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 |
|---|---|---|---|---|
| Platelets each unit HCPCS P9019 | $158.95 | $187.00 | $40.06 – $211.73 | 18 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,123.70 | $1,322.00 | $283.18 – $1,496.77 | 18 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $1,184.05 | $1,393.00 | $298.39 – $1,577.16 | 18 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,229.10 | $1,446.00 | $309.74 – $1,637.17 | 18 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,613.30 | $1,898.00 | $406.56 – $2,148.92 | 18 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,886.60 | $3,396.00 | $429.26 – $2,268.93 | 18 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $643.45 | $757.00 | $162.15 – $857.08 | 18 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $643.45 | $757.00 | $162.15 – $857.08 | 18 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $3,003.05 | $3,533.00 | $312.52 – $1,651.88 | 18 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,224.85 | $1,441.00 | $118.46 – $626.11 | 18 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,292.00 | $1,520.00 | $191.71 – $1,013.32 | 18 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $756.50 | $890.00 | $190.64 – $1,007.66 | 18 |
| Plmt access bil tree sm bwl CPT 47541 | $2,915.50 | $3,430.00 | $734.71 – $3,883.45 | 18 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $378.25 | $445.00 | $26.07 – $379.26 | 18 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $76,794.66 | $90,346.65 | $4,146.93 – $21,919.45 | 18 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $1,226.55 | $1,443.00 | $309.10 – $1,633.77 | 18 |
| Polysom any age 1-3> param CPT 95808 | $1,343.85 | $1,581.00 | $338.66 – $1,790.01 | 18 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,168.85 | $6,081.00 | $1,302.56 – $6,884.91 | 18 |
| Postop app non-wgt bear dsg HCPCS L5450 | $597.16 | $702.54 | $150.49 – $795.42 | 18 |
| Potassium 24 hour urine CPT 84133 | $86.70 | $102.00 | $4.73 – $99.96 | 18 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Potassium serum/plasma/whole blood CPT 84132 | $96.05 | $113.00 | $3.22 – $14.70 | 18 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $4.59 | $5.39 | $1.16 – $6.11 | 18 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,385.50 | $1,630.00 | $349.15 – $1,845.49 | 18 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $10,613.10 | $12,486.00 | $2,674.51 – $14,136.65 | 18 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $6,072.40 | $7,144.00 | $966.69 – $5,109.62 | 18 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $6,072.40 | $7,144.00 | $1,530.25 – $8,088.44 | 18 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $337.01 | $396.48 | $84.93 – $448.90 | 18 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,676.20 | $1,972.00 | $323.66 – $1,480.78 | 18 |
| Pr application of long arm splint CPT 29105 | $328.95 | $387.00 | $19.28 – $101.90 | 18 |
| Pr application splint static short arm CPT 29125 | $334.90 | $394.00 | $38.35 – $175.42 | 18 |
| Pr biopsy skin punch single lesion CPT 11104 | $271.15 | $319.00 | $68.33 – $361.18 | 18 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $25.50 | $30.00 | $6.00 – $31.71 | 18 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $244.80 | $288.00 | $29.78 – $157.38 | 18 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $171.70 | $202.00 | $38.56 – $176.40 | 18 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $251.60 | $296.00 | $63.41 – $335.14 | 18 |
| Prealbumin CPT 84134 | $129.20 | $152.00 | $9.64 – $44.10 | 18 |
| Pr ecg 12 lead report only CPT 93010 | $20.40 | $24.00 | $5.15 – $27.18 | 18 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $45.90 | $54.00 | $11.57 – $61.14 | 18 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $243.99 | $287.04 | $24.58 – $129.88 | 18 |
| Prednisone 1 mg tablet HCPCS J7512 | $712.30 | $838.00 | $0.75 – $3.97 | 18 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $468.35 | $551.00 | $118.03 – $623.85 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $863.60 | $1,016.00 | $214.85 – $1,135.60 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,106.70 | $1,302.00 | $278.89 – $1,474.13 | 18 |
| Pressure max expiratory/inspiratory CPT 94799 | $357.85 | $421.00 | $5.36 – $28.31 | 18 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $215.05 | $253.00 | $54.20 – $286.45 | 18 |
| Pretreat rbc absorption reference CPT 86978 | $192.10 | $226.00 | $28.71 – $151.72 | 18 |
| Pretreat rbc density gradient separation reference CPT 86972 | $161.50 | $190.00 | $40.70 – $215.12 | 18 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $133.45 | $157.00 | $33.63 – $177.76 | 18 |
