Tobramycin peak therapeutic drug 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

$30.04

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.

$49.00

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.

$21.56 with Blue Cross Blue Shield of Wyoming vs $47.53 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 $21.56 ↓ -28%
Medica Medicare Advantage $21.56 ↓ -28%
TriWest Healthcare Alliance Corp - VA CCN Tricare $21.56 ↓ -28%
Banner Health Banner Choice Plus/Banner Select $21.56 ↓ -28%
United Healthcare VA Community Care $22.54 ↓ -25%
United Healthcare UHC Medicare Advantage $22.54 ↓ -25%
Nebraska Total Care Medicaid $24.01 ↓ -20%
United Healthcare Nebraska Medicaid/CHIP $24.01 ↓ -20%
Molina Healthcare Medicaid/CHIP $24.01 ↓ -20%
Keith County Sheriff’s Office Imate/Detainee Plan $36.75 ↑ +22%
Apostrophe, Inc. Commercial $44.10 ↑ +47%
United Healthcare Commercial/Individual Exchange $46.55 ↑ +55%
Medica Commercial $46.70 ↑ +55%
Coventry Commercial $47.04 ↑ +57%
Midlands Choice Commercial $47.04 ↑ +57%
First Health Medical Rental $47.04 ↑ +57%
Blue Cross Blue Shield of Wyoming Network Blue $47.04 ↑ +57%
Coventry Workers Comp $47.04 ↑ +57%
Multiplan Commercial $47.53 ↑ +58%

Visitor-reported prices

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Tobramycin peak therapeutic drug level at other Nebraska hospitals

Hospital City Cash price Negotiated range
CHI Health Midlands Papillion $113.82 $15.63 – $230.35
CHI Health Schuyler Schuyler $176.80 $16.13 – $203.84
CHI Health Immanuel Omaha $113.82 $15.63 – $230.35
CHI Health Nebraska Heart Lincoln $96.60 $15.63 – $172.20
CHI Health St. Mary's Nebraska City $15.77 $4.07 – $35.81
Lasting Hope Recovery Center Omaha $113.82 $15.63 – $230.35
CHI Health Good Samaritan Kearney $126.88 $15.63 – $193.44
CHI Health St. Francis Grand Island $111.51 $15.63 – $189.00

All Nebraska hospitals for this procedure →