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 |
|---|---|---|---|---|
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,358.75 | $2,775.00 | $594.41 – $3,141.86 | 18 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $362.10 | $426.00 | $91.25 – $482.32 | 18 |
| Destruction vag lesions simple 57061 CPT 57061 | $2,295.00 | $2,700.00 | $578.34 – $3,056.94 | 18 |
| Detect agent nos dna dir CPT 87797 | $105.40 | $124.00 | $13.07 – $66.67 | 18 |
| Detect agnt mult dna direc CPT 87800 | $157.25 | $185.00 | $39.63 – $181.30 | 18 |
| Device ablt adv novasure HCPCS C1886 | $10,770.44 | $12,671.10 | $422.09 – $2,231.01 | 18 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,878.55 | $4,563.00 | $939.81 – $4,967.53 | 18 |
| Device intraute mirena HCPCS J7298 | $3,716.78 | $4,372.68 | $936.63 – $4,950.75 | 18 |
| Device sut capio slim opn HCPCS C2631 | $1,262.66 | $1,485.48 | $141.38 – $747.26 | 18 |
| Device tiss remov myosure reach HCPCS C1782 | $2,114.38 | $2,487.50 | $183.15 – $968.04 | 18 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $255.00 | $300.00 | $64.26 – $339.66 | 18 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $462.40 | $544.00 | $0.75 – $3.97 | 18 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $131.97 | $155.25 | $21.32 – $112.66 | 18 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $2,132.10 | $2,508.35 | $70.67 – $373.52 | 18 |
| Dextran 40 infusion HCPCS J7100 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Dextrose 5 % IV bolus HCPCS J7070 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $209.95 | $247.00 | $22.23 – $242.06 | 18 |
| Diabetes (HbA1c) Test CPT 83036 | $117.30 | $138.00 | $6.43 – $29.40 | 18 |
| Diab manage trn ind/group HCPCS G0109 | $28.05 | $33.00 | $7.07 – $37.37 | 18 |
| Diag bronchoscope/catheter CPT 31643 | $1,632.00 | $1,920.00 | $411.27 – $2,173.83 | 18 |
| Diag laparo separate proc 49320 CPT 49320 | $756.50 | $890.00 | $190.64 – $1,007.66 | 18 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $292.40 | $344.00 | $69.19 – $316.54 | 18 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $334.90 | $394.00 | $84.40 – $446.09 | 18 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $261.80 | $308.00 | $65.98 – $348.72 | 18 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $218.45 | $257.00 | $37.06 – $169.54 | 18 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $309.40 | $364.00 | $52.48 – $240.10 | 18 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $261.80 | $308.00 | $65.98 – $348.72 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | $261.80 | $308.00 | $48.20 – $254.75 | 18 |
| Dialysis one evaluation CPT 90945 | $3,330.30 | $3,918.00 | $839.24 – $4,435.96 | 18 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $155.34 | $182.75 | $21.32 – $112.66 | 18 |
| Dicyclomine injection HCPCS J0500 | $326.74 | $384.40 | $21.32 – $112.66 | 18 |
| Diffusing capacity CPT 94729 | $541.45 | $637.00 | $136.45 – $721.22 | 18 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $537.30 | $632.11 | $21.32 – $112.66 | 18 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $20,399.62 | $23,999.55 | $5,140.71 – $27,172.30 | 18 |
| Digoxin total therapeutic drug level CPT 80162 | $136.00 | $160.00 | $8.79 – $40.18 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $4,759.66 | $5,599.59 | $43.92 – $232.12 | 18 |
| Dilate biliary duct/ampulla CPT 47542 | $1,727.20 | $2,032.00 | $435.26 – $2,300.64 | 18 |
| Dilate esophagus CPT 43453 | $686.80 | $808.00 | $173.08 – $914.82 | 18 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,105.85 | $1,301.00 | $115.89 – $530.18 | 18 |
| Dilate urethra stricture CPT 53600 | $368.05 | $433.00 | $53.13 – $243.04 | 18 |
| Dilate urethra stricture CPT 53601 | $280.50 | $330.00 | $50.77 – $232.26 | 18 |
| Dilation/female urethra/initial 53660 CPT 53660 | $234.60 | $276.00 | $59.12 – $312.49 | 18 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $2,325.60 | $2,736.00 | $104.53 – $478.24 | 18 |
| Dilator fascial 10fx20cm HCPCS C2627 | $826.20 | $972.00 | $25.95 – $137.16 | 18 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $2,269.16 | $2,669.60 | $571.83 – $3,022.53 | 18 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Disability dlco CPT 94727 | $643.45 | $757.00 | $162.15 – $857.08 | 18 |
