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 |
|---|---|---|---|---|
| Blood Culture Test CPT 87040 | $88.62 | $129.00 | $56.76 – $125.13 | 13 |
| Blood draw capillary 36416 CPT 36416 | $22.20 | $34.00 | $14.96 – $32.98 | 13 |
| Blood gases o2 saturation direct measurement CPT 82805 | $145.28 | $237.00 | $104.28 – $229.89 | 13 |
| Blood gases ph venous CPT 82800 | $20.23 | $33.00 | $14.52 – $32.01 | 13 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $38.01 | $62.00 | $27.28 – $60.14 | 13 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $7.97 | $13.00 | $5.72 – $12.61 | 13 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $8.58 | $14.00 | $6.16 – $13.58 | 13 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $9.81 | $16.00 | $7.04 – $15.52 | 13 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $32.51 | $54.00 | $23.76 – $52.38 | 13 |
| Blood Transfusion CPT 36430 | $882.96 | $1,698.00 | $498.08 – $1,098.04 | 13 |
| Blood typing abo CPT 86900 | $169.13 | $259.00 | $2.99 – $250.26 | 13 |
| Blood typing ag donor ea ag CPT 86902 | $468.85 | $718.00 | $6.35 – $696.46 | 13 |
| Blood typing patient serum CPT 86904 | $99.91 | $153.00 | $16.34 – $148.41 | 13 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $468.85 | $718.00 | $3.83 – $696.46 | 13 |
| Blood typing rh (d) CPT 86901 | $51.59 | $79.00 | $2.99 – $76.63 | 13 |
| Blood typing rh phenotype complete reference CPT 86906 | $79.67 | $122.00 | $7.75 – $118.34 | 13 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $172.32 | $240.00 | $105.60 – $232.80 | 13 |
| Bone Density Scan (DEXA) CPT 77080 | $325.97 | $454.00 | $199.76 – $440.38 | 13 |
| Bone imaging multiple areas CPT 78305 | $849.82 | $1,332.00 | $586.08 – $1,292.04 | 13 |
| Bone/joint imaging ltd area CPT 78300 | $715.84 | $1,122.00 | $493.68 – $1,088.34 | 13 |
| Bone survey-lead poisoning CPT 77074 | $234.79 | $327.00 | $143.88 – $317.19 | 13 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $50.69 | $66.00 | $29.04 – $64.02 | 13 |
| Bowel imaging CPT 78290 | $1,082.69 | $1,697.00 | $746.68 – $1,646.09 | 13 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $75.56 | $119.00 | $52.36 – $115.43 | 13 |
| Braf gene CPT 81210 | $388.40 | $527.00 | $231.88 – $511.19 | 13 |
| Brain flow imaging only CPT 78610 | $473.40 | $742.00 | $326.48 – $719.74 | 13 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,948.73 | $3,179.00 | $1,398.76 – $3,083.63 | 13 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,623.84 | $2,649.00 | $1,165.56 – $2,569.53 | 13 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,298.95 | $2,119.00 | $932.36 – $2,055.43 | 13 |
| Brain MRI (with and without contrast) CPT 70553 | $1,962.75 | $2,816.00 | $1,239.04 – $2,731.52 | 13 |
| Brain MRI (with contrast) CPT 70552 | $1,635.86 | $2,347.00 | $1,032.68 – $2,276.59 | 13 |
| Brain MRI (without contrast) CPT 70551 | $1,308.27 | $1,877.00 | $825.88 – $1,820.69 | 13 |
| Brcassure comprehensive panel-sendout CPT 81162 | $4,035.07 | $5,475.00 | $2,409.00 – $5,310.75 | 13 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,307.21 | $2,604.00 | $1,145.76 – $2,525.88 | 13 |
| Breastbone (Sternum) X-ray CPT 71120 | $166.58 | $232.00 | $102.08 – $225.04 | 13 |
| Breast punct aspir cyst, bil CPT 19000 | $247.49 | $493.00 | $216.92 – $478.21 | 13 |
| Bronchial allergy tests CPT 95070 | $556.82 | $799.00 | $351.56 – $775.03 | 13 |
| Bronchial challenge CPT 94070 | $385.54 | $611.00 | $268.84 – $592.67 | 13 |
| Bundled special stain group 1 microorganisms CPT 88312 | $67.72 | $108.00 | $47.52 – $104.76 | 13 |
| Bundled special stain group 2 CPT 88313 | $162.39 | $259.00 | $73.22 – $251.23 | 13 |
| Buprenorphine and metabolite - sendout CPT 80348 | $79.08 | $129.00 | $24.64 – $54.32 | 13 |
| Bur rotalink 2.15mm HCPCS C1724 | $6,766.86 | $13,895.00 | $2,149.40 – $4,738.45 | 13 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $532.12 | $1,060.00 | $466.40 – $1,028.20 | 13 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $244.19 | $459.00 | $201.96 – $445.23 | 13 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $78.74 | $148.00 | $29.04 – $64.02 | 13 |
| Bx skin punch ea sep/ addl les CPT 11105 | $69.16 | $130.00 | $24.20 – $53.35 | 13 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $60.65 | $114.00 | $20.68 – $45.59 | 13 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $517.06 | $1,030.00 | $71.72 – $158.11 | 13 |
| C1 esterase inhibitor func - sendout CPT 86161 | $230.40 | $300.00 | $29.04 – $64.02 | 13 |
| Cable cath 22-pin diag HCPCS C1730 | $8,534.19 | $17,524.00 | $261.36 – $576.18 | 13 |
