Closed tx/talus fracture without manip 28430 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

$354.58

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.

$653.00

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.

$191.84 with Medica vs $422.92 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
Medica Medicare Advantage $191.84 ↓ -46%
TriWest Healthcare Alliance Corp - VA CCN Tricare $191.84 ↓ -46%
Banner Health Banner Choice Plus/Banner Select $191.84 ↓ -46%
Blue Cross Blue Shield of Wyoming Medicare Advantage $191.84 ↓ -46%
United Healthcare UHC Medicare Advantage $200.56 ↓ -43%
Molina Healthcare Medicaid/CHIP $213.64 ↓ -40%
Nebraska Total Care Medicaid $213.64 ↓ -40%
Keith County Sheriff’s Office Imate/Detainee Plan $327.00 ↓ -8%
Apostrophe, Inc. Commercial $392.40 ↑ +11%
United Healthcare Commercial/Individual Exchange $414.20 ↑ +17%
Medica Commercial $415.51 ↑ +17%
Coventry Commercial $418.56 ↑ +18%
Midlands Choice Commercial $418.56 ↑ +18%
First Health Medical Rental $418.56 ↑ +18%
Blue Cross Blue Shield of Wyoming Network Blue $418.56 ↑ +18%
Coventry Workers Comp $418.56 ↑ +18%
Multiplan Commercial $422.92 ↑ +19%

Visitor-reported prices

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Closed tx/talus fracture without manip 28430 at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $369.18 $158.22 – $747.15
CHI Health Schuyler Schuyler $573.75 $87.40 – $399.84
CHI Health Immanuel Omaha $369.18 $123.06 – $747.15
CHI Health St. Mary's Nebraska City $560.25 $97.25 – $435.84
Lasting Hope Recovery Center Omaha $369.18 $149.43 – $747.15
CHI Health St. Francis Grand Island $187.03 $72.91 – $297.98
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $369.18 $149.43 – $747.15
CHI Health Plainview Plainview $567.00 $168.75 – $399.84

All Nebraska hospitals for this procedure →