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 |
|---|---|---|---|---|
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $403.75 | $475.00 | $101.75 – $537.80 | 18 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,033.60 | $1,216.00 | $45.84 – $209.72 | 18 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,404.20 | $1,652.00 | $151.23 – $799.34 | 18 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $432.65 | $509.00 | $109.03 – $576.29 | 18 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $828.75 | $975.00 | $208.85 – $1,103.90 | 18 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $761.60 | $896.00 | $55.05 – $290.98 | 18 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,464.55 | $1,723.00 | $106.46 – $562.71 | 18 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,531.70 | $1,802.00 | $105.82 – $559.31 | 18 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,531.70 | $1,802.00 | $104.11 – $550.25 | 18 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $249.05 | $293.00 | $34.28 – $156.80 | 18 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $242.25 | $285.00 | $18.43 – $97.37 | 18 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $356.15 | $419.00 | $1.03 – $5.44 | 18 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $119.85 | $141.00 | $26.78 – $141.53 | 18 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $123.25 | $145.00 | $29.56 – $156.25 | 18 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $119.85 | $141.00 | $26.78 – $141.53 | 18 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $189.55 | $223.00 | $45.42 – $240.03 | 18 |
| Inject sacroiliac joint CPT 27096 | $440.30 | $518.00 | $67.91 – $358.91 | 18 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $67,035.25 | $78,865.00 | $16,892.89 – $89,290.96 | 18 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,164.50 | $1,370.00 | $81.83 – $432.51 | 18 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,057.40 | $1,244.00 | $74.76 – $395.14 | 18 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $694.88 | $817.50 | $87.56 – $462.79 | 18 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $12,812.31 | $15,073.30 | $3,228.71 – $17,066.00 | 18 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $426.41 | $501.65 | $107.46 – $567.97 | 18 |
| Inj for ext venography CPT 36005 | $223.55 | $263.00 | $56.34 – $297.77 | 18 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $349.85 | $411.58 | $88.17 – $466.00 | 18 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $406.64 | $478.40 | $24.88 – $131.51 | 18 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $43,430.67 | $51,094.90 | $2,736.13 – $14,462.39 | 18 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | $2,827.61 | $3,326.60 | $712.56 – $3,766.38 | 18 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $59,740.60 | $70,283.05 | $14,857.77 – $78,533.93 | 18 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $436.31 | $513.30 | $98.24 – $519.23 | 18 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $1,228.46 | $1,445.24 | $309.58 – $1,636.31 | 18 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $185,583.05 | $218,333.00 | $46,766.93 – $247,196.63 | 18 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $113.90 | $134.00 | $28.71 – $151.72 | 18 |
| Inj intralesional > 7 lsns CPT 11901 | $112.20 | $132.00 | $28.28 – $149.46 | 18 |
| Inj ivig privigen 500 mg HCPCS J1459 | $12,376.00 | $14,560.00 | $389.85 – $2,060.61 | 18 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $28,958.53 | $34,068.85 | $7,297.55 – $38,572.76 | 18 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $2,707.34 | $3,185.10 | $272.91 – $1,442.48 | 18 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $151.12 | $177.78 | $21.32 – $112.66 | 18 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $326.83 | $384.50 | $69.91 – $369.50 | 18 |
| Inj, levothyroxine, hikma HCPCS J0652 | $219.60 | $258.35 | $55.34 – $292.51 | 18 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $797.22 | $937.90 | $73.46 – $388.29 | 18 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj, meropenem (b. braun) HCPCS J2184 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $755.99 | $889.39 | $190.51 – $1,006.97 | 18 |
| Inj, micafungin (par pharm) HCPCS J2247 | $93.29 | $109.75 | $21.32 – $112.66 | 18 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $40,771.19 | $47,966.10 | $10,274.34 – $54,307.22 | 18 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Inj multihance HCPCS A9577 | $130.14 | $153.10 | $1.72 – $9.06 | 18 |
