Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) 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

$291.66

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.

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What you pay up front if you don't use insurance.

$581.00

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.

$170.28 with Blue Cross Blue Shield of Wyoming vs $375.39 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 $170.28 ↓ -42%
Medica Medicare Advantage $170.28 ↓ -42%
TriWest Healthcare Alliance Corp - VA CCN Tricare $170.28 ↓ -42%
Banner Health Banner Choice Plus/Banner Select $170.28 ↓ -42%
United Healthcare VA Community Care $178.02 ↓ -39%
United Healthcare UHC Medicare Advantage $178.02 ↓ -39%
Nebraska Total Care Medicaid $189.63 ↓ -35%
United Healthcare Nebraska Medicaid/CHIP $189.63 ↓ -35%
Molina Healthcare Medicaid/CHIP $189.63 ↓ -35%
Keith County Sheriff’s Office Imate/Detainee Plan $290.25 ↓ -0%
Apostrophe, Inc. Commercial $348.30 ↑ +19%
United Healthcare Commercial/Individual Exchange $367.65 ↑ +26%
Medica Commercial $368.81 ↑ +26%
Coventry Commercial $371.52 ↑ +27%
Midlands Choice Commercial $371.52 ↑ +27%
First Health Medical Rental $371.52 ↑ +27%
Blue Cross Blue Shield of Wyoming Network Blue $371.52 ↑ +27%
Coventry Workers Comp $371.52 ↑ +27%
Multiplan Commercial $375.39 ↑ +29%

Visitor-reported prices

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Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $283.92 $94.19 – $574.60
CHI Health Immanuel Omaha $283.92 $94.19 – $574.60
CHI Health St. Mary's Nebraska City $424.96 $109.68 – $491.52
Lasting Hope Recovery Center Omaha $283.92 $114.92 – $574.60
CHI Health Good Samaritan Kearney $497.76 $94.19 – $758.88
CHI Health St. Francis Grand Island $481.44 $94.19 – $767.04
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $283.92 $94.19 – $574.60
CHI Health St. Elizabeth Lincoln $358.50 $94.19 – $573.60

All Nebraska hospitals for this procedure →