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 |
|---|---|---|---|---|
| Protoporphyrin rbc screen CPT 84203 | $23.80 | $28.00 | $6.00 – $27.44 | 18 |
| Prp i/hern init block >5 yr CPT 49507 | $1,349.80 | $1,588.00 | $340.15 – $1,797.94 | 18 |
| Pr removal drug delivery implant CPT 11982 | $75.65 | $89.00 | $19.07 – $100.77 | 18 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $190.40 | $224.00 | $36.20 – $165.62 | 18 |
| Pr removal intrauterine device CPT 58301 | $294.95 | $347.00 | $66.62 – $304.78 | 18 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $923.95 | $1,087.00 | $183.36 – $838.88 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $416.50 | $490.00 | $66.62 – $304.78 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $441.15 | $519.00 | $69.41 – $317.52 | 18 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $374.85 | $441.00 | $55.70 – $254.80 | 18 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $397.80 | $468.00 | $67.05 – $306.74 | 18 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,309.00 | $1,540.00 | $91.04 – $481.19 | 18 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $39.10 | $46.00 | $9.86 – $52.09 | 18 |
| PSA (Prostate) Test CPT 84153 | $187.85 | $221.00 | $12.00 – $54.88 | 18 |
| Psychoeducation 45 min + HCPCS G0177 | $156.40 | $184.00 | $39.42 – $208.33 | 18 |
| Psychotherapy group therapy CPT 90853 | $294.95 | $347.00 | $74.33 – $392.88 | 18 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $294.95 | $347.00 | $74.33 – $392.88 | 18 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $294.95 | $347.00 | $74.33 – $392.88 | 18 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $294.95 | $347.00 | $74.33 – $392.88 | 18 |
| Psytx pt w/e&m 53+ min CPT 90838 | $294.95 | $347.00 | $74.33 – $392.88 | 18 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $102.85 | $121.00 | $15.64 – $82.66 | 18 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $141.10 | $166.00 | $4.72 – $24.91 | 18 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $141.10 | $166.00 | $21.21 – $112.09 | 18 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $2,230.40 | $2,624.00 | $13.50 – $71.33 | 18 |
| Pt application of modality traction mechanical CPT 97012 | $79.90 | $94.00 | $19.07 – $100.77 | 18 |
| Pt evaluation high complexity patient/family CPT 97163 | $180.20 | $212.00 | $21.64 – $114.36 | 18 |
| Pt evaluation low complexity patient/family CPT 97161 | $180.20 | $212.00 | $18.85 – $99.64 | 18 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $180.20 | $212.00 | $18.85 – $99.64 | 18 |
| Pt prgrm for implt neurostim HCPCS L8681 | $34,212.50 | $40,250.00 | $192.78 – $1,018.98 | 18 |
| Pt re-evaluation patient/family CPT 97164 | $101.15 | $119.00 | $19.28 – $101.90 | 18 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $51.85 | $61.00 | $12.21 – $64.54 | 18 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $141.10 | $166.00 | $16.07 – $84.92 | 18 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $101.15 | $119.00 | $19.28 – $101.90 | 18 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $151.30 | $178.00 | $15.21 – $80.39 | 18 |
| Pt wheelchair management each 15 minutes CPT 97542 | $243.95 | $287.00 | $13.71 – $72.47 | 18 |
| Pulmonary vent imaging CPT 78579 | $836.40 | $984.00 | $210.78 – $1,114.09 | 18 |
| Pulse ox continuous overnight monitoring CPT 94762 | $482.80 | $568.00 | $121.67 – $643.09 | 18 |
| Pulse ox multiple CPT 94761 | $211.65 | $249.00 | $50.56 – $267.20 | 18 |
| Pulse ox single CPT 94760 | $118.15 | $139.00 | $29.78 – $157.38 | 18 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $90.10 | $106.00 | $17.14 – $78.40 | 18 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $309.40 | $364.00 | $70.91 – $324.38 | 18 |
| Puncture spinal lumbar diagnostic CPT 62270 | $412.25 | $485.00 | $56.98 – $260.68 | 18 |
| Pvb thoracic single inj site CPT 64461 | $886.55 | $1,043.00 | $223.42 – $1,180.89 | 18 |
| Pyloroplasty 43800 CPT 43800 | $2,125.85 | $2,501.00 | $535.72 – $2,831.64 | 18 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Pyruvate CPT 84210 | $219.30 | $258.00 | $14.48 – $252.84 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $3,100.80 | $3,648.00 | $781.41 – $4,130.27 | 18 |
| Quant diff pulm perf w/imaging CPT 78597 | $309.40 | $364.00 | $77.97 – $412.13 | 18 |
| Quest t3 uptake CPT 84479 | $63.75 | $75.00 | $6.47 – $73.50 | 18 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $13,112.02 | $15,425.90 | $469.91 – $2,483.77 | 18 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $10,320.92 | $12,142.25 | $520.18 – $2,749.50 | 18 |
