CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,221 - $2,859
from 4 insurers · median $2,682
Typical for a hospital with this service line
Banner Health · Ogallala, NE
33
In-network payers
116
Disclosed rate categories
18
Beds
Ogallala Community Hospital is an 18-bed government - hospital district or authority hospital in Ogallala, NE, affiliated with Banner Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 116 disclosed rate categories.
CCN (Medicare provider number)
281355
NPI
1710915467
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
18
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Ogallala Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,221 - $2,859
from 4 insurers · median $2,682
Typical for a hospital with this service line
CT imaging
CPT 70450
$690 - $1,440
from 4 insurers · median $1,082
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,362 - $2,842
from 4 insurers · median $2,473
Typical for a hospital with this service line
CT imaging
CPT 74176
$971 - $2,039
from 4 insurers · median $1,370
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,101 - $2,297
from 4 insurers · median $1,754
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,295 - $2,703
from 4 insurers · median $2,520
Typical for a hospital with this service line
Mammography
CPT 77067
$131 - $327
from 4 insurers · median $261
Typical for a hospital with this service line
MRI imaging
CPT 74183
$2,197 - $4,585
from 4 insurers · median $4,275
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$130 - $444
from 4 insurers · median $247
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,360 - $5,116
from 4 insurers · median $2,650
Hospital reports nuclear medicine services to CMS
Ultrasound
CPT 76705
$410 - $855
from 4 insurers · median $649
Typical for a hospital with this service line
MRI imaging
CPT 72148
$799 - $1,954
from 4 insurers · median $1,554
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$526 - $1,250
from 4 insurers · median $924
Typical for a hospital with this service line
MRI imaging
CPT 70551
$863 - $1,802
from 4 insurers · median $1,351
Typical for a hospital with this service line
Ultrasound
CPT 76856
$481 - $1,003
from 4 insurers · median $878
Typical for a hospital with this service line
Ultrasound
CPT 76830
$376 - $784
from 4 insurers · median $731
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$63 - $175
from 4 insurers · median $135
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,582
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76770
$472 - $986
from 3 insurers · median $986
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$610 - $1,647
from 4 insurers · median $1,218
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$209 - $436
from 3 insurers · median $436
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$204 - $426
from 4 insurers · median $366
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,553
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$204 - $426
from 4 insurers · median $268
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 749% | 8 | 5 |
| Insurer B* | 22 | 737% | 8 | 7 |
| Insurer C* | 22 | 407% | 6 | 13 |
| Insurer D* | 22 | 353% | 0 | 22 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ogallala Community Hospital.
2601 North Spruce Street, Ogallala, NE 69153
(308) 284-4011
About Ogallala Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ogallala Community Hospital range from $1,295 to $2,703 across 4 insurers. Blue Cross Blue Shield's rate is $2,703. The median at nearby comparable hospitals is $4,252. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ogallala Community Hospital range from $1,221 to $2,859 across 4 insurers. Aetna's rate is $2,816. The median at nearby comparable hospitals is $3,707. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ogallala Community Hospital range from $2,582 to $2,582 across 1 insurers. Aetna's rate is $2,582. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ogallala Community Hospital range from $131 to $327 across 4 insurers. UnitedHealthcare's rate is $131. The median at nearby comparable hospitals is $272. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ogallala Community Hospital has 18 beds. Facility type: Critical Access Hospital.
Ogallala Community Hospital is located at 2601 North Spruce Street, Ogallala, NE 69153. Its main phone number is (308) 284-4011.
Ogallala Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 281355.
The National Provider Identifier (NPI) on file for Ogallala Community Hospital is 1710915467.
Ogallala Community Hospital is affiliated with Banner Health.
Ogallala Community Hospital lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
116 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers