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 |
|---|---|---|---|---|
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $8,599.78 | $10,117.38 | $2,167.15 – $11,454.90 | 18 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $59,778.76 | $70,327.95 | $12,954.19 – $68,472.12 | 18 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $474.30 | $558.00 | $111.31 – $588.35 | 18 |
| Vaccine dtap < 7 years im CPT 90700 | $221.53 | $260.62 | $23.71 – $125.32 | 18 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $279.20 | $328.46 | $70.36 – $371.89 | 18 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $204.68 | $240.80 | $51.58 – $272.64 | 18 |
| Vaccine dtap-ipv/hib im CPT 90698 | $239.86 | $282.18 | $41.74 – $220.60 | 18 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $119.41 | $140.48 | $30.10 – $159.06 | 18 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $239.86 | $282.18 | $21.32 – $112.66 | 18 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $289.35 | $340.41 | $30.36 – $160.44 | 18 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $118.81 | $139.77 | $29.94 – $158.25 | 18 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $193.77 | $227.96 | $36.42 – $192.50 | 18 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $156.72 | $184.37 | $21.32 – $112.66 | 18 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $63.75 | $75.00 | $16.07 – $84.92 | 18 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $76.50 | $90.00 | $19.28 – $101.90 | 18 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $38.25 | $45.00 | $9.64 – $50.95 | 18 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $65.45 | $77.00 | $16.07 – $84.92 | 18 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $35.70 | $42.00 | $8.57 – $45.29 | 18 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $35.70 | $42.00 | $9.00 – $47.56 | 18 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $38.25 | $45.00 | $9.64 – $50.95 | 18 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $709.70 | $834.93 | $157.01 – $829.91 | 18 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $532.95 | $626.99 | $118.89 – $628.38 | 18 |
| Vaccine mmr live subcutaneous CPT 90707 | $1,107.26 | $1,302.65 | $91.76 – $484.98 | 18 |
| Vaccine mmrv live subcutaneous CPT 90710 | $680.84 | $800.98 | $171.57 – $906.87 | 18 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $480.16 | $564.89 | $114.74 – $606.45 | 18 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $822.25 | $967.35 | $200.94 – $1,062.09 | 18 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $993.65 | $1,169.00 | $242.80 – $1,283.34 | 18 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,743.14 | $2,050.75 | $439.28 – $2,321.86 | 18 |
| Vaccine rabies im CPT 90675 | $1,395.24 | $1,641.45 | $293.49 – $1,551.29 | 18 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,235.22 | $2,629.67 | $563.28 – $2,977.32 | 18 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $2,235.22 | $2,629.67 | $563.28 – $2,977.32 | 18 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $345.06 | $405.95 | $86.96 – $459.62 | 18 |
| Vaccine tdap >=7 years im CPT 90715 | $201.86 | $237.48 | $36.52 – $193.02 | 18 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $165.49 | $194.69 | $23.05 – $121.82 | 18 |
| Vaccine varicella live subcutaneous CPT 90716 | $739.04 | $869.45 | $101.56 – $536.78 | 18 |
| Valproic acid total therapeutic drug level CPT 80164 | $245.65 | $289.00 | $9.00 – $41.16 | 18 |
| Valrubicin injection HCPCS J9357 | $7,100.90 | $8,354.00 | $1,789.43 – $9,458.40 | 18 |
| Vancomycin hcl injection HCPCS J3370 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Vancomycin peak therapeutic drug level CPT 80202 | $188.70 | $222.00 | $13.54 – $217.56 | 18 |
| Varicella zoster antibody igg CPT 86787 | $190.40 | $224.00 | $12.88 – $219.52 | 18 |
| Varicella-zoster immue globin im CPT 90396 | $8,043.31 | $9,462.71 | $2,026.92 – $10,713.69 | 18 |
| Vasectomy CPT 55250 | $787.10 | $926.00 | $198.35 – $1,048.42 | 18 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $528.01 | $621.18 | $21.32 – $112.66 | 18 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $39,779.62 | $46,799.55 | $10,024.47 – $52,986.46 | 18 |
| Veeg cont 2-12 hrs CPT 95713 | $624.75 | $735.00 | $157.44 – $832.17 | 18 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $325.55 | $383.00 | $82.04 – $433.64 | 18 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $1,273.30 | $1,498.00 | $7.29 – $38.50 | 18 |
| Venogram ext bil s&i CPT 75822 | $1,383.80 | $1,628.00 | $348.72 – $1,843.23 | 18 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,003.85 | $1,181.00 | $252.98 – $1,337.13 | 18 |
