Cta upper extremity w &/or without contrast left 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

$2,275.11

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.

$3,566.00

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.

$1,569.04 with Blue Cross Blue Shield of Wyoming vs $3,459.02 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 $1,569.04 ↓ -31%
Medica Medicare Advantage $1,569.04 ↓ -31%
TriWest Healthcare Alliance Corp - VA CCN Tricare $1,569.04 ↓ -31%
Banner Health Banner Choice Plus/Banner Select $1,569.04 ↓ -31%
United Healthcare VA Community Care $1,640.36 ↓ -28%
United Healthcare UHC Medicare Advantage $1,640.36 ↓ -28%
Nebraska Total Care Medicaid $1,747.34 ↓ -23%
United Healthcare Nebraska Medicaid/CHIP $1,747.34 ↓ -23%
Molina Healthcare Medicaid/CHIP $1,747.34 ↓ -23%
Keith County Sheriff’s Office Imate/Detainee Plan $2,674.50 ↑ +18%
Apostrophe, Inc. Commercial $3,209.40 ↑ +41%
United Healthcare Commercial/Individual Exchange $3,387.70 ↑ +49%
Medica Commercial $3,398.40 ↑ +49%
Coventry Commercial $3,423.36 ↑ +50%
Midlands Choice Commercial $3,423.36 ↑ +50%
First Health Medical Rental $3,423.36 ↑ +50%
Blue Cross Blue Shield of Wyoming Network Blue $3,423.36 ↑ +50%
Coventry Workers Comp $3,423.36 ↑ +50%
Multiplan Commercial $3,459.02 ↑ +52%

Visitor-reported prices

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Cta upper extremity w &/or without contrast left at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $1,288.56 $416.79 – $2,607.80
CHI Health Schuyler Schuyler $2,821.15 $710.93 – $3,757.78
CHI Health Immanuel Omaha $1,288.56 $416.79 – $2,607.80
CHI Health Nebraska Heart Lincoln $1,485.80 $416.79 – $2,648.60
Lasting Hope Recovery Center Omaha $1,288.56 $521.56 – $2,607.80
CHI Health Good Samaritan Kearney $2,072.17 $416.79 – $3,159.21
CHI Health St. Francis Grand Island $2,044.35 $416.79 – $3,257.10
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $1,288.56 $416.79 – $2,607.80

All Nebraska hospitals for this procedure →