Ivp w/wo kub w/wo tomography 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

$1,107.16

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.

$1,542.00

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.

$678.48 with Blue Cross Blue Shield of Wyoming vs $1,495.74 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 $678.48 ↓ -39%
Medica Medicare Advantage $678.48 ↓ -39%
TriWest Healthcare Alliance Corp - VA CCN Tricare $678.48 ↓ -39%
Banner Health Banner Choice Plus/Banner Select $678.48 ↓ -39%
United Healthcare VA Community Care $709.32 ↓ -36%
United Healthcare UHC Medicare Advantage $709.32 ↓ -36%
Nebraska Total Care Medicaid $755.58 ↓ -32%
United Healthcare Nebraska Medicaid/CHIP $755.58 ↓ -32%
Molina Healthcare Medicaid/CHIP $755.58 ↓ -32%
Keith County Sheriff’s Office Imate/Detainee Plan $1,156.50 ↑ +4%
Apostrophe, Inc. Commercial $1,387.80 ↑ +25%
United Healthcare Commercial/Individual Exchange $1,464.90 ↑ +32%
Medica Commercial $1,469.53 ↑ +33%
Coventry Commercial $1,480.32 ↑ +34%
Midlands Choice Commercial $1,480.32 ↑ +34%
First Health Medical Rental $1,480.32 ↑ +34%
Blue Cross Blue Shield of Wyoming Network Blue $1,480.32 ↑ +34%
Coventry Workers Comp $1,480.32 ↑ +34%
Multiplan Commercial $1,495.74 ↑ +35%

Visitor-reported prices

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Ivp w/wo kub w/wo tomography at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $338.52 $145.08 – $685.10
CHI Health Schuyler Schuyler $640.05 $161.30 – $852.55
CHI Health Immanuel Omaha $338.52 $112.84 – $685.10
CHI Health St. Mary's Nebraska City $798.46 $206.07 – $923.52
Lasting Hope Recovery Center Omaha $338.52 $137.02 – $685.10
CHI Health Good Samaritan Kearney $811.91 $211.03 – $1,237.83
CHI Health St. Francis Grand Island $849.01 $211.03 – $1,352.66
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $338.52 $137.02 – $685.10

All Nebraska hospitals for this procedure →