Supplies, drugs & other prices at CHI Health Schuyler

Schuyler, NE · every code in this section with a posted price and a Medicare benchmark.

35 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,515.55 $1,783 4.2×
Ca screen;flexi sigmoidscope (G0104) $454.75 $535 0.5×
Catheterize for urine spec (P9612) $127.50 $150 13.7×
Colon ca scrn not hi rsk ind (G0121) $1,322.60 $1,556 1.4×
Colorectal scrn; hi risk ind (G0105) $829.60 $976 0.9×
Covid-19 lab test non-cdc (U0002) $170 $200 3.3×
Diab manage trn per indiv (G0108) $67.15 $79 1.2×
Diab manage trn ind/group (G0109) $28.05 $33 1.7×
Direct refer hospital observ (G0379) $99.45 $117 0.2×
Drug test def 1-7 classes (G0480) $187 $220 1.6×
Ekg tracing for initial prev (G0404) $34.42 $40.50 1.1×
Elec stim other than wound (G0283) $87.55 $103 6.9×
Facility svs dental rehab (G0330) $1,743.35 $2,051 0.5×
Fecal blood scrn immunoassay (G0328) $63.75 $75 3.5×
Group mnt 2 or more 30 mins (G0271) $37.40 $44 2.2×
Hopd mntl hlt, 15-29 min (C7900) $34.85 $41 0.9×
Hopd mntl hlt, 30-60 min (C7901) $91.80 $108 0.9×
Hopd mntl hlt, grp (C7903) $35.70 $42 0.9×
Inj for sacroiliac jt anesth (G0260) $403.75 $475 0.6×
Mnt subs tx for change dx (G0270) $37.40 $44 1.2×
Obtaining screen pap smear (Q0091) $79.05 $93 2.6×
Oral hiv-1/hiv-2 screen (G0435) $129.20 $152 10.8×
Oth resp proc, group (G0239) $127.50 $150 3.3×
Oth resp proc, indiv (G0238) $95.20 $112 3.2×
Pemivibart infusion (M0224) $547.40 $644 1.2×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$1,955 $2,300 0.3×
Prolonged iv inf, req pump (C8957) $410.55 $483 1.9×
Psa screening (G0103) $113.05 $133 5.9×
Scr c/v cyto,thinlayer,rescr (G0145) $136 $160 5.1×
Therapeutic procd strg endur (G0237) $95.20 $112 3.2×
Trauma respons w/hosp criti (G0390) $2,436.10 $2,866 1.8×
Tte w or w/o contr, cont ecg (C8930) $2,761.65 $3,249 3.4×
Tte w or w/o fol w/con,stres (C8928) $2,265.68 $2,665.50 2.8×
Tte w or wo fol wcon,doppler (C8929) $3,377.48 $3,973.50 4.1×
Unsched dialysis esrd pt hos (G0257) $799 $940 1.1×