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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44364 | $483.65 | $569.00 | $121.88 – $644.23 | 18 |
| Small bowel endoscopy CPT 44366 | $568.65 | $669.00 | $143.30 – $757.45 | 18 |
| Small bowel endoscopy CPT 44369 | $582.25 | $685.00 | $146.73 – $775.56 | 18 |
| Small bowel endoscopy CPT 44376 | $674.05 | $793.00 | $169.87 – $897.84 | 18 |
| Small bowel endoscopy CPT 44378 | $912.90 | $1,074.00 | $230.06 – $1,215.99 | 18 |
| Small bowel endoscopy CPT 44382 | $742.90 | $874.00 | $187.22 – $989.55 | 18 |
| Small bowel endoscopy CPT 44384 | $364.65 | $429.00 | $91.90 – $485.72 | 18 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $453.90 | $534.00 | $114.39 – $604.60 | 18 |
| Small bowel endoscopy 44365 CPT 44365 | $430.95 | $507.00 | $108.60 – $574.03 | 18 |
| Small bowel endoscopy/biopsy CPT 44361 | $375.70 | $442.00 | $94.68 – $500.44 | 18 |
| Small bowel endoscopy/biopsy CPT 44377 | $708.90 | $834.00 | $178.65 – $944.26 | 18 |
| Small bowel endoscopy br/wa CPT 44380 | $480.25 | $565.00 | $121.03 – $639.70 | 18 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $631.55 | $743.00 | $159.16 – $841.23 | 18 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $0.01 | $0.01 | $0.01 – $0.02 | 18 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $166.60 | $196.00 | $5.39 – $192.08 | 18 |
| Smear gram stain CPT 87205 | $98.60 | $116.00 | $3.00 – $13.72 | 18 |
| Smear nasal eosinophil CPT 89190 | $79.05 | $93.00 | $5.79 – $91.14 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $215.90 | $254.00 | $5.99 – $248.92 | 18 |
| Smear wet mount CPT 87210 | $120.70 | $142.00 | $3.00 – $13.72 | 18 |
| Sock fracture or equal each HCPCS L3995 | $36.46 | $42.89 | $9.19 – $48.57 | 18 |
| Sodium 24 hour urine CPT 84300 | $83.30 | $98.00 | $5.06 – $96.04 | 18 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $175.74 | $206.75 | $44.29 – $234.09 | 18 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $175.74 | $206.75 | $1.22 – $6.40 | 18 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $123.62 | $145.43 | $21.32 – $112.66 | 18 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $768.53 | $904.15 | $193.67 – $1,023.68 | 18 |
| Sodium serum/plasma/whole blood CPT 84295 | $102.85 | $121.00 | $3.22 – $14.70 | 18 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $420.75 | $495.00 | $106.03 – $560.44 | 18 |
| Somatropin injection HCPCS J2941 | $1,189.37 | $1,399.25 | $299.72 – $1,584.24 | 18 |
| Specific gravity body fluid CPT 84315 | $38.25 | $45.00 | $3.28 – $44.10 | 18 |
| Specimen fat stain CPT 89125 | $47.60 | $56.00 | $5.88 – $35.28 | 18 |
| Speech audiometry complete CPT 92556 | $57.80 | $68.00 | $14.57 – $76.99 | 18 |
| Speech evaluation complex CPT 70371 | $476.85 | $561.00 | $120.17 – $635.17 | 18 |
| Speech recep thresh CPT 92555 | $57.80 | $68.00 | $14.57 – $76.99 | 18 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $884.85 | $1,041.00 | $222.99 – $1,178.63 | 18 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $634.95 | $747.00 | $160.01 – $845.76 | 18 |
| Splenectomy total open 38100 CPT 38100 | $2,626.50 | $3,090.00 | $661.88 – $3,498.50 | 18 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $87.00 | $102.35 | $21.93 – $115.89 | 18 |
| Splint finger 4 prong foam sm HCPCS A4570 | $111.61 | $131.30 | $15.49 – $81.86 | 18 |
| Split blood or products CPT 86985 | $121.55 | $143.00 | $30.64 – $161.91 | 18 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $1,023.40 | $1,204.00 | $68.98 – $364.57 | 18 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $1,023.40 | $1,204.00 | $36.20 – $191.35 | 18 |
| Stem cells total count CPT 86367 | $884.85 | $1,041.00 | $77.78 – $1,020.18 | 18 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $26,206.78 | $30,831.50 | $6.32 – $33.38 | 18 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $5,022.23 | $5,908.50 | $8.49 – $44.86 | 18 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $26,227.67 | $30,856.08 | $3.17 – $16.75 | 18 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $837.25 | $985.00 | $210.99 – $1,115.22 | 18 |
| Sternal debridement CPT 21627 | $1,255.45 | $1,477.00 | $316.38 – $1,672.26 | 18 |
| St evaluate speech sound production CPT 92522 | $1,023.40 | $1,204.00 | $68.98 – $364.57 | 18 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $505.75 | $595.00 | $70.48 – $372.50 | 18 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $1,023.40 | $1,204.00 | $99.82 – $527.61 | 18 |
