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 |
|---|---|---|---|---|
| Infect ag if pneumocystis carinii CPT 87281 | $226.95 | $267.00 | $11.98 – $261.66 | 18 |
| Infect ag if varicella zoster CPT 87290 | $224.40 | $264.00 | $13.42 – $258.72 | 18 |
| Infect ag na hpv high-risk types CPT 87624 | $275.40 | $324.00 | $22.71 – $103.88 | 18 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $409.70 | $482.00 | $95.80 – $472.36 | 18 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,941.40 | $2,284.00 | $416.78 – $2,238.32 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $235.45 | $277.00 | $7.72 – $35.28 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $185.30 | $218.00 | $13.42 – $213.64 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $162.35 | $191.00 | $7.72 – $35.28 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $181.05 | $213.00 | $7.72 – $35.28 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $234.60 | $276.00 | $7.72 – $35.28 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $164.90 | $194.00 | $10.33 – $190.12 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $50.15 | $59.00 | $10.33 – $57.82 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $204.00 | $240.00 | $15.64 – $71.54 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $694.45 | $817.00 | $7.72 – $35.28 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $232.90 | $274.00 | $11.98 – $268.52 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $90.10 | $106.00 | $7.72 – $35.28 | 18 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $433.50 | $510.00 | $19.28 – $88.20 | 18 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $172.55 | $203.00 | $35.09 – $198.94 | 18 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $293.25 | $345.00 | $22.71 – $103.88 | 18 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,375.30 | $1,618.00 | $346.58 – $1,585.64 | 18 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $695.30 | $818.00 | $24.64 – $112.70 | 18 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $145.35 | $171.00 | $35.09 – $167.58 | 18 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $159.80 | $188.00 | $40.27 – $184.24 | 18 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $152.15 | $179.00 | $35.09 – $175.42 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $167.45 | $197.00 | $42.20 – $193.06 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $359.55 | $423.00 | $90.61 – $414.54 | 18 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $151.30 | $178.00 | $35.09 – $174.44 | 18 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $158.10 | $186.00 | $35.09 – $182.28 | 18 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,096.50 | $1,290.00 | $276.32 – $1,264.20 | 18 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $534.65 | $629.00 | $42.84 – $616.42 | 18 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $438.60 | $516.00 | $42.84 – $505.68 | 18 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $725.05 | $853.00 | $27.85 – $127.40 | 18 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $1,405.90 | $1,654.00 | $85.10 – $1,620.92 | 18 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $549.95 | $647.00 | $138.59 – $634.06 | 18 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $4,787.16 | $5,631.95 | $490.67 – $2,593.54 | 18 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,947.14 | $2,290.75 | $490.68 – $2,593.59 | 18 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,086.24 | $2,454.40 | $525.74 – $2,778.88 | 18 |
| Influenza dna amp prob addl CPT 87503 | $101.15 | $119.00 | $25.49 – $116.62 | 18 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $38.25 | $45.00 | $9.64 – $50.95 | 18 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $185.30 | $218.00 | $46.70 – $246.82 | 18 |
| Initial observation care CPT 99218 | $232.05 | $273.00 | $58.48 – $309.10 | 18 |
| Initial observation care CPT 99219 | $316.20 | $372.00 | $79.69 – $421.18 | 18 |
| Initial observation care CPT 99220 | $428.40 | $504.00 | $107.96 – $570.63 | 18 |