| Disaccharidases CPT 82657 | $796.45 | $937.00 | $16.93 – $77.42 | 18 |
| Dna antibody native/double stranded CPT 86225 | $316.20 | $372.00 | $9.00 – $41.16 | 18 |
| Dna gardnerella CPT 87510 | $88.40 | $104.00 | $13.07 – $59.78 | 18 |
| Dna probe chlamydia CPT 87490 | $124.10 | $146.00 | $13.07 – $59.78 | 18 |
| Dna probe gc CPT 87590 | $99.45 | $117.00 | $13.07 – $59.78 | 18 |
| Dna trichomonas CPT 87660 | $209.10 | $246.00 | $13.07 – $59.78 | 18 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,171.04 | $2,554.16 | $21.32 – $112.66 | 18 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Doppler echo complete CPT 93320 | $315.35 | $371.00 | $79.47 – $420.05 | 18 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $721.65 | $849.00 | $181.86 – $961.24 | 18 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $759.90 | $894.00 | $49.27 – $260.41 | 18 |
| Dornhoffer fixed part w/window HCPCS L8614 | $23,332.62 | $27,450.13 | $3,129.63 – $16,542.28 | 18 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $48,179.66 | $56,681.95 | $12,141.28 – $64,175.31 | 18 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $824.59 | $970.10 | $21.32 – $112.66 | 18 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $6,441.30 | $7,578.00 | $127.84 – $675.70 | 18 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $492.15 | $579.00 | $42.63 – $225.31 | 18 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $566.95 | $667.00 | $52.06 – $275.13 | 18 |
| Drainage external ear simple 69000 CPT 69000 | $447.10 | $526.00 | $52.06 – $275.13 | 18 |
| Drainage mouth roof lesion CPT 42000 | $385.90 | $454.00 | $95.54 – $437.08 | 18 |
| Drainage of arm bursa 23931 CPT 23931 | $728.45 | $857.00 | $162.80 – $744.80 | 18 |
| Drainage of nose lesion sept 30020 CPT 30020 | $657.05 | $773.00 | $121.03 – $553.70 | 18 |
| Drainage of rectal abscess CPT 45005 | $821.95 | $967.00 | $193.64 – $885.92 | 18 |
| Drain blood from under nail 11740 CPT 11740 | $136.85 | $161.00 | $18.00 – $89.36 | 18 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,159.45 | $3,717.00 | $796.19 – $4,208.39 | 18 |
| Drain cath image guided visceral pq CPT 49405 | $1,676.20 | $1,972.00 | $422.41 – $2,232.70 | 18 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $186.94 | $219.92 | $19.20 – $101.45 | 18 |
| Drain finger abscess;simple 26010 CPT 26010 | $842.35 | $991.00 | $61.48 – $324.95 | 18 |
| Drain lower leg lesion 27603 CPT 27603 | $3,062.55 | $3,603.00 | $771.77 – $4,079.32 | 18 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,008.15 | $3,539.00 | $758.06 – $4,006.86 | 18 |
| Drain thigh/knee lesion 27301 CPT 27301 | $2,051.05 | $2,413.00 | $400.13 – $1,830.64 | 18 |
| Drain thyroid/tongue cyst CPT 60000 | $847.45 | $997.00 | $110.75 – $506.66 | 18 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $384.20 | $452.00 | $94.04 – $497.04 | 18 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $264.35 | $311.00 | $50.56 – $267.20 | 18 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $577.15 | $679.00 | $116.96 – $618.19 | 18 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $621.35 | $731.00 | $156.59 – $827.64 | 18 |
| Drng appendix abscess open 44900 CPT 44900 | $1,795.20 | $2,112.00 | $452.40 – $2,391.21 | 18 |
| Drng of eyelid abscess 67700 CPT 67700 | $691.90 | $814.00 | $84.40 – $446.09 | 18 |
| Drng of hydrocele 55000 CPT 55000 | $250.75 | $295.00 | $63.19 – $334.00 | 18 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,229.10 | $1,446.00 | $138.59 – $634.06 | 18 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $1,376.32 | $1,619.20 | $3.67 – $19.37 | 18 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,016.82 | $1,196.25 | $63.88 – $337.62 | 18 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $3,950.28 | $4,647.38 | $442.44 – $2,338.56 | 18 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $3,117.52 | $3,667.66 | $349.17 – $1,845.57 | 18 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $12,942.05 | $15,225.93 | $891.10 – $4,710.06 | 18 |
| Drug assay caffeine CPT 80155 | $83.30 | $98.00 | $21.00 – $96.04 | 18 |
| Drug assay voriconazole CPT 80285 | $192.10 | $226.00 | $27.11 – $221.48 | 18 |
| Drug of abuse screen urine CPT 80305 | $204.85 | $241.00 | $12.60 – $236.18 | 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.