Expander tiss 133s-mv-12-t 300ml natrelle smth 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

$6,161.23

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.

$9,265.00

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.

$1,185.80 with Blue Cross Blue Shield of Wyoming vs $2,614.15 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 $1,185.80 ↓ -81%
Medica Medicare Advantage $1,185.80 ↓ -81%
TriWest Healthcare Alliance Corp - VA CCN Tricare $1,185.80 ↓ -81%
Banner Health Banner Choice Plus/Banner Select $1,185.80 ↓ -81%
United Healthcare VA Community Care $1,239.70 ↓ -80%
United Healthcare UHC Medicare Advantage $1,239.70 ↓ -80%
Nebraska Total Care Medicaid $1,320.55 ↓ -79%
United Healthcare Nebraska Medicaid/CHIP $1,320.55 ↓ -79%
Molina Healthcare Medicaid/CHIP $1,320.55 ↓ -79%
Keith County Sheriff’s Office Imate/Detainee Plan $2,021.25 ↓ -67%
Apostrophe, Inc. Commercial $2,425.50 ↓ -61%
United Healthcare Commercial/Individual Exchange $2,560.25 ↓ -58%
Medica Commercial $2,568.34 ↓ -58%
Coventry Commercial $2,587.20 ↓ -58%
Midlands Choice Commercial $2,587.20 ↓ -58%
First Health Medical Rental $2,587.20 ↓ -58%
Blue Cross Blue Shield of Wyoming Network Blue $2,587.20 ↓ -58%
Coventry Workers Comp $2,587.20 ↓ -58%
Multiplan Commercial $2,614.15 ↓ -58%

Visitor-reported prices

visitor-reported
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Expander tiss 133s-mv-12-t 300ml natrelle smth at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $2,480.63 $14.26 – $67.32
CHI Health Schuyler Schuyler $5,020.32 $16.97 – $89.68
CHI Health Immanuel Omaha $2,480.63 $11.09 – $67.32
CHI Health Nebraska Heart Lincoln $2,716.88 $28.80 – $98.40
CHI Health St. Mary's Nebraska City $4,902.19 $25.71 – $115.20
Lasting Hope Recovery Center Omaha $2,480.63 $13.47 – $67.32
CHI Health Good Samaritan Kearney $3,602.82 $25.20 – $111.60
CHI Health St. Francis Grand Island $3,484.69 $27.60 – $112.80

All Nebraska hospitals for this procedure →