| Pretreat rbc w enzyme reference CPT 86971 | $86.70 | $102.00 | $21.85 – $115.49 | 18 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,054.00 | $1,240.00 | $77.55 – $354.76 | 18 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,181.10 | $2,566.00 | $134.52 – $711.03 | 18 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $494.70 | $582.00 | $97.47 – $445.90 | 18 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $473.45 | $557.00 | $119.31 – $630.64 | 18 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $321.30 | $378.00 | $4.29 – $19.60 | 18 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $236.30 | $278.00 | $31.92 – $146.02 | 18 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $244.80 | $288.00 | $61.69 – $326.08 | 18 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $170.00 | $200.00 | $42.84 – $226.44 | 18 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $91.80 | $108.00 | $23.14 – $122.28 | 18 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $955.40 | $1,124.00 | $127.88 – $585.06 | 18 |
| Pr incision & drainage abscess simple/single CPT 10060 | $298.35 | $351.00 | $55.48 – $253.82 | 18 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $565.25 | $665.00 | $89.54 – $409.64 | 18 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $360.40 | $424.00 | $86.97 – $397.88 | 18 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $90.95 | $107.00 | $18.64 – $98.51 | 18 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,727.94 | $6,738.75 | $650.64 – $3,439.06 | 18 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,215.62 | $2,606.61 | $49.98 – $264.15 | 18 |
| Procalcitonin CPT 84145 | $332.35 | $391.00 | $27.22 – $383.18 | 18 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Proctosigmoidoscopy ablate CPT 45320 | $539.75 | $635.00 | $136.02 – $718.95 | 18 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $536.35 | $631.00 | $135.17 – $714.42 | 18 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $2,379.15 | $2,799.00 | $599.55 – $3,169.03 | 18 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,031.90 | $1,214.00 | $78.62 – $359.66 | 18 |
| Proctosigmoidoscopy removal CPT 45308 | $494.70 | $582.00 | $124.67 – $658.95 | 18 |
| Proctosigmoidoscopy removal CPT 45309 | $510.00 | $600.00 | $128.52 – $679.32 | 18 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $549.95 | $647.00 | $138.59 – $732.54 | 18 |
| Proctosigmoidoscopy volvul CPT 45321 | $234.60 | $276.00 | $59.12 – $312.49 | 18 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $440.30 | $518.00 | $110.96 – $586.48 | 18 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $1,251.20 | $1,472.00 | $130.24 – $595.84 | 18 |
| Proctosigmoidoscopy w/stent CPT 45327 | $264.35 | $311.00 | $66.62 – $352.12 | 18 |
| Progesterone CPT 84144 | $231.20 | $272.00 | $20.86 – $101.92 | 18 |
| Prolactin CPT 84146 | $235.45 | $277.00 | $12.64 – $57.82 | 18 |
| Prolng clin staff svc 1st hr CPT 99415 | $387.60 | $456.00 | $97.68 – $516.29 | 18 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $74.80 | $88.00 | $18.85 – $99.64 | 18 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $130.05 | $153.00 | $32.78 – $173.23 | 18 |
| Prolonged IV inf, req pump HCPCS C8957 | $410.55 | $483.00 | $103.46 – $546.86 | 18 |
| Promethazine hcl injection HCPCS J2550 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| _propoxygc/msur CPT 80367 | $206.55 | $243.00 | $52.06 – $275.13 | 18 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $182.75 | $215.00 | $21.32 – $112.66 | 18 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $127.29 | $149.75 | $21.32 – $112.66 | 18 |
| Protect body sock ea pre ots HCPCS L0984 | $123.14 | $144.87 | $31.04 – $164.03 | 18 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,486.95 | $4,102.29 | $390.54 – $2,064.28 | 18 |
| Protein c activity CPT 85303 | $291.55 | $343.00 | $13.84 – $336.14 | 18 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $220.15 | $259.00 | $7.07 – $32.34 | 18 |
| Protein s total CPT 85305 | $310.25 | $365.00 | $11.61 – $357.70 | 18 |
| Protein total 24 hour urine CPT 84156 | $56.10 | $66.00 | $2.36 – $10.78 | 18 |
| Protein total body fluid CPT 84157 | $57.80 | $68.00 | $4.00 – $66.64 | 18 |
| Protein total serum plasma whole blood CPT 84155 | $130.90 | $154.00 | $2.36 – $10.78 | 18 |
| Prothrombin complex kcentra HCPCS J7168 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $85.85 | $101.00 | $3.94 – $98.98 | 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.