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 |
|---|---|---|---|---|
| X-ray humerus >= 2 views left CPT 73060 | $330.65 | $389.00 | $13.07 – $69.07 | 18 |
| X-ray joint survey 1 view CPT 77077 | $259.25 | $305.00 | $65.34 – $345.33 | 18 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $251.60 | $296.00 | $13.50 – $71.33 | 18 |
| X-ray knee 3 views (both sides) CPT 73562 | $382.50 | $450.00 | $15.64 – $82.66 | 18 |
| X-ray knee ap standing bilateral CPT 73565 | $282.20 | $332.00 | $71.12 – $375.90 | 18 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $237.15 | $279.00 | $12.21 – $64.54 | 18 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $1,317.50 | $1,550.00 | $332.01 – $1,754.91 | 18 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $617.95 | $727.00 | $21.42 – $113.22 | 18 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,055.70 | $1,242.00 | $18.43 – $97.37 | 18 |
| X-ray mandible complete > 4 views CPT 70110 | $416.50 | $490.00 | $104.96 – $554.78 | 18 |
| X-ray mandible ltd <4 views CPT 70100 | $210.80 | $248.00 | $53.13 – $280.79 | 18 |
| X-ray nasal bones complete > 3 views CPT 70160 | $286.45 | $337.00 | $72.19 – $381.56 | 18 |
| X-ray neck soft tissue CPT 70360 | $289.85 | $341.00 | $73.05 – $386.09 | 18 |
| X-ray nose to rectum for foreign body child CPT 76010 | $368.05 | $433.00 | $92.75 – $490.25 | 18 |
| X-ray optic foramina CPT 70190 | $233.75 | $275.00 | $58.91 – $311.36 | 18 |
| X-ray pelvis 1-2 views CPT 72170 | $326.40 | $384.00 | $14.36 – $75.86 | 18 |
| X-ray pelvis complete > 3 views CPT 72190 | $385.05 | $453.00 | $97.04 – $512.89 | 18 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $708.90 | $834.00 | $178.65 – $944.26 | 18 |
| X-ray ribs 2 views left CPT 71100 | $389.30 | $458.00 | $14.57 – $76.99 | 18 |
| X-ray ribs 3 views bilateral CPT 71110 | $380.80 | $448.00 | $95.97 – $507.23 | 18 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $442.85 | $521.00 | $111.60 – $589.88 | 18 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $566.10 | $666.00 | $142.66 – $754.05 | 18 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $340.85 | $401.00 | $85.90 – $454.02 | 18 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $260.10 | $306.00 | $65.55 – $346.46 | 18 |
| X-ray scapula complete (both sides) CPT 73010 | $256.70 | $302.00 | $64.69 – $341.93 | 18 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $314.50 | $370.00 | $10.07 – $53.22 | 18 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $349.35 | $411.00 | $16.50 – $87.18 | 18 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $747.15 | $879.00 | $188.29 – $995.21 | 18 |
| X-ray skull < 4 views CPT 70250 | $337.45 | $397.00 | $15.86 – $83.79 | 18 |
| X-ray skull > 4 views complete CPT 70260 | $415.65 | $489.00 | $104.75 – $553.65 | 18 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $415.65 | $489.00 | $104.75 – $553.65 | 18 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $332.35 | $391.00 | $83.76 – $442.70 | 18 |
| X-ray small intestine follow-through study CPT 74248 | $672.35 | $791.00 | $169.44 – $895.58 | 18 |
| X-ray spine single view CPT 72020 | $291.55 | $343.00 | $8.57 – $45.29 | 18 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $249.05 | $293.00 | $62.77 – $331.74 | 18 |
| X-ray sternum > 2 views CPT 71120 | $228.65 | $269.00 | $13.07 – $69.07 | 18 |
| X-ray surgical specimen CPT 76098 | $150.45 | $177.00 | $37.92 – $200.40 | 18 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $591.60 | $696.00 | $149.09 – $788.02 | 18 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $278.80 | $328.00 | $70.26 – $371.37 | 18 |
| X-ray thoracic spine 2 views CPT 72070 | $400.35 | $471.00 | $15.00 – $79.26 | 18 |
| X-ray thoracic spine 3 views CPT 72072 | $408.00 | $480.00 | $15.21 – $80.39 | 18 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $328.95 | $387.00 | $82.90 – $438.17 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $94.35 | $111.00 | $23.78 – $125.68 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $497.25 | $585.00 | $125.31 – $662.34 | 18 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $230.35 | $271.00 | $12.43 – $65.67 | 18 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $249.05 | $293.00 | $12.64 – $66.80 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $536.35 | $631.00 | $122.10 – $645.36 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $640.05 | $753.00 | $107.75 – $569.50 | 18 |
| X-ray upper gi&small intest CPT 74245 | $593.30 | $698.00 | $149.52 – $790.28 | 18 |
| X-ray wrist 2 views (both sides) CPT 73100 | $292.40 | $344.00 | $13.07 – $69.07 | 18 |
| Xylose absorption test blood &/or urine CPT 84620 | $186.15 | $219.00 | $12.91 – $214.62 | 18 |
| Xyntha inj HCPCS J7185 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $115.09 | $135.40 | $28.60 – $151.15 | 18 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $17.09 | $20.10 | $4.31 – $22.76 | 18 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $216.83 | $255.09 | $21.32 – $112.66 | 18 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,166.20 | $1,372.00 | $21.32 – $112.66 | 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.