Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm 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

$1,956.15

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.

$2,328.75

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.

$1,395.38 with Humana vs $3,097.74 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 $1,395.38 ↓ -29%
Medica Medicare|All Plans $1,395.38 ↓ -29%
United Medicare|All Plans $1,395.38 ↓ -29%
PACE Medicare|All Plans $1,395.38 ↓ -29%
BCBS - NE Medicare|All Plans $1,395.38 ↓ -29%
Centene Medicare|All Plans $1,423.29 ↓ -27%
Todays Options Medicare|All Plans $1,423.29 ↓ -27%
Great Plains Medicare|All Plans $1,465.15 ↓ -25%
Amerigroup Medicare|All Plans $1,465.15 ↓ -25%
United Medicaid|Community Plan $1,486.88 ↓ -24%
Centene Medicaid|NE Total Care $1,486.88 ↓ -24%
IAMolina Medicaid|All Plans $1,546.35 ↓ -21%
BCBS - NE Commercial|BluePrint $2,064.47 ↑ +6%
Medica Commercial|All Other Plans $2,081.63 ↑ +6%
Medica Commercial|CHI Health $2,081.63 ↑ +6%
United Commercial|All Plans $2,173.13 ↑ +11%
BCBS - NE Commercial|All Other Plans $2,173.13 ↑ +11%
One World Commercial|Broad Network $2,196.00 ↑ +12%
Medica Commercial|ACO $2,196.00 ↑ +12%
Midlands Choice Commercial|Premier $2,196.00 ↑ +12%
Midlands Choice Commercial|Standard $2,196.00 ↑ +12%
One World Commercial|Narrow Network $2,196.00 ↑ +12%
Timpte Commercial|Broad Network $2,196.00 ↑ +12%
Greater Omaha Packing Commercial|Broad Network $2,196.00 ↑ +12%
Greater Omaha Packing Commercial|Narrow Network $2,196.00 ↑ +12%
Millard Public Schools Commercial|Narrow Network $2,196.00 ↑ +12%
QuikTrip Commercial|All Plans $2,196.00 ↑ +12%
Medica Commercial|Open Access $2,196.00 ↑ +12%
Millard Public Schools Commercial|Broad Network $2,196.00 ↑ +12%
PHCS Commercial|All Plans $2,241.75 ↑ +15%
MultiPlan Commercial|All Plans $2,241.75 ↑ +15%
AMPS Commercial|All Plans $3,097.74 ↑ +58%

Visitor-reported prices

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Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $978.08 $21.37 – $1,944.38
CHI Health Schuyler Schuyler $1,979.44 $489.99 – $2,589.91
CHI Health Immanuel Omaha $978.08 $21.37 – $1,944.38
CHI Health Nebraska Heart Lincoln $1,071.23 $25.64 – $1,875.75
CHI Health St. Mary's Nebraska City $1,932.87 $489.99 – $2,196.00
Lasting Hope Recovery Center Omaha $978.08 $27.07 – $1,944.38
CHI Health Good Samaritan Kearney $1,420.54 $21.37 – $2,127.38
CHI Health St. Francis Grand Island $1,373.97 $25.64 – $2,150.25

All Nebraska hospitals for this procedure →