100%
Greater Omaha Packing Commercial|Broad Network $21.85 ↓ -100%
Millard Public Schools Commercial|Broad Network $21.85 ↓ -100%
One World Commercial|Broad Network $21.85 ↓ -100%
ELAP Commercial|All Plans $25.16 ↓ -100%
QuikTrip Commercial|All Plans $39.72 ↓ -99%
BCBS - NE Commercial|BluePrint $42.05 ↓ -99%
PHCS Commercial|All Plans $47.01 ↓ -99%
Medica Commercial|Open Access $49.65 ↓ -99%
Midlands Choice Commercial|Standard $49.65 ↓ -99%
Midlands Choice Commercial|Premier $49.65 ↓ -99%
BCBS - NE Commercial|All Other Plans $56.07 ↓ -99%
MultiPlan Commercial|All Plans $56.27 ↓ -99%
Medica Commercial|ACO $66.20 ↓ -99%
United Commercial|All Plans $86.46 ↓ -99%
Medica Commercial|CHI Health $97.45 ↓ -98%
Medica Commercial|All Other Plans $102.05 ↓ -98%

Visitor-reported prices

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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Nebraska hospitals

Hospital City Cash price Negotiated range
Lasting Hope Recovery Center Omaha $6,394.90 $11.26 – $56.27
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $6,394.90 $11.26 – $56.27
CHI Health Lakeside Omaha $6,394.90 $10.60 – $56.27
CHI Health Midlands Papillion $6,394.90 $11.92 – $56.27
CHI Health Schuyler Schuyler $12,942.05 $891.10 – $4,710.06
CHI Health Nebraska Heart Lincoln $7,003.93 $50.46 – $10,226.32
CHI Health St. Mary's Nebraska City $12,637.53 $2,671.32 – $11,972.27
CHI Health Good Samaritan Kearney $9,287.82 $42.05 – $11,598.14

All Nebraska hospitals for this procedure →