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 |
|---|---|---|---|---|
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $408.00 | $480.00 | $61.98 – $470.40 | 18 |
| Tc-99m bicisate HCPCS A9557 | $4,994.60 | $5,876.00 | $1,258.64 – $6,652.81 | 18 |
| Tc-99m depreotide HCPCS A9536 | $1,394.00 | $1,640.00 | $351.29 – $1,856.81 | 18 |
| Tc-99m disofenin HCPCS A9510 | $168.30 | $198.00 | $42.42 – $224.18 | 18 |
| Tc-99m exametazime diag HCPCS A9521 | $4,516.90 | $5,314.00 | $1,138.26 – $6,016.52 | 18 |
| Tc-99m labeled rbc HCPCS A9560 | $446.25 | $525.00 | $59.55 – $314.76 | 18 |
| Tc-99m maa HCPCS A9540 | $536.35 | $631.00 | $135.17 – $714.42 | 18 |
| Tc-99m mebrofenin HCPCS A9537 | $101.15 | $119.00 | $25.49 – $134.74 | 18 |
| Tc-99m medronate HCPCS A9503 | $145.35 | $171.00 | $36.63 – $193.61 | 18 |
| Tc-99m mertiatide HCPCS A9562 | $959.65 | $1,129.00 | $241.84 – $1,278.26 | 18 |
| Tc-99m oxidronate HCPCS A9561 | $122.40 | $144.00 | $30.85 – $163.04 | 18 |
| Tc-99m pentetate dtpa HCPCS A9539 | $429.25 | $505.00 | $108.18 – $571.77 | 18 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $488.75 | $575.00 | $118.46 – $626.11 | 18 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $2.55 | $3.00 | $0.65 – $3.40 | 18 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $947.75 | $1,115.00 | $29.56 – $156.25 | 18 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $238.85 | $281.00 | $60.20 – $318.15 | 18 |
| Tc-99m sulfur colloid HCPCS A9541 | $502.35 | $591.00 | $71.98 – $380.42 | 18 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $120.70 | $142.00 | $30.42 – $160.78 | 18 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $236.30 | $278.00 | $46.98 – $272.44 | 18 |
| T cells absolute cd 4 count CPT 86361 | $138.55 | $163.00 | $26.78 – $159.74 | 18 |
| T cells total count CPT 86359 | $236.30 | $278.00 | $37.73 – $272.44 | 18 |
| Team conf w/pat by hc prof CPT 99366 | $305.15 | $359.00 | $22.28 – $117.75 | 18 |
| Telavancin injection HCPCS J3095 | $1,516.57 | $1,784.20 | $382.18 – $2,020.08 | 18 |
| Telehealth original site facility fee HCPCS Q3014 | $48.45 | $57.00 | $12.21 – $64.54 | 18 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $7,775.34 | $9,147.45 | $1,959.39 – $10,356.75 | 18 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $34,029.16 | $40,034.30 | $6,493.90 – $34,324.86 | 18 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $906.10 | $1,066.00 | $228.34 – $1,206.93 | 18 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Test for porphobilinogen CPT 84106 | $97.75 | $115.00 | $5.82 – $112.70 | 18 |
| Testicular imaging w/vasc flow CPT 78761 | $1,220.60 | $1,436.00 | $307.60 – $1,625.84 | 18 |
| Testosterone undecanoate 1mg HCPCS J3145 | $8,808.05 | $10,362.41 | $2,219.63 – $11,732.33 | 18 |
| Test stress cardiovascular tracing only CPT 93017 | $1,399.10 | $1,646.00 | $268.40 – $1,418.65 | 18 |
| Test urine for porphyrins CPT 84119 | $83.30 | $98.00 | $13.36 – $96.04 | 18 |
| Test urine urobilinogen CPT 84578 | $34.00 | $40.00 | $4.47 – $39.20 | 18 |
| Tetanus immune globulin inj HCPCS J1670 | $1,910.29 | $2,247.40 | $481.40 – $2,544.51 | 18 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $17,683.88 | $20,804.56 | $4,456.34 – $23,554.93 | 18 |
| Theophylline therapeutic drug level CPT 80198 | $153.85 | $181.00 | $8.57 – $39.20 | 18 |
| Therapeutic procd strg endur HCPCS G0237 | $95.20 | $112.00 | $24.00 – $126.81 | 18 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $306.85 | $361.00 | $77.33 – $408.73 | 18 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $33.15 | $39.00 | $8.36 – $44.16 | 18 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $30.60 | $36.00 | $7.72 – $40.76 | 18 |
| Ther/proph/diag inj ia CPT 96373 | $429.25 | $505.00 | $108.18 – $571.77 | 18 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,242.70 | $1,462.00 | $152.52 – $806.13 | 18 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $12,374.30 | $14,558.00 | $3,118.33 – $16,482.57 | 18 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $18,946.50 | $22,290.00 | $4,774.52 – $25,236.74 | 18 |
| Thrombin time CPT 85670 | $114.75 | $135.00 | $3.86 – $17.64 | 18 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $117.30 | $138.00 | $6.47 – $135.24 | 18 |
| Thyroglobulin antibody CPT 86800 | $156.40 | $184.00 | $15.91 – $180.32 | 18 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | $3,154.35 | $3,711.00 | $794.90 – $4,201.60 | 18 |
| Thyroid imaging CPT 78013 | $583.10 | $686.00 | $146.95 – $776.69 | 18 |
