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 |
|---|---|---|---|---|
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $19,964.80 | $23,488.00 | $1,006.23 – $5,318.63 | 18 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $9,576.10 | $11,266.00 | $482.63 – $2,551.02 | 18 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $11,393.62 | $13,404.25 | $574.24 – $3,035.26 | 18 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $11,363.65 | $13,369.00 | $572.72 – $3,027.22 | 18 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $505.75 | $595.00 | $127.45 – $673.66 | 18 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $1,297.95 | $1,527.00 | $321.30 – $1,470.00 | 18 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $847.45 | $997.00 | $213.56 – $1,128.81 | 18 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $523.60 | $616.00 | $120.39 – $550.76 | 18 |
| Romiplostim injection HCPCS J2796 | $5,067.62 | $5,961.90 | $1,277.04 – $6,750.07 | 18 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $5,586.46 | $6,572.30 | $1,340.76 – $7,086.84 | 18 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $380.80 | $448.00 | $21.32 – $112.66 | 18 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $25,712.50 | $30,250.00 | $21.32 – $112.66 | 18 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,537.65 | $1,809.00 | $387.49 – $2,048.15 | 18 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $6,766.85 | $7,961.00 | $1,705.25 – $9,013.45 | 18 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $3,937.20 | $4,632.00 | $992.18 – $5,244.36 | 18 |
| Rpr fem hernia init blocked CPT 49553 | $1,453.50 | $1,710.00 | $366.29 – $1,936.07 | 18 |
| Rpr rem hernia init reduce CPT 49550 | $1,325.15 | $1,559.00 | $333.94 – $1,765.10 | 18 |
| Rsv assay w/optic CPT 87807 | $30.60 | $36.00 | $7.72 – $35.28 | 18 |
| Rubella antibody igg CPT 86762 | $150.45 | $177.00 | $14.39 – $173.46 | 18 |
| Rubeola antibody igg CPT 86765 | $100.30 | $118.00 | $12.88 – $115.64 | 18 |
| Russell viper venom diluted CPT 85613 | $196.35 | $231.00 | $5.79 – $26.46 | 18 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $10,471.83 | $12,319.80 | $2,638.91 – $13,948.48 | 18 |
| Sarscov coronavirus ag ia CPT 87426 | $89.25 | $105.00 | $16.93 – $78.43 | 18 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $337.45 | $397.00 | $70.29 – $389.06 | 18 |
| S bowel endoscope w/stent CPT 44379 | $969.85 | $1,141.00 | $244.41 – $1,291.85 | 18 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $216.75 | $255.00 | $54.63 – $249.90 | 18 |
| Sbsq psyc collab care mgmt CPT 99493 | $94.35 | $111.00 | $23.78 – $125.68 | 18 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,215.50 | $1,430.00 | $306.31 – $1,619.05 | 18 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $765.85 | $901.00 | $193.00 – $1,020.12 | 18 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,762.05 | $2,073.00 | $444.04 – $2,347.06 | 18 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $996.20 | $1,172.00 | $251.05 – $1,326.94 | 18 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,194.25 | $1,405.00 | $300.96 – $1,590.75 | 18 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,059.10 | $1,246.00 | $266.90 – $1,410.73 | 18 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,204.45 | $1,417.00 | $303.53 – $1,604.33 | 18 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $903.55 | $1,063.00 | $227.70 – $1,203.53 | 18 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $691.05 | $813.00 | $174.15 – $920.48 | 18 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,260.55 | $1,483.00 | $317.66 – $1,679.06 | 18 |
| Scope plantar fasciotomy CPT 29893 | $1,598.85 | $1,881.00 | $402.92 – $2,129.67 | 18 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,868.75 | $3,375.00 | $511.68 – $2,704.55 | 18 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $136.00 | $160.00 | $26.49 – $156.80 | 18 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,815.60 | $2,136.00 | $209.06 – $1,105.03 | 18 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $829.60 | $976.00 | $209.06 – $1,105.03 | 18 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $63.75 | $75.00 | $16.07 – $73.50 | 18 |
| Screening Mammogram CPT 77067 | $334.90 | $394.00 | $46.70 – $246.82 | 18 |
| Screening prostate cancer PSA HCPCS G0103 | $178.50 | $210.00 | $12.00 – $54.88 | 18 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $26,011.08 | $30,601.26 | $0.01 – $0.05 | 18 |
| Sedimentation rate erythrocyte automated CPT 85652 | $95.20 | $112.00 | $1.72 – $7.84 | 18 |
| Semen analysis presence/motility CPT 89321 | $92.65 | $109.00 | $12.05 – $106.82 | 18 |
| Semen analysis w/count CPT 89310 | $215.90 | $254.00 | $8.61 – $248.92 | 18 |