| Venous thrombosis imaging CPT 78457 | $883.15 | $1,039.00 | $222.56 – $1,176.36 | 18 |
| Ven thrombosis images bilat CPT 78458 | $1,246.10 | $1,466.00 | $314.02 – $1,659.81 | 18 |
| Ventilator each subsequent day CPT 94003 | $575.45 | $677.00 | $145.02 – $766.50 | 18 |
| Ventilator initial day CPT 94002 | $575.45 | $677.00 | $145.02 – $766.50 | 18 |
| Version cephalic external CPT 59412 | $2,034.05 | $2,393.00 | $512.59 – $2,709.36 | 18 |
| Very long chain fatty acids CPT 82726 | $67.15 | $79.00 | $16.93 – $77.42 | 18 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | $3,372.80 | $3,968.00 | $849.95 – $4,492.57 | 18 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $206.89 | $243.40 | $52.14 – $275.58 | 18 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $117.01 | $137.65 | $21.32 – $112.66 | 18 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $143.48 | $168.80 | $21.32 – $112.66 | 18 |
| Viper venom prothrombin time CPT 85612 | $150.45 | $177.00 | $17.49 – $173.46 | 18 |
| Virus isolation addl studies ea CPT 87253 | $147.05 | $173.00 | $20.20 – $169.54 | 18 |
| Vitamin b-12 CPT 82607 | $165.75 | $195.00 | $9.86 – $45.08 | 18 |
| Vitamin D Test CPT 82306 | $317.05 | $373.00 | $19.07 – $87.22 | 18 |
| Volume measurement urine timed CPT 81050 | $35.70 | $42.00 | $3.64 – $41.16 | 18 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $518.80 | $610.35 | $21.32 – $112.66 | 18 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $507,241.75 | $596,755.00 | $127,824.93 – $675,646.02 | 18 |
| Warde 1003990 aldosterone CPT 82088 | $422.45 | $497.00 | $40.75 – $487.06 | 18 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $175.10 | $206.00 | $27.80 – $201.88 | 18 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $152.15 | $179.00 | $5.79 – $28.64 | 18 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $259.25 | $305.00 | $25.25 – $298.90 | 18 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $158.10 | $186.00 | $15.50 – $182.28 | 18 |
| Warde 1015200 kappa light chain free CPT 83521 | $164.05 | $193.00 | $41.35 – $218.52 | 18 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $70.55 | $83.00 | $5.36 – $24.50 | 18 |
| Warde 3008005 oligoclonal bands CPT 83916 | $273.70 | $322.00 | $27.39 – $315.56 | 18 |
| Warde 3016000 west nile virus antibody CPT 86788 | $198.90 | $234.00 | $16.85 – $229.32 | 18 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $198.90 | $234.00 | $14.39 – $229.32 | 18 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $91.80 | $108.00 | $12.25 – $105.84 | 18 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $132.60 | $156.00 | $5.79 – $26.46 | 18 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $221.00 | $260.00 | $17.98 – $254.80 | 18 |
| Warde 3400852 arsenic CPT 82175 | $124.95 | $147.00 | $18.97 – $144.06 | 18 |
| Warde 3708165 mercury urine CPT 83825 | $188.70 | $222.00 | $16.26 – $217.56 | 18 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $172.55 | $203.00 | $43.49 – $229.84 | 18 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $180.20 | $212.00 | $45.42 – $240.03 | 18 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $304.30 | $358.00 | $8.10 – $237.16 | 18 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $498.95 | $587.00 | $25.28 – $115.64 | 18 |
| Warde aldolase CPT 82085 | $86.70 | $102.00 | $9.71 – $99.96 | 18 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $700.40 | $824.00 | $16.87 – $304.78 | 18 |
| Warde amiodarone therapeutic drug level CPT 80151 | $208.25 | $245.00 | $18.64 – $240.10 | 18 |
| Warde analysis gene hfe common variants CPT 81256 | $874.65 | $1,029.00 | $65.36 – $1,008.42 | 18 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $57.80 | $68.00 | $14.57 – $76.99 | 18 |
| Warde anti-mullerian hormone CPT 82166 | $163.20 | $192.00 | $41.13 – $217.39 | 18 |
| Warde apolipoprotein b CPT 82172 | $187.00 | $220.00 | $10.07 – $46.82 | 18 |
| Warde bile acids CPT 82239 | $50.15 | $59.00 | $12.64 – $57.82 | 18 |
| Warde cadmium blood CPT 82300 | $177.65 | $209.00 | $23.64 – $204.82 | 18 |
| Warde calcitonin CPT 82308 | $266.90 | $314.00 | $26.79 – $307.72 | 18 |
| Warde calculus (stone) infrared CPT 82365 | $180.20 | $212.00 | $12.90 – $207.76 | 18 |
| Warde clozapine therapeutic drug level CPT 80159 | $56.10 | $66.00 | $14.14 – $64.68 | 18 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $213.35 | $251.00 | $21.96 – $245.98 | 18 |
| Warde collagen cross links c-telopeptide CPT 82523 | $304.30 | $358.00 | $12.21 – $55.86 | 18 |
| Warde complement total hemolytic CPT 86162 | $340.85 | $401.00 | $20.32 – $392.98 | 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.