CHI Health Schuyler
104 West 17th Street, Schuyler, NE · Chihealth · · NPI 1568547032
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $99.45 | $117.00 | $25.07 – $114.66 | 18 |
| 17-hydroxypregnenolone CPT 84143 | $89.25 | $105.00 | $22.50 – $102.90 | 18 |
| 17-ketosteroids CPT 83586 | $362.10 | $426.00 | $12.80 – $417.48 | 18 |
| 1st psyc collab care mgmt CPT 99492 | $94.35 | $111.00 | $23.78 – $125.68 | 18 |
| 3d recon without postprocess indpndt CPT 76376 | $544.85 | $641.00 | $137.31 – $725.75 | 18 |
| 5' nucleotidase - sendout CPT 83915 | $71.40 | $84.00 | $11.15 – $82.32 | 18 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $153.00 | $180.00 | $38.56 – $203.80 | 18 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $6,207.94 | $7,303.45 | $1,039.75 – $5,495.82 | 18 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $17.00 | $20.00 | $4.29 – $26.66 | 18 |
| Abd aorta w/runoff s&i CPT 75630 | $2,835.60 | $3,336.00 | $714.58 – $3,777.02 | 18 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,712.80 | $4,368.00 | $935.63 – $4,945.45 | 18 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,992.85 | $3,521.00 | $754.20 – $3,986.48 | 18 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,769.30 | $3,258.00 | $697.87 – $3,688.71 | 18 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,279.75 | $5,035.00 | $1,078.50 – $5,700.63 | 18 |
| Abdominal MRI (with contrast) CPT 74182 | $3,723.00 | $4,380.00 | $938.20 – $4,959.04 | 18 |
| Abdominal MRI (without contrast) CPT 74181 | $2,952.90 | $3,474.00 | $744.14 – $3,933.27 | 18 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,110.95 | $1,307.00 | $182.29 – $833.98 | 18 |
| Abdominal Ultrasound (complete) CPT 76700 | $976.65 | $1,149.00 | $246.12 – $1,300.90 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | $517.65 | $609.00 | $130.45 – $689.51 | 18 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $889.10 | $1,046.00 | $130.45 – $596.82 | 18 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $6,098.75 | $7,175.00 | $1,536.89 – $8,123.54 | 18 |
| Ablate pulm tumor perq crybl CPT 32994 | $7,484.25 | $8,805.00 | $1,886.04 – $9,969.03 | 18 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $289.00 | $340.00 | $10.50 – $55.48 | 18 |
| Ablation cryo abd perit om CPT 49999 | $2,396.15 | $2,819.00 | $603.83 – $3,191.68 | 18 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $5,651.65 | $6,649.00 | $1,424.22 – $7,528.00 | 18 |
| Ablation of upper extremity nerves rf CPT 64999 | $66.30 | $78.00 | $16.71 – $88.32 | 18 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,676.20 | $1,972.00 | $422.41 – $2,232.70 | 18 |
| Abscess imaging ltd area CPT 78805 | $1,320.90 | $1,554.00 | $332.87 – $1,759.44 | 18 |
| Abscess imaging whole body CPT 78806 | $1,686.40 | $1,984.00 | $424.98 – $2,246.29 | 18 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $187.85 | $221.00 | $21.32 – $112.66 | 18 |
| Acetaminophen level CPT 80143 | $442.85 | $521.00 | $18.64 – $510.58 | 18 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $161.80 | $190.35 | $21.32 – $112.66 | 18 |
| Acetone qualitative CPT 82009 | $50.15 | $59.00 | $4.52 – $57.82 | 18 |
| Acetylcholine receptor modulating antibody CPT 86043 | $172.55 | $203.00 | $43.49 – $229.84 | 18 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $804.53 | $946.50 | $0.92 – $4.82 | 18 |
| Acne surgery 10040 CPT 10040 | $96.90 | $114.00 | $24.42 – $129.08 | 18 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $148.75 | $175.00 | $37.49 – $198.14 | 18 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $315.35 | $371.00 | $79.47 – $420.05 | 18 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $30.60 | $36.00 | $7.72 – $40.76 | 18 |
| Actigraphy testing CPT 95803 | $296.65 | $349.00 | $74.76 – $395.14 | 18 |
| Acute hepatitis panel CPT 80074 | $653.65 | $769.00 | $27.64 – $126.42 | 18 |
| Acyclovir 400 mg tablet HCPCS J8499 | $68.34 | $80.40 | $10.03 – $52.99 | 18 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Adapter b 8 channel 10cm HCPCS C1883 | $4,109.64 | $4,834.86 | $106.03 – $560.44 | 18 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $373.20 | $439.05 | $21.32 – $112.66 | 18 |
| Adenovirus ag ia CPT 87301 | $135.15 | $159.00 | $11.98 – $155.82 | 18 |
| Adenovirus antibody,serum - quest CPT 86603 | $140.25 | $165.00 | $12.87 – $161.70 | 18 |
| Adh-sendout CPT 84588 | $153.85 | $181.00 | $33.94 – $177.38 | 18 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1,390.14 | $1,635.45 | $5.18 – $27.35 | 18 |
