Ogallala Community Hospital
2601 N Spruce Street, Ogallala, NE · Banner Health · · NPI 1710915467
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 |
|---|---|---|---|---|
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $616.76 | $859.00 | $377.96 – $833.23 | 13 |
| X-ray ribs 2 views left CPT 71100 | $282.17 | $393.00 | $172.92 – $381.21 | 13 |
| X-ray sella turcica CPT 70240 | $129.24 | $180.00 | $79.20 – $174.60 | 13 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $513.37 | $715.00 | $314.60 – $693.55 | 13 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $353.97 | $493.00 | $216.92 – $478.21 | 13 |
| X-ray small intestine follow-through study CPT 74248 | $224.73 | $313.00 | $137.72 – $303.61 | 13 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $264.22 | $368.00 | $161.92 – $356.96 | 13 |
| X-ray surgical specimen CPT 76098 | $185.24 | $258.00 | $113.52 – $250.26 | 13 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $249.15 | $347.00 | $152.68 – $336.59 | 13 |
| Zika virus dna/rna amp probe CPT 87662 | $137.40 | $200.00 | $88.00 – $194.00 | 13 |
| Zika virus igm antibody CPT 86794 | $39.17 | $51.00 | $22.44 – $49.47 | 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.