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 |
|---|---|---|---|---|
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $32.35 | $38.05 | $2.45 – $12.91 | 18 |
| Folic acid CPT 82746 | $226.95 | $267.00 | $9.64 – $44.10 | 18 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $5,830.58 | $6,859.50 | $400.44 – $2,116.60 | 18 |
| Fondaparinux sodium HCPCS J1652 | $369.68 | $434.91 | $21.32 – $112.66 | 18 |
| Foot plas heel stabi pre ots HCPCS L3170 | $135.15 | $159.00 | $17.04 – $90.07 | 18 |
| Foot X-ray CPT 73630 | $359.55 | $423.00 | $12.64 – $66.80 | 18 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $289.85 | $341.00 | $73.05 – $386.09 | 18 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,300.55 | $1,530.05 | $21.32 – $112.66 | 18 |
| Foscarnet sodium injection HCPCS J1455 | $1,323.45 | $1,557.00 | $133.24 – $704.23 | 18 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $471.46 | $554.65 | $21.32 – $112.66 | 18 |
| Fracture assessment via dxa CPT 77086 | $383.35 | $451.00 | $96.61 – $510.63 | 18 |
| Frenotomy 40806 CPT 40806 | $473.45 | $557.00 | $119.31 – $630.64 | 18 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $136.00 | $160.00 | $34.28 – $181.16 | 18 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $151.30 | $178.00 | $38.13 – $201.54 | 18 |
| Fresh frozen plasma thawing ea un CPT 86927 | $38.25 | $45.00 | $9.64 – $50.95 | 18 |
| Fructosamine glycated protein CPT 82985 | $153.85 | $181.00 | $16.76 – $177.38 | 18 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $4,940.20 | $5,812.00 | $553.71 – $2,533.30 | 18 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $164.05 | $193.00 | $41.35 – $218.52 | 18 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $154.92 | $182.25 | $21.32 – $112.66 | 18 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $189.60 | $223.05 | $2.36 – $12.46 | 18 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $322.65 | $379.58 | $21.32 – $112.66 | 18 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $551.78 | $649.15 | $5.15 – $27.18 | 18 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $200.60 | $236.00 | $21.07 – $231.28 | 18 |
| Galactose transferase test CPT 82776 | $34.85 | $41.00 | $8.79 – $40.18 | 18 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,513.00 | $1,780.00 | $381.28 – $2,015.32 | 18 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,872.04 | $2,202.40 | $471.76 – $2,493.56 | 18 |
| Gammaglobulin iga CPT 82784 | $163.20 | $192.00 | $9.30 – $90.16 | 18 |
| Gammaglobulin ige CPT 82785 | $121.55 | $143.00 | $16.46 – $140.14 | 18 |
| Gamma glutamyltransferase CPT 82977 | $81.60 | $96.00 | $4.72 – $21.56 | 18 |
| Gamunex-c/gammaked HCPCS J1561 | $13,243.00 | $15,580.00 | $21.32 – $112.66 | 18 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $194.36 | $228.65 | $32.82 – $173.46 | 18 |
| Gastroduodenostomy CPT 43810 | $2,319.65 | $2,729.00 | $584.56 – $3,089.78 | 18 |
| Gastroesophageal reflux study CPT 78262 | $1,082.05 | $1,273.00 | $272.68 – $1,441.30 | 18 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $3,067.65 | $3,609.00 | $773.05 – $4,086.11 | 18 |
| Gastrojejunostomy w/vagotomy CPT 43825 | $2,990.30 | $3,518.00 | $753.56 – $3,983.08 | 18 |
| Gastro/jejuno tube, std HCPCS B4087 | $337.96 | $397.59 | $7.53 – $39.80 | 18 |
| Gated heart multiple CPT 78473 | $1,689.80 | $1,988.00 | $425.83 – $2,250.82 | 18 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $440.90 | $518.70 | $21.32 – $112.66 | 18 |
| General health panel CPT 80050 | $687.65 | $809.00 | $19.71 – $104.17 | 18 |
| Generator barostim neo2 2014 HCPCS C1767 | $75,301.76 | $88,590.30 | $153.91 – $813.51 | 18 |
| Generator emblem MRI sicd subq HCPCS C1722 | $63,775.50 | $75,030.00 | $2,061.68 – $10,897.43 | 18 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Gentamicin peak therapeutic drug level CPT 80170 | $187.00 | $220.00 | $16.38 – $215.60 | 18 |
| Ghs abscess perianal iandd CPT 46050 | $573.75 | $675.00 | $144.16 – $659.54 | 18 |
| Ghs abscess postoperative iandd complex CPT 10180 | $952.00 | $1,120.00 | $156.37 – $715.40 | 18 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $117.30 | $138.00 | $9.81 – $135.24 | 18 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $188.70 | $222.00 | $17.11 – $217.56 | 18 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $159.80 | $188.00 | $40.27 – $212.86 | 18 |
| Ghs antibodies (torch) igm CPT 86694 | $141.10 | $166.00 | $9.43 – $43.12 | 18 |
| Ghs bladder cath - complex-foley CPT 51703 | $384.20 | $452.00 | $91.04 – $416.50 | 18 |
