Bilateral n block inj trigeminal 64400 at Ogallala Community Hospital

2601 N Spruce Street, Ogallala, NE · Banner Health · · NPI 1710915467

Source: hospital's published price file ↗ · Published Feb 12, 2026 · Ingested Aug 12, 2026

$448.37

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.

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What you pay up front if you don't use insurance.

$788.00

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.

$100.76 with Banner Health vs $257.25 with United Healthcare — 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
Banner Health Banner Choice Plus/Banner Select $100.76 ↓ -78%
TriWest Healthcare Alliance Corp - VA CCN Tricare $100.76 ↓ -78%
Blue Cross Blue Shield of Wyoming Medicare Advantage $100.76 ↓ -78%
Medica Medicare Advantage $100.76 ↓ -78%
United Healthcare UHC Medicare Advantage $105.34 ↓ -77%
Nebraska Total Care Medicaid $112.21 ↓ -75%
Molina Healthcare Medicaid/CHIP $112.21 ↓ -75%
Keith County Sheriff’s Office Imate/Detainee Plan $171.75 ↓ -62%
Apostrophe, Inc. Commercial $206.10 ↓ -54%
United Healthcare Commercial/Individual Exchange $217.55 ↓ -51%
Medica Commercial $218.24 ↓ -51%
Coventry Workers Comp $219.84 ↓ -51%
First Health Medical Rental $219.84 ↓ -51%
Blue Cross Blue Shield of Wyoming Network Blue $219.84 ↓ -51%
Midlands Choice Commercial $219.84 ↓ -51%
Coventry Commercial $219.84 ↓ -51%
Multiplan Commercial $222.13 ↓ -50%
United Healthcare VA Community Care $241.50 ↓ -46%
United Healthcare Nebraska Medicaid/CHIP $257.25 ↓ -43%

Visitor-reported prices

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Bilateral n block inj trigeminal 64400 at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $276.36 $93.16 – $559.30
CHI Health Schuyler Schuyler $402.05 $67.05 – $306.74
CHI Health Immanuel Omaha $276.36 $92.12 – $559.30
CHI Health St. Mary's Nebraska City $436.58 $67.05 – $300.48
Lasting Hope Recovery Center Omaha $276.36 $111.86 – $559.30
CHI Health Good Samaritan Kearney $508.74 $93.16 – $775.62
CHI Health St. Francis Grand Island $453.12 $93.16 – $721.92
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $276.36 $93.16 – $559.30

All Nebraska hospitals for this procedure →