healthcosts.net

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

Published prices by procedure

Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.

Procedure Cash price Gross charge Negotiated range Payers
Homogenization tissue CPT 87176 $35.72 $52.00 $22.88 – $50.44 13
Homovanillic acid (hva) CPT 83150 $41.68 $68.00 $29.92 – $65.96 13
Hpv types 16 & 18 only CPT 87625 $83.81 $122.00 $53.68 – $118.34 13
H pylori (c-13) breath CPT 83013 $124.44 $203.00 $89.32 – $196.91 13
Human epididymis protein 4 (he4) CPT 86305 $74.50 $97.00 $42.68 – $94.09 13
Iaadi respiratory synctial virus CPT 87280 $41.22 $60.00 $26.40 – $58.20 13
Iadna legionella pneumophila amplified probe tq CPT 87541 $72.82 $106.00 $46.64 – $102.82 13
Ia nfct ab sarscov2 covid19 CPT 86328 $104.45 $136.00 $59.84 – $131.92 13
Icd cobalt xt dr MRI is1 df1 HCPCS C1721 $75,425.90 $131,404.00 $28,909.76 – $63,732.88 13
Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 $81,558.26 $122,644.00 $26,980.80 – $59,480.40 13
Icd crtp serena MRI HCPCS C2621 $25,143.50 $43,804.00 $2,686.20 – $5,921.85 13
Icd reliance df4 ib 64cm HCPCS C1895 $21,847.91 $32,854.00 $1,185.80 – $2,614.15 13
I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 $496.30 $914.00 $402.16 – $886.58 13
Ifnl3 gene CPT 81283 $162.88 $221.00 $97.24 – $214.37 13
Igh gene rearrange amp meth CPT 81261 $437.78 $594.00 $261.36 – $576.18 13
Igh@ var region somatic mutation analy CPT 81263 $651.51 $884.00 $388.96 – $857.48 13
Igk rearrangeabn clonal pop CPT 81264 $382.50 $519.00 $228.36 – $503.43 13
Ihc/icc per specimen each additional single antibody stain CPT 88341 $85.90 $137.00 $60.28 – $132.89 13
Ihc/icc per specimen initial single antibody stain CPT 88342 $215.69 $344.00 $101.44 – $333.68 13
Immunoassay tumor antigen quantitative ca 125 CPT 86304 $48.38 $63.00 $27.72 – $61.11 13
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 $48.38 $63.00 $27.72 – $61.11 13
Immunodiff gel qual ea antigen/ab CPT 86331 $43.01 $56.00 $24.64 – $54.32 13
Immunodiffusion nes CPT 86329 $42.24 $55.00 $24.20 – $53.35 13
Immunofixation electrophoresis serum CPT 86334 $109.06 $142.00 $29.92 – $65.96 13
Immunofluorescence per specimen each additional single antibody stain CPT 88350 $118.50 $189.00 $83.16 – $183.33 13
Immunofluorescence per specimen initial single antibody stain CPT 88346 $215.69 $344.00 $129.83 – $333.68 13
Immunoglobulin assay CPT 86023 $181.25 $236.00 $103.84 – $228.92 13
Implant cartilage 10mm synthetic HCPCS L8699 $64,082.06 $96,364.00 $69.96 – $154.23 13
Implant spine infusion pump CPT 62362 $863.74 $1,752.00 $770.88 – $1,699.44 12
Implant ureth bulk agent HCPCS L8606 $2,046.87 $3,078.00 $73.04 – $161.02 13
Impl neurostim electr perc CPT 63650 $8,416.24 $15,820.00 $833.80 – $6,960.80 13
Implnt spinl canal catheter 62350 CPT 62350 $3,372.88 $6,340.00 $800.36 – $2,789.60 13
In-111 pentetate dtpa / 0.5 mci HCPCS A9548 $330.46 $533.00 $234.52 – $517.01 13
Incision & drainage hematoma/seroma/fluid collection CPT 10140 $294.31 $542.00 $238.48 – $525.74 13
Incision of eardrum CPT 69420 $166.34 $368.00 $107.80 – $237.65 13
Incision of eardrum CPT 69421 $206.11 $456.00 $133.76 – $294.88 13
Infect ag genotype na cytomegalovirus CPT 87910 $531.05 $773.00 $340.12 – $749.81 13
Infect ag genotype na dna hepatitis b CPT 87912 $531.05 $773.00 $340.12 – $749.81 13
Infect ag genotype na hiv-1 other region CPT 87906 $265.87 $387.00 $170.28 – $375.39 13
Infect ag genotype na hiv-1 revr trn/prt CPT 87901 $531.05 $773.00 $340.12 – $749.81 13
Infect ag ia optc obs influenza CPT 87804 $34.35 $50.00 $22.00 – $48.50 13
Infect ag if ea plyvlnt antsrm CPT 87300 $41.22 $60.00 $26.40 – $58.20 13
Infect ag if influenza a CPT 87276 $41.22 $60.00 $26.40 – $58.20 13
Infect ag if influenza b CPT 87275 $41.22 $60.00 $26.40 – $58.20 13
Infect ag if pneumocystis carinii CPT 87281 $52.21 $76.00 $33.44 – $73.72 13
Infect ag if varicella zoster CPT 87290 $41.22 $60.00 $26.40 – $58.20 13
Infect ag na hep b amp CPT 87516 $92.75 $135.00 $59.40 – $130.95 13
Infect ag na hpv high-risk types CPT 87624 $72.82 $106.00 $46.64 – $102.82 13
Infect ag na influenza r/amp 1st 2 types CPT 87502 $197.86 $288.00 $126.72 – $279.36 13
Infect ag na orthopoxvirus amp prb each CPT 87593 $105.80 $154.00 $67.76 – $149.38 13
Infect ag na resp virus 12-25 targets CPT 87633 $859.44 $1,251.00 $550.44 – $1,213.47 13
