Vaccine influenza quadrivalent live (laiv4) intranasal at CHI Health Midlands
11111 S 84th Street, Papillion, NE · Chihealth · · NPI 1215006101
$17.64
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.
$42.00
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.
$7.56 with Centene vs $57.87 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 | $7.56 | ↓ -57% |
| United | Medicaid|Community Plan | $7.56 | ↓ -57% |
| ELAP | Commercial|All Plans | $11.76 | ↓ -33% |
| United | Medicare|All Plans | $13.86 | ↓ -21% |
| PACE | Medicare|All Plans | $13.86 | ↓ -21% |
| Medica | Medicare|All Plans | $13.86 | ↓ -21% |
| Humana | Medicare|All Plans | $13.86 | ↓ -21% |
| BCBS - NE | Medicare|All Plans | $13.86 | ↓ -21% |
| Todays Options | Medicare|All Plans | $14.14 | ↓ -20% |
| Centene | Medicare|All Plans | $14.28 | ↓ -19% |
| Great Plains | Medicare|All Plans | $14.56 | ↓ -17% |
| Amerigroup | Medicare|All Plans | $14.56 | ↓ -17% |
| Medica | Commercial|Open Access | $21.84 | ↑ +24% |
| BCBS - NE | Commercial|BluePrint | $23.59 | ↑ +34% |
| Centene | Medicaid|IA Total Care | $25.18 | ↑ +43% |
| Amerigroup | Medicaid|All Plans | $25.18 | ↑ +43% |
| QuikTrip | Commercial|All Plans | $25.20 | ↑ +43% |
| IAMolina | Medicaid|All Plans | $25.68 | ↑ +46% |
| PHCS | Commercial|All Plans | $29.82 | ↑ +69% |
| AMPS | Commercial|All Plans | $30.77 | ↑ +74% |
| BCBS - NE | Commercial|All Other Plans | $31.46 | ↑ +78% |
| Midlands Choice | Commercial|Premier | $31.50 | ↑ +79% |
| Midlands Choice | Commercial|Standard | $31.50 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $35.70 | ↑ +102% |
| Medica | Commercial|ACO | $42.00 | ↑ +138% |
| United | Commercial|All Plans | $50.14 | ↑ +184% |
| Medica | Commercial|CHI Health | $55.27 | ↑ +213% |
| Medica | Commercial|All Other Plans | $57.87 | ↑ +228% |
Visitor-reported prices
Comments
Vaccine influenza quadrivalent live (laiv4) intranasal at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Schuyler | Schuyler | $35.70 | $9.00 – $47.56 |
| CHI Health Immanuel | Omaha | $17.64 | $5.88 – $35.70 |
| CHI Health Nebraska Heart | Lincoln | $11.27 | $5.88 – $25.48 |
| CHI Health St. Mary's | Nebraska City | $20.34 | $5.25 – $23.52 |
| Lasting Hope Recovery Center | Omaha | $17.64 | $7.14 – $35.70 |
| CHI Health Good Samaritan | Kearney | $14.95 | $4.90 – $25.48 |
| CHI Health St. Francis | Grand Island | $14.46 | $5.64 – $25.48 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $17.64 | $7.14 – $35.70 |