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 |
|---|---|---|---|---|
| Gammaglobulin iga CPT 82784 | $38.62 | $63.00 | $22.88 – $50.44 | 13 |
| Gammaglobulin ige CPT 82785 | $35.55 | $58.00 | $25.52 – $56.26 | 13 |
| Gamma glutamyltransferase CPT 82977 | $38.01 | $62.00 | $9.68 – $21.34 | 13 |
| Gastroesophageal reflux study CPT 78262 | $782.19 | $1,226.00 | $539.44 – $1,189.22 | 13 |
| Gated heart multiple CPT 78473 | $1,227.51 | $1,924.00 | $846.56 – $1,866.28 | 13 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $0.37 | $1.64 | $0.72 – $1.59 | 13 |
| Generator barostim neo2 2014 HCPCS C1767 | $72,820.16 | $109,504.00 | $12,526.80 – $27,615.90 | 13 |
| Generator emblem MRI sicd subq HCPCS C1722 | $50,284.70 | $87,604.00 | $19,272.00 – $42,486.00 | 13 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $0.97 | $4.24 | $1.87 – $4.11 | 13 |
| Gentamicin peak therapeutic drug level CPT 80170 | $30.65 | $50.00 | $22.00 – $48.50 | 13 |
| Ghs abscess perianal iandd CPT 46050 | $111.86 | $206.00 | $90.64 – $199.82 | 13 |
| Ghs abscess postoperative iandd complex CPT 10180 | $200.37 | $369.00 | $162.36 – $357.93 | 13 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $36.17 | $59.00 | $25.96 – $57.23 | 13 |
| Ghs antibodies (torch) igm CPT 86694 | $33.79 | $44.00 | $19.36 – $42.68 | 13 |
| Ghs aspiration bladder - needle CPT 51100 | $43.98 | $81.00 | $35.64 – $78.57 | 13 |
| Ghs bladder cath - complex-foley CPT 51703 | $162.65 | $324.00 | $142.56 – $314.28 | 13 |
| Ghs central line insert < age 5, failed CPT 36555 | $210.68 | $388.00 | $170.72 – $376.36 | 13 |
| Ghs chemo >8 hrs CPT 96416 | $157.30 | $424.00 | $186.56 – $411.28 | 13 |
| Ghs chemo IV push, ea addtl CPT 96411 | $91.31 | $178.00 | $78.32 – $172.66 | 13 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $225.34 | $328.00 | $144.32 – $318.16 | 13 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $290.50 | $535.00 | $235.40 – $518.95 | 13 |
| Ghs closed reduction ankle dislocation CPT 27840 | $637.48 | $1,174.00 | $344.52 – $759.51 | 13 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $717.30 | $1,321.00 | $387.64 – $854.57 | 13 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $834.59 | $1,537.00 | $451.00 – $994.25 | 13 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $518.02 | $954.00 | $279.84 – $616.92 | 13 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $734.68 | $1,353.00 | $396.88 – $874.94 | 13 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $837.85 | $1,543.00 | $452.76 – $998.13 | 13 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $821.02 | $1,512.00 | $443.52 – $977.76 | 13 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $347.52 | $640.00 | $281.60 – $620.80 | 13 |
| Ghs community re-entry 15 minutes CPT 97537 | $58.80 | $100.00 | $44.00 – $97.00 | 13 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $61.36 | $113.00 | $33.44 – $73.72 | 13 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $48.87 | $90.00 | $26.40 – $58.20 | 13 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $70.05 | $129.00 | $37.84 – $83.42 | 13 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $86.34 | $159.00 | $46.64 – $102.82 | 13 |
| Ghs cricothyroidotomy CPT 31605 | $380.64 | $701.00 | $308.44 – $679.97 | 13 |
| Ghs cutdown placement age 1 and over CPT 36425 | $45.61 | $84.00 | $36.96 – $81.48 | 13 |
| Ghs cutdown placement under 1 yr CPT 36420 | $54.84 | $101.00 | $44.44 – $97.97 | 13 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $48.38 | $63.00 | $27.72 – $61.11 | 13 |
| Ghs dislocation elbow closed treatment CPT 24600 | $571.24 | $1,052.00 | $308.44 – $679.97 | 13 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $124.35 | $229.00 | $100.76 – $222.13 | 13 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $38.01 | $70.00 | $30.80 – $67.90 | 13 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $67.80 | $150.00 | $66.00 – $145.50 | 13 |
| Ghs excision ingrown nail CPT 11765 | $103.71 | $191.00 | $53.24 – $117.37 | 13 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $193.31 | $356.00 | $104.28 – $229.89 | 13 |
| Ghs fb removal - incisional CPT 10121 | $209.06 | $385.00 | $169.40 – $373.45 | 13 |
| Ghs fb removal - non-incisional CPT 20520 | $165.62 | $305.00 | $134.20 – $295.85 | 13 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $16.13 | $21.00 | $9.24 – $20.37 | 13 |
| Ghs fish cytogen CPT 88271 | $153.68 | $272.00 | $28.60 – $63.05 | 13 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $87.01 | $154.00 | $67.76 – $149.38 | 13 |
| Ghs flow volume loop CPT 94375 | $181.73 | $288.00 | $126.72 – $279.36 | 13 |
