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 |
|---|---|---|---|---|
| Culture aerobic additional method definitive id each CPT 87077 | $67.15 | $79.00 | $5.36 – $24.50 | 18 |
| Culture afb any source CPT 87116 | $310.25 | $365.00 | $10.80 – $217.56 | 18 |
| Culture anaerobic additional method definitive id each CPT 87076 | $205.70 | $242.00 | $5.36 – $24.50 | 18 |
| Culture anaerobic except blood CPT 87075 | $209.10 | $246.00 | $6.22 – $28.42 | 18 |
| Culture bacteria anaerobic CPT 87073 | $327.25 | $385.00 | $9.66 – $377.30 | 18 |
| Culture bact stool aero addl path ea CPT 87046 | $149.60 | $176.00 | $6.22 – $28.42 | 18 |
| Culture body fluid CPT 87070 | $224.40 | $264.00 | $5.79 – $26.46 | 18 |
| Culture fungi definitive id mold CPT 87107 | $159.80 | $188.00 | $10.32 – $184.24 | 18 |
| Culture fungi definitive id yeast CPT 87106 | $142.80 | $168.00 | $10.32 – $164.64 | 18 |
| Culture fungi other (except blood) CPT 87102 | $320.45 | $377.00 | $8.41 – $369.46 | 18 |
| Culture fungi skin/hair/nail CPT 87101 | $121.55 | $143.00 | $7.71 – $140.14 | 18 |
| Culture mycoplasma any source CPT 87109 | $140.25 | $165.00 | $15.39 – $161.70 | 18 |
| Culture quantitative aerobic other source CPT 87071 | $77.35 | $91.00 | $9.89 – $89.18 | 18 |
| Culture screening strep group a CPT 87081 | $120.70 | $142.00 | $4.50 – $20.58 | 18 |
| Culture typing immunologic CPT 87147 | $199.75 | $235.00 | $3.65 – $16.66 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $183.60 | $216.00 | $35.09 – $211.68 | 18 |
| Culture urine each isolate CPT 87088 | $107.10 | $126.00 | $5.36 – $24.50 | 18 |
| Cutter lead HCPCS C1773 | $7,310.85 | $8,601.00 | $12.44 – $65.73 | 18 |
| Cv stress test i&r only 93018 CPT 93018 | $52.70 | $62.00 | $13.29 – $70.20 | 18 |
| Cv stress test/supervision only 93016 CPT 93016 | $52.70 | $62.00 | $13.29 – $70.20 | 18 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Cyclic citrullinated peptide antibody CPT 86200 | $127.50 | $150.00 | $8.57 – $39.20 | 18 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,482.96 | $1,744.65 | $52.75 – $278.81 | 18 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $2,329.00 | $2,740.00 | $0.75 – $3.97 | 18 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $271.24 | $319.10 | $68.36 – $361.29 | 18 |
| Cyclosporine 2 hour CPT 80158 | $246.50 | $290.00 | $18.05 – $284.20 | 18 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $418.51 | $492.36 | $0.75 – $3.97 | 18 |
| Cyclosporine oral 100 mg HCPCS J7502 | $2,449.87 | $2,882.20 | $1.32 – $6.96 | 18 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $22,601.67 | $26,590.20 | $272.04 – $1,437.90 | 18 |
| Cystatin c CPT 82610 | $115.60 | $136.00 | $17.36 – $79.38 | 18 |
| Cystine urine quantitative CPT 82131 | $301.75 | $355.00 | $22.98 – $347.90 | 18 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $416.50 | $490.00 | $104.96 – $554.78 | 18 |
| Cystoscopy and biopsy CPT 52007 | $1,003.85 | $1,181.00 | $252.98 – $1,337.13 | 18 |
| Cystoscopy and treatment CPT 52214 | $1,952.45 | $2,297.00 | $492.02 – $2,600.67 | 18 |
| Cystoscopy and treatment CPT 52277 | $756.50 | $890.00 | $190.64 – $1,007.66 | 18 |
| Cystoscopy and treatment CPT 52310 | $1,003.85 | $1,181.00 | $252.98 – $1,337.13 | 18 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,205.30 | $1,418.00 | $147.80 – $676.20 | 18 |
| Cystoscopy & ureter catheter CPT 52005 | $2,485.40 | $2,924.00 | $186.57 – $853.58 | 18 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $1,003.85 | $1,181.00 | $252.98 – $1,337.13 | 18 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $242.89 | $285.75 | $21.32 – $112.66 | 18 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $235.45 | $277.00 | $14.36 – $65.66 | 18 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $154.70 | $182.00 | $16.85 – $178.36 | 18 |
| Cytopath fl nongyn filter CPT 88106 | $172.55 | $203.00 | $43.49 – $229.84 | 18 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $275.40 | $324.00 | $69.41 – $366.84 | 18 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $150.45 | $177.00 | $14.36 – $65.66 | 18 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $130.05 | $153.00 | $10.07 – $46.06 | 18 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $167.45 | $197.00 | $42.20 – $223.05 | 18 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $147.90 | $174.00 | $37.28 – $197.01 | 18 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $119.85 | $141.00 | $30.21 – $159.65 | 18 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $123.25 | $145.00 | $31.06 – $164.17 | 18 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $362.95 | $427.00 | $91.47 – $483.45 | 18 |