| St evaluation swallow function CPT 92610 | $508.30 | $598.00 | $60.41 – $319.29 | 18 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | $86.07 | $101.25 | $12.88 – $68.05 | 18 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $255.85 | $301.00 | $16.71 – $76.44 | 18 |
| Strapping of chest CPT 29200 | $279.65 | $329.00 | $20.35 – $93.10 | 18 |
| Strapping of elbow or wrist 29260 CPT 29260 | $366.35 | $431.00 | $18.00 – $82.32 | 18 |
| Strapping of hand or finger CPT 29280 | $204.85 | $241.00 | $17.78 – $81.34 | 18 |
| Strapping of hip CPT 29520 | $349.35 | $411.00 | $21.42 – $98.00 | 18 |
| Strapping of knee CPT 29530 | $255.85 | $301.00 | $18.43 – $84.28 | 18 |
| Strapping of toes 29550 CPT 29550 | $255.85 | $301.00 | $11.57 – $52.92 | 18 |
| Strep a ag ia CPT 87430 | $141.10 | $166.00 | $16.81 – $93.10 | 18 |
| Strep b dna amp probe CPT 87653 | $93.50 | $110.00 | $23.57 – $107.80 | 18 |
| Stress test pulmonary CPT 94618 | $157.25 | $185.00 | $35.13 – $185.69 | 18 |
| Stress tte complete CPT 93351 | $2,681.75 | $3,155.00 | $675.81 – $3,572.10 | 18 |
| St treatment speech individual CPT 92507 | $1,320.05 | $1,553.00 | $66.84 – $353.25 | 18 |
| St treatment swallow dysfunction/oral CPT 92526 | $1,300.50 | $1,530.00 | $68.55 – $362.31 | 18 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $175.74 | $206.75 | $21.32 – $112.66 | 18 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $29,781.28 | $35,036.80 | $280.61 – $1,483.19 | 18 |
| Sulfonylurea screen qn-sendout CPT 80377 | $409.70 | $482.00 | $103.25 – $545.73 | 18 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $646.90 | $761.05 | $21.32 – $112.66 | 18 |
| Support clav 29.6-40.5in med HCPCS L3650 | $28.39 | $33.40 | $4.13 – $21.81 | 18 |
| Surg dx exam anorectal CPT 45990 | $244.80 | $288.00 | $61.69 – $326.08 | 18 |
| Surgical pathology level 1 gross examination only CPT 88300 | $136.85 | $161.00 | $34.49 – $182.29 | 18 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $157.25 | $185.00 | $39.63 – $209.46 | 18 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $235.45 | $277.00 | $59.34 – $313.62 | 18 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $341.70 | $402.00 | $86.11 – $455.15 | 18 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $443.70 | $522.00 | $111.82 – $591.01 | 18 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $590.75 | $695.00 | $148.87 – $786.88 | 18 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $1,347.25 | $1,585.00 | $339.51 – $1,794.54 | 18 |
| Susceptibility agar dilution per agent CPT 87181 | $71.40 | $84.00 | $4.75 – $82.32 | 18 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $71.40 | $84.00 | $3.22 – $14.70 | 18 |
| Susceptibility mic per plate CPT 87186 | $176.80 | $208.00 | $5.79 – $26.46 | 18 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $2,413.15 | $2,839.00 | $608.12 – $3,214.32 | 18 |
| Synvisc or synvisc-one HCPCS J7325 | $1,749.18 | $2,057.85 | $146.94 – $776.64 | 18 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $57.80 | $68.00 | $3.00 – $13.72 | 18 |
| System cardiomems hosp electronics HCPCS C2624 | $35,343.00 | $41,580.00 | $7,871.85 – $41,608.35 | 18 |
| System pacing micra av HCPCS C1786 | $34,998.75 | $41,175.00 | $698.83 – $3,693.81 | 18 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $16,332.75 | $19,215.00 | $0.78 – $4.11 | 18 |
| System sealant biosentry tract HCPCS C2613 | $890.03 | $1,047.09 | $224.29 – $1,185.52 | 18 |
| T3 (triiodothyronine) free CPT 84481 | $226.10 | $266.00 | $5.79 – $37.61 | 18 |
| T3 (triiodothyronine) total CPT 84480 | $97.75 | $115.00 | $5.79 – $31.48 | 18 |
| T4 (thyroxine) free CPT 84439 | $141.95 | $167.00 | $5.79 – $26.46 | 18 |
| T4 (thyroxine) total CPT 84436 | $120.70 | $142.00 | $4.50 – $20.58 | 18 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $357.68 | $420.80 | $0.87 – $4.57 | 18 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $991.32 | $1,166.25 | $249.82 – $1,320.43 | 18 |
| Tacrolimus therapeutic drug level CPT 80197 | $368.90 | $434.00 | $9.00 – $41.16 | 18 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $5,412.93 | $6,368.15 | $1,364.06 – $7,210.02 | 18 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $44,007.99 | $51,774.10 | $831.75 – $4,396.39 | 18 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,721.93 | $2,025.80 | $82.64 – $436.80 | 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.