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 |
|---|---|---|---|---|
| Cebpa gene full sequence CPT 81218 | $535.06 | $726.00 | $319.44 – $704.22 | 13 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $7.43 | $32.60 | $14.34 – $31.62 | 13 |
| Cell count body fluid CPT 89050 | $9.80 | $15.00 | $4.72 – $14.55 | 13 |
| Cell count w differential body fluid CPT 89051 | $11.10 | $17.00 | $5.60 – $16.49 | 13 |
| Cell function assay w/stim CPT 86352 | $313.34 | $408.00 | $179.52 – $395.76 | 13 |
| #cf-97variants CPT 81220 | $1,230.79 | $1,670.00 | $734.80 – $1,619.90 | 13 |
| Cftr gene dup/delet variants CPT 81222 | $962.52 | $1,306.00 | $574.64 – $1,266.82 | 13 |
| Change cystostomy tube simple CPT 51705 | $190.46 | $358.00 | $157.52 – $347.26 | 13 |
| Change of windpipe airway 31502 CPT 31502 | $202.81 | $404.00 | $32.12 – $70.81 | 13 |
| Chemo adm cns w/lmbr punct CPT 96450 | $458.11 | $893.00 | $392.92 – $866.21 | 13 |
| Chemodenerv musc migraine 64615 CPT 64615 | $169.18 | $318.00 | $139.92 – $308.46 | 13 |
| Chest 2 vws w oblique CPT 71048 | $342.71 | $538.00 | $236.72 – $521.86 | 13 |
| Chest apical lordotic proj CPT 71047 | $303.21 | $476.00 | $209.44 – $461.72 | 13 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,454.00 | $2,279.00 | $1,002.76 – $2,210.63 | 13 |
| Chest CT scan (with contrast) CPT 71260 | $1,211.56 | $1,899.00 | $835.56 – $1,842.03 | 13 |
| Chest CT scan (without contrast) CPT 71250 | $969.12 | $1,519.00 | $668.36 – $1,473.43 | 13 |
| Chest Physiotherapy (first session) CPT 94667 | $80.37 | $142.00 | $62.48 – $137.74 | 13 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $104.14 | $184.00 | $80.96 – $178.48 | 13 |
| Chest Ultrasound CPT 76604 | $503.12 | $594.00 | $261.36 – $576.18 | 13 |
| Chest X-ray CPT 71046 | $294.29 | $462.00 | $203.28 – $448.14 | 13 |
| Chest X-ray (single view) CPT 71045 | $140.14 | $220.00 | $96.80 – $213.40 | 13 |
| Chimerism anal no cell selec CPT 81267 | $459.15 | $623.00 | $274.12 – $604.31 | 13 |
| Chlamydia culture CPT 87110 | $48.78 | $71.00 | $31.24 – $68.87 | 13 |
| Chlamydia type CPT 87140 | $39.16 | $57.00 | $24.64 – $54.32 | 13 |
| Chlnggrphy intraop addl s&i CPT 74301 | $224.02 | $312.00 | $137.28 – $302.64 | 13 |
| Chloride CPT 82435 | $24.52 | $40.00 | $16.28 – $35.89 | 13 |
| Chloride 24 hour urine CPT 82436 | $11.03 | $18.00 | $7.92 – $17.46 | 13 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $466.70 | $650.00 | $286.00 – $630.50 | 13 |
| Cholesterol CPT 82465 | $33.71 | $55.00 | $24.20 – $53.35 | 13 |
| Cholesterol body fluid CPT 84999 | $41.68 | $68.00 | $22.44 – $49.47 | 13 |
| Cholesterol (Lipid) Test CPT 80061 | $62.53 | $102.00 | $21.56 – $47.53 | 13 |
| Chromatography CPT 83021 | $33.71 | $55.00 | $24.20 – $53.35 | 13 |
| Chromo high res and frag x - sendout CPT 81243 | $126.76 | $172.00 | $75.68 – $166.84 | 13 |
| Chromosome analysis 15-20 cell count CPT 88262 | $300.58 | $532.00 | $165.88 – $365.69 | 13 |
| Chromosome analysis 5 CPT 88261 | $448.61 | $794.00 | $349.36 – $770.18 | 13 |
| Chromosome count additional CPT 88285 | $45.76 | $81.00 | $35.64 – $78.57 | 13 |
| Chronic urticaria - sendout CPT 86343 | $49.15 | $64.00 | $28.16 – $62.08 | 13 |
| Chylomicron screen, bf - sendout CPT 82664 | $113.40 | $185.00 | $81.40 – $179.45 | 13 |
| Circumcision (newborn) CPT 54150 | $374.93 | $538.00 | $236.72 – $521.86 | 13 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $6,766.86 | $13,895.00 | $712.36 – $1,570.43 | 13 |
| Clean out mastoid cavity CPT 69222 | $186.68 | $413.00 | $121.44 – $267.72 | 13 |
| Clip ligating vesolock lg HCPCS C1760 | $14,566.16 | $21,904.00 | $137.72 – $303.61 | 13 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $586.44 | $1,080.00 | $316.80 – $698.40 | 13 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,271.16 | $2,341.00 | $686.84 – $1,514.17 | 13 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $721.10 | $1,328.00 | $389.40 – $858.45 | 13 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $524.54 | $966.00 | $283.36 – $624.68 | 13 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $760.74 | $1,401.00 | $410.96 – $905.98 | 13 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $125.43 | $231.00 | $101.64 – $224.07 | 13 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $987.72 | $1,819.00 | $533.72 – $1,176.61 | 13 |
| Closed tx septal&nose fx CPT 21337 | $330.14 | $608.00 | $267.52 – $589.76 | 13 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $354.58 | $653.00 | $191.84 – $422.92 | 13 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $158.20 | $350.00 | $154.00 – $339.50 | 13 |