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $41.22 $60.00 $26.40 – $58.20 13
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $28.85 $42.00 $18.48 – $40.74 13
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $45.34 $66.00 $15.84 – $34.92 13
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $51.53 $75.00 $19.36 – $42.68 13
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $158.70 $231.00 $19.80 – $43.65 13
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $58.40 $85.00 $25.52 – $56.26 13
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $59.77 $87.00 $38.28 – $84.39 13
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $107.86 $157.00 $15.84 – $34.92 13
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $24.73 $36.00 $15.84 – $34.92 13
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 $43.97 $64.00 $28.16 – $62.08 13
Infectious agent nucleic acid amplified probe CPT 87798 $289.23 $421.00 $46.64 – $102.82 13
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $79.01 $115.00 $46.64 – $102.82 13
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $76.94 $112.00 $49.28 – $108.64 13
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $859.44 $1,251.00 $550.44 – $1,213.47 13
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $72.82 $106.00 $46.64 – $102.82 13
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $72.82 $106.00 $46.64 – $102.82 13
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $86.56 $126.00 $55.44 – $122.22 13
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $72.82 $106.00 $46.64 – $102.82 13
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $105.80 $154.00 $67.76 – $149.38 13
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $65.95 $96.00 $42.24 – $93.12 13
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $72.82 $106.00 $46.64 – $102.82 13
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $76.26 $111.00 $46.64 – $102.82 13
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $859.44 $1,251.00 $550.44 – $1,213.47 13
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 $264.50 $385.00 $169.40 – $373.45 13
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $542.04 $789.00 $347.16 – $765.33 13
Infectious agent nucleic acid quantification bk virus CPT 87799 $188.93 $275.00 $56.76 – $125.13 13
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $88.62 $129.00 $56.76 – $125.13 13
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $100.99 $147.00 $56.76 – $125.13 13
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $175.87 $256.00 $112.64 – $248.32 13
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $294.04 $428.00 $188.32 – $415.16 13
Ingest challenge ea addl 60 min CPT 95079 $388.86 $558.00 $245.52 – $541.26 13
Ingest challenge ini 120 min CPT 95076 $556.82 $799.00 $351.56 – $775.03 13
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 $227.53 $402.00 $176.88 – $389.94 13
Initial nursing facility care/day 35 minutes CPT 99305 $143.35 $264.00 $116.16 – $256.08 13
Initial nursing facility care/day 45 minutes CPT 99306 $184.62 $340.00 $149.60 – $329.80 13
Initial nursing facility care/day low severity 99304 CPT 99304 $100.46 $185.00 $81.40 – $179.45 13
Inj dx for sinogram CPT 20501 $122.49 $244.00 $107.36 – $236.68 13
Injection epidural blood patch or clot CPT 62273 $547.95 $963.00 $227.92 – $502.46 13
Injection eye drug CPT 67028 $162.79 $306.00 $89.76 – $197.88 13
Injection for hip x-ray CPT 27095 $194.27 $387.00 $113.52 – $250.26 13
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 $291.66 $581.00 $170.28 – $375.39 13
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 $215.35 $365.00 $106.92 – $235.71 13
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $173.46 $294.00 $86.24 – $190.12 13
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 $2,031.18 $3,818.00 $224.40 – $1,119.80 13
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 $1,139.01 $2,141.00 $121.00 – $627.88 13
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 $2,031.18 $3,818.00 $212.52 – $1,119.80 13
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 $1,429.48 $2,687.00 $104.28 – $788.04 13
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 $2,499.34 $4,698.00 $180.40 – $1,378.08 13
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 $1,306.59 $2,456.00 $216.04 – $1,080.64 13

A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.