| Ghs gastric intub aspiration lavage CPT 43753 | $25.52 | $47.00 | $20.68 – $45.59 | 13 |
| Ghs hcv amplificaiton CPT 87521 | $72.82 | $106.00 | $46.64 – $102.82 | 13 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $183.55 | $239.00 | $105.16 – $231.83 | 13 |
| Ghs histoplasma antigen CPT 87385 | $104.42 | $152.00 | $66.88 – $147.44 | 13 |
| Ghs HIV antibody CPT 86703 | $32.26 | $42.00 | $18.48 – $40.74 | 13 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $363.81 | $670.00 | $196.68 – $433.59 | 13 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $476.75 | $878.00 | $386.32 – $851.66 | 13 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $193.31 | $356.00 | $156.64 – $345.32 | 13 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $115.66 | $213.00 | $93.72 – $206.61 | 13 |
| Ghs immun0electrophoresis CPT 86320 | $69.12 | $90.00 | $39.60 – $87.30 | 13 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $122.72 | $226.00 | $99.44 – $219.22 | 13 |
| Ghs inhibitor screen CPT 85335 | $135.45 | $225.00 | $42.68 – $94.09 | 13 |
| Ghs init tx 1st degree burn CPT 16000 | $52.13 | $96.00 | $42.24 – $93.12 | 13 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $657.02 | $1,235.00 | $236.28 – $520.89 | 13 |
| Ghs inj tendon origin/insertion CPT 20551 | $236.74 | $445.00 | $80.52 – $195.80 | 13 |
| Ghs insertion of needle - bone CPT 36680 | $268.57 | $472.00 | $55.44 – $122.22 | 13 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $272.04 | $501.00 | $220.44 – $485.97 | 13 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $319.83 | $589.00 | $259.16 – $571.33 | 13 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $373.58 | $688.00 | $302.72 – $667.36 | 13 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $10.32 | $19.00 | $8.36 – $18.43 | 13 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $151.50 | $279.00 | $122.76 – $270.63 | 13 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $61.88 | $119.00 | $52.36 – $115.43 | 13 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $173.76 | $320.00 | $140.80 – $310.40 | 13 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $171.05 | $315.00 | $138.60 – $305.55 | 13 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $165.62 | $305.00 | $134.20 – $295.85 | 13 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $190.59 | $351.00 | $154.44 – $340.47 | 13 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $225.35 | $415.00 | $182.60 – $402.55 | 13 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $221.54 | $408.00 | $179.52 – $395.76 | 13 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $243.26 | $448.00 | $197.12 – $434.56 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $231.86 | $427.00 | $187.88 – $414.19 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $241.64 | $445.00 | $195.80 – $431.65 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $249.24 | $459.00 | $201.96 – $445.23 | 13 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $304.62 | $561.00 | $246.84 – $544.17 | 13 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $339.92 | $626.00 | $275.44 – $607.22 | 13 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $356.21 | $656.00 | $288.64 – $636.32 | 13 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $435.49 | $802.00 | $352.88 – $777.94 | 13 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $397.48 | $732.00 | $322.08 – $710.04 | 13 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $481.64 | $887.00 | $390.28 – $860.39 | 13 |
| Ghs mbp CPT 83873 | $38.62 | $63.00 | $27.72 – $61.11 | 13 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $224.60 | $345.00 | $47.08 – $103.79 | 13 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $224.60 | $386.00 | $151.80 – $334.65 | 13 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $318.99 | $490.00 | $155.32 – $342.41 | 13 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $113.92 | $175.00 | $21.12 – $46.56 | 13 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $156.38 | $288.00 | $77.00 – $169.75 | 13 |
| Ghs nailbed repair/nail removal CPT 11760 | $129.23 | $238.00 | $104.72 – $230.86 | 13 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,141.98 | $2,007.00 | $588.72 – $1,297.86 | 13 |
| Ghs nerve blk intercostal, single level CPT 64420 | $858.62 | $1,509.00 | $442.64 – $975.82 | 13 |
| Ghs nerve block axillary nerve CPT 64417 | $246.03 | $417.00 | $122.32 – $269.66 | 13 |
| Ghs nerve block brachial plexus CPT 64415 | $171.69 | $291.00 | $128.04 – $282.27 | 13 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $711.82 | $1,338.00 | $166.32 – $588.72 | 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.