Observation direct referral from physician office for admission 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

$357.74

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.

$654.00

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.

$287.76 with Banner Health vs $634.38 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
Banner Health Banner Choice Plus/Banner Select $287.76 ↓ -20%
Blue Cross Blue Shield of Wyoming Medicare Advantage $287.76 ↓ -20%
TriWest Healthcare Alliance Corp - VA CCN Tricare $287.76 ↓ -20%
United Healthcare VA Community Care $300.84 ↓ -16%
United Healthcare UHC Medicare Advantage $300.84 ↓ -16%
Molina Healthcare Medicaid/CHIP $320.46 ↓ -10%
United Healthcare Nebraska Medicaid/CHIP $320.46 ↓ -10%
Nebraska Total Care Medicaid $320.46 ↓ -10%
Keith County Sheriff’s Office Imate/Detainee Plan $490.50 ↑ +37%
Apostrophe, Inc. Commercial $588.60 ↑ +65%
United Healthcare Commercial/Individual Exchange $621.30 ↑ +74%
Coventry Workers Comp $627.84 ↑ +76%
Midlands Choice Commercial $627.84 ↑ +76%
Coventry Commercial $627.84 ↑ +76%
First Health Medical Rental $627.84 ↑ +76%
Blue Cross Blue Shield of Wyoming Network Blue $627.84 ↑ +76%
Multiplan Commercial $634.38 ↑ +77%

Visitor-reported prices

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Observation direct referral from physician office for admission at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $273.42 $117.18 – $553.35
CHI Health Schuyler Schuyler $99.45 $25.07 – $132.47
CHI Health Immanuel Omaha $273.42 $91.14 – $553.35
Lasting Hope Recovery Center Omaha $273.42 $110.67 – $553.35
CHI Health Good Samaritan Kearney $153.11 $52.71 – $233.43
CHI Health Creighton University Medical Center - Bergan Mercy Omaha $273.42 $110.67 – $553.35
CHI Health St. Elizabeth Lincoln $123.00 $56.58 – $196.80
CHI Health Plainview Plainview $98.28 $71.37 – $158.45

All Nebraska hospitals for this procedure →