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 |
|---|---|---|---|---|
| Insitu hybridization manual CPT 88368 | $645.15 | $759.00 | $162.58 – $859.34 | 18 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $563.55 | $663.00 | $142.02 – $750.65 | 18 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $535.50 | $630.00 | $134.95 – $713.29 | 18 |
| Ins picad w subq port 5yr> CPT 36571 | $5,314.20 | $6,252.00 | $800.04 – $4,228.77 | 18 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $25,303.65 | $29,769.00 | $6,376.52 – $33,704.47 | 18 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $5,393.25 | $6,345.00 | $1,359.10 – $7,183.81 | 18 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $500.65 | $589.00 | $126.17 – $666.87 | 18 |
| Instill, bupivac and meloxic HCPCS C9088 | $1,191.85 | $1,402.17 | $148.52 – $785.02 | 18 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $10,691.30 | $12,578.00 | $2,694.21 – $14,240.82 | 18 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,069.75 | $2,435.00 | $521.58 – $2,756.91 | 18 |
| Insulin total CPT 83525 | $136.00 | $160.00 | $11.43 – $156.80 | 18 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $8,683.90 | $10,216.35 | $1,925.75 – $10,178.92 | 18 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $210.76 | $247.95 | $53.12 – $280.73 | 18 |
| Interdiscal perq aspir dx CPT 62267 | $607.75 | $715.00 | $153.16 – $809.53 | 18 |
| Intranasal biopsy 30100 CPT 30100 | $342.55 | $403.00 | $86.33 – $456.28 | 18 |
| Intrinsic factor antibody CPT 86340 | $79.90 | $94.00 | $15.08 – $92.12 | 18 |
| Intro cath dialysis circuit CPT 36901 | $1,117.75 | $1,315.00 | $281.68 – $1,488.85 | 18 |
| Intro cath dialysis circuit w/pta CPT 36902 | $12,374.30 | $14,558.00 | $3,118.33 – $16,482.57 | 18 |
| Intubation endotracheal emergency procedure CPT 31500 | $483.65 | $569.00 | $39.63 – $209.46 | 18 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $344.17 | $404.90 | $0.05 – $0.23 | 18 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $988.13 | $1,162.50 | $0.43 – $2.27 | 18 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $150,912.06 | $177,543.60 | $9,507.49 – $50,253.83 | 18 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $212.50 | $250.00 | $53.55 – $283.05 | 18 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $308.55 | $363.00 | $77.76 – $410.99 | 18 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $371.45 | $437.00 | $93.61 – $494.78 | 18 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $137.70 | $162.00 | $34.71 – $183.42 | 18 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $139.56 | $164.18 | $21.32 – $112.66 | 18 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $11,470.75 | $13,495.00 | $2,890.63 – $15,279.04 | 18 |
| Iron CPT 83540 | $292.40 | $344.00 | $4.29 – $19.60 | 18 |
| Iron binding capacity CPT 83550 | $151.30 | $178.00 | $5.79 – $26.46 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $144.85 | $170.41 | $30.65 – $161.97 | 18 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $276.98 | $325.85 | $30.89 – $163.26 | 18 |
| Irradiation of blood product each unit reference CPT 86945 | $127.50 | $150.00 | $32.13 – $169.83 | 18 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $156.40 | $184.00 | $35.56 – $187.95 | 18 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $148.75 | $175.00 | $34.92 – $184.55 | 18 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $193.80 | $228.00 | $46.91 – $247.96 | 18 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $46.75 | $55.00 | $11.79 – $62.28 | 18 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $213.35 | $251.00 | $51.63 – $272.87 | 18 |
| Ivp w/nephrotomography CPT 74415 | $649.40 | $764.00 | $163.65 – $865.01 | 18 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $640.05 | $753.00 | $161.30 – $852.55 | 18 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $24,688.17 | $29,044.90 | $6,221.42 – $32,884.64 | 18 |
| Jejunstmy tube plcmt CPT 44372 | $563.55 | $663.00 | $142.02 – $750.65 | 18 |
| Ketogenic steroids fract CPT 83582 | $100.30 | $118.00 | $15.47 – $115.64 | 18 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $156.40 | $184.00 | $8.17 – $180.32 | 18 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Kidney function study CPT 78725 | $549.95 | $647.00 | $138.59 – $732.54 | 18 |
| Kidney imaging morphology CPT 78700 | $612.85 | $721.00 | $154.44 – $816.32 | 18 |
| Kidney imag w/bld flow multi CPT 78709 | $2,397.00 | $2,820.00 | $604.05 – $3,192.81 | 18 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,914.20 | $2,252.00 | $482.38 – $2,549.72 | 18 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $837.25 | $985.00 | $210.99 – $1,115.22 | 18 |