| Clot factor viii reltd antgn CPT 85244 | $37.32 | $62.00 | $27.28 – $60.14 | 13 |
| Clot factor xii hageman CPT 85280 | $45.75 | $76.00 | $33.44 – $73.72 | 13 |
| Clot factor xiii fibrin scrn CPT 85291 | $16.86 | $28.00 | $12.32 – $27.16 | 13 |
| Clot factor xiii fibrin stab CPT 85290 | $59.00 | $98.00 | $43.12 – $95.06 | 13 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $491.96 | $906.00 | $265.76 – $585.88 | 13 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $511.51 | $942.00 | $276.32 – $609.16 | 13 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $348.06 | $641.00 | $282.04 – $621.77 | 13 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $565.26 | $1,041.00 | $305.36 – $673.18 | 13 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $379.56 | $699.00 | $205.04 – $452.02 | 13 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $210.14 | $387.00 | $170.28 – $375.39 | 13 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $652.69 | $1,202.00 | $352.88 – $777.94 | 13 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $133.04 | $245.00 | $72.16 – $159.08 | 13 |
| Clsd tx fracture of radius 25500 CPT 25500 | $426.26 | $785.00 | $230.56 – $508.28 | 13 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $209.06 | $385.00 | $113.08 – $249.29 | 13 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $160.18 | $295.00 | $129.80 – $286.15 | 13 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $532.68 | $981.00 | $287.76 – $634.38 | 13 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $866.08 | $1,595.00 | $468.16 – $1,032.08 | 13 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $430.06 | $792.00 | $232.32 – $512.16 | 13 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $786.81 | $1,449.00 | $425.04 – $937.02 | 13 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $685.81 | $1,263.00 | $370.48 – $816.74 | 13 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $585.90 | $1,079.00 | $316.36 – $697.43 | 13 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $556.58 | $1,025.00 | $300.52 – $662.51 | 13 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $390.42 | $719.00 | $316.36 – $697.43 | 13 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $316.03 | $582.00 | $256.08 – $564.54 | 13 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $331.23 | $610.00 | $268.40 – $591.70 | 13 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $255.75 | $471.00 | $207.24 – $456.87 | 13 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $229.69 | $423.00 | $186.12 – $410.31 | 13 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $547.34 | $1,008.00 | $295.68 – $651.84 | 13 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $581.01 | $1,070.00 | $314.16 – $692.58 | 13 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $502.28 | $925.00 | $271.48 – $598.49 | 13 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $208.51 | $384.00 | $168.96 – $372.48 | 13 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $409.42 | $754.00 | $221.32 – $487.91 | 13 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $674.95 | $1,243.00 | $364.76 – $804.13 | 13 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $405.08 | $746.00 | $219.12 – $483.06 | 13 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $671.15 | $1,236.00 | $362.56 – $799.28 | 13 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $684.72 | $1,261.00 | $370.04 – $815.77 | 13 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $54.30 | $100.00 | $29.48 – $64.99 | 13 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $103.17 | $190.00 | $83.60 – $184.30 | 13 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $491.96 | $906.00 | $265.76 – $585.88 | 13 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $737.39 | $1,358.00 | $398.64 – $878.82 | 13 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $474.58 | $874.00 | $256.52 – $565.51 | 13 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $511.51 | $942.00 | $276.32 – $609.16 | 13 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $448.52 | $826.00 | $242.44 – $534.47 | 13 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $855.22 | $1,575.00 | $462.00 – $1,018.50 | 13 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $566.35 | $1,043.00 | $458.92 – $1,011.71 | 13 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $637.48 | $1,174.00 | $344.52 – $759.51 | 13 |
| Cmptr ophth img optic nerve CPT 92133 | $79.80 | $150.00 | $66.00 – $145.50 | 13 |
| #cmvcul-virus inoculation shell CPT 87254 | $72.82 | $106.00 | $28.16 – $62.08 | 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.