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 |
|---|---|---|---|---|
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $454.75 | $535.00 | $70.05 – $320.46 | 18 |
| Comprehensive hearing test CPT 92557 | $158.95 | $187.00 | $40.06 – $211.73 | 18 |
| Concentration infection agents any type CPT 87015 | $97.75 | $115.00 | $6.68 – $112.70 | 18 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $790.33 | $929.80 | $174.28 – $921.16 | 18 |
| Condylomata destruction 56420 CPT 56420 | $538.90 | $634.00 | $113.10 – $517.44 | 18 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,464.94 | $1,723.45 | $369.17 – $1,951.30 | 18 |
| Connect omega .5mm HCPCS L8613 | $831.69 | $978.45 | $51.46 – $271.98 | 18 |
| Connector tis 2x10mm HCPCS C9352 | $3,620.37 | $4,259.25 | $386.96 – $2,045.35 | 18 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $283.05 | $333.00 | $71.33 – $377.03 | 18 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $266.90 | $314.00 | $67.26 – $355.52 | 18 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $294.10 | $346.00 | $74.12 – $391.75 | 18 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $283.05 | $333.00 | $71.33 – $377.03 | 18 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $1,319.20 | $1,552.00 | $35.78 – $189.08 | 18 |
| Consult comp w/report rfrd material CPT 88325 | $571.20 | $672.00 | $143.95 – $760.84 | 18 |
| Contact layer >16<= 48 sq in HCPCS A6207 | $62.73 | $73.80 | $8.06 – $42.58 | 18 |
| Contrast baths charges CPT 97034 | $69.70 | $82.00 | $14.36 – $75.86 | 18 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,978.40 | $3,504.00 | $750.56 – $3,967.23 | 18 |
| Contrast x-ray of hip CPT 73525 | $622.20 | $732.00 | $156.80 – $828.78 | 18 |
| Contrast x-ray of knee joint CPT 73580 | $664.70 | $782.00 | $167.51 – $885.39 | 18 |
| Controller infinity pt dbs HCPCS C1787 | $4,666.50 | $5,490.00 | $18.52 – $97.86 | 18 |
| Control nosebleed pack+caut 30905 CPT 30905 | $850.00 | $1,000.00 | $200.28 – $916.30 | 18 |
| Control of nosebleed ant comp 30903 CPT 30903 | $595.00 | $700.00 | $128.52 – $588.00 | 18 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $379.10 | $446.00 | $46.27 – $244.56 | 18 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $885.70 | $1,042.00 | $96.39 – $441.00 | 18 |
| Contrst x-ray uppr gi tract CPT 74249 | $652.80 | $768.00 | $164.51 – $869.53 | 18 |
| Conv gtube to jtube CPT 44373 | $452.20 | $532.00 | $113.96 – $602.34 | 18 |
| Coombs direct CPT 86880 | $82.45 | $97.00 | $5.39 – $89.18 | 18 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $16.15 | $19.00 | $4.07 – $18.62 | 18 |
| Coombs indirect titer reference CPT 86886 | $283.05 | $333.00 | $5.18 – $309.68 | 18 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $192.95 | $227.00 | $29.35 – $134.26 | 18 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $1,383.80 | $1,628.00 | $348.72 – $1,843.23 | 18 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $118.15 | $139.00 | $29.78 – $157.38 | 18 |
| Cortisol total am CPT 82533 | $209.10 | $246.00 | $9.00 – $41.16 | 18 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $106.90 | $125.76 | $21.32 – $112.66 | 18 |
| Co-treatment - group 15 mins, st CPT 92508 | $103.70 | $122.00 | $25.49 – $134.74 | 18 |
| Counseling smoke cess interm >10mins CPT 99407 | $25.50 | $30.00 | $6.00 – $31.71 | 18 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | $156.40 | $184.00 | $39.42 – $208.33 | 18 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $13,999.50 | $16,470.00 | $10.93 – $57.75 | 18 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $116.45 | $137.00 | $14.57 – $76.99 | 18 |
| Covid-19 lab test non-cdc HCPCS U0002 | $170.00 | $200.00 | $42.84 – $196.00 | 18 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $273.70 | $322.00 | $11.79 – $53.90 | 18 |
| C-peptide CPT 84681 | $206.55 | $243.00 | $20.81 – $238.14 | 18 |
| Crbrospnl fld flw imag cistern CPT 78630 | $895.05 | $1,053.00 | $225.56 – $1,192.21 | 18 |
| C-reactive protein CPT 86140 | $127.50 | $150.00 | $3.65 – $16.66 | 18 |
| C-reactive protein high sensitivity CPT 86141 | $202.30 | $238.00 | $8.57 – $39.20 | 18 |
| Creatine kinase CPT 82550 | $144.50 | $170.00 | $4.29 – $19.60 | 18 |
| Creatine kinase isoenzymes CPT 82552 | $187.00 | $220.00 | $8.79 – $40.18 | 18 |
| Creatine kinase mb CPT 82553 | $198.90 | $234.00 | $7.50 – $34.30 | 18 |
| Creatine - sendout CPT 82540 | $758.20 | $892.00 | $4.64 – $874.16 | 18 |
| Creatinine CPT 82565 | $95.20 | $112.00 | $3.43 – $15.68 | 18 |
| Creatinine 24 hour urine CPT 82570 | $95.20 | $112.00 | $3.65 – $16.66 | 18 |
| Creatinine clearance urine CPT 82575 | $188.70 | $222.00 | $6.22 – $28.42 | 18 |