| Initiation & management bipap/cpap initial day CPT 94660 | $187.00 | $220.00 | $47.13 – $249.09 | 18 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $21,676.25 | $25,501.46 | $4,096.79 – $21,654.46 | 18 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $10,838.10 | $12,750.70 | $2,048.41 – $10,827.29 | 18 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj acetaminophen -fresenius HCPCS J0134 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj alymsys 10 mg HCPCS Q5126 | $6,167.88 | $7,256.32 | $388.59 – $2,053.93 | 18 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $22,224.83 | $26,146.85 | $5,600.66 – $29,603.47 | 18 |
| Inj, artesunate, 1mg HCPCS J0391 | $45,717.25 | $53,785.00 | $5,760.38 – $30,447.69 | 18 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $21,165.00 | $24,900.00 | $5,333.58 – $28,191.78 | 18 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $8,276.45 | $9,737.00 | $2,085.67 – $11,024.24 | 18 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $24,126.19 | $28,383.75 | $5,522.65 – $29,191.12 | 18 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $16,150.00 | $19,000.00 | $4,069.80 – $21,511.80 | 18 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $117.30 | $138.00 | $21.32 – $112.66 | 18 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $4,986.95 | $5,867.00 | $1,256.72 – $6,642.62 | 18 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $905.07 | $1,064.78 | $228.08 – $1,205.55 | 18 |
| Inj ceftolozane tazobactam HCPCS J0695 | $677.74 | $797.33 | $170.79 – $902.74 | 18 |
| Inj, clevidipine butyrate HCPCS C9248 | $335.75 | $395.00 | $84.61 – $447.22 | 18 |
| Inj, clindamycin (baxter) HCPCS J0737 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $4,933.87 | $5,804.55 | $1,243.34 – $6,571.92 | 18 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $933.30 | $1,098.00 | $114.07 – $602.90 | 18 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1,061.19 | $1,248.45 | $112.71 – $595.71 | 18 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $443.11 | $521.30 | $41.63 – $220.05 | 18 |
| Inj daptomycin (xellia) HCPCS J0873 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $1,487.29 | $1,749.75 | $374.80 – $1,981.07 | 18 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $2,956.56 | $3,478.30 | $745.06 – $3,938.14 | 18 |
| Inj dupuytren cord w/enzyme CPT 20527 | $337.45 | $397.00 | $85.04 – $449.49 | 18 |
| Inject for sacroiliac joint HCPCS G0259 | $419.05 | $493.00 | $105.61 – $558.18 | 18 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $884.85 | $1,041.00 | $222.99 – $1,178.63 | 18 |
| Injection, burosumab-twza 1m HCPCS J0584 | $54,053.20 | $63,592.00 | $3,732.44 – $19,728.59 | 18 |
| Injection, cangrelor HCPCS C9460 | $3,883.94 | $4,569.33 | $978.76 – $5,173.40 | 18 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $33,681.25 | $39,625.00 | $8,487.68 – $44,863.43 | 18 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $275.40 | $324.00 | $69.41 – $366.84 | 18 |
| Injection, daratumumab 10 mg HCPCS J9145 | $13,073.85 | $15,381.00 | $757.83 – $4,005.67 | 18 |
| Injection, doxercalciferol HCPCS J1270 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Injection, edaravone, 1 mg HCPCS J1301 | $1,959.08 | $2,304.80 | $493.69 – $2,609.50 | 18 |
| Injection epidural blood patch or clot CPT 62273 | $679.15 | $799.00 | $60.84 – $321.55 | 18 |
| Injection for bladder x-ray CPT 51600 | $317.05 | $373.00 | $79.90 – $422.32 | 18 |
| Injection, fulvestrant HCPCS J9395 | $3,768.61 | $4,433.65 | $34.41 – $181.87 | 18 |
| Injection, glucarpidase HCPCS C9293 | $174,989.50 | $205,870.00 | $44,097.36 – $233,086.02 | 18 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $14,371.04 | $16,907.10 | $3,621.51 – $19,142.22 | 18 |
| Injection into hemorrhoid(s) CPT 46500 | $766.70 | $902.00 | $193.21 – $1,021.25 | 18 |
| Injection, isavuconazonium HCPCS J1833 | $1,531.02 | $1,801.20 | $359.31 – $1,899.21 | 18 |
| Injection jugular CPT 36299 | $250.75 | $295.00 | $63.19 – $334.00 | 18 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $18,401.44 | $21,648.75 | $4,637.17 – $24,510.72 | 18 |
| Injection of sinus tract CPT 20500 | $843.20 | $992.00 | $212.49 – $1,123.15 | 18 |
| Injection,onabotulinumtoxina HCPCS J0585 | $5,491.00 | $6,460.00 | $691.87 – $3,657.01 | 18 |
| Injection, peramivir HCPCS J2547 | $1,345.81 | $1,583.30 | $339.15 – $1,792.62 | 18 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $498.95 | $587.00 | $125.74 – $664.61 | 18 |
| Injection, renflexis HCPCS Q5104 | $1,825.08 | $2,147.15 | $375.53 – $1,984.92 | 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.