Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at CHI Health Midlands

11111 S 84th Street, Papillion, NE · Chihealth · · NPI 1215006101

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

$237.26

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.

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What you pay up front if you don't use insurance.

$564.89

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.

$96.42 with United vs $455.29 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 →

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 $96.42 ↓ -59%
Centene Medicaid|NE Total Care $96.42 ↓ -59%
BCBS - NE Commercial|BluePrint $113.33 ↓ -52%
Amerigroup Medicaid|All Plans $120.95 ↓ -49%
Centene Medicaid|IA Total Care $120.95 ↓ -49%
IAMolina Medicaid|All Plans $123.32 ↓ -48%
ELAP Commercial|All Plans $149.98 ↓ -37%
BCBS - NE Commercial|All Other Plans $151.10 ↓ -36%
Humana Medicare|All Plans $176.76 ↓ -25%
Medica Medicare|All Plans $176.76 ↓ -25%
United Medicare|All Plans $176.76 ↓ -25%
PACE Medicare|All Plans $176.76 ↓ -25%
BCBS - NE Medicare|All Plans $176.76 ↓ -25%
Todays Options Medicare|All Plans $180.30 ↓ -24%
Centene Medicare|All Plans $182.07 ↓ -23%
Great Plains Medicare|All Plans $185.60 ↓ -22%
Amerigroup Medicare|All Plans $185.60 ↓ -22%
United Commercial|All Plans $220.23 ↓ -7%
Medica Commercial|CHI Health $274.41 ↑ +16%
Medica Commercial|Open Access $278.53 ↑ +17%
Medica Commercial|ACO $280.29 ↑ +18%
Medica Commercial|All Other Plans $287.36 ↑ +21%
QuikTrip Commercial|All Plans $321.38 ↑ +35%
PHCS Commercial|All Plans $380.30 ↑ +60%
AMPS Commercial|All Plans $392.41 ↑ +65%
Midlands Choice Commercial|Premier $401.73 ↑ +69%
Midlands Choice Commercial|Standard $401.73 ↑ +69%
MultiPlan Commercial|All Plans $455.29 ↑ +92%

Visitor-reported prices

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Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Schuyler Schuyler $480.16 $114.74 – $606.45
CHI Health Immanuel Omaha $237.26 $74.99 – $455.29
CHI Health Nebraska Heart Lincoln $103.94 $54.24 – $185.29
CHI Health St. Mary's Nebraska City $187.55 $48.41 – $216.93
Lasting Hope Recovery Center Omaha $237.26 $91.06 – $455.29
CHI Health Good Samaritan Kearney $137.84 $45.20 – $210.15
CHI Health St. Francis Grand Island $133.32 $51.98 – $212.41
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $237.26 $91.06 – $455.29

All Nebraska hospitals for this procedure →