Ogallala Community Hospital

Ogallala, NE · Critical Access Hospital

Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.

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ProcedurePosted cashPosted gross× 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)
range across 6 matching MRF lines
$251.43–$2,031.18 $510–$3,818 varies
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 3 matching MRF lines
$298.98–$448.48 $562–$843 varies
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)
range across 2 matching MRF lines
$178.20–$267.68 $227–$341 varies
Basic metabolic panel (80048) $68.04 $111 8.0×
Comprehensive metabolic panel (80053) $83.98 $137 8.0×
Lipid panel (80061)
range across 2 matching MRF lines
$30.04–$62.53 $49–$102 varies
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)
range across 2 matching MRF lines
$14.45–$39.13 $24–$65 varies
CBC, automated (85027) $32.51 $54 5.0×
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
$7.83–$30.70 $13–$51 varies
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$11.44–$32.51 $19–$54 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 4 matching MRF lines
$74.68–$80.64 $127 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 5 matching MRF lines
$99.44–$471.78 $220–$835 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 5 matching MRF lines
$148.71–$566.69 $329–$1,003 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 5 matching MRF lines
$196.17–$759.36 $434–$1,344 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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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Download the machine-readable file (CSV, 35.9 MB) ↓ — captured 2026-07-20

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