Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance 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

$1,429.48

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.

$2,687.00

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.

$104.28 with TriWest Healthcare Alliance Corp - VA CCN vs $1,706.82 with Medica — 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
TriWest Healthcare Alliance Corp - VA CCN Tricare $104.28 ↓ -93%
Blue Cross Blue Shield of Wyoming Medicare Advantage $104.28 ↓ -93%
Banner Health Banner Choice Plus/Banner Select $104.28 ↓ -93%
United Healthcare UHC Medicare Advantage $109.02 ↓ -92%
Molina Healthcare Medicaid/CHIP $116.13 ↓ -92%
Nebraska Total Care Medicaid $116.13 ↓ -92%
Keith County Sheriff’s Office Imate/Detainee Plan $177.75 ↓ -88%
Apostrophe, Inc. Commercial $213.30 ↓ -85%
United Healthcare Commercial/Individual Exchange $225.15 ↓ -84%
Blue Cross Blue Shield of Wyoming Network Blue $227.52 ↓ -84%
Coventry Workers Comp $227.52 ↓ -84%
Coventry Commercial $227.52 ↓ -84%
First Health Medical Rental $227.52 ↓ -84%
Midlands Choice Commercial $227.52 ↓ -84%
Multiplan Commercial $229.89 ↓ -84%
Medica Medicare Advantage $788.04 ↓ -45%
United Healthcare VA Community Care $823.86 ↓ -42%
United Healthcare Nebraska Medicaid/CHIP $877.59 ↓ -39%
Medica Commercial $1,706.82 ↑ +19%

Visitor-reported prices

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Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $429.66 $96.71 – $869.55
CHI Health Schuyler Schuyler $761.60 $55.05 – $290.98
CHI Health Immanuel Omaha $429.66 $96.71 – $869.55
CHI Health St. Mary's Nebraska City $1,172.79 $55.05 – $246.72
Lasting Hope Recovery Center Omaha $429.66 $173.91 – $869.55
CHI Health Good Samaritan Kearney $1,808.04 $96.71 – $2,756.52
CHI Health St. Francis Grand Island $1,748.76 $96.71 – $2,786.16
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $429.66 $96.71 – $869.55

All Nebraska hospitals for this procedure →