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 |
|---|---|---|---|---|
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,007.25 | $1,185.00 | $58.70 – $310.23 | 18 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $755.65 | $889.00 | $58.48 – $309.10 | 18 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $264.35 | $311.00 | $64.05 – $293.02 | 18 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,764.60 | $2,076.00 | $183.36 – $969.17 | 18 |
| Clsd tx fracture of radius 25500 CPT 25500 | $678.30 | $798.00 | $63.19 – $334.00 | 18 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $432.65 | $509.00 | $109.03 – $576.29 | 18 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $391.00 | $460.00 | $55.91 – $255.78 | 18 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $806.65 | $949.00 | $68.12 – $360.04 | 18 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,275.85 | $1,501.00 | $64.91 – $343.06 | 18 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $691.05 | $813.00 | $101.32 – $463.54 | 18 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,228.25 | $1,445.00 | $107.96 – $570.63 | 18 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $963.05 | $1,133.00 | $119.53 – $628.82 | 18 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $907.80 | $1,068.00 | $80.12 – $423.45 | 18 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $860.20 | $1,012.00 | $191.93 – $878.08 | 18 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $717.40 | $844.00 | $68.33 – $361.18 | 18 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $788.80 | $928.00 | $68.33 – $361.18 | 18 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $521.05 | $613.00 | $66.41 – $340.22 | 18 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,258.45 | $2,657.00 | $131.95 – $603.68 | 18 |
| Clsd tx nose fx without manip 21310 CPT 21310 | $1,023.40 | $1,204.00 | $29.78 – $154.29 | 18 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $874.65 | $1,029.00 | $66.41 – $350.99 | 18 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $774.35 | $911.00 | $115.24 – $527.24 | 18 |
| Clsd tx pelvic ring fx CPT 27197 | $223.55 | $263.00 | $56.34 – $297.77 | 18 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,031.90 | $1,214.00 | $58.70 – $310.23 | 18 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $476.85 | $561.00 | $86.11 – $393.96 | 18 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $629.00 | $740.00 | $66.62 – $352.12 | 18 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,059.95 | $1,247.00 | $111.39 – $588.75 | 18 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $559.30 | $658.00 | $41.35 – $218.52 | 18 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,025.95 | $1,207.00 | $74.97 – $396.27 | 18 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,303.05 | $1,533.00 | $74.97 – $396.27 | 18 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $965.60 | $1,136.00 | $64.69 – $341.93 | 18 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $336.60 | $396.00 | $49.06 – $224.42 | 18 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $289.00 | $340.00 | $51.20 – $234.22 | 18 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $787.10 | $926.00 | $105.61 – $513.93 | 18 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,156.00 | $1,360.00 | $51.63 – $272.87 | 18 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $629.00 | $740.00 | $109.46 – $500.78 | 18 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $732.70 | $862.00 | $144.59 – $661.50 | 18 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $787.10 | $926.00 | $41.35 – $218.52 | 18 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $696.15 | $819.00 | $66.62 – $352.12 | 18 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,163.65 | $1,369.00 | $81.40 – $430.24 | 18 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,314.10 | $1,546.00 | $95.97 – $507.23 | 18 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $837.25 | $985.00 | $64.69 – $341.93 | 18 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,157.70 | $1,362.00 | $51.63 – $272.87 | 18 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $1,669.40 | $1,964.00 | $351.29 – $1,607.20 | 18 |
| Cltx palatal/max fx wire fix CPT 21421 | $2,520.25 | $2,965.00 | $392.85 – $1,797.32 | 18 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,053.15 | $1,239.00 | $51.63 – $272.87 | 18 |
| #cmvcul-virus inoculation shell CPT 87254 | $86.70 | $102.00 | $19.56 – $99.96 | 18 |
| Cmv pcr-sendout CPT 87496 | $473.45 | $557.00 | $23.57 – $107.80 | 18 |
| Co2 monitor per day CPT 94681 | $804.10 | $946.00 | $202.64 – $1,071.07 | 18 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $46,699.00 | $54,940.00 | $2,570.40 – $13,586.40 | 18 |
| Cocaine 4 % nasal solution HCPCS C9046 | $1,116.36 | $1,313.36 | $162.11 – $856.85 | 18 |
