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 |
|---|---|---|---|---|
| Ghs spont nystagmus CPT 92541 | $70.55 | $83.00 | $17.78 – $93.98 | 18 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $2,431.85 | $2,861.00 | $612.83 – $3,239.23 | 18 |
| Ghs st - eval for alt comm CPT 92567 | $1,892.95 | $2,227.00 | $477.03 – $2,521.41 | 18 |
| Ghs strapping shoulder - 29240 CPT 29240 | $251.60 | $296.00 | $18.43 – $84.28 | 18 |
| Ghs st - re-eval for alt comm CPT 92597 | $1,082.05 | $1,273.00 | $69.19 – $365.71 | 18 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $716.55 | $843.00 | $74.97 – $396.27 | 18 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $419.90 | $494.00 | $86.97 – $397.88 | 18 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,411.85 | $1,661.00 | $187.00 – $855.54 | 18 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $760.75 | $895.00 | $126.17 – $577.22 | 18 |
| Ghs urine, porphyrins quant CPT 84120 | $263.50 | $310.00 | $14.71 – $303.80 | 18 |
| Ghs vaginal delivery only CPT 59409 | $1,796.90 | $2,114.00 | $118.46 – $626.11 | 18 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $624.75 | $735.00 | $157.44 – $832.17 | 18 |
| Ghs windowing of cast CPT 29730 | $148.75 | $175.00 | $31.92 – $146.02 | 18 |
| Gi inhouse confirmation CPT 87045 | $239.70 | $282.00 | $6.22 – $28.42 | 18 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,330.70 | $2,742.00 | $587.34 – $3,104.50 | 18 |
| Gi trc img intral colon i&r CPT 91113 | $1,006.40 | $1,184.00 | $253.62 – $1,340.53 | 18 |
| Glassia injection HCPCS J0257 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,088.39 | $1,280.45 | $96.20 – $508.48 | 18 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $835.72 | $983.20 | $112.56 – $594.92 | 18 |
| Glucagon plasma - sendout CPT 82943 | $197.20 | $232.00 | $14.29 – $227.36 | 18 |
| Glucose 1 hr post dose CPT 82950 | $122.40 | $144.00 | $3.00 – $13.72 | 18 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $123.25 | $145.00 | $6.05 – $142.10 | 18 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $69.70 | $82.00 | $1.50 – $7.28 | 18 |
| Glucose blood quantitative CPT 82947 | $73.10 | $86.00 | $0.65 – $8.72 | 18 |
| Glucose body fluid CPT 82945 | $118.15 | $139.00 | $3.93 – $136.22 | 18 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $405.45 | $477.00 | $8.57 – $39.20 | 18 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $119.00 | $140.00 | $3.92 – $137.20 | 18 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $8,195.08 | $9,641.26 | $2,065.16 – $10,915.84 | 18 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $224.40 | $264.00 | $18.58 – $258.72 | 18 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $231.20 | $272.00 | $18.52 – $266.56 | 18 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $12,410.09 | $14,600.10 | $1,063.32 – $5,620.36 | 18 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,034.50 | $3,570.00 | $764.70 – $4,041.96 | 18 |
| Graft axiofill 1000mg HCPCS J3590 | $10,373.40 | $12,204.00 | $182.49 – $964.57 | 18 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $815.15 | $959.00 | $82.47 – $435.90 | 18 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $36,930.69 | $43,447.86 | $62.12 – $328.34 | 18 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $5,441.07 | $6,401.25 | $147.54 – $779.81 | 18 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $29,995.44 | $35,288.75 | $29.99 – $158.51 | 18 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $5,525.00 | $6,500.00 | $213.75 – $1,129.80 | 18 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $3,304.80 | $3,888.00 | $370.14 – $1,956.45 | 18 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $5,950.00 | $7,000.00 | $342.83 – $1,812.09 | 18 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $2,572.32 | $3,026.25 | $648.23 – $3,426.33 | 18 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $39,612.78 | $46,603.26 | $843.42 – $4,458.04 | 18 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $7,528.62 | $8,857.20 | $178.13 – $941.54 | 18 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $26,352.55 | $31,003.00 | $1.71 – $9.01 | 18 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,095.45 | $3,641.70 | $11.22 – $59.28 | 18 |
| Granisetron hcl injection HCPCS J1626 | $258.06 | $303.60 | $21.32 – $112.66 | 18 |
| Great toe with reduction 28495 CPT 28495 | $427.55 | $503.00 | $95.54 – $437.08 | 18 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $2,082.50 | $2,450.00 | $524.79 – $2,773.89 | 18 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $37.40 | $44.00 | $9.43 – $49.82 | 18 |