| Inj. mycophenolate mofetil HCPCS J7519 | $283.43 | $333.44 | $21.32 – $112.66 | 18 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $837.17 | $984.90 | $210.97 – $1,115.11 | 18 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $175,448.16 | $206,409.59 | $44,212.94 – $233,696.94 | 18 |
| Inj ogivri 10 mg HCPCS Q5114 | $6,342.11 | $7,461.30 | $570.79 – $3,017.03 | 18 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $40,375.00 | $47,500.00 | $10,174.50 – $53,779.50 | 18 |
| Inj, pedmark, 100 mg HCPCS J0208 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $12,688.63 | $14,927.80 | $3,197.54 – $16,901.26 | 18 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $15,576.42 | $18,325.20 | $3,925.26 – $20,747.80 | 18 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | $192.78 | $226.80 | $48.59 – $256.79 | 18 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $2,727.09 | $3,208.34 | $687.23 – $3,632.49 | 18 |
| Inj progesterone per 50 mg HCPCS J2675 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj, releuko 1 mcg HCPCS Q5125 | $606.56 | $713.60 | $95.54 – $504.97 | 18 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $1,493.75 | $1,757.35 | $21.32 – $112.66 | 18 |
| Inj retro urethrocysto CPT 51610 | $175.95 | $207.00 | $44.34 – $234.37 | 18 |
| Inj scleros sol sgl vein CPT 36470 | $98.60 | $116.00 | $24.21 – $127.94 | 18 |
| Inj secretin synthetic human HCPCS J2850 | $2,809.25 | $3,305.00 | $707.94 – $3,741.93 | 18 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $9,078.64 | $10,680.75 | $2,287.82 – $12,092.75 | 18 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $108,657.65 | $127,832.52 | $27,381.73 – $144,731.98 | 18 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | $46,033.16 | $54,156.65 | $11,022.02 – $58,259.22 | 18 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $65,754.30 | $77,358.00 | $16,570.09 – $87,584.73 | 18 |
| Inj testosterone cypionate HCPCS J1071 | $148.07 | $174.20 | $21.32 – $112.66 | 18 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $56,600.65 | $66,589.00 | $14,263.37 – $75,392.07 | 18 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $9,435.00 | $11,100.00 | $475.53 – $2,513.49 | 18 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $2,543.63 | $2,992.50 | $641.00 – $3,388.11 | 18 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $7,626.20 | $8,972.00 | $384.41 – $2,031.85 | 18 |
| Inj, uzedy, 1 mg HCPCS J2799 | $23,738.00 | $27,927.05 | $1,196.29 – $6,323.24 | 18 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Inj w/fluor eval cv device CPT 36598 | $192.10 | $226.00 | $48.41 – $255.88 | 18 |
| Inpatient consultation CPT 99251 | $90.10 | $106.00 | $22.71 – $120.02 | 18 |
| Insert cath pleura with image CPT 32557 | $1,651.55 | $1,943.00 | $176.29 – $931.81 | 18 |
| Insert cath pleura without image CPT 32556 | $1,845.35 | $2,171.00 | $167.94 – $887.65 | 18 |
| Insert drug delivery implant CPT 11981 | $72.25 | $85.00 | $18.21 – $96.24 | 18 |
| Insert intrauterine device iud CPT 58300 | $255.85 | $301.00 | $64.48 – $340.80 | 18 |
| Insertion catheter bladder non indwelling CPT 51701 | $221.85 | $261.00 | $26.78 – $122.50 | 18 |
| Insertion catheter bladder temporary simple CPT 51702 | $217.60 | $256.00 | $37.28 – $170.52 | 18 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $1,973.70 | $2,322.00 | $497.38 – $2,628.97 | 18 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,209.15 | $2,599.00 | $131.52 – $695.18 | 18 |
| Insertion of catheter vein CPT 36481 | $1,512.15 | $1,779.00 | $381.07 – $2,014.19 | 18 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,767.60 | $3,256.00 | $55.70 – $254.80 | 18 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,463.70 | $1,722.00 | $368.86 – $1,949.65 | 18 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $5,120.40 | $6,024.00 | $92.75 – $424.34 | 18 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $2,446.30 | $2,878.00 | $616.47 – $3,258.48 | 18 |
| Insert pessary/other device CPT 57160 | $127.50 | $150.00 | $32.13 – $169.83 | 18 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $2,017.05 | $2,373.00 | $508.30 – $2,686.72 | 18 |
| Insert tunneled cv cath CPT 36560 | $3,056.60 | $3,596.00 | $770.27 – $4,071.40 | 18 |
| Insert tunneled cv cath CPT 36563 | $2,760.80 | $3,248.00 | $695.73 – $3,677.39 | 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.