HSHS Good Shepherd Hospital
200 S Cedar St, Shelbyville, IL · Hshs · · NPI 1053348532
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 |
|---|---|---|---|---|
| 5' nucleotidase - sendout CPT 83915 | $92.16 | $128.00 | $30.71 – $33.78 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $92.88 | $129.00 | $29.57 – $32.53 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,904.48 | $4,034.00 | $962.88 – $2,290.00 | 4 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,255.04 | $3,132.00 | $962.88 – $2,290.00 | 4 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,024.64 | $2,812.00 | $338.02 – $371.82 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,745.44 | $5,202.00 | $1,289.52 – $2,862.00 | 4 |
| Abdominal MRI (with contrast) CPT 74182 | $3,620.16 | $5,028.00 | $1,289.52 – $2,862.00 | 4 |
| Abdominal MRI (without contrast) CPT 74181 | $2,881.44 | $4,002.00 | $764.30 – $2,862.00 | 4 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,025.36 | $2,813.00 | $2,285.38 – $2,513.92 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $921.60 | $1,280.00 | $533.41 – $586.76 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $732.24 | $1,017.00 | $346.21 – $380.83 | 3 |
| Ablate inf turbinate superf 30801 CPT 30801 | $3,199.68 | $4,444.00 | $4,430.64 – $4,444.00 | 3 |
| Acetone qualitative CPT 82009 | $1,662.48 | $2,309.00 | $13.88 – $15.26 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $197.28 | $274.00 | $29.57 – $32.53 | 3 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $3.17 | $4.40 | $0.61 – $0.61 | 2 |
| Acute hepatitis panel CPT 80074 | $145.44 | $202.00 | $23.20 – $25.52 | 3 |
| #acylcarnitineprfl CPT 82017 | $249.12 | $346.00 | $30.71 – $33.78 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $25.20 | $35.00 | $0.87 – $0.87 | 2 |
| Adenovirus antibody,serum - quest CPT 86603 | $192.24 | $267.00 | $29.57 – $32.53 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $3,957.84 | $5,497.00 | $5,497.00 – $6,150.31 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $154.08 | $214.00 | $214.00 – $1,461.72 | 3 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $692.64 | $962.00 | $933.08 – $962.00 | 3 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $716.40 | $995.00 | $146.72 – $161.39 | 3 |
| Administration immunization 1 vaccine CPT 90471 | $138.96 | $193.00 | $123.06 – $135.37 | 3 |
| Administration vaccine hepatitis b HCPCS G0010 | $99.36 | $138.00 | $47.16 – $135.37 | 4 |
| Administration vaccine influenza virus HCPCS G0008 | $86.40 | $120.00 | $120.00 – $123.06 | 3 |
| Administration vaccine pneumococcal HCPCS G0009 | $99.36 | $138.00 | $47.16 – $135.37 | 4 |
| _afb id by dna probe rflx ast CPT 87149 | $159.84 | $222.00 | $27.07 – $29.78 | 3 |
| #afb mycobacteria suscep. #1 CPT 87190 | $105.84 | $147.00 | $27.07 – $29.78 | 3 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $396.72 | $551.00 | $523.86 – $551.00 | 3 |
| Albumin body fluid quantitative each specimen CPT 82042 | $127.44 | $177.00 | $13.88 – $15.26 | 3 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $99.36 | $138.00 | $87.58 – $396.71 | 5 |
| Albumin ischemia modified CPT 82045 | $40.32 | $56.00 | $56.00 – $72.34 | 3 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $23.04 | $32.00 | $7.73 – $8.51 | 3 |
| Albumin serum plasma or whole blood CPT 82040 | $1,321.92 | $1,836.00 | $13.88 – $15.26 | 3 |
| Alkaline phosphatase CPT 84075 | $104.40 | $145.00 | $13.88 – $15.26 | 3 |
| Allergen alpha lactalbumin ige CPT 86008 | $66.96 | $93.00 | $29.57 – $32.53 | 3 |
| Allergen egg white ige CPT 86003 | $48.96 | $68.00 | $29.57 – $32.53 | 3 |
| Allergy injections; 2 or more 95117 CPT 95117 | $99.36 | $138.00 | $79.39 – $87.33 | 3 |
| Allergy injection; single 95115 CPT 95115 | $99.36 | $138.00 | $79.39 – $87.33 | 3 |
| Alpha-fetoprotein tumor marker CPT 82105 | $228.96 | $318.00 | $30.71 – $33.78 | 3 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $160.02 | $222.25 | $154.82 – $307.08 | 5 |
| Alt/sgpt CPT 84460 | $98.64 | $137.00 | $13.88 – $15.26 | 3 |
| Aluminum - quest CPT 82108 | $170.64 | $237.00 | $31.62 – $34.78 | 3 |
| Aminolevulinic acid delta CPT 82135 | $123.84 | $172.00 | $30.71 – $33.78 | 3 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $108.00 | $150.00 | $4.17 – $4.17 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $25.20 | $35.00 | $0.68 – $0.68 | 2 |
| Amitriptyline (elavil) -sendout CPT 80335 | $174.24 | $242.00 | $35.94 – $39.53 | 3 |
| Ammonia CPT 82140 | $525.60 | $730.00 | $30.71 – $33.78 | 3 |