| Admin ecg contrast agent CPT 93352 | $107.95 | $127.00 | $27.21 – $143.79 | 18 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $447.10 | $526.00 | $112.67 – $595.54 | 18 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $323.85 | $381.00 | $73.69 – $389.48 | 18 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $422.45 | $497.00 | $95.75 – $506.10 | 18 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $323.85 | $381.00 | $73.69 – $389.48 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $192.95 | $227.00 | $46.70 – $246.82 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $192.95 | $227.00 | $46.70 – $246.82 | 18 |
| Administration immunization 1 vaccine CPT 90471 | $101.15 | $119.00 | $4.07 – $21.52 | 18 |
| Administration immunization each additional vaccine CPT 90472 | $247.35 | $291.00 | $62.34 – $329.48 | 18 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $26,463.86 | $31,133.95 | $4,168.07 – $22,031.20 | 18 |
| Adrenal cortex & medulla img CPT 78075 | $2,276.30 | $2,678.00 | $573.63 – $3,032.04 | 18 |
| Adrenalin epinephrine inject HCPCS J0171 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| _afb id by dna probe rflx ast CPT 87149 | $198.90 | $234.00 | $20.05 – $229.32 | 18 |
| #afb mycobacteria suscep. #1 CPT 87190 | $56.10 | $66.00 | $7.31 – $64.68 | 18 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $814.30 | $958.00 | $115.36 – $938.84 | 18 |
| Afo tibial fracture soft HCPCS L2112 | $129.46 | $152.30 | $32.63 – $172.44 | 18 |
| After cataract laser surgery CPT 66821 | $877.20 | $1,032.00 | $147.37 – $778.96 | 18 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $29,295.04 | $34,464.75 | $1,054.45 – $5,573.49 | 18 |
| Air conduction bilat CPT 92552 | $158.95 | $187.00 | $40.06 – $211.73 | 18 |
| Albumin body fluid quantitative each specimen CPT 82042 | $76.50 | $90.00 | $7.78 – $88.20 | 18 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $273.36 | $321.60 | $44.29 – $234.09 | 18 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $474.30 | $558.00 | $28.71 – $151.72 | 18 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $119.00 | $140.00 | $3.86 – $17.64 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $92.65 | $109.00 | $3.43 – $15.68 | 18 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $339.15 | $399.00 | $17.27 – $391.02 | 18 |
| Alginate dressing <=16 sq in HCPCS A6196 | $6.55 | $7.70 | $1.65 – $8.72 | 18 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $62.48 | $73.50 | $4.95 – $26.16 | 18 |
| Alginate drsg wound filler HCPCS A6199 | $34.98 | $41.15 | $8.82 – $46.60 | 18 |
| Alkaline phosphatase CPT 84075 | $101.15 | $119.00 | $3.65 – $16.66 | 18 |
| Allergen egg white ige CPT 86003 | $102.85 | $121.00 | $5.22 – $118.58 | 18 |
| Allergy injections; 2 or more 95117 CPT 95117 | $47.60 | $56.00 | $12.00 – $63.41 | 18 |
| Allergy injection; single 95115 CPT 95115 | $300.05 | $353.00 | $7.07 – $37.37 | 18 |
| Allergy Skin Testing CPT 95004 | $477.70 | $562.00 | $120.39 – $636.30 | 18 |
| Allg patch or app # of tests 95044 CPT 95044 | $672.35 | $791.00 | $169.44 – $895.58 | 18 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $4,398.75 | $5,175.00 | $121.55 – $642.47 | 18 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $7,344.00 | $8,640.00 | $0.01 – $0.05 | 18 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $11,723.62 | $13,792.49 | $176.98 – $935.43 | 18 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $9,457.44 | $11,126.40 | $214.20 – $1,132.20 | 18 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $8,032.50 | $9,450.00 | $170.29 – $900.10 | 18 |
| All tstg perq&iq drugs/biol CPT 95018 | $38.25 | $45.00 | $9.64 – $50.95 | 18 |
| All tstg perq&iq w/venoms CPT 95017 | $38.25 | $45.00 | $9.64 – $50.95 | 18 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Alpha-fetoprotein amniotic CPT 82106 | $146.20 | $172.00 | $17.00 – $168.56 | 18 |
| Alpha-fetoprotein tumor marker CPT 82105 | $177.65 | $209.00 | $10.93 – $49.98 | 18 |
| Alprostadil for injection HCPCS J0270 | $511.41 | $601.65 | $106.75 – $564.25 | 18 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $36,092.49 | $42,461.75 | $159.84 – $844.85 | 18 |
| Alt/sgpt CPT 84460 | $130.05 | $153.00 | $3.65 – $16.66 | 18 |
| Aluminum - quest CPT 82108 | $130.05 | $153.00 | $25.48 – $149.94 | 18 |
| Amantadine (symmetrel)-sendout CPT 80375 | $345.95 | $407.00 | $87.18 – $460.81 | 18 |
| Amifostine HCPCS J0207 | $12,720.65 | $14,965.46 | $1,070.83 – $5,660.10 | 18 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.