CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: CHI Health Nebraska Heart

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,975

about 1.6× the $5,676 Medicare rate · typically $6,824–$10,914

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,860

Below the fair price — a good deal

about $2,115 under the fair price · 1.2× Medicare

Medicare pays $5,676 Fair price $8,975 This hospital $6,860

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NE hospitals compared.

Cheapest $4,043 Priciest $7,528

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,975 (about 1.6× the $5,676 Medicare rate). CHI Health Nebraska Heart charges insurers about $6,860 — below the fair price — a good deal. Located in Lincoln, NE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$5,246	92%
Blue Cross Blue Shieldmajor	$5,246	92%
Humanamajor	$5,246	92%
Ambetter (Centene)	$4,004 - $5,404	71%
Amerigroup	$4,004 - $5,509	71%
Medica	$5,246 - $15,792	92%
Molina	$4,082	72%
+ 7 smaller / regional plans	$5,246 - $11,542

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm CHI Health Nebraska Heart is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI Health Nebraska Heart

Compare: Digestive disorders treatment (inpatient stay) at other NE hospitals

CHI Health Schuyler · Schuyler $4,043
CHI Health St. Marys · Nebraska City $4,043
Phelps Memorial Health Center · Holdrege $4,857
Children's Nebraska · Omaha $5,421
Mary Lanning Healthcare · Hastings $5,907
Midwest Surgical Hospital LLC · Omaha $6,898
Methodist Fremont Health · Fremont $7,468
Faith Regional Health Services · Norfolk $7,528

Insurance negotiated median for the same procedure, sorted lowest first.