| Sertraline (zoloft) - sendout CPT 80332 | $283.90 | $334.00 | $71.55 – $378.16 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $238.85 | $281.00 | $60.20 – $318.15 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $181.05 | $213.00 | $45.63 – $241.16 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $357.00 | $420.00 | $70.69 – $373.63 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $177.65 | $209.00 | $44.77 – $236.63 | 18 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $259.25 | $305.00 | $51.63 – $236.18 | 18 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $1,052.30 | $1,238.00 | $265.18 – $1,401.67 | 18 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $1,159.40 | $1,364.00 | $292.17 – $1,544.33 | 18 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $412.25 | $485.00 | $103.89 – $549.12 | 18 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $132.60 | $156.00 | $25.92 – $137.00 | 18 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $640.90 | $754.00 | $161.51 – $853.68 | 18 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $7,761.95 | $9,131.70 | $1,089.21 – $5,757.24 | 18 |
| Shoe post-op mens m HCPCS L3260 | $128.27 | $150.90 | $32.33 – $170.85 | 18 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,660.95 | $4,307.00 | $922.56 – $4,876.39 | 18 |
| Shoulder MRI (with contrast) CPT 73222 | $3,218.10 | $3,786.00 | $810.97 – $4,286.51 | 18 |
| Shoulder MRI (without contrast) CPT 73221 | $2,952.05 | $3,473.00 | $743.92 – $3,932.14 | 18 |
| Shoulder X-ray CPT 73030 | $334.90 | $394.00 | $12.64 – $66.80 | 18 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $4,880.70 | $5,742.00 | $455.18 – $2,405.93 | 18 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $520.20 | $612.00 | $131.10 – $692.91 | 18 |
| Sickling rbc CPT 85660 | $98.60 | $116.00 | $5.51 – $113.68 | 18 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,893.80 | $2,228.00 | $179.08 – $946.52 | 18 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $271.15 | $319.00 | $68.33 – $361.18 | 18 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,234.20 | $1,452.00 | $311.02 – $1,643.96 | 18 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $722.50 | $850.00 | $182.07 – $962.37 | 18 |
| Sigmoidoscopy w/ablation CPT 45346 | $5,837.80 | $6,868.00 | $1,471.13 – $7,775.95 | 18 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $681.70 | $802.00 | $171.79 – $908.03 | 18 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $364.65 | $429.00 | $91.90 – $485.72 | 18 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $736.95 | $867.00 | $185.72 – $981.62 | 18 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $294.10 | $346.00 | $74.12 – $391.75 | 18 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $402.05 | $473.00 | $101.32 – $535.54 | 18 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $1,922.70 | $2,262.00 | $205.21 – $1,084.65 | 18 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,145.80 | $1,348.00 | $288.75 – $1,526.21 | 18 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $517.26 | $608.54 | $67.74 – $358.04 | 18 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,998.80 | $3,528.00 | $755.70 – $3,994.41 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $2,546.60 | $2,996.00 | $641.75 – $3,392.08 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $2,380.00 | $2,800.00 | $599.76 – $3,170.16 | 18 |
| Sirolimus, oral HCPCS J7520 | $10,083.38 | $11,862.80 | $5.33 – $28.16 | 18 |
| Skin Biopsy CPT 11102 | $227.80 | $268.00 | $57.41 – $303.43 | 18 |
| Skyla, 13.5 mg HCPCS J7301 | $3,094.82 | $3,640.96 | $779.90 – $4,122.30 | 18 |
| Sleep study attended CPT 95807 | $1,655.80 | $1,948.00 | $417.27 – $2,205.53 | 18 |
| Sleep Study (Polysomnography) CPT 95810 | $4,548.35 | $5,351.00 | $1,146.19 – $6,058.41 | 18 |
| Sleep study unattended CPT 95806 | $490.45 | $577.00 | $123.60 – $653.28 | 18 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $82.62 | $97.20 | $2.61 – $13.76 | 18 |
| Sling suprapubic suburetheral HCPCS C1771 | $8,022.09 | $9,437.75 | $131.74 – $696.31 | 18 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $227.80 | $268.00 | $33.21 – $175.50 | 18 |
| Slp eval non-spch gen comm dev CPT 92605 | $283.90 | $334.00 | $71.55 – $378.16 | 18 |
| Slp pure tone screening CPT 92551 | $29.75 | $35.00 | $7.50 – $39.63 | 18 |
| Slp stdy unatnd w/anal CPT 95801 | $69.70 | $82.00 | $17.57 – $92.85 | 18 |
| Slp ther svc non-spch gen CPT 92606 | $588.20 | $692.00 | $105.61 – $558.18 | 18 |
| Sm-153 lexidron ther HCPCS A9604 | $35,977.10 | $42,326.00 | $9,066.23 – $47,921.50 | 18 |
| Small bowel endoscopy CPT 44360 | $340.00 | $400.00 | $85.68 – $452.88 | 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.