Vaccine pneumonococcal conjugate 20 valent (pcv20) 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

$490.98

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.

Full explanation →

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

$1,169.00

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.

$204.03 with United vs $963.47 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 $204.03 ↓ -58%
Centene Medicaid|NE Total Care $204.03 ↓ -58%
ELAP Commercial|All Plans $317.38 ↓ -35%
Medica Commercial|CHI Health $566.75 ↑ +15%
Medica Commercial|All Other Plans $566.75 ↑ +15%
Medica Commercial|Open Access $589.42 ↑ +20%
QuikTrip Commercial|All Plans $680.10 ↑ +39%
PHCS Commercial|All Plans $804.78 ↑ +64%
United Commercial|All Plans $838.79 ↑ +71%
Midlands Choice Commercial|Standard $850.12 ↑ +73%
Midlands Choice Commercial|Premier $850.12 ↑ +73%
MultiPlan Commercial|All Plans $963.47 ↑ +96%

Visitor-reported prices

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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Schuyler Schuyler $993.65 $242.80 – $1,283.34
CHI Health Immanuel Omaha $490.98 $158.69 – $963.47
CHI Health Nebraska Heart Lincoln $215.10 $112.23 – $383.44
CHI Health St. Mary's Nebraska City $388.11 $100.16 – $448.90
Lasting Hope Recovery Center Omaha $490.98 $192.70 – $963.47
CHI Health Good Samaritan Kearney $285.24 $98.20 – $434.87
CHI Health St. Francis Grand Island $275.89 $107.55 – $439.55
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $490.98 $192.70 – $963.47

All Nebraska hospitals for this procedure →