| Radiesse injection HCPCS Q2026 | $2,286.59 | $2,690.10 | $157.44 – $832.17 | 18 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,764.60 | $2,076.00 | $444.68 – $2,350.45 | 18 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,764.60 | $2,076.00 | $444.68 – $2,350.45 | 18 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,602.70 | $3,062.00 | $346.58 – $1,831.90 | 18 |
| Radphm lcl tumor plr sgl day CPT 78800 | $763.30 | $898.00 | $192.36 – $1,016.72 | 18 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $31,080.25 | $36,565.00 | $1,529.64 – $8,085.22 | 18 |
| Range of motion measurements CPT 95852 | $88.40 | $104.00 | $10.93 – $57.75 | 18 |
| Rapid Strep Test CPT 87880 | $167.45 | $197.00 | $7.72 – $36.70 | 18 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $18,998.18 | $22,350.80 | $1,083.58 – $5,727.45 | 18 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $101,791.58 | $119,754.80 | $6,858.69 – $36,253.06 | 18 |
| Rbc count only automated CPT 85041 | $32.30 | $38.00 | $3.02 – $37.24 | 18 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,032.75 | $1,215.00 | $260.26 – $1,375.63 | 18 |
| Rbc serum pretx incubj drugs CPT 86975 | $484.50 | $570.00 | $122.10 – $645.36 | 18 |
| Recon, cta for surg plan HCPCS G0288 | $1,450.10 | $1,706.00 | $365.43 – $1,931.54 | 18 |
| Reconstruct extra finger CPT 26587 | $2,426.75 | $2,855.00 | $385.14 – $1,762.04 | 18 |
| Reconstruction of nail bed CPT 11762 | $697.85 | $821.00 | $79.47 – $420.05 | 18 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $3,372.80 | $3,968.00 | $849.95 – $4,492.57 | 18 |
| Red blood cells each unit HCPCS P9021 | $685.95 | $807.00 | $172.86 – $913.69 | 18 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $1,184.05 | $1,393.00 | $298.39 – $1,577.16 | 18 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $588.20 | $692.00 | $148.23 – $783.49 | 18 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $927.35 | $1,091.00 | $129.17 – $682.72 | 18 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $753.95 | $887.00 | $152.09 – $803.87 | 18 |
| Red blood cells washed each unit HCPCS P9022 | $806.65 | $949.00 | $203.28 – $1,074.46 | 18 |
| Refill/maint pump/resvr syst CPT 96522 | $399.50 | $470.00 | $100.68 – $532.14 | 18 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $1,001.94 | $1,178.75 | $21.32 – $112.66 | 18 |
| Rem/biv cast full arm/leg CPT 29705 | $168.30 | $198.00 | $37.28 – $170.52 | 18 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $2,698.12 | $3,174.25 | $556.92 – $2,943.72 | 18 |
| Rem interrog evl pm/ids CPT 93296 | $77.35 | $91.00 | $19.50 – $103.04 | 18 |
| Removal anal seton other marker 46030 CPT 46030 | $623.90 | $734.00 | $157.23 – $831.04 | 18 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,430.55 | $1,683.00 | $99.61 – $526.48 | 18 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,765.05 | $3,253.00 | $133.67 – $706.50 | 18 |
| Removal cerumen impacted (both sides) CPT 69210 | $215.05 | $253.00 | $27.42 – $125.44 | 18 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $136.85 | $161.00 | $18.00 – $95.11 | 18 |
| Removal duct glbldr calculi CPT 47544 | $2,096.95 | $2,467.00 | $528.44 – $2,793.14 | 18 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $451.35 | $531.00 | $73.90 – $338.10 | 18 |
| Removal foreign body foot subcutaneous right CPT 28190 | $583.95 | $687.00 | $122.96 – $562.52 | 18 |
| Removal foreign body gum 41805 CPT 41805 | $1,289.45 | $1,517.00 | $191.50 – $876.12 | 18 |
| Removal foreign body jawbone CPT 41806 | $1,289.45 | $1,517.00 | $252.55 – $1,155.42 | 18 |
| Removal foreign body mouth CPT 40805 | $687.65 | $809.00 | $147.59 – $675.22 | 18 |
| Removal implant superficial separate procedure CPT 20670 | $2,392.75 | $2,815.00 | $602.98 – $3,187.15 | 18 |
| Removal of anal fissure CPT 46200 | $1,141.55 | $1,343.00 | $287.68 – $1,520.55 | 18 |
| Removal of anal tags CPT 46230 | $751.40 | $884.00 | $145.88 – $667.38 | 18 |
| Removal of breast lesion CPT 19120 | $2,634.15 | $3,099.00 | $304.60 – $1,609.99 | 18 |
| Removal of foreign body CPT 27372 | $2,061.25 | $2,425.00 | $355.15 – $1,624.84 | 18 |
| Removal of gallbladder 47600 CPT 47600 | $2,447.15 | $2,879.00 | $616.69 – $3,259.61 | 18 |
| Removal of gallbladder 47610 CPT 47610 | $2,865.35 | $3,371.00 | $722.07 – $3,816.65 | 18 |
| Removal of gallbladder 47620 CPT 47620 | $3,135.65 | $3,689.00 | $790.19 – $4,176.69 | 18 |
| Removal of hydrocele CPT 55040 | $801.55 | $943.00 | $202.00 – $1,067.67 | 18 |
| Removal of hydroceles CPT 55041 | $1,212.10 | $1,426.00 | $305.45 – $1,614.52 | 18 |
| Removal of infusion pump CPT 36262 | $2,278.00 | $2,680.00 | $574.06 – $3,034.30 | 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.