| Kit case 4.2mm spinejack HCPCS C1062 | $7,169.02 | $8,434.13 | $38.86 – $205.36 | 18 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $21.47 | $25.25 | $5.41 – $28.59 | 18 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $8,988.75 | $10,575.00 | $1,993.35 – $10,536.26 | 18 |
| Kit lead specify 5-6-5 HCPCS C1778 | $57,786.83 | $67,984.50 | $8.32 – $43.93 | 18 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $923.97 | $1,087.02 | $63.62 – $336.27 | 18 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $1,979.44 | $2,328.75 | $489.99 – $2,589.91 | 18 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $6,058.80 | $7,128.00 | $1,526.82 – $8,070.33 | 18 |
| Knee MRI (with and without contrast) CPT 73723 | $3,677.95 | $4,327.00 | $926.85 – $4,899.03 | 18 |
| Knee MRI (with contrast) CPT 73722 | $3,233.40 | $3,804.00 | $814.82 – $4,306.89 | 18 |
| Knee MRI (without contrast) CPT 73721 | $2,966.50 | $3,490.00 | $747.56 – $3,951.38 | 18 |
| Knee X-ray CPT 73564 | $459.85 | $541.00 | $17.78 – $93.98 | 18 |
| Kras gene variants exon 2 CPT 81275 | $1,462.85 | $1,721.00 | $193.25 – $1,686.58 | 18 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $65.45 | $77.00 | $16.50 – $75.46 | 18 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $57.80 | $68.00 | $14.57 – $66.64 | 18 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $90.19 | $106.10 | $21.32 – $112.66 | 18 |
| Lab pathology consultation CPT 80500 | $45.05 | $53.00 | $11.36 – $60.01 | 18 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $385.14 | $453.10 | $21.32 – $112.66 | 18 |
| Lactate dehydrogenase (ldh) CPT 83615 | $119.00 | $140.00 | $4.07 – $18.62 | 18 |
| Lactated ringers intravenous solution HCPCS J7120 | $175.74 | $206.75 | $14.83 – $234.09 | 18 |
| Lactic acid CPT 83605 | $139.40 | $164.00 | $5.79 – $26.46 | 18 |
| Lactoferrin fecal qualitative CPT 83630 | $99.45 | $117.00 | $19.70 – $114.66 | 18 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $38,887.50 | $45,750.00 | $3,094.60 – $16,357.12 | 18 |
| Laparo cholecystectomy/explr CPT 47564 | $2,555.10 | $3,006.00 | $643.89 – $3,403.40 | 18 |
| Laparo cholecystectomy/graph CPT 47563 | $1,646.45 | $1,937.00 | $414.91 – $2,193.08 | 18 |
| Laparo cholecystoenterostomy CPT 47570 | $1,774.80 | $2,088.00 | $447.25 – $2,364.04 | 18 |
| Laparo drng lymphocele 49323 CPT 49323 | $1,462.00 | $1,720.00 | $368.43 – $1,947.39 | 18 |
| Laparo partial colectomy 44204 CPT 44204 | $3,526.65 | $4,149.00 | $888.72 – $4,697.50 | 18 |
| Laparoscopy aspiration CPT 49322 | $863.60 | $1,016.00 | $217.63 – $1,150.32 | 18 |
| Laparoscopy biopsy CPT 49321 | $794.75 | $935.00 | $200.28 – $1,058.61 | 18 |
| Laparoscopy splenectomy CPT 38120 | $2,413.15 | $2,839.00 | $608.12 – $3,214.32 | 18 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | $2,668.15 | $3,139.00 | $672.38 – $3,553.98 | 18 |
| Laparo-vag hyst incl t/o CPT 58552 | $2,307.75 | $2,715.00 | $581.56 – $3,073.93 | 18 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $3,071.05 | $3,613.00 | $773.91 – $4,090.64 | 18 |
| Lap enterectomy 44202 CPT 44202 | $3,168.80 | $3,728.00 | $798.54 – $4,220.85 | 18 |
| Lap enterolysis CPT 44180 | $2,102.90 | $2,474.00 | $529.94 – $2,801.07 | 18 |
| Lap inc hernia repair 49654 CPT 49654 | $1,932.05 | $2,273.00 | $486.88 – $2,573.50 | 18 |
| Lap inc hernia repair recurr 49656 CPT 49656 | $2,096.95 | $2,467.00 | $528.44 – $2,793.14 | 18 |
| Lap ing hernia repair init CPT 49650 | $996.20 | $1,172.00 | $251.05 – $1,326.94 | 18 |
| Lap ing hernia repair recur CPT 49651 | $1,299.65 | $1,529.00 | $327.52 – $1,731.14 | 18 |
| Lap insert tunnel ip cath CPT 49324 | $886.55 | $1,043.00 | $223.42 – $1,180.89 | 18 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $3,998.40 | $4,704.00 | $1,007.60 – $5,325.87 | 18 |
| Lap resect s/intestine addl 44203 CPT 44203 | $544.00 | $640.00 | $137.09 – $724.61 | 18 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $425.00 | $500.00 | $107.10 – $566.10 | 18 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $659.60 | $776.00 | $153.37 – $701.68 | 18 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $810.90 | $954.00 | $150.37 – $687.96 | 18 |
| Laryngoscopy w/fb removal CPT 31530 | $1,114.35 | $1,311.00 | $117.17 – $536.06 | 18 |
| Lateral canthopexy CPT 21282 | $2,043.40 | $2,404.00 | $236.48 – $1,081.92 | 18 |
| Lavage cannulation maxillary sinus CPT 31000 | $441.15 | $519.00 | $70.05 – $320.46 | 18 |
| Lb with mastopexy 15839 CPT 15839 | $3,007.30 | $3,538.00 | $757.84 – $4,005.73 | 18 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $5,737.50 | $6,750.00 | $122.10 – $645.36 | 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.