Control oropharyngeal hemorr/simp 42960 at CHI Health Midlands
11111 S 84th Street, Papillion, NE · Chihealth · · NPI 1215006101
$434.70
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.
?
What you pay up front if you don't use insurance.
$1,035.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$186.30 with United vs $3,259.25 with Timpte — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $186.30 | ↓ -57% |
| Centene | Medicaid|NE Total Care | $186.30 | ↓ -57% |
| ELAP | Commercial|All Plans | $289.80 | ↓ -33% |
| Medica | Commercial|ACO | $305.49 | ↓ -30% |
| Amerigroup | Medicaid|All Plans | $414.76 | ↓ -5% |
| Centene | Medicaid|IA Total Care | $414.76 | ↓ -5% |
| IAMolina | Medicaid|All Plans | $422.90 | ↓ -3% |
| United | Commercial|All Plans | $486.45 | ↑ +12% |
| Humana | Medicare|All Plans | $496.29 | ↑ +14% |
| Medica | Medicare|All Plans | $496.29 | ↑ +14% |
| United | Medicare|All Plans | $496.29 | ↑ +14% |
| PACE | Medicare|All Plans | $496.29 | ↑ +14% |
| BCBS - NE | Medicare|All Plans | $496.29 | ↑ +14% |
| Todays Options | Medicare|All Plans | $506.22 | ↑ +16% |
| Centene | Medicare|All Plans | $511.18 | ↑ +18% |
| Great Plains | Medicare|All Plans | $521.10 | ↑ +20% |
| Amerigroup | Medicare|All Plans | $521.10 | ↑ +20% |
| Medica | Commercial|Open Access | $538.20 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $538.20 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $621.00 | ↑ +43% |
| Creighton University Employees | Commercial|All Plans | $701.00 | ↑ +61% |
| PHCS | Commercial|All Plans | $734.85 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $776.25 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $879.75 | ↑ +102% |
| Medica | Commercial|CHI Health | $953.00 | ↑ +119% |
| AMPS | Commercial|All Plans | $1,101.76 | ↑ +153% |
| Medica | Commercial|All Other Plans | $1,302.00 | ↑ +200% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,834.13 | ↑ +552% |
| Millard Public Schools | Commercial|Narrow Network | $2,834.13 | ↑ +552% |
| One World | Commercial|Narrow Network | $2,834.13 | ↑ +552% |
| One World | Commercial|Broad Network | $3,259.25 | ↑ +650% |
| Greater Omaha Packing | Commercial|Broad Network | $3,259.25 | ↑ +650% |
| Millard Public Schools | Commercial|Broad Network | $3,259.25 | ↑ +650% |
| Timpte | Commercial|Broad Network | $3,259.25 | ↑ +650% |
Visitor-reported prices
Comments
Control oropharyngeal hemorr/simp 42960 at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ogallala Community Hospital | Ogallala | $185.71 | $150.48 – $331.74 |
| CHI Health Schuyler | Schuyler | $885.70 | $96.39 – $441.00 |
| CHI Health Immanuel | Omaha | $434.70 | $144.90 – $879.75 |
| CHI Health St. Mary's | Nebraska City | $961.97 | $96.39 – $432.00 |
| Lasting Hope Recovery Center | Omaha | $434.70 | $175.95 – $879.75 |
| CHI Health Good Samaritan | Kearney | $188.49 | $64.89 – $287.37 |
| CHI Health St. Francis | Grand Island | $182.31 | $71.07 – $290.46 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $434.70 | $175.95 – $879.75 |