Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level 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

$2,499.34

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.

$4,698.00

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.

$180.40 with TriWest Healthcare Alliance Corp - VA CCN vs $2,984.80 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 $180.40 ↓ -93%
Blue Cross Blue Shield of Wyoming Medicare Advantage $180.40 ↓ -93%
Banner Health Banner Choice Plus/Banner Select $180.40 ↓ -93%
United Healthcare UHC Medicare Advantage $188.60 ↓ -92%
Molina Healthcare Medicaid/CHIP $200.90 ↓ -92%
Nebraska Total Care Medicaid $200.90 ↓ -92%
Keith County Sheriff’s Office Imate/Detainee Plan $307.50 ↓ -88%
Apostrophe, Inc. Commercial $369.00 ↓ -85%
United Healthcare Commercial/Individual Exchange $389.50 ↓ -84%
Blue Cross Blue Shield of Wyoming Network Blue $393.60 ↓ -84%
Coventry Workers Comp $393.60 ↓ -84%
Coventry Commercial $393.60 ↓ -84%
First Health Medical Rental $393.60 ↓ -84%
Midlands Choice Commercial $393.60 ↓ -84%
Multiplan Commercial $397.70 ↓ -84%
Medica Medicare Advantage $1,378.08 ↓ -45%
United Healthcare VA Community Care $1,440.72 ↓ -42%
United Healthcare Nebraska Medicaid/CHIP $1,534.68 ↓ -39%
Medica Commercial $2,984.80 ↑ +19%

Visitor-reported prices

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Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $876.54 $172.60 – $1,773.95
CHI Health Schuyler Schuyler $1,464.55 $106.46 – $562.71
CHI Health Immanuel Omaha $876.54 $172.60 – $1,773.95
CHI Health St. Mary's Nebraska City $1,185.24 $106.46 – $477.12
Lasting Hope Recovery Center Omaha $876.54 $354.79 – $1,773.95
CHI Health Good Samaritan Kearney $1,808.04 $172.60 – $2,756.52
CHI Health St. Francis Grand Island $1,748.76 $172.60 – $2,786.16
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $876.54 $172.60 – $1,773.95

All Nebraska hospitals for this procedure →