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 |
|---|---|---|---|---|
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,054.00 | $1,240.00 | $265.61 – $1,403.93 | 18 |
| Exc neck tum deep < 5 cm CPT 21556 | $1,235.05 | $1,453.00 | $311.24 – $1,645.09 | 18 |
| Exc neck tum deep 5 cm/> CPT 21554 | $1,523.20 | $1,792.00 | $383.85 – $2,028.91 | 18 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $861.05 | $1,013.00 | $216.99 – $1,146.92 | 18 |
| Exc prtl bn phlnx toe CPT 28124 | $1,887.85 | $2,221.00 | $475.74 – $2,514.62 | 18 |
| Exc rect tum transanal part CPT 45171 | $1,455.20 | $1,712.00 | $366.72 – $1,938.33 | 18 |
| Exc sacral pr ulc prim sutr CPT 15931 | $1,617.55 | $1,903.00 | $407.63 – $2,154.58 | 18 |
| Exc sacral pr ulc skn flap CPT 15934 | $2,200.65 | $2,589.00 | $554.57 – $2,931.27 | 18 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $1,054.00 | $1,240.00 | $152.30 – $805.00 | 18 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $1,949.90 | $2,294.00 | $202.00 – $1,067.67 | 18 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $2,557.65 | $3,009.00 | $644.53 – $3,406.79 | 18 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $2,079.10 | $2,446.00 | $289.39 – $1,529.61 | 18 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $1,032.75 | $1,215.00 | $260.26 – $1,375.63 | 18 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $1,694.05 | $1,993.00 | $426.91 – $2,256.48 | 18 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $2,098.65 | $2,469.00 | $528.86 – $2,795.41 | 18 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $972.40 | $1,144.00 | $245.05 – $1,295.24 | 18 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $1,785.85 | $2,101.00 | $450.04 – $2,378.76 | 18 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $1,717.00 | $2,020.00 | $432.69 – $2,287.05 | 18 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,778.65 | $3,269.00 | $129.60 – $592.90 | 18 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $1,949.90 | $2,294.00 | $491.38 – $2,597.27 | 18 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $4,199.85 | $4,941.00 | $127.88 – $675.93 | 18 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $5,020.32 | $5,906.25 | $16.97 – $89.68 | 18 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,343.00 | $1,580.00 | $133.45 – $705.37 | 18 |
| Explore wound abdomen 20102 CPT 20102 | $1,715.30 | $2,018.00 | $374.21 – $1,712.06 | 18 |
| Explore woundchest 20101 CPT 20101 | $1,423.75 | $1,675.00 | $358.79 – $1,896.44 | 18 |
| Explore wound neck 20100 CPT 20100 | $1,391.45 | $1,637.00 | $350.65 – $1,853.42 | 18 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $2,100.86 | $2,471.60 | $529.42 – $2,798.35 | 18 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $488.75 | $575.00 | $123.17 – $651.02 | 18 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $59.50 | $70.00 | $15.00 – $79.26 | 18 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $65.45 | $77.00 | $16.50 – $87.18 | 18 |
| Extensive testis surgery CPT 54535 | $1,759.50 | $2,070.00 | $443.40 – $2,343.66 | 18 |
| Extensive thyroid surgery CPT 60254 | $3,871.75 | $4,555.00 | $975.69 – $5,157.18 | 18 |
| External chromosome analysis 20-25 cells CPT 88264 | $642.60 | $756.00 | $144.61 – $740.88 | 18 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $75.65 | $89.00 | $19.07 – $100.77 | 18 |
| External recharg sys intern HCPCS L8689 | $4,666.50 | $5,490.00 | $321.30 – $1,698.30 | 18 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $999.60 | $1,176.00 | $143.75 – $1,152.48 | 18 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $225.25 | $265.00 | $17.93 – $259.70 | 18 |
| F-18 fdg pet diag HCPCS A9552 | $442.85 | $521.00 | $111.60 – $589.88 | 18 |
| Fabrication & fitting HCPCS V2628 | $186.66 | $219.60 | $15.68 – $82.88 | 18 |
| Facial bones <3 CPT 70140 | $188.70 | $222.00 | $47.56 – $251.35 | 18 |
| Facility svs dental rehab HCPCS G0330 | $1,743.35 | $2,051.00 | $439.33 – $2,322.15 | 18 |
| Factor ix CPT 85250 | $629.85 | $741.00 | $19.04 – $726.18 | 18 |
| Factor ix complex HCPCS J7194 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Factor ix recombinant nos HCPCS J7195 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Factor viii CPT 85240 | $247.35 | $291.00 | $17.90 – $285.18 | 18 |
| Factor viii HCPCS J7190 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Factor viii recombinant nos HCPCS J7192 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Family therapy without pt 50min 90846 CPT 90846 | $294.95 | $347.00 | $74.33 – $392.88 | 18 |
