Emergency visit, moderate (level 3) at Ogallala Community Hospital. CPT 99283.
What Ogallala Community Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$895cash price (self-pay)
$615list price
$129–$597range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $200 |
| Blue Cross Blue Shield of Wyoming | Medicare Advantage | $200 |
| Medica | Medicare Advantage | $200 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $200 |
| United Healthcare | UHC Medicare Advantage | $209 |
| Molina Healthcare | Medicaid/CHIP | $222 |
| Nebraska Total Care | Medicaid | $222 |
| United Healthcare | VA Community Care | $283 |
| United Healthcare | Nebraska Medicaid/CHIP | $301 |
| Keith County Sheriff’s Office | Imate/Detainee Plan | $341 |
| Apostrophe, Inc. | Commercial | $409 |
| United Healthcare | Commercial/Individual Exchange | $431 |
| Medica | Commercial | $433 |
| First Health | Medical Rental | $436 |
| Blue Cross Blue Shield of Wyoming | Network Blue | $436 |
| Coventry | Commercial | $436 |
| Coventry | Workers Comp | $436 |
| Midlands Choice | Commercial | $436 |
| Multiplan | Commercial | $440 |
Inpatient
$895cash price (self-pay)
$454list price
$220–$597range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keith County Sheriff’s Office | Imate/Detainee Plan | $341 |
| Apostrophe, Inc. | Commercial | $409 |
| United Healthcare | Commercial/Individual Exchange | $431 |
| First Health | Medical Rental | $436 |
| Blue Cross Blue Shield of Wyoming | Network Blue | $436 |
| Coventry | Commercial | $436 |
| Coventry | Workers Comp | $436 |
| Midlands Choice | Commercial | $436 |
| Multiplan | Commercial | $440 |
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