| Ghs bleeding time (ivy) CPT 85002 | $187.85 | $221.00 | $4.82 – $216.58 | 18 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,830.05 | $2,153.00 | $117.39 – $537.04 | 18 |
| Ghs change cysto/gastrost CPT 43762 | $561.00 | $660.00 | $78.19 – $366.30 | 18 |
| Ghs chemo >8 hrs CPT 96416 | $211.65 | $249.00 | $48.20 – $254.75 | 18 |
| Ghs chemo IV push, ea addtl CPT 96411 | $323.85 | $381.00 | $73.69 – $389.48 | 18 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $149.60 | $176.00 | $35.09 – $172.48 | 18 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $678.30 | $798.00 | $51.20 – $270.60 | 18 |
| Ghs closed reduction ankle dislocation CPT 27840 | $900.15 | $1,059.00 | $84.40 – $446.09 | 18 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,116.05 | $1,313.00 | $105.61 – $558.18 | 18 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $1,058.25 | $1,245.00 | $109.46 – $578.56 | 18 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,261.40 | $1,484.00 | $153.59 – $811.79 | 18 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,861.50 | $2,190.00 | $369.50 – $1,690.50 | 18 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $793.90 | $934.00 | $155.09 – $709.52 | 18 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,213.80 | $1,428.00 | $66.41 – $350.99 | 18 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $802.40 | $944.00 | $51.20 – $270.60 | 18 |
| Ghs community re-entry 15 minutes CPT 97537 | $1,604.80 | $1,888.00 | $20.78 – $109.83 | 18 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $414.80 | $488.00 | $23.57 – $107.80 | 18 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $292.40 | $344.00 | $17.57 – $80.36 | 18 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $303.45 | $357.00 | $35.78 – $163.66 | 18 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $414.80 | $488.00 | $40.92 – $187.18 | 18 |
| Ghs cricothyroidotomy CPT 31605 | $1,411.85 | $1,661.00 | $191.93 – $1,014.46 | 18 |
| Ghs cutdown placement age 1 and over CPT 36425 | $563.55 | $663.00 | $24.00 – $126.81 | 18 |
| Ghs cutdown placement under 1 yr CPT 36420 | $563.55 | $663.00 | $26.99 – $123.48 | 18 |
| Ghs dislocation elbow closed treatment CPT 24600 | $884.85 | $1,041.00 | $66.62 – $352.12 | 18 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $624.75 | $735.00 | $61.69 – $282.24 | 18 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $143.65 | $169.00 | $31.92 – $146.02 | 18 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $884.85 | $1,041.00 | $222.99 – $1,178.63 | 18 |
| Ghs elect torsion swing CPT 92546 | $194.65 | $229.00 | $49.06 – $259.28 | 18 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $1,576.75 | $1,855.00 | $397.35 – $2,100.24 | 18 |
| Ghs excision ingrown nail CPT 11765 | $400.35 | $471.00 | $82.69 – $378.28 | 18 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $663.00 | $780.00 | $94.47 – $432.90 | 18 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,103.30 | $1,298.00 | $121.67 – $643.09 | 18 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,688.95 | $1,987.00 | $280.61 – $1,283.80 | 18 |
| Ghs fb removal - incisional CPT 10121 | $991.95 | $1,167.00 | $159.16 – $728.14 | 18 |
| Ghs fb removal - non-incisional CPT 20520 | $520.20 | $612.00 | $113.75 – $520.38 | 18 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $77.35 | $91.00 | $6.98 – $89.18 | 18 |
| Ghs fish cytogen CPT 88271 | $181.05 | $213.00 | $21.42 – $208.74 | 18 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $358.70 | $422.00 | $51.19 – $413.56 | 18 |
| Ghs gastric intub aspiration lavage CPT 43753 | $193.80 | $228.00 | $12.64 – $57.82 | 18 |
| Ghs hcv amplificaiton CPT 87521 | $411.40 | $484.00 | $35.09 – $474.32 | 18 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $1,270.75 | $1,495.00 | $15.49 – $1,465.10 | 18 |
| Ghs hgb stability-thal CPT 83068 | $155.55 | $183.00 | $9.47 – $179.34 | 18 |
| Ghs histoplasma antigen CPT 87385 | $238.85 | $281.00 | $13.25 – $275.38 | 18 |
| Ghs HIV antibody CPT 86703 | $136.85 | $161.00 | $4.50 – $30.44 | 18 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $1,931.20 | $2,272.00 | $106.14 – $2,226.56 | 18 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,350.25 | $2,765.00 | $126.60 – $579.18 | 18 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,826.65 | $2,149.00 | $332.66 – $1,758.31 | 18 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $834.70 | $982.00 | $210.35 – $1,111.83 | 18 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $615.40 | $724.00 | $59.12 – $312.49 | 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.