Emergency visit, highest (level 5) at Ogallala Community Hospital. CPT 99285.
What Ogallala Community Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$3,173cash price (self-pay)
$1,460list price
$343–$1,416range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $493 |
| Blue Cross Blue Shield of Wyoming | Medicare Advantage | $493 |
| Medica | Medicare Advantage | $493 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $493 |
| United Healthcare | UHC Medicare Advantage | $515 |
| Molina Healthcare | Medicaid/CHIP | $549 |
| Nebraska Total Care | Medicaid | $549 |
| United Healthcare | VA Community Care | $672 |
| United Healthcare | Nebraska Medicaid/CHIP | $715 |
| Keith County Sheriff’s Office | Imate/Detainee Plan | $840 |
| Apostrophe, Inc. | Commercial | $1,008 |
| United Healthcare | Commercial/Individual Exchange | $1,064 |
| Medica | Commercial | $1,067 |
| First Health | Medical Rental | $1,075 |
| Blue Cross Blue Shield of Wyoming | Network Blue | $1,075 |
| Coventry | Commercial | $1,075 |
| Coventry | Workers Comp | $1,075 |
| Midlands Choice | Commercial | $1,075 |
| Multiplan | Commercial | $1,086 |
Inpatient
$3,173cash price (self-pay)
$1,120list price
$585–$1,416range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keith County Sheriff’s Office | Imate/Detainee Plan | $840 |
| Apostrophe, Inc. | Commercial | $1,008 |
| United Healthcare | Commercial/Individual Exchange | $1,064 |
| First Health | Medical Rental | $1,075 |
| Blue Cross Blue Shield of Wyoming | Network Blue | $1,075 |
| Coventry | Commercial | $1,075 |
| Coventry | Workers Comp | $1,075 |
| Midlands Choice | Commercial | $1,075 |
| Multiplan | Commercial | $1,086 |
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