Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-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

$2,940.00

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.

$7,000.00

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.

$25.46 with United vs $295.24 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 $25.46 ↓ -99%
Centene Medicaid|NE Total Care $27.27 ↓ -99%
One World Commercial|Narrow Network $52.73 ↓ -98%
Millard Public Schools Commercial|Narrow Network $52.73 ↓ -98%
Greater Omaha Packing Commercial|Narrow Network $52.73 ↓ -98%
Timpte Commercial|Broad Network $60.00 ↓ -98%
Greater Omaha Packing Commercial|Broad Network $60.00 ↓ -98%
Millard Public Schools Commercial|Broad Network $60.00 ↓ -98%
One World Commercial|Broad Network $60.00 ↓ -98%
ELAP Commercial|All Plans $69.09 ↓ -98%
QuikTrip Commercial|All Plans $109.08 ↓ -96%
BCBS - NE Commercial|BluePrint $120.28 ↓ -96%
PHCS Commercial|All Plans $129.08 ↓ -96%
Midlands Choice Commercial|Standard $136.35 ↓ -95%
Medica Commercial|Open Access $136.35 ↓ -95%
Midlands Choice Commercial|Premier $136.35 ↓ -95%
MultiPlan Commercial|All Plans $154.53 ↓ -95%
BCBS - NE Commercial|All Other Plans $160.37 ↓ -95%
Medica Commercial|ACO $181.80 ↓ -94%
United Commercial|All Plans $228.94 ↓ -92%
Medica Commercial|CHI Health $281.94 ↓ -90%
Medica Commercial|All Other Plans $295.24 ↓ -90%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Nebraska hospitals

Hospital City Cash price Negotiated range
Lasting Hope Recovery Center Omaha $2,940.00 $30.91 – $154.53
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $2,940.00 $30.91 – $154.53
CHI Health Lakeside Omaha $2,940.00 $29.09 – $154.53
CHI Health Midlands Papillion $2,940.00 $32.73 – $154.53
CHI Health Schuyler Schuyler $5,950.00 $342.83 – $1,812.09
CHI Health Nebraska Heart Lincoln $3,220.00 $144.33 – $1,713.80
CHI Health St. Mary's Nebraska City $5,810.00 $447.68 – $2,006.40
CHI Health Good Samaritan Kearney $4,270.00 $110.25 – $488.25

All Nebraska hospitals for this procedure →