Dup scan/ue art/graft/bilat/comp 93930 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

$751.72

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.

$1,285.00

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.

$565.40 with Blue Cross Blue Shield of Wyoming vs $1,246.45 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 $565.40 ↓ -25%
Medica Medicare Advantage $565.40 ↓ -25%
TriWest Healthcare Alliance Corp - VA CCN Tricare $565.40 ↓ -25%
Banner Health Banner Choice Plus/Banner Select $565.40 ↓ -25%
United Healthcare VA Community Care $591.10 ↓ -21%
United Healthcare UHC Medicare Advantage $591.10 ↓ -21%
Nebraska Total Care Medicaid $629.65 ↓ -16%
United Healthcare Nebraska Medicaid/CHIP $629.65 ↓ -16%
Molina Healthcare Medicaid/CHIP $629.65 ↓ -16%
Keith County Sheriff’s Office Imate/Detainee Plan $963.75 ↑ +28%
Apostrophe, Inc. Commercial $1,156.50 ↑ +54%
United Healthcare Commercial/Individual Exchange $1,220.75 ↑ +62%
Medica Commercial $1,224.61 ↑ +63%
Coventry Commercial $1,233.60 ↑ +64%
Midlands Choice Commercial $1,233.60 ↑ +64%
First Health Medical Rental $1,233.60 ↑ +64%
Blue Cross Blue Shield of Wyoming Network Blue $1,233.60 ↑ +64%
Coventry Workers Comp $1,233.60 ↑ +64%
Multiplan Commercial $1,246.45 ↑ +66%

Visitor-reported prices

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Dup scan/ue art/graft/bilat/comp 93930 at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $706.86 $302.67 – $1,430.55
CHI Health Schuyler Schuyler $1,098.20 $276.75 – $1,462.81
CHI Health Immanuel Omaha $706.86 $235.62 – $1,430.55
CHI Health Nebraska Heart Lincoln $602.14 $302.67 – $1,073.38
CHI Health St. Mary's Nebraska City $1,184.41 $305.67 – $1,369.92
Lasting Hope Recovery Center Omaha $706.86 $286.11 – $1,430.55
CHI Health Good Samaritan Kearney $794.22 $273.42 – $1,210.86
CHI Health St. Francis Grand Island $959.93 $302.67 – $1,529.38

All Nebraska hospitals for this procedure →