Established Patient Office Visit (level 3) at CHI Health Midlands
11111 S 84th Street, Papillion, NE · Chihealth · · NPI 1215006101
$87.36
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.
$208.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$26.28 with Centene vs $173.88 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 →
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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 | $26.28 | ↓ -70% |
| United | Medicaid|Community Plan | $26.28 | ↓ -70% |
| ELAP | Commercial|All Plans | $40.88 | ↓ -53% |
| Medica | Commercial|Open Access | $75.92 | ↓ -13% |
| QuikTrip | Commercial|All Plans | $87.60 | ↑ +0% |
| PHCS | Commercial|All Plans | $103.66 | ↑ +19% |
| United | Commercial|All Plans | $108.04 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $109.50 | ↑ +25% |
| Midlands Choice | Commercial|Standard | $109.50 | ↑ +25% |
| Medica | Commercial|All Other Plans | $113.42 | ↑ +30% |
| MultiPlan | Commercial|All Plans | $124.10 | ↑ +42% |
| Medica | Commercial|ACO | $126.80 | ↑ +45% |
| Medica | Commercial|CHI Health | $173.88 | ↑ +99% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ogallala Community Hospital | Ogallala | $314.70 | $94.60 – $208.55 |
| CHI Health Schuyler | Schuyler | $366.35 | $18.43 – $97.37 |
| CHI Health Immanuel | Omaha | $87.36 | $20.44 – $124.10 |
| CHI Health Nebraska Heart | Lincoln | $116.38 | $60.72 – $207.46 |
| CHI Health St. Mary's | Nebraska City | $325.36 | $17.36 – $77.76 |
| Lasting Hope Recovery Center | Omaha | $87.36 | $24.82 – $124.10 |
| CHI Health Good Samaritan | Kearney | $220.82 | $76.02 – $336.66 |
| CHI Health St. Francis | Grand Island | $243.08 | $94.76 – $387.28 |