Echo exam of fetal heart 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

$420.96

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.

$497.00

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.

$218.68 with Blue Cross Blue Shield of Wyoming vs $482.09 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 $218.68 ↓ -48%
Medica Medicare Advantage $218.68 ↓ -48%
TriWest Healthcare Alliance Corp - VA CCN Tricare $218.68 ↓ -48%
Banner Health Banner Choice Plus/Banner Select $218.68 ↓ -48%
United Healthcare VA Community Care $228.62 ↓ -46%
United Healthcare UHC Medicare Advantage $228.62 ↓ -46%
Nebraska Total Care Medicaid $243.53 ↓ -42%
United Healthcare Nebraska Medicaid/CHIP $243.53 ↓ -42%
Molina Healthcare Medicaid/CHIP $243.53 ↓ -42%
Keith County Sheriff’s Office Imate/Detainee Plan $372.75 ↓ -11%
Apostrophe, Inc. Commercial $447.30 ↑ +6%
United Healthcare Commercial/Individual Exchange $472.15 ↑ +12%
Medica Commercial $473.64 ↑ +13%
Coventry Commercial $477.12 ↑ +13%
Midlands Choice Commercial $477.12 ↑ +13%
First Health Medical Rental $477.12 ↑ +13%
Blue Cross Blue Shield of Wyoming Network Blue $477.12 ↑ +13%
Coventry Workers Comp $477.12 ↑ +13%
Multiplan Commercial $482.09 ↑ +15%

Visitor-reported prices

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Echo exam of fetal heart at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $416.64 $178.56 – $843.20
CHI Health Immanuel Omaha $416.64 $138.88 – $843.20
CHI Health Nebraska Heart Lincoln $628.82 $222.37 – $1,120.94
Lasting Hope Recovery Center Omaha $416.64 $168.64 – $843.20
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $416.64 $168.64 – $843.20
CHI Health St. Elizabeth Lincoln $683.50 $222.37 – $1,093.60
CHI Health Lakeside Omaha $416.64 $158.72 – $843.20

All Nebraska hospitals for this procedure →