Cath occl flo-rester 2.25x12mm cor internal vessel occluder 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

$18,935.21

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.

$28,474.00

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.

$6,746.96 with Blue Cross Blue Shield of Wyoming vs $14,873.98 with Multiplan — 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
Blue Cross Blue Shield of Wyoming Medicare Advantage $6,746.96 ↓ -64%
Medica Medicare Advantage $6,746.96 ↓ -64%
TriWest Healthcare Alliance Corp - VA CCN Tricare $6,746.96 ↓ -64%
Banner Health Banner Choice Plus/Banner Select $6,746.96 ↓ -64%
United Healthcare VA Community Care $7,053.64 ↓ -63%
United Healthcare UHC Medicare Advantage $7,053.64 ↓ -63%
Nebraska Total Care Medicaid $7,513.66 ↓ -60%
United Healthcare Nebraska Medicaid/CHIP $7,513.66 ↓ -60%
Molina Healthcare Medicaid/CHIP $7,513.66 ↓ -60%
Keith County Sheriff’s Office Imate/Detainee Plan $11,500.50 ↓ -39%
Apostrophe, Inc. Commercial $13,800.60 ↓ -27%
United Healthcare Commercial/Individual Exchange $14,567.30 ↓ -23%
Medica Commercial $14,613.30 ↓ -23%
Coventry Commercial $14,720.64 ↓ -22%
Midlands Choice Commercial $14,720.64 ↓ -22%
First Health Medical Rental $14,720.64 ↓ -22%
Blue Cross Blue Shield of Wyoming Network Blue $14,720.64 ↓ -22%
Coventry Workers Comp $14,720.64 ↓ -22%
Multiplan Commercial $14,873.98 ↓ -21%

Visitor-reported prices

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Cath occl flo-rester 2.25x12mm cor internal vessel occluder at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $14,968.80 $54.00 – $255.00
CHI Health Schuyler Schuyler $30,294.00 $64.26 – $339.66
CHI Health Immanuel Omaha $14,968.80 $42.00 – $255.00
CHI Health Nebraska Heart Lincoln $16,394.40 $208.80 – $713.40
CHI Health St. Mary's Nebraska City $29,581.20 $192.78 – $864.00
Lasting Hope Recovery Center Omaha $14,968.80 $51.00 – $255.00
CHI Health Good Samaritan Kearney $21,740.40 $189.00 – $837.00
CHI Health St. Francis Grand Island $21,027.60 $200.10 – $817.80

All Nebraska hospitals for this procedure →