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 |
|---|---|---|---|---|
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $127.50 | $150.00 | $28.92 – $152.85 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $114.75 | $135.00 | $25.71 – $135.87 | 18 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $1,493.45 | $1,757.00 | $18.85 – $99.64 | 18 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $2,504.10 | $2,946.00 | $4.72 – $24.91 | 18 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $243.95 | $287.00 | $15.64 – $82.66 | 18 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $427.55 | $503.00 | $21.32 – $112.66 | 18 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $10,740.26 | $12,635.60 | $21.32 – $112.66 | 18 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $209.87 | $246.90 | $21.32 – $112.66 | 18 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $502.57 | $591.25 | $21.32 – $112.66 | 18 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $6,141.76 | $7,225.60 | $871.79 – $4,608.00 | 18 |
| Palifermin injection HCPCS J2425 | $11,993.41 | $14,109.89 | $3,022.34 – $15,975.22 | 18 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $13,979.90 | $16,446.94 | $1,743.89 – $9,217.70 | 18 |
| Palonosetron hcl HCPCS J2469 | $88.18 | $103.73 | $21.32 – $112.66 | 18 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $242.89 | $285.75 | $21.32 – $112.66 | 18 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $29,717.19 | $34,961.40 | $1,872.19 – $9,895.83 | 18 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Papaverin hcl injection HCPCS J2440 | $160.89 | $189.28 | $21.32 – $112.66 | 18 |
| Parathormone (pth) intact CPT 83970 | $469.20 | $552.00 | $26.78 – $122.50 | 18 |
| Parathyrd planar w/spect&ct CPT 78072 | $399.50 | $470.00 | $100.68 – $532.14 | 18 |
| Parathyroid planar imaging CPT 78070 | $1,126.25 | $1,325.00 | $283.82 – $1,500.17 | 18 |
| Parathyroid planar img w/tomo spect CPT 78071 | $495.55 | $583.00 | $124.88 – $660.08 | 18 |
| Parial mast w/lymph removal 19302 CPT 19302 | $2,079.10 | $2,446.00 | $523.94 – $2,769.37 | 18 |
| Paricalcitol HCPCS J2501 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $220.15 | $259.00 | $43.70 – $199.92 | 18 |
| Partial removal finger bone CPT 26236 | $1,887.85 | $2,221.00 | $475.74 – $2,514.62 | 18 |
| Partial removal of foot bone CPT 28288 | $2,454.80 | $2,888.00 | $618.61 – $3,269.80 | 18 |
| Partial removal of thyroid CPT 60220 | $1,648.15 | $1,939.00 | $415.34 – $2,195.34 | 18 |
| Partial removal of thyroid CPT 60225 | $2,190.45 | $2,577.00 | $552.00 – $2,917.68 | 18 |
| Partial removal of toe CPT 28160 | $1,887.85 | $2,221.00 | $475.74 – $2,514.62 | 18 |
| Partial thyroid excision CPT 60210 | $1,643.90 | $1,934.00 | $414.27 – $2,189.68 | 18 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $2,347.70 | $2,762.00 | $591.63 – $3,127.14 | 18 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $7,409.99 | $8,717.63 | $126.82 – $670.31 | 18 |
| Part removal of metatarsal CPT 28113 | $1,395.70 | $1,642.00 | $351.72 – $1,859.08 | 18 |
| Passy muir valve metal trach HCPCS L8501 | $62.56 | $73.60 | $15.77 – $83.33 | 18 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $19,009.32 | $22,363.90 | $4,790.35 – $25,320.41 | 18 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $13,506.80 | $15,890.35 | $3,261.02 – $17,236.80 | 18 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $6,556.69 | $7,713.75 | $1,652.29 – $8,733.51 | 18 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $6,209.00 | $7,304.70 | $1,564.67 – $8,270.39 | 18 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $96,058.50 | $113,010.00 | $16,478.41 – $87,100.15 | 18 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,250.40 | $3,824.00 | $819.11 – $4,329.54 | 18 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,513.45 | $2,957.00 | $633.39 – $3,347.92 | 18 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,731.90 | $3,214.00 | $688.44 – $3,638.90 | 18 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,065.55 | $4,783.00 | $1,024.52 – $5,415.32 | 18 |
| Pelvic MRI (with contrast) CPT 72196 | $2,638.40 | $3,104.00 | $664.88 – $3,514.35 | 18 |
| Pelvic MRI (without contrast) CPT 72195 | $3,104.20 | $3,652.00 | $782.26 – $4,134.80 | 18 |
| Pelvic Ultrasound (complete) CPT 76856 | $837.25 | $985.00 | $210.99 – $1,115.22 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | $519.35 | $611.00 | $130.88 – $691.78 | 18 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $25,065.31 | $29,488.60 | $6,316.46 – $33,387.00 | 18 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $15,715.36 | $18,488.65 | $21.32 – $112.66 | 18 |
