Dextran 40 infusion at CHI Health Plainview

704 N 3rd St, Plainview, NE · Chihealth · · NPI 1861765034

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

$173.67

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.

$206.75

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.

$126.12 with Humana vs $279.99 with AMPS — 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
Humana Medicare|All Plans $126.12 ↓ -27%
Medica Medicare|All Plans $126.12 ↓ -27%
United Medicare|All Plans $126.12 ↓ -27%
PACE Medicare|All Plans $126.12 ↓ -27%
BCBS - NE Medicare|All Plans $126.12 ↓ -27%
Centene Medicare|All Plans $128.64 ↓ -26%
Todays Options Medicare|All Plans $128.64 ↓ -26%
Great Plains Medicare|All Plans $132.43 ↓ -24%
Amerigroup Medicare|All Plans $132.43 ↓ -24%
United Medicaid|Community Plan $134.39 ↓ -23%
Centene Medicaid|NE Total Care $134.39 ↓ -23%
IAMolina Medicaid|All Plans $139.77 ↓ -20%
BCBS - NE Commercial|BluePrint $186.60 ↑ +7%
Medica Commercial|All Other Plans $188.15 ↑ +8%
Medica Commercial|CHI Health $188.15 ↑ +8%
United Commercial|All Plans $196.42 ↑ +13%
BCBS - NE Commercial|All Other Plans $196.42 ↑ +13%
One World Commercial|Broad Network $198.48 ↑ +14%
Medica Commercial|ACO $198.48 ↑ +14%
Midlands Choice Commercial|Premier $198.48 ↑ +14%
Midlands Choice Commercial|Standard $198.48 ↑ +14%
One World Commercial|Narrow Network $198.48 ↑ +14%
Timpte Commercial|Broad Network $198.48 ↑ +14%
Greater Omaha Packing Commercial|Broad Network $198.48 ↑ +14%
Greater Omaha Packing Commercial|Narrow Network $198.48 ↑ +14%
Millard Public Schools Commercial|Narrow Network $198.48 ↑ +14%
QuikTrip Commercial|All Plans $198.48 ↑ +14%
Medica Commercial|Open Access $198.48 ↑ +14%
Millard Public Schools Commercial|Broad Network $198.48 ↑ +14%
PHCS Commercial|All Plans $202.62 ↑ +17%
MultiPlan Commercial|All Plans $202.62 ↑ +17%
AMPS Commercial|All Plans $279.99 ↑ +61%

Visitor-reported prices

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Dextran 40 infusion at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $86.84 $15.09 – $175.74
CHI Health Schuyler Schuyler $175.74 $44.29 – $234.09
CHI Health Immanuel Omaha $86.84 $15.09 – $175.74
Lasting Hope Recovery Center Omaha $86.84 $19.11 – $175.74
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $86.84 $15.09 – $175.74
CHI Health Lakeside Omaha $86.84 $15.09 – $175.74

All Nebraska hospitals for this procedure →