| #creutz-prot.,western blot CPT 84182 | $114.75 | $135.00 | $21.85 – $99.96 | 18 |
| Critical care 30-74 minutes CPT 99291 | $3,914.25 | $4,605.00 | $116.32 – $532.14 | 18 |
| Critical care each additional 30 minutes CPT 99292 | $900.15 | $1,059.00 | $73.26 – $335.16 | 18 |
| Crotalidae poly immune fab HCPCS J0840 | $7,610.17 | $8,953.13 | $1,917.77 – $10,136.74 | 18 |
| Cryocautery of cervix 57511 CPT 57511 | $239.70 | $282.00 | $60.41 – $319.29 | 18 |
| Cryoprecipitate each unit HCPCS P9012 | $708.90 | $834.00 | $28.49 – $150.59 | 18 |
| Cryotherapy of acne 17340 CPT 17340 | $96.90 | $114.00 | $24.42 – $129.08 | 18 |
| Crystal identification light microscopy CPT 89060 | $91.80 | $108.00 | $4.72 – $21.56 | 18 |
| Csf leakage imaging CPT 78650 | $768.40 | $904.00 | $193.64 – $1,023.51 | 18 |
| CT 3d report other modality w/workstation CPT 76377 | $716.55 | $843.00 | $139.88 – $739.33 | 18 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,488.40 | $4,104.00 | $879.08 – $4,646.55 | 18 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,582.75 | $4,215.00 | $902.86 – $4,772.23 | 18 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,796.50 | $3,290.00 | $704.72 – $3,724.94 | 18 |
| Cta neck without &/or w/contrast CPT 70498 | $3,259.75 | $3,835.00 | $821.46 – $4,341.99 | 18 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $7,750.30 | $9,118.00 | $1,953.08 – $10,323.40 | 18 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,473.95 | $4,087.00 | $875.44 – $4,627.31 | 18 |
| CT Angiogram of the Head CPT 70496 | $3,227.45 | $3,797.00 | $813.32 – $4,298.97 | 18 |
| CT angio hrt w/3d image CPT 75574 | $2,602.70 | $3,062.00 | $655.89 – $3,466.80 | 18 |
| CT angio pelvis CPT 72191 | $2,619.70 | $3,082.00 | $660.17 – $3,489.45 | 18 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,821.15 | $3,319.00 | $710.93 – $3,757.78 | 18 |
| CT bone density axial CPT 77078 | $408.85 | $481.00 | $103.04 – $544.59 | 18 |
| CT colonography dx CPT 74261 | $2,689.40 | $3,164.00 | $677.73 – $3,582.29 | 18 |
| CT colonography dx w/dye CPT 74262 | $2,104.60 | $2,476.00 | $530.36 – $2,803.33 | 18 |
| CT guidance for needle placement CPT 77012 | $2,269.50 | $2,670.00 | $565.71 – $2,990.15 | 18 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,953.30 | $2,298.00 | $492.24 – $2,601.80 | 18 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $2,530.45 | $2,977.00 | $637.68 – $3,370.56 | 18 |
| CT hrt w/3d image CPT 75572 | $2,078.25 | $2,445.00 | $523.72 – $2,768.23 | 18 |
| CT limited or localized follow-up study CPT 76380 | $1,340.45 | $1,577.00 | $255.97 – $1,352.98 | 18 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,983.50 | $3,510.00 | $751.85 – $3,974.03 | 18 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,737.00 | $3,220.00 | $689.73 – $3,645.69 | 18 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,320.10 | $3,906.00 | $836.67 – $4,422.38 | 18 |
| CT neck soft tissue w/contrast CPT 70491 | $2,827.95 | $3,327.00 | $712.65 – $3,766.83 | 18 |
| CT neck soft tissue without contrast CPT 70490 | $2,488.80 | $2,928.00 | $627.18 – $3,315.09 | 18 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,280.15 | $3,859.00 | $826.60 – $4,369.16 | 18 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $3,037.05 | $3,573.00 | $765.34 – $4,045.36 | 18 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,536.40 | $2,984.00 | $639.18 – $3,378.49 | 18 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,320.50 | $2,730.00 | $584.77 – $3,090.91 | 18 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $893.35 | $1,051.00 | $66.62 – $352.12 | 18 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $7,732.45 | $9,097.00 | $1,948.58 – $10,299.63 | 18 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,948.30 | $6,998.00 | $1,498.98 – $7,923.14 | 18 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $5,591.30 | $6,578.00 | $1,409.01 – $7,447.62 | 18 |
| CT thoracic spine w/contrast CPT 72129 | $2,750.60 | $3,236.00 | $693.16 – $3,663.80 | 18 |
| CT thoracic spine without contrast CPT 72128 | $2,595.05 | $3,053.00 | $653.96 – $3,456.61 | 18 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $182.75 | $215.00 | $46.06 – $243.43 | 18 |
| CT t-spine w /wo contrast CPT 72130 | $3,269.95 | $3,847.00 | $824.03 – $4,355.58 | 18 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,180.25 | $2,565.00 | $549.43 – $2,904.10 | 18 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,289.05 | $2,693.00 | $576.85 – $3,049.02 | 18 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,917.20 | $3,432.00 | $735.14 – $3,885.72 | 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.