Levetiracetam therapeutic drug level 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

$176.40

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.

$210.00

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.

$13.25 with Humana vs $205.80 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 →

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 $13.25 ↓ -92%
Medica Medicare|All Plans $13.25 ↓ -92%
United Medicare|All Plans $13.25 ↓ -92%
PACE Medicare|All Plans $13.25 ↓ -92%
BCBS - NE Medicare|All Plans $13.25 ↓ -92%
Centene Medicare|All Plans $13.52 ↓ -92%
Todays Options Medicare|All Plans $13.52 ↓ -92%
Amerigroup Medicare|All Plans $13.91 ↓ -92%
Great Plains Medicare|All Plans $13.92 ↓ -92%
AMPS Commercial|All Plans $29.41 ↓ -83%
BCBS - NE Commercial|BluePrint $48.76 ↓ -72%
BCBS - NE Commercial|All Other Plans $51.33 ↓ -71%
Centene Medicaid|NE Total Care $136.50 ↓ -23%
United Medicaid|Community Plan $136.50 ↓ -23%
IAMolina Medicaid|All Plans $141.96 ↓ -20%
Medica Commercial|All Other Plans $191.10 ↑ +8%
Medica Commercial|CHI Health $191.10 ↑ +8%
United Commercial|All Plans $199.50 ↑ +13%
One World Commercial|Broad Network $201.60 ↑ +14%
Medica Commercial|ACO $201.60 ↑ +14%
Midlands Choice Commercial|Premier $201.60 ↑ +14%
Midlands Choice Commercial|Standard $201.60 ↑ +14%
One World Commercial|Narrow Network $201.60 ↑ +14%
Timpte Commercial|Broad Network $201.60 ↑ +14%
Greater Omaha Packing Commercial|Broad Network $201.60 ↑ +14%
Greater Omaha Packing Commercial|Narrow Network $201.60 ↑ +14%
Millard Public Schools Commercial|Broad Network $201.60 ↑ +14%
Millard Public Schools Commercial|Narrow Network $201.60 ↑ +14%
QuikTrip Commercial|All Plans $201.60 ↑ +14%
Medica Commercial|Open Access $201.60 ↑ +14%
MultiPlan Commercial|All Plans $205.80 ↑ +17%
PHCS Commercial|All Plans $205.80 ↑ +17%

Visitor-reported prices

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Levetiracetam therapeutic drug level at other Nebraska hospitals

Hospital City Cash price Negotiated range
Ogallala Community Hospital Ogallala $38.62 $27.72 – $61.11
CHI Health Midlands Papillion $91.14 $12.84 – $184.45
CHI Health Schuyler Schuyler $178.50 $13.25 – $205.80
CHI Health Immanuel Omaha $91.14 $12.84 – $184.45
CHI Health Nebraska Heart Lincoln $72.68 $12.84 – $129.56
CHI Health St. Mary's Nebraska City $170.15 $13.25 – $196.80
Lasting Hope Recovery Center Omaha $91.14 $12.84 – $184.45
CHI Health Good Samaritan Kearney $23.18 $7.98 – $38.00

All Nebraska hospitals for this procedure →