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 |
|---|---|---|---|---|
| Phosphorus CPT 84100 | $85.68 | $119.00 | $13.88 – $15.26 | 3 |
| Phosphorus 24 hour urine CPT 84105 | $57.60 | $80.00 | $13.88 – $15.26 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $8.50 | $11.80 | $4.64 – $4.64 | 2 |
| Pinworm exam CPT 87172 | $60.48 | $84.00 | $27.07 – $29.78 | 3 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $25.20 | $35.00 | $1.80 – $1.80 | 2 |
| Platelet automated CPT 85049 | $82.08 | $114.00 | $15.24 – $16.76 | 3 |
| Platelet pheresis each unit HCPCS P9034 | $857.52 | $1,191.00 | $874.85 – $962.33 | 3 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,743.84 | $2,422.00 | $874.85 – $962.33 | 3 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $1,067.76 | $1,483.00 | $874.85 – $962.33 | 3 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,843.92 | $2,561.00 | $874.85 – $962.33 | 3 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,801.44 | $2,502.00 | $874.85 – $962.33 | 3 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,799.28 | $2,499.00 | $874.85 – $962.33 | 3 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,591.92 | $2,211.00 | $874.85 – $962.33 | 3 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $584.64 | $812.00 | $326.87 – $359.56 | 3 |
| #pnh-flow cytometry interp CPT 88187 | $198.72 | $276.00 | $84.39 – $92.83 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $283.68 | $394.00 | $72.34 – $79.57 | 3 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,595.84 | $7,772.00 | $2,503.75 – $2,754.13 | 3 |
| Potassium 24 hour urine CPT 84133 | $75.60 | $105.00 | $13.88 – $15.26 | 3 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $108.00 | $150.00 | $0.20 – $0.20 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $64.80 | $90.00 | $13.88 – $15.26 | 3 |
| Pr application of long arm splint CPT 29105 | $436.32 | $606.00 | $239.75 – $263.73 | 3 |
| Pr application splint static short arm CPT 29125 | $249.12 | $346.00 | $239.75 – $263.73 | 3 |
| Prealbumin CPT 84134 | $126.00 | $175.00 | $30.71 – $33.78 | 3 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3.24 | $4.50 | $1.52 – $1.52 | 2 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $566.64 | $787.00 | $318.91 – $350.80 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $566.64 | $787.00 | $318.91 – $350.80 | 3 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $216.00 | $300.00 | $268.41 – $295.25 | 3 |
| Pretreat rbc absorption reference CPT 86978 | $90.00 | $125.00 | $125.00 – $268.41 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | $216.00 | $300.00 | $268.41 – $295.25 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $149.04 | $207.00 | $207.00 – $268.41 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | $187.92 | $261.00 | $261.00 – $268.41 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,199.00 | $1,199.00 | $1,199.00 – $1,199.00 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $863.28 | $1,199.00 | $522.95 – $575.25 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $402.48 | $559.00 | $522.95 – $559.00 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $657.36 | $913.00 | $669.21 – $736.14 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $863.28 | $1,199.00 | $522.95 – $575.25 | 3 |
| Procalcitonin CPT 84145 | $399.60 | $555.00 | $33.89 – $37.28 | 3 |
| Progesterone CPT 84144 | $87.84 | $122.00 | $33.89 – $37.28 | 3 |
| Prolactin CPT 84146 | $105.84 | $147.00 | $33.89 – $37.28 | 3 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $108.00 | $150.00 | $0.15 – $0.15 | 2 |
| _propoxygc/msur CPT 80367 | $89.28 | $124.00 | $35.94 – $39.53 | 3 |
| Protein c activity CPT 85303 | $470.88 | $654.00 | $11.37 – $12.51 | 3 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $141.12 | $196.00 | $13.88 – $15.26 | 3 |
| Protein s total CPT 85305 | $83.52 | $116.00 | $11.37 – $12.51 | 3 |
| Protein total 24 hour urine CPT 84156 | $18.00 | $25.00 | $13.88 – $15.26 | 3 |
| Protein total body fluid CPT 84157 | $98.64 | $137.00 | $13.88 – $15.26 | 3 |
| Protein total serum plasma whole blood CPT 84155 | $71.28 | $99.00 | $13.88 – $15.26 | 3 |
| Prothrombin complex kcentra HCPCS J7168 | $8.38 | $11.64 | $3.45 – $5,671.71 | 5 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $750.24 | $1,042.00 | $1,042.00 – $1,209.23 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $653.04 | $907.00 | $577.32 – $635.05 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $653.04 | $907.00 | $577.32 – $635.05 | 3 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $647.28 | $899.00 | $577.32 – $635.05 | 3 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $653.04 | $907.00 | $577.32 – $635.05 | 3 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,355.20 | $4,660.00 | $3,155.68 – $3,471.25 | 3 |
| PSA (Prostate) Test CPT 84153 | $209.52 | $291.00 | $30.71 – $33.78 | 3 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $159.84 | $222.00 | $95.99 – $222.00 | 4 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $169.92 | $236.00 | $95.99 – $236.00 | 4 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $123.12 | $171.00 | $95.99 – $171.00 | 4 |
| Pten gene dup/delet variant CPT 81323 | $648.00 | $900.00 | $423.09 – $465.40 | 3 |
| Pten gene full sequence CPT 81321 | $1,296.00 | $1,800.00 | $1,684.41 – $1,800.00 | 3 |
| Pt evaluation high complexity patient/family CPT 97163 | $321.84 | $447.00 | $300.00 – $600.29 | 4 |
| Pt evaluation low complexity patient/family CPT 97161 | $226.80 | $315.00 | $300.00 – $600.29 | 4 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $257.76 | $358.00 | $300.00 – $600.29 | 4 |
| Pt re-evaluation patient/family CPT 97164 | $123.12 | $171.00 | $171.00 – $600.29 | 4 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $125.28 | $174.00 | $114.19 – $174.00 | 4 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $115.92 | $161.00 | $95.99 – $161.00 | 4 |
| Pt wheelchair management each 15 minutes CPT 97542 | $97.20 | $135.00 | $114.19 – $135.00 | 4 |
| Pulse ox continuous overnight monitoring CPT 94762 | $337.68 | $469.00 | $182.43 – $200.67 | 3 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $241.92 | $336.00 | $237.93 – $261.73 | 3 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $863.28 | $1,199.00 | $522.95 – $575.25 | 3 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,496.16 | $2,078.00 | $2,078.00 – $2,419.82 | 3 |
| Pyruvate kinase CPT 84220 | $146.88 | $204.00 | $13.88 – $15.26 | 3 |
| Quest t3 uptake CPT 84479 | $89.28 | $124.00 | $33.89 – $37.28 | 3 |
| Rabies ig ht&sol human im/sc CPT 90377 | $1,046.88 | $1,454.00 | $396.21 – $3,994.13 | 5 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,819.52 | $3,916.00 | $2,787.86 – $3,066.65 | 3 |
| Rapid Strep Test CPT 87880 | $100.08 | $139.00 | $27.07 – $29.78 | 3 |
| Rbc count only automated CPT 85041 | $43.20 | $60.00 | $15.24 – $16.76 | 3 |
| Rbc serum pretx incubj drugs CPT 86975 | $502.56 