| Family therapy with patient 50 min 90847 CPT 90847 | $294.95 | $347.00 | $74.33 – $392.88 | 18 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $12,429.04 | $14,622.40 | $3,132.12 – $16,555.49 | 18 |
| Fat/lipids feces qualitative CPT 82705 | $40.80 | $48.00 | $5.10 – $47.04 | 18 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $30,600.00 | $36,000.00 | $7,711.20 – $40,759.20 | 18 |
| #fecal-sodium CPT 84302 | $54.40 | $64.00 | $4.86 – $62.72 | 18 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $354.45 | $417.00 | $18.64 – $408.66 | 18 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $286.88 | $337.50 | $21.32 – $112.66 | 18 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,474.12 | $4,087.20 | $192.34 – $1,016.61 | 18 |
| Ferritin CPT 82728 | $232.05 | $273.00 | $9.00 – $41.16 | 18 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $777.41 | $914.60 | $161.63 – $854.31 | 18 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $483.65 | $569.00 | $121.88 – $644.23 | 18 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $306.00 | $360.00 | $77.12 – $407.60 | 18 |
| Fetal fibronectin CPT 82731 | $438.60 | $516.00 | $64.41 – $505.68 | 18 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $352.75 | $415.00 | $7.73 – $406.70 | 18 |
| Fetal hemoglobin rosette CPT 85461 | $128.35 | $151.00 | $9.36 – $147.98 | 18 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $36.55 | $43.00 | $9.22 – $42.89 | 18 |
| Fetal monitor w/report CPT 59050 | $126.65 | $149.00 | $31.92 – $168.70 | 18 |
| Fetal non stress test CPT 59025 | $366.35 | $431.00 | $28.07 – $128.38 | 18 |
| Fibrin degradation d dimer quantitative CPT 85379 | $166.60 | $196.00 | $4.72 – $22.60 | 18 |
| Fibrin degradation products CPT 85362 | $139.40 | $164.00 | $6.89 – $160.72 | 18 |
| Fibrin degrade semiquant CPT 85378 | $108.80 | $128.00 | $4.72 – $21.58 | 18 |
| Fibrinogen activity CPT 85384 | $111.35 | $131.00 | $9.72 – $128.38 | 18 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $266.90 | $314.00 | $15.48 – $307.72 | 18 |
| Fibrinolytic antiplasmin CPT 85410 | $179.35 | $211.00 | $7.71 – $206.78 | 18 |
| Fibrinolytic plasminogen CPT 85415 | $228.65 | $269.00 | $17.19 – $263.62 | 18 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $236.30 | $278.00 | $6.53 – $272.44 | 18 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $534.03 | $628.26 | $84.11 – $444.55 | 18 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,902.98 | $2,238.80 | $204.68 – $1,081.88 | 18 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,883.09 | $8,097.75 | $369.50 – $1,953.05 | 18 |
| Filter vena cava fem denali HCPCS C1880 | $4,650.95 | $5,471.70 | $24.85 – $131.34 | 18 |
| Fine needle asp without image guide 10021 CPT 10021 | $314.50 | $370.00 | $61.27 – $280.28 | 18 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $4,768.02 | $5,609.43 | $111.05 – $586.94 | 18 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $1,353.20 | $1,592.00 | $4.93 – $26.05 | 18 |
| Fl exam g/colon tube w contrast CPT 49465 | $167.45 | $197.00 | $42.20 – $223.05 | 18 |
| Flexible Sigmoidoscopy CPT 45330 | $454.75 | $535.00 | $32.99 – $174.36 | 18 |
| Floor of mouth biopsy 41108 CPT 41108 | $1,222.30 | $1,438.00 | $308.02 – $1,628.11 | 18 |
| Flow cytometry marker each additional CPT 88185 | $128.35 | $151.00 | $7.50 – $39.63 | 18 |
| Flow cytometry one marker technical component CPT 88184 | $711.45 | $837.00 | $6.43 – $33.97 | 18 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $1,056.81 | $1,243.30 | $35.89 – $189.71 | 18 |
| Fluidotherapy charges pt CPT 97022 | $72.25 | $85.00 | $13.29 – $70.20 | 18 |
| Fluid pressure muscle 20950 CPT 20950 | $702.95 | $827.00 | $161.08 – $736.96 | 18 |
| Fluorescent antibody titer dna CPT 86256 | $165.75 | $195.00 | $12.05 – $191.10 | 18 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $425.85 | $501.00 | $107.32 – $567.24 | 18 |
| Fluoroguide needle placement CPT 77002 | $959.65 | $1,129.00 | $235.20 – $1,243.16 | 18 |
| Fluoroscopy up to 1 hour CPT 76000 | $568.65 | $669.00 | $25.71 – $135.87 | 18 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $252.45 | $297.00 | $21.32 – $112.66 | 18 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $235.45 | $277.00 | $37.22 – $196.72 | 18 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $75.48 | $88.80 | $4.51 – $23.82 | 18 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $20.74 | $24.40 | $2.45 – $12.91 | 18 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | $24.40 | $28.70 | $6.15 – $32.50 | 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.