| Cytopath smear other source CPT 88160 | $95.20 | $112.00 | $24.00 – $126.81 | 18 |
| Cytopath smear other source CPT 88162 | $56.95 | $67.00 | $14.36 – $75.86 | 18 |
| Cytopath smear oth prep screen & interp CPT 88161 | $2,147.95 | $2,527.00 | $25.07 – $132.47 | 18 |
| Cytopath tbs c/v manual CPT 88164 | $76.50 | $90.00 | $6.86 – $40.38 | 18 |
| Cytotoxic antibody screening CPT 86808 | $1,462.85 | $1,721.00 | $29.68 – $1,686.58 | 18 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $84.58 | $99.50 | $21.32 – $112.66 | 18 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $2,723.28 | $3,203.85 | $686.27 – $3,627.40 | 18 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,569.78 | $7,729.15 | $1,655.59 – $8,750.95 | 18 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $124.49 | $146.45 | $21.32 – $112.66 | 18 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $44,705.78 | $52,595.03 | $11,265.86 – $59,548.10 | 18 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $15,851.36 | $18,648.65 | $192.99 – $1,020.05 | 18 |
| Dark field exam spec collj CPT 87164 | $208.25 | $245.00 | $10.74 – $240.10 | 18 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $351.16 | $413.12 | $88.50 – $467.74 | 18 |
| Dch glucoscan CPT 82948 | $42.50 | $50.00 | $5.04 – $49.00 | 18 |
| Dch pulmonary stress test CPT 94621 | $471.75 | $555.00 | $118.89 – $628.38 | 18 |
| Dch validity tests CPT 81002 | $76.50 | $90.00 | $1.72 – $7.84 | 18 |
| Deamidated gliadin antibody iga CPT 86258 | $197.20 | $232.00 | $49.70 – $262.68 | 18 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $666.40 | $784.00 | $35.35 – $161.70 | 18 |
| Debridement (>20 cm) charge pt CPT 97598 | $204.00 | $240.00 | $27.21 – $124.46 | 18 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,482.85 | $2,921.00 | $184.22 – $842.80 | 18 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $316.20 | $372.00 | $43.06 – $227.58 | 18 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $979.20 | $1,152.00 | $70.69 – $373.63 | 18 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,892.95 | $2,227.00 | $78.40 – $358.68 | 18 |
| Debride nail1-5 11720 CPT 11720 | $102.00 | $120.00 | $19.50 – $89.18 | 18 |
| Debride nail6 or more 11721 CPT 11721 | $590.75 | $695.00 | $25.71 – $135.87 | 18 |
| Debride skin bone at fx site CPT 11012 | $1,589.50 | $1,870.00 | $385.56 – $1,764.00 | 18 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $316.20 | $372.00 | $24.21 – $127.94 | 18 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $324.70 | $382.00 | $47.13 – $249.09 | 18 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,076.95 | $1,267.00 | $126.38 – $668.00 | 18 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $589.05 | $693.00 | $148.45 – $784.62 | 18 |
| Decalcification CPT 88311 | $106.25 | $125.00 | $20.78 – $109.83 | 18 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $2,332.23 | $2,743.80 | $34.29 – $181.21 | 18 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $767.55 | $903.00 | $193.43 – $1,022.38 | 18 |
| Deep muscle biopsy 20205 CPT 20205 | $719.10 | $846.00 | $181.22 – $957.85 | 18 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $204.64 | $240.75 | $21.32 – $112.66 | 18 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $5,924.59 | $6,970.10 | $444.00 – $2,346.83 | 18 |
| Delivery of placenta 59414 CPT 59414 | $643.45 | $757.00 | $50.34 – $230.30 | 18 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $144.50 | $170.00 | $36.42 – $192.48 | 18 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $14,146.85 | $16,643.35 | $1,938.10 – $10,244.21 | 18 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $701.25 | $825.00 | $52.91 – $279.66 | 18 |
| Depo-estradiol cypionate inj HCPCS J1000 | $867.13 | $1,020.15 | $218.52 – $1,155.02 | 18 |
| Dermagraft HCPCS Q4106 | $3,213.00 | $3,780.00 | $566.30 – $2,993.26 | 18 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $3,193.24 | $3,756.75 | $21.32 – $112.66 | 18 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $160.65 | $189.00 | $26.57 – $121.52 | 18 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $176.80 | $208.00 | $44.56 – $235.50 | 18 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $814.30 | $958.00 | $54.63 – $288.72 | 18 |
| Destruction 2-14 lesions 17003 CPT 17003 | $73.10 | $86.00 | $18.43 – $97.37 | 18 |
| Destruction benign lesions < 14 lesions CPT 17110 | $163.20 | $192.00 | $41.13 – $217.39 | 18 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,358.75 | $2,775.00 | $594.41 – $3,141.86 | 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.