| Thyroid met imaging CPT 78015 | $742.05 | $873.00 | $187.00 – $988.42 | 18 |
| Thyroid mets imag whole body CPT 78018 | $1,908.25 | $2,245.00 | $480.88 – $2,541.79 | 18 |
| Thyroid (TSH) Test CPT 84443 | $149.60 | $176.00 | $10.93 – $49.98 | 18 |
| Thyroid Ultrasound CPT 76536 | $606.05 | $713.00 | $152.73 – $807.26 | 18 |
| Thyroid uptake measurement CPT 78012 | $795.60 | $936.00 | $200.50 – $1,059.74 | 18 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $8,403.27 | $9,886.20 | $1,996.11 – $10,550.86 | 18 |
| Thyroxine binding globulin (tbg) CPT 84442 | $57.80 | $68.00 | $14.57 – $66.64 | 18 |
| Tigecycline injection HCPCS J3243 | $408.15 | $480.17 | $21.32 – $112.66 | 18 |
| Tilt table study CPT 93660 | $2,180.25 | $2,565.00 | $549.43 – $2,904.10 | 18 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $928.63 | $1,092.50 | $57.20 – $302.30 | 18 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $26,996.00 | $31,760.00 | $6,803.00 – $35,958.68 | 18 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $5,717.43 | $6,726.38 | $1,440.80 – $7,615.61 | 18 |
| Tissue culture placenta CPT 88235 | $838.10 | $986.00 | $150.30 – $966.28 | 18 |
| Tissue culture skin/biopsy CPT 88233 | $805.80 | $948.00 | $140.73 – $929.04 | 18 |
| Tissue culture tumor CPT 88239 | $855.95 | $1,007.00 | $147.52 – $986.86 | 18 |
| Tissue exam koh skin/hair/nails CPT 87220 | $97.75 | $115.00 | $4.27 – $85.26 | 18 |
| Tissue transglutaminase iga CPT 86364 | $180.20 | $212.00 | $45.42 – $240.03 | 18 |
| Tixagev and cilgav inj HCPCS M0220 | $188.70 | $222.00 | $47.56 – $251.35 | 18 |
| Tl-201 thallium diag per mci HCPCS A9505 | $57.80 | $68.00 | $14.57 – $76.99 | 18 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $1,795.79 | $2,112.69 | $21.32 – $112.66 | 18 |
| Tobramycin non-comp unit HCPCS J7682 | $57.67 | $67.84 | $7.37 – $38.93 | 18 |
| Tobramycin peak therapeutic drug level CPT 80200 | $176.80 | $208.00 | $16.13 – $203.84 | 18 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $10,892.24 | $12,814.40 | $548.97 – $2,901.68 | 18 |
| Tomosynthesis breast screen bilateral CPT 77063 | $114.75 | $135.00 | $28.92 – $152.85 | 18 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $2,080.80 | $2,448.00 | $524.37 – $2,771.63 | 18 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $544.17 | $640.20 | $24.27 – $128.24 | 18 |
| Total Knee Replacement CPT 27447 | $2,964.80 | $3,488.00 | $747.13 – $3,949.12 | 18 |
| Toxoplasma antibody igg CPT 86777 | $128.35 | $151.00 | $14.39 – $147.98 | 18 |
| Toxoplasma antibody igm CPT 86778 | $128.35 | $151.00 | $14.41 – $147.98 | 18 |
| Tpmt gene com vrnts CPT 81335 | $994.50 | $1,170.00 | $174.81 – $1,146.60 | 18 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $13,163.44 | $15,486.40 | $3,317.19 – $17,533.71 | 18 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $67.15 | $79.00 | $16.93 – $89.45 | 18 |
| Transferrin CPT 84466 | $63.75 | $75.00 | $12.76 – $73.50 | 18 |
| Transfusion blood/blood component(s) CPT 36430 | $1,238.45 | $1,457.00 | $116.53 – $615.92 | 18 |
| Transparent film <= 16 sq in HCPCS A6257 | $1.31 | $1.53 | $0.20 – $1.04 | 18 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $17,779.54 | $20,917.10 | $1,669.07 – $8,822.22 | 18 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $14,830.12 | $17,447.20 | $1,334.72 – $7,054.91 | 18 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $9,165.89 | $10,783.40 | $824.93 – $4,360.33 | 18 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,436.10 | $2,866.00 | $613.90 – $3,244.89 | 18 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $1,020.00 | $1,200.00 | $90.50 – $478.35 | 18 |
| Treat ankle dislocation CPT 27842 | $1,189.15 | $1,399.00 | $294.10 – $1,345.54 | 18 |
| Treat clavicle dislocation 23545 CPT 23545 | $832.15 | $979.00 | $50.98 – $269.47 | 18 |
| Treat elbow dislocation CPT 24605 | $1,326.85 | $1,561.00 | $284.03 – $1,299.48 | 18 |
| Treat eyelid lesion 67850 CPT 67850 | $1,118.60 | $1,316.00 | $281.89 – $1,489.98 | 18 |
| Treat finger fracture each CPT 26742 | $889.95 | $1,047.00 | $75.83 – $400.80 | 18 |
| Treat foot dislocation CPT 28540 | $470.05 | $553.00 | $41.35 – $218.52 | 18 |
| Treat fracture of radius CPT 25505 | $1,195.95 | $1,407.00 | $105.61 – $558.18 | 18 |
| Treat fracture of ulna CPT 25535 | $1,175.55 | $1,383.00 | $76.90 – $406.46 | 18 |
| Treat hip dislocation CPT 27252 | $1,758.65 | $2,069.00 | $300.10 – $1,372.98 | 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.