| Pemivibart infusion HCPCS M0224 | $547.40 | $644.00 | $137.95 – $729.14 | 18 |
| Peng benzathine/procaine inj HCPCS J0558 | $944.92 | $1,111.67 | $238.12 – $1,258.62 | 18 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,672.13 | $3,143.68 | $189.72 – $1,002.79 | 18 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $213.78 | $251.50 | $21.32 – $112.66 | 18 |
| Penicillin g procaine inj HCPCS J2510 | $301.95 | $355.23 | $76.10 – $402.20 | 18 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $8,493.03 | $9,991.80 | $728.28 – $3,849.48 | 18 |
| Pentobarbital sodium inj HCPCS J2515 | $7,161.04 | $8,424.75 | $612.23 – $3,236.06 | 18 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $9,882.91 | $11,626.95 | $2,490.50 – $13,164.04 | 18 |
| Perc rf ablate renal tumor CPT 50592 | $4,868.80 | $5,728.00 | $1,226.94 – $6,485.25 | 18 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $340.00 | $400.00 | $84.31 – $445.64 | 18 |
| Pericardiocentesis wwo imaging CPT 33016 | $585.65 | $689.00 | $147.59 – $780.09 | 18 |
| Peripheral vascular rehab CPT 93668 | $71.40 | $84.00 | $17.36 – $91.71 | 18 |
| Perit-vens shunt pat tst CPT 78291 | $925.65 | $1,089.00 | $233.27 – $1,232.97 | 18 |
| Perq dev breast 1st mr guide CPT 19287 | $2,859.40 | $3,364.00 | $402.92 – $2,129.67 | 18 |
| Perq dev breast 1st strtctc CPT 19283 | $1,583.55 | $1,863.00 | $158.94 – $840.10 | 18 |
| Pertussis ag if CPT 87265 | $334.90 | $394.00 | $11.98 – $386.12 | 18 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $28,885.65 | $33,983.11 | $7,279.19 – $38,475.68 | 18 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $109.40 | $128.70 | $27.57 – $145.72 | 18 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,767.25 | $6,785.00 | $1,453.35 – $7,681.98 | 18 |
| Pet CT whole body initial CPT 78816 | $5,767.25 | $6,785.00 | $1,453.35 – $7,681.98 | 18 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,297.60 | $5,056.00 | $1,083.00 – $5,724.41 | 18 |
| Pet image w/ct lmtd CPT 78814 | $4,556.85 | $5,361.00 | $1,148.33 – $6,069.73 | 18 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $41,998.50 | $49,410.00 | $13.50 – $71.33 | 18 |
| Ph body fluid CPT 83986 | $109.65 | $129.00 | $3.58 – $92.12 | 18 |
| Phencyclidine (pcp) CPT 83992 | $187.00 | $220.00 | $47.13 – $249.09 | 18 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $213.80 | $251.52 | $21.32 – $112.66 | 18 |
| Phenobarbital therapeutic drug level CPT 80184 | $205.70 | $242.00 | $7.50 – $34.30 | 18 |
| Phentolaine mesylate inj HCPCS J2760 | $1,809.31 | $2,128.60 | $106.85 – $564.77 | 18 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Phenytoin total therapeutic drug level CPT 80185 | $163.20 | $192.00 | $8.79 – $40.18 | 18 |
| Phlebotomy therapeutic CPT 99195 | $266.90 | $314.00 | $54.41 – $287.58 | 18 |
| Phosphorus CPT 84100 | $92.65 | $109.00 | $3.22 – $14.70 | 18 |
| Phosphorus 24 hour urine CPT 84105 | $113.90 | $134.00 | $5.78 – $131.32 | 18 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $101.07 | $118.90 | $20.38 – $107.70 | 18 |
| Pin caspar distraction 12mm HCPCS C1821 | $14,932.80 | $17,568.00 | $753.99 – $3,985.35 | 18 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,406.75 | $1,655.00 | $88.26 – $466.47 | 18 |
| Pinworm exam CPT 87172 | $54.40 | $64.00 | $4.27 – $62.72 | 18 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $474.81 | $558.60 | $21.32 – $112.66 | 18 |
| Place gastrostomy tube open 43832 CPT 43832 | $2,385.95 | $2,807.00 | $601.26 – $3,178.09 | 18 |
| Place gastrostomy tube perc CPT 49440 | $978.35 | $1,151.00 | $246.55 – $1,303.17 | 18 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,663.45 | $1,957.00 | $146.09 – $772.17 | 18 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,224.85 | $1,441.00 | $103.89 – $549.12 | 18 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,732.30 | $2,038.00 | $232.63 – $1,229.57 | 18 |
| Placement of seton CPT 46020 | $268.60 | $316.00 | $67.69 – $357.78 | 18 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $256.70 | $302.00 | $53.34 – $281.92 | 18 |
| Plastic mod low ext pad/line HCPCS L2275 | $281.75 | $331.47 | $71.01 – $375.30 | 18 |
| Platelet aggregation each agent teg CPT 85576 | $330.65 | $389.00 | $24.91 – $381.22 | 18 |
| Platelet automated CPT 85049 | $67.15 | $79.00 | $4.48 – $77.42 | 18 |
| Platelet pheresis each unit HCPCS P9034 | $1,492.60 | $1,756.00 | $376.14 – $1,988.15 | 18 |
| Platelet pheresis irr ea HCPCS P9036 | $1,432.25 | $1,685.00 | $360.93 – $1,907.76 | 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.