| Cold agglutinin titer CPT 86157 | $209.95 | $247.00 | $8.06 – $242.06 | 18 |
| Colistimethate sodium inj HCPCS J0770 | $113.27 | $133.25 | $21.32 – $112.66 | 18 |
| Collagenase, clost hist inj HCPCS J0775 | $22,244.04 | $26,169.45 | $5,605.50 – $29,629.06 | 18 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $501.69 | $590.22 | $2.25 – $11.86 | 18 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $91.02 | $107.08 | $8.83 – $46.65 | 18 |
| Collar cerv ascend 172 reg HCPCS L0172 | $600.94 | $706.98 | $4.51 – $23.79 | 18 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $181.05 | $213.00 | $45.63 – $241.16 | 18 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $99.45 | $117.00 | $25.07 – $132.47 | 18 |
| Collection of venous blood by venipuncture CPT 36415 | $96.05 | $113.00 | $1.50 – $20.18 | 18 |
| Colonoscopy (diagnostic) CPT 45378 | $1,999.20 | $2,352.00 | $160.65 – $849.15 | 18 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $1,837.70 | $2,162.00 | $301.60 – $1,594.14 | 18 |
| Colonoscopy for bleeding 44391 CPT 44391 | $1,587.80 | $1,868.00 | $400.13 – $2,114.95 | 18 |
| Colonoscopy for foreign body CPT 44390 | $991.95 | $1,167.00 | $249.98 – $1,321.28 | 18 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $937.55 | $1,103.00 | $236.27 – $1,248.82 | 18 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,073.55 | $1,263.00 | $270.54 – $1,429.97 | 18 |
| Colonoscopy submucous njx CPT 45381 | $1,092.25 | $1,285.00 | $235.84 – $1,246.56 | 18 |
| Colonoscopy thru stoma spx CPT 44388 | $768.40 | $904.00 | $193.64 – $1,023.51 | 18 |
| Colonoscopy w/ablation CPT 45388 | $6,222.85 | $7,321.00 | $1,568.16 – $8,288.84 | 18 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,518.95 | $1,787.00 | $382.78 – $2,023.25 | 18 |
| Colonoscopy w/control bleed CPT 45382 | $1,655.80 | $1,948.00 | $417.27 – $2,205.53 | 18 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $611.15 | $719.00 | $154.01 – $814.06 | 18 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $719.95 | $847.00 | $181.43 – $958.98 | 18 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $686.80 | $808.00 | $173.08 – $914.82 | 18 |
| Colonoscopy w/fb removal CPT 45379 | $1,065.90 | $1,254.00 | $268.61 – $1,419.78 | 18 |
| Colonoscopy with ablation CPT 44401 | $6,029.90 | $7,094.00 | $1,519.54 – $8,031.83 | 18 |
| Colonoscopy (with biopsy) CPT 45380 | $2,688.55 | $3,163.00 | $269.68 – $1,425.44 | 18 |
| Colonoscopy with biopsy CPT 44389 | $1,013.20 | $1,192.00 | $255.33 – $1,349.59 | 18 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,938.85 | $2,281.00 | $280.61 – $1,483.19 | 18 |
| Colonoscopy w/stent plcmt CPT 44402 | $620.50 | $730.00 | $156.37 – $826.51 | 18 |
| Colpocentesis 57020 CPT 57020 | $727.60 | $856.00 | $76.47 – $349.86 | 18 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $1,838.55 | $2,163.00 | $199.00 – $910.42 | 18 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $129.20 | $152.00 | $32.56 – $172.10 | 18 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $262.65 | $309.00 | $66.19 – $349.85 | 18 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $195.50 | $230.00 | $49.27 – $260.41 | 18 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $262.65 | $309.00 | $66.19 – $349.85 | 18 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $268.60 | $316.00 | $67.69 – $357.78 | 18 |
| Compatibility test each unit electronic CPT 86923 | $269.45 | $317.00 | $67.91 – $358.91 | 18 |
| Compatibility test each unit immediate spin technique CPT 86920 | $98.60 | $116.00 | $24.85 – $131.34 | 18 |
| Compatibility test incubate CPT 86921 | $99.45 | $117.00 | $25.07 – $132.47 | 18 |
| Complement antigen each component c3 CPT 86160 | $150.45 | $177.00 | $12.00 – $173.46 | 18 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $855.95 | $1,007.00 | $114.60 – $558.89 | 18 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $957.95 | $1,127.00 | $114.60 – $605.73 | 18 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,016.60 | $1,196.00 | $114.60 – $605.73 | 18 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,194.25 | $1,405.00 | $114.60 – $605.73 | 18 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $454.75 | $535.00 | $110.75 – $506.66 | 18 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $934.15 | $1,099.00 | $95.32 – $503.83 | 18 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,135.60 | $1,336.00 | $114.60 – $605.73 | 18 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $454.75 | $535.00 | $101.32 – $463.54 | 18 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $454.75 | $535.00 | $76.26 – $348.88 | 18 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $821.10 | $966.00 | $114.60 – $536.13 | 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.