Home › Hospitals › Ogallala Community Hospital Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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Procedure Cash price Gross charge × Medicare
Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure $269.84
$597
0.0×
Epidural injection, lumbar/sacral (with imaging) (62322) $227.74
$386
0.2×
Transforaminal epidural injection, lumbar/sacral (64483) $865.54
$1,655
0.9×
After-cataract laser surgery (YAG capsulotomy) (66821) $298.98
$562
0.5×
CT head/brain without contrast (70450) $917.39
$1,499
8.5×
MRI brain without contrast (70551) $1,308.27
$1,877
5.3×
MRI brain with contrast (70552) $1,635.86
$2,347
4.5×
MRI brain without and with contrast (70553) $1,962.75
$2,816
5.4×
X-ray lower spine, 4+ views (72110) $602.40
$839
5.5×
MRI lumbar spine without contrast (72148) $1,144.02
$1,736
4.6×
CT pelvis with contrast (72193) $2,379.10
$3,729
13.1×
MRI lower-extremity joint without contrast (73721) $1,665.83
$2,390
6.7×
CT abdomen and pelvis with contrast (74177) $1,693.89
$2,655
4.7×
Ultrasound, abdomen complete (76700) $1,012.16
$1,195
9.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $891.89
$1,053
8.2×
Ultrasound, transvaginal (76830) $692
$817
6.4×
Mammography, one breast (diagnostic) (77065) $225.22
$288
2.6×
Mammography, both breasts (diagnostic) (77066) $339.39
$434
3.1×
Mammography, screening (bilateral) (77067) $222.94
$284
2.4×
Basic metabolic panel (80048) $68.04
$111
8.0×
Comprehensive metabolic panel (80053) $83.98
$137
8.0×
Lipid panel (80061) $46.28
$75.50
3.5×
Renal function panel (80069) $95.63
$156
11.0×
Hepatic function panel (80076) $66.20
$108
8.1×
Urinalysis, non-automated, without microscopy (81002) $7.17
$11
2.1×
PSA, total (84153) $34.33
$56
1.9×
Thyroid stimulating hormone (TSH) (84443) $68.04
$111
4.1×
CBC with automated differential (85025) $26.79
$44.50
3.4×
CBC, automated (85027) $32.51
$54
5.0×
Prothrombin time (PT) (85610) $7.83
$13
1.8×
Partial thromboplastin time (PTT) (85730) $21.98
$36.50
3.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $77.66
$127
2.7×
Office visit, new patient (low complexity, ~30 min) (99203) $108.46
$220
0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $162.20
$329
1.2×
Office visit, new patient (high complexity, ~60 min) (99205) $213.96
$434
1.5×
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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