| Cadd pump refill CPT 96521 | $160.16 | $308.00 | $135.52 – $298.76 | 13 |
| Calcium 24 hour urine CPT 82340 | $47.20 | $77.00 | $24.64 – $54.32 | 13 |
| Calcium ionized CPT 82330 | $79.08 | $129.00 | $56.76 – $125.13 | 13 |
| Calcium total CPT 82310 | $39.84 | $65.00 | $20.24 – $44.62 | 13 |
| Calprotectin fecal CPT 83993 | $153.25 | $250.00 | $110.00 – $242.50 | 13 |
| Campylobacter antibody CPT 86625 | $30.72 | $40.00 | $17.60 – $38.80 | 13 |
| Candida dna CPT 87480 | $61.83 | $90.00 | $39.60 – $87.30 | 13 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $74,276.51 | $111,694.00 | $73.04 – $161.02 | 13 |
| Cap nerve 2x15mm HCPCS C1763 | $37,867.76 | $56,944.00 | $374.00 – $824.50 | 13 |
| Cap trach decann 15mm HCPCS C1750 | $4,621.75 | $6,950.00 | $137.72 – $303.61 | 13 |
| Carbamazepine free CPT 80157 | $55.17 | $90.00 | $39.60 – $87.30 | 13 |
| Carbamazepine free -sendout CPT 80161 | $55.17 | $90.00 | $25.52 – $56.26 | 13 |
| Carbamazepine total therapeutic drug level CPT 80156 | $31.88 | $52.00 | $22.88 – $50.44 | 13 |
| Carbohydrate urine - sendout CPT 84377 | $140.38 | $229.00 | $100.76 – $222.13 | 13 |
| Carbon dioxide CPT 82374 | $29.42 | $48.00 | $21.12 – $46.56 | 13 |
| Carboxyhemoglobin quantitative CPT 82375 | $45.98 | $75.00 | $16.28 – $35.89 | 13 |
| Carcinoembryonic ag (cea) CPT 82378 | $201.68 | $329.00 | $25.08 – $55.29 | 13 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,631.75 | $4,125.00 | $1,815.00 – $4,001.25 | 13 |
| Cardiolipin antibody iga CPT 86147 | $61.44 | $80.00 | $35.20 – $77.60 | 13 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $676.54 | $1,189.00 | $99.44 – $219.22 | 13 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $164.71 | $194.00 | $85.36 – $188.18 | 13 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $82.35 | $97.00 | $42.68 – $94.09 | 13 |
| Carotene CPT 82380 | $41.07 | $67.00 | $29.48 – $64.99 | 13 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $855.27 | $1,462.00 | $643.28 – $1,418.14 | 13 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,050.46 | $2,157.00 | $137.72 – $303.61 | 13 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $6,541.38 | $13,432.00 | $621.72 – $1,370.61 | 13 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,501.42 | $3,083.00 | $712.36 – $1,570.43 | 13 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $5,639.46 | $11,580.00 | $1,185.80 – $2,614.15 | 13 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $5,639.46 | $11,580.00 | $73.04 – $161.02 | 13 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $6,766.86 | $13,895.00 | $1,183.60 – $2,609.30 | 13 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $4,512.06 | $9,265.00 | $137.72 – $303.61 | 13 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $6,766.86 | $13,895.00 | $261.36 – $576.18 | 13 |
| Cath bi-dir df smarttouch HCPCS C1732 | $10,667.25 | $21,904.00 | $949.08 – $2,092.29 | 13 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $8,534.19 | $17,524.00 | $1,356.52 – $2,990.51 | 13 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $4,512.06 | $9,265.00 | $137.72 – $303.61 | 13 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,876.41 | $3,853.00 | $261.36 – $576.18 | 13 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,379.00 | $4,885.00 | $73.04 – $161.02 | 13 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $48.32 | $74.00 | $9.09 – $71.78 | 13 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $3,086.27 | $4,641.00 | $73.04 – $161.02 | 13 |
| Cath hawkone s directional HCPCS C1714 | $6,766.86 | $13,895.00 | $2,149.40 – $4,738.45 | 13 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $5,391.16 | $8,107.00 | $261.36 – $576.18 | 13 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $7,467.66 | $15,334.00 | $374.00 – $824.50 | 13 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,792.18 | $2,695.00 | $261.36 – $576.18 | 13 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $18,935.21 | $28,474.00 | $6,746.96 – $14,873.98 | 13 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,379.00 | $4,885.00 | $2,149.40 – $4,738.45 | 13 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $13,109.81 | $19,714.00 | $1,183.60 – $2,609.30 | 13 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,376.75 | $2,827.00 | $137.72 – $303.61 | 13 |
| Cauterization chemical granulation tissue CPT 17250 | $42.35 | $78.00 | $34.32 – $75.66 | 13 |
| #cbg+cort-cbg CPT 84449 | $33.10 | $54.00 | $23.76 – $52.38 | 13 |
| Cdna analysis for variants CPT 81403 | $454.73 | $617.00 | $271.48 – $598.49 | 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.