| Amphetamines 5 or more CPT 80326 | $112.32 | $156.00 | $35.94 – $39.53 | 3 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $25.20 | $35.00 | $0.97 – $0.97 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $13.86 | $19.25 | $2.19 – $2.19 | 2 |
| Amylase CPT 82150 | $150.48 | $209.00 | $13.88 – $15.26 | 3 |
| Ana ds-dna CPT 86226 | $105.12 | $146.00 | $29.57 – $32.53 | 3 |
| Analysis gene f2 20210g>a variant CPT 81240 | $110.88 | $154.00 | $119.65 – $131.61 | 3 |
| Analysis gene f5 leiden variant CPT 81241 | $416.16 | $578.00 | $119.65 – $131.61 | 3 |
| Anca screen with reflex to titer -quest CPT 86021 | $230.40 | $320.00 | $29.57 – $32.53 | 3 |
| Ankle X-ray CPT 73610 | $334.80 | $465.00 | $177.88 – $195.67 | 3 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $311.04 | $432.00 | $29.57 – $32.53 | 3 |
| Antibody elution rbc reference CPT 86860 | $216.00 | $300.00 | $300.00 – $416.27 | 3 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $307.44 | $427.00 | $29.57 – $32.53 | 3 |
| Antibody id rbc panel CPT 86870 | $393.84 | $547.00 | $416.27 – $457.90 | 3 |
| Antibody influenza virus CPT 86710 | $365.76 | $508.00 | $29.57 – $32.53 | 3 |
| Antibody screen rbc CPT 86850 | $77.04 | $107.00 | $11.37 – $12.51 | 3 |
| Antibody tetanus CPT 86774 | $319.68 | $444.00 | $29.57 – $32.53 | 3 |
| Anti mog serum - sendout CPT 86362 | $900.00 | $1,250.00 | $29.57 – $32.53 | 3 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $174.96 | $243.00 | $29.57 – $32.53 | 3 |
| Antinuclear antibodies CPT 86038 | $92.88 | $129.00 | $29.57 – $32.53 | 3 |
| Antinuclear antibodies titer CPT 86039 | $154.08 | $214.00 | $29.57 – $32.53 | 3 |
| Antiphosphatidylserine antibody CPT 86148 | $26.64 | $37.00 | $29.57 – $32.53 | 3 |
| Antistreptolysin o titer CPT 86060 | $126.72 | $176.00 | $29.57 – $32.53 | 3 |
| Antithrombin iii activity CPT 85300 | $245.52 | $341.00 | $11.37 – $12.51 | 3 |
| Application finger splntstatic 29130 CPT 29130 | $347.04 | $482.00 | $239.75 – $263.73 | 3 |
| Application long leg splint 29505 CPT 29505 | $424.08 | $589.00 | $239.75 – $263.73 | 3 |
| Application lower leg splint 29515 CPT 29515 | $296.64 | $412.00 | $239.75 – $263.73 | 3 |
| Application multi layer compression below knee (both sides) CPT 29581 | $366.48 | $509.00 | $300.00 – $569.58 | 4 |
| Application of forearm cast 29075 CPT 29075 | $573.84 | $797.00 | $569.58 – $626.54 | 3 |
| Application of long arm cast 29065 CPT 29065 | $573.84 | $797.00 | $569.58 – $626.54 | 3 |
| Application short leg cast 29405 CPT 29405 | $573.84 | $797.00 | $569.58 – $626.54 | 3 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $156.96 | $218.00 | $95.99 – $218.00 | 4 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $131.76 | $183.00 | $95.99 – $183.00 | 4 |
| Apply forearm splintdynamic 29126 CPT 29126 | $368.64 | $512.00 | $239.75 – $263.73 | 3 |
| Aquaporin-4 antibody cba each CPT 86052 | $400.32 | $556.00 | $29.57 – $32.53 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $799.20 | $1,110.00 | $779.76 – $857.74 | 3 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $708.48 | $984.00 | $779.76 – $857.74 | 3 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,620.00 | $2,250.00 | $779.76 – $857.74 | 3 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $7,008.48 | $9,734.00 | $6,775.39 – $7,452.93 | 3 |
| Assay of procainamide w/metab CPT 80192 | $195.84 | $272.00 | $31.16 – $34.28 | 3 |
| Assay of somatostatin CPT 84307 | $318.24 | $442.00 | $33.89 – $37.28 | 3 |
| Assay of urine sulfate CPT 84392 | $46.08 | $64.00 | $7.73 – $8.51 | 3 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $6.48 | $9.00 | $9.00 – $12.74 | 3 |
| Ast/sgot CPT 84450 | $102.96 | $143.00 | $13.88 – $15.26 | 3 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $25.20 | $35.00 | $0.17 – $0.17 | 2 |
| Avul nail plate addl CPT 11732 | $192.24 | $267.00 | $210.41 – $231.45 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $596.00 | $596.00 | $210.41 – $231.45 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $25.20 | $35.00 | $3.37 – $3.37 | 2 |
| Baclofen eval charges CPT 97750 | $133.20 | $185.00 | $114.19 – $185.00 | 4 |
| Bacterial meningitis antigen CPT 86403 | $161.28 | $224.00 | $29.57 – $32.53 | 3 |
| Bacterial vaginosis pcr CPT 87801 | $483.84 | $672.00 | $110.10 – $121.10 | 3 |
| #bac vag cand-c. albicans naa CPT 87481 | $153.36 | $213.00 | $110.10 – $121.10 | 3 |
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.