Chi Health Schuyler

104 West 17Th St, Schuyler, NE 68661 · (402) 352-2441

Critical Access HospitalsVoluntary non-profit - PrivateColumbus, NE metro

Price file

Prices published

File dated 2026-02-28

5,651 price rows for 57 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $22

$22

cash

$6 to $270

102 negotiated rates

$26

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $5,948

$5,948

cash

$1,499 to $7,923

51 negotiated rates

$6,998

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $2,176

$2,176

cash

$548 to $2,898

51 negotiated rates

$2,560

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $2,513

$2,513

cash

$633 to $3,348

51 negotiated rates

$2,957

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$4,803 to $11,165

13 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $173

$173

cash

$35 to $199

51 negotiated rates

$203

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 8 lines · metro median $638

$638

cash

$161 to $2,663

204 negotiated rates

$750

list

Colonoscopy with biopsy

CPT 45380 · lowest of 4 lines · metro median $1,070

$1,070

cash

$270 to $3,581

102 negotiated rates

$1,259

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 4 lines · metro median $1,114

$1,114

cash

$281 to $2,583

102 negotiated rates

$1,310

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $13

$13

cash

$3 to $190

102 negotiated rates

$15

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $27

$27

cash

$7 to $344

102 negotiated rates

$32

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $262

$262

cash

$66 to $349

51 negotiated rates

$308

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 8 lines · metro median $88

$88

cash

$22 to $579

204 negotiated rates

$103

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $295

$295

cash

$74 to $393

51 negotiated rates

$347

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $295

$295

cash

$74 to $393

51 negotiated rates

$347

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $1,513

$1,513

cash

$381 to $2,015

51 negotiated rates

$1,780

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $152

$152

cash

$35 to $175

51 negotiated rates

$179

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $295

$295

cash

$74 to $393

51 negotiated rates

$347

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$4,803 to $12,520

13 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$4,004 to $11,165

13 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$4,803 to $11,165

13 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $1,202

$1,202

cash

$303 to $1,601

51 negotiated rates

$1,414

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 4 lines · metro median $585

$585

cash

$147 to $1,168

102 negotiated rates

$688

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $9

cash

$2 to $296

153 negotiated rates

$10

list

Liver function panel

CPT 80076 · lowest of 4 lines · metro median $21

$21

cash

$5 to $298

102 negotiated rates

$25

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $4,506

$4,506

cash

$1,135 to $6,002

51 negotiated rates

$5,301

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $2,967

$2,967

cash

$748 to $3,951

51 negotiated rates

$3,490

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $3,965

$3,965

cash

$999 to $5,282

51 negotiated rates

$4,665

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $4,026

$4,026

cash

$1,015 to $5,363

51 negotiated rates

$4,737

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$4,803 to $11,935

13 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 4 lines · metro median $600

$600

cash

$151 to $1,870

102 negotiated rates

$706

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $267

$267

cash

$67 to $412

102 negotiated rates

$314

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $400

$400

cash

$101 to $626

102 negotiated rates

$470

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $529

$529

cash

$133 to $776

102 negotiated rates

$622

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $48

$48

cash

$12 to $217

102 negotiated rates

$56

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $21

$21

cash

$5 to $127

102 negotiated rates

$25

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 14 lines · metro median $75

$75

cash

$19 to $1,989

357 negotiated rates

$88

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $853

$853

cash

$215 to $1,150

102 negotiated rates

$1,003

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $787

$787

cash

$198 to $1,048

51 negotiated rates

$926

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $10

$10

cash

$3 to $89

153 negotiated rates

$12

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $295

$295

cash

$74 to $393

51 negotiated rates

$347

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $295

$295

cash

$74 to $393

51 negotiated rates

$347

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $295

$295

cash

$74 to $393

51 negotiated rates

$347

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 4 lines · metro median $1,209

$1,209

cash

$305 to $3,509

102 negotiated rates

$1,422

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 6 lines · metro median $185

$185

cash

$47 to $446

153 negotiated rates

$218

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $4,548

$4,548

cash

$1,146 to $6,058

51 negotiated rates

$5,351

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$4,803 to $20,073

13 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 6 lines · metro median $297

$297

cash

$75 to $1,408

153 negotiated rates

$349

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 6 lines · metro median $413

$413

cash

$104 to $2,040

153 negotiated rates

$486

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $43

$43

cash

$11 to $172

102 negotiated rates

$51

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $729

$729

cash

$184 to $971

51 negotiated rates

$858

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $977

$977

cash

$246 to $1,301

51 negotiated rates

$1,149

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 4 lines · metro median $730

$730

cash

$184 to $2,755

102 negotiated rates

$859

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 6 lines · metro median $935

$935

cash

$236 to $2,808

153 negotiated rates

$1,100

list

Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $9

cash

$2 to $100

153 negotiated rates

$10

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,738 to $11,165

13 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $85

$85

cash

$21 to $823

102 negotiated rates

$100

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470399853-1568547032_alegent-health-memorial-hospital-schuyler_standardcharges.json
CHI Health Schuyler · parsed · json v3.0.0 · file dated 2026-02-28 · 212.1 MB · 5651 price rows read · read Nov 2026