Icd cobalt xt dr MRI is1 df1 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

$75,425.90

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.

$131,404.00

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.

$28,909.76 with Blue Cross Blue Shield of Wyoming vs $63,732.88 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 $28,909.76 ↓ -62%
Medica Medicare Advantage $28,909.76 ↓ -62%
TriWest Healthcare Alliance Corp - VA CCN Tricare $28,909.76 ↓ -62%
Banner Health Banner Choice Plus/Banner Select $28,909.76 ↓ -62%
United Healthcare VA Community Care $30,223.84 ↓ -60%
United Healthcare UHC Medicare Advantage $30,223.84 ↓ -60%
Nebraska Total Care Medicaid $32,194.96 ↓ -57%
United Healthcare Nebraska Medicaid/CHIP $32,194.96 ↓ -57%
Molina Healthcare Medicaid/CHIP $32,194.96 ↓ -57%
Keith County Sheriff’s Office Imate/Detainee Plan $49,278.00 ↓ -35%
Apostrophe, Inc. Commercial $59,133.60 ↓ -22%
United Healthcare Commercial/Individual Exchange $62,418.80 ↓ -17%
Medica Commercial $62,615.91 ↓ -17%
Coventry Commercial $63,075.84 ↓ -16%
Midlands Choice Commercial $63,075.84 ↓ -16%
First Health Medical Rental $63,075.84 ↓ -16%
Blue Cross Blue Shield of Wyoming Network Blue $63,075.84 ↓ -16%
Coventry Workers Comp $63,075.84 ↓ -16%
Multiplan Commercial $63,732.88 ↓ -16%

Visitor-reported prices

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Icd cobalt xt dr MRI is1 df1 at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $33,818.40 $10.73 – $50.66
CHI Health Schuyler Schuyler $68,442.00 $12.77 – $67.48
CHI Health Immanuel Omaha $33,818.40 $8.35 – $50.66
CHI Health Nebraska Heart Lincoln $37,039.20 $14.31 – $48.88
CHI Health St. Mary's Nebraska City $66,831.60 $12.77 – $57.22
Lasting Hope Recovery Center Omaha $33,818.40 $10.14 – $50.66
CHI Health Good Samaritan Kearney $49,117.20 $12.52 – $55.43
CHI Health St. Francis Grand Island $47,506.80 $13.71 – $56.03

All Nebraska hospitals for this procedure →