| Gstrst open wo constj tube CPT 43830 | $1,617.55 | $1,903.00 | $407.63 – $2,154.58 | 18 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,287.75 | $1,515.00 | $324.52 – $1,715.29 | 18 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,603.10 | $1,886.00 | $395.20 – $2,088.91 | 18 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $7,914.39 | $9,311.04 | $0.30 – $1.59 | 18 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,643.32 | $4,286.25 | $3.11 – $16.41 | 18 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,166.87 | $2,549.25 | $7.07 – $37.37 | 18 |
| Gw stiffened micro access kit HCPCS C1894 | $12,444.00 | $14,640.00 | $0.01 – $0.05 | 18 |
| Gynecomastia (males) 19300 CPT 19300 | $1,377.00 | $1,620.00 | $347.01 – $1,834.17 | 18 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $671.40 | $789.88 | $21.32 – $112.66 | 18 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $242.72 | $285.55 | $21.32 – $112.66 | 18 |
| Hand X-ray CPT 73130 | $348.50 | $410.00 | $13.29 – $70.20 | 18 |
| Haptoglobin quantitative CPT 83010 | $178.50 | $210.00 | $12.58 – $205.80 | 18 |
| Hc ea ha check monaural CPT 92594 | $288.15 | $339.00 | $72.62 – $383.82 | 18 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $520.20 | $612.00 | $131.10 – $692.91 | 18 |
| Hcg free betachain test CPT 84704 | $195.50 | $230.00 | $15.29 – $225.40 | 18 |
| Hcg qualitative CPT 84703 | $171.70 | $202.00 | $4.93 – $22.54 | 18 |
| Hcg quantitative CPT 84702 | $181.05 | $213.00 | $9.86 – $45.08 | 18 |
| Hc hearing aid chck binaurl CPT 92593 | $98.60 | $116.00 | $24.85 – $131.34 | 18 |
| Hc hearing aid chck monarl CPT 92592 | $206.55 | $243.00 | $52.06 – $275.13 | 18 |
| Hc hearing aid exam both ears CPT 92591 | $216.75 | $255.00 | $54.63 – $288.72 | 18 |
| Hc hearing aid exam one ear CPT 92590 | $144.50 | $170.00 | $36.42 – $192.48 | 18 |
| Hc nm kidney imaging with flow CPT 78701 | $1,375.30 | $1,618.00 | $346.58 – $1,831.90 | 18 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,840.70 | $3,342.00 | $715.86 – $3,783.82 | 18 |
| Head CT scan (with and without contrast) CPT 70470 | $3,241.90 | $3,814.00 | $816.96 – $4,318.22 | 18 |
| Head CT scan (with contrast) CPT 70460 | $2,654.55 | $3,123.00 | $668.95 – $3,535.87 | 18 |
| Head CT scan (without contrast) CPT 70450 | $2,176.00 | $2,560.00 | $548.36 – $2,898.44 | 18 |
| Heart image spect CPT 78494 | $607.75 | $715.00 | $153.16 – $809.53 | 18 |
| Helicobacter pylori antibody igm CPT 86677 | $95.20 | $112.00 | $9.64 – $44.10 | 18 |
| Hematocrit CPT 85014 | $54.40 | $64.00 | $1.50 – $6.86 | 18 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $46,497.09 | $54,702.45 | $11,717.27 – $61,934.12 | 18 |
| Hemoglobin CPT 85018 | $40.80 | $48.00 | $1.50 – $6.86 | 18 |
| Hemoglobin fetal qualitative CPT 83033 | $62.05 | $73.00 | $8.00 – $71.54 | 18 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $133.45 | $157.00 | $8.20 – $153.86 | 18 |
| Hemoglobin plasma CPT 83051 | $135.15 | $159.00 | $7.31 – $155.82 | 18 |
| Hemolysin acid CPT 85475 | $141.95 | $167.00 | $8.87 – $163.66 | 18 |
| Hemolysins/agglutinins auto CPT 86940 | $75.65 | $89.00 | $8.77 – $87.22 | 18 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $688.50 | $810.00 | $164.30 – $868.40 | 18 |
| Heparin assay CPT 85520 | $317.05 | $373.00 | $13.09 – $365.54 | 18 |
| Heparin bolus from bag HCPCS J1644 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $967.90 | $1,138.70 | $21.32 – $112.66 | 18 |
| Hepatitis a antibody igm CPT 86709 | $25.50 | $30.00 | $6.43 – $29.40 | 18 |
| Hepatitis b core antibody igm CPT 86705 | $79.05 | $93.00 | $11.77 – $91.14 | 18 |
| Hepatitis b core antibody total CPT 86704 | $163.20 | $192.00 | $12.05 – $188.16 | 18 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $3,087.12 | $3,631.90 | $80.63 – $426.17 | 18 |
| Hepatitis b surface antibody CPT 86706 | $164.90 | $194.00 | $7.07 – $32.34 | 18 |
| Hepatitis c antibody CPT 86803 | $194.65 | $229.00 | $9.43 – $43.12 | 18 |
| Hepatobiliary system imaging CPT 78226 | $2,323.90 | $2,734.00 | $585.63 – $3,095.44 | 18 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $464.78 | $546.80 | $117.13 – $619.09 | 18 |
| Hernia Repair (Inguinal) CPT 49505 | $1,201.90 | $1,414.00 | $302.88 – $1,600.94 | 18 |
| Herpes simplex type 1 antibody igg CPT 86695 | $233.75 | $275.00 | $13.19 – $269.50 | 18 |
| Herpes simplex type 2 antibody igg CPT 86696 | $239.70 | $282.00 | $19.35 – $276.36 | 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.