Drainage mouth roof lesion at CHI Health Plainview
704 N 3rd St, Plainview, NE · Chihealth · · NPI 1861765034
$381.36
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.
$454.00
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.
$113.50 with Humana vs $437.08 with PHCS — 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 |
|---|---|---|---|
| Humana | Medicare|All Plans | $113.50 | ↓ -70% |
| Medica | Medicare|All Plans | $113.50 | ↓ -70% |
| United | Medicare|All Plans | $113.50 | ↓ -70% |
| PACE | Medicare|All Plans | $113.50 | ↓ -70% |
| BCBS - NE | Medicare|All Plans | $113.50 | ↓ -70% |
| Centene | Medicare|All Plans | $115.77 | ↓ -70% |
| Todays Options | Medicare|All Plans | $115.77 | ↓ -70% |
| Amerigroup | Medicare|All Plans | $119.18 | ↓ -69% |
| Great Plains | Medicare|All Plans | $119.18 | ↓ -69% |
| AMPS | Commercial|All Plans | $251.97 | ↓ -34% |
| Centene | Medicaid|NE Total Care | $289.90 | ↓ -24% |
| United | Medicaid|Community Plan | $289.90 | ↓ -24% |
| IAMolina | Medicaid|All Plans | $301.50 | ↓ -21% |
| BCBS - NE | Commercial|BluePrint | $402.52 | ↑ +6% |
| Medica | Commercial|All Other Plans | $405.86 | ↑ +6% |
| Medica | Commercial|CHI Health | $405.86 | ↑ +6% |
| BCBS - NE | Commercial|All Other Plans | $423.70 | ↑ +11% |
| United | Commercial|All Plans | $423.70 | ↑ +11% |
| One World | Commercial|Broad Network | $428.16 | ↑ +12% |
| Medica | Commercial|ACO | $428.16 | ↑ +12% |
| Midlands Choice | Commercial|Premier | $428.16 | ↑ +12% |
| Midlands Choice | Commercial|Standard | $428.16 | ↑ +12% |
| One World | Commercial|Narrow Network | $428.16 | ↑ +12% |
| Timpte | Commercial|Broad Network | $428.16 | ↑ +12% |
| Greater Omaha Packing | Commercial|Broad Network | $428.16 | ↑ +12% |
| Greater Omaha Packing | Commercial|Narrow Network | $428.16 | ↑ +12% |
| Millard Public Schools | Commercial|Broad Network | $428.16 | ↑ +12% |
| Millard Public Schools | Commercial|Narrow Network | $428.16 | ↑ +12% |
| QuikTrip | Commercial|All Plans | $428.16 | ↑ +12% |
| Medica | Commercial|Open Access | $428.16 | ↑ +12% |
| MultiPlan | Commercial|All Plans | $437.08 | ↑ +15% |
| PHCS | Commercial|All Plans | $437.08 | ↑ +15% |
Visitor-reported prices
Comments
Drainage mouth roof lesion at other Nebraska hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ogallala Community Hospital | Ogallala | $117.29 | $95.04 – $209.52 |
| CHI Health Midlands | Papillion | $283.08 | $121.32 – $572.90 |
| CHI Health Schuyler | Schuyler | $385.90 | $95.54 – $437.08 |
| CHI Health Immanuel | Omaha | $283.08 | $94.36 – $572.90 |
| CHI Health St. Mary's | Nebraska City | $411.68 | $97.25 – $435.84 |
| Lasting Hope Recovery Center | Omaha | $283.08 | $114.58 – $572.90 |
| CHI Health Good Samaritan | Kearney | $358.07 | $123.27 – $545.91 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $283.08 | $114.58 – $572.90 |