Upper Endoscopy (EGD, with biopsy) at CHI Health Midlands
11111 S 84th Street, Papillion, NE · Chihealth · · NPI 1215006101
$1,924.86
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.
$4,583.00
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.
$259.52 with Medica vs $3,895.55 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 |
|---|---|---|---|
| Medica | Commercial|ACO | $259.52 | ↓ -87% |
| Centene | Medicaid|IA Total Care | $763.60 | ↓ -60% |
| Amerigroup | Medicaid|All Plans | $763.60 | ↓ -60% |
| IAMolina | Medicaid|All Plans | $778.58 | ↓ -60% |
| United | Medicaid|Community Plan | $824.94 | ↓ -57% |
| Centene | Medicaid|NE Total Care | $824.94 | ↓ -57% |
| Humana | Medicare|All Plans | $913.71 | ↓ -53% |
| Medica | Medicare|All Plans | $913.71 | ↓ -53% |
| United | Medicare|All Plans | $913.71 | ↓ -53% |
| PACE | Medicare|All Plans | $913.71 | ↓ -53% |
| BCBS - NE | Medicare|All Plans | $913.71 | ↓ -53% |
| Todays Options | Medicare|All Plans | $931.98 | ↓ -52% |
| Centene | Medicare|All Plans | $941.12 | ↓ -51% |
| Great Plains | Medicare|All Plans | $959.40 | ↓ -50% |
| Amerigroup | Medicare|All Plans | $959.40 | ↓ -50% |
| ELAP | Commercial|All Plans | $1,283.24 | ↓ -33% |
| Medica | Commercial|CHI Health | $1,701.00 | ↓ -12% |
| Creighton University Employees | Commercial|All Plans | $1,879.03 | ↓ -2% |
| AMPS | Commercial|All Plans | $2,028.44 | ↑ +5% |
| United | Commercial|All Plans | $2,154.01 | ↑ +12% |
| Medica | Commercial|All Other Plans | $2,322.00 | ↑ +21% |
| Medica | Commercial|Open Access | $2,383.16 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $2,383.16 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $2,749.80 | ↑ +43% |
| One World | Commercial|Narrow Network | $3,034.03 | ↑ +58% |
| Millard Public Schools | Commercial|Narrow Network | $3,034.03 | ↑ +58% |
| Greater Omaha Packing | Commercial|Narrow Network | $3,034.03 | ↑ +58% |
| PHCS | Commercial|All Plans | $3,253.93 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $3,437.25 | ↑ +79% |
| Millard Public Schools | Commercial|Broad Network | $3,489.13 | ↑ +81% |
| One World | Commercial|Broad Network | $3,489.13 | ↑ +81% |
| Greater Omaha Packing | Commercial|Broad Network | $3,489.13 | ↑ +81% |
| Timpte | Commercial|Broad Network | $3,489.13 | ↑ +81% |
| MultiPlan | Commercial|All Plans | $3,895.55 | ↑ +102% |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, with biopsy) at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Schuyler | Schuyler | $2,108.00 | $235.62 – $1,078.00 |
| CHI Health Immanuel | Omaha | $1,924.86 | $259.52 – $3,895.55 |
| CHI Health St. Mary's | Nebraska City | $2,244.32 | $235.62 – $1,056.00 |
| Lasting Hope Recovery Center | Omaha | $1,924.86 | $779.11 – $3,895.55 |
| CHI Health St. Francis | Grand Island | $483.80 | $188.60 – $770.80 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $1,924.86 | $259.52 – $3,895.55 |
| CHI Health St. Elizabeth | Lincoln | $1,575.50 | $259.52 – $2,520.80 |
| CHI Health Plainview | Plainview | $2,083.20 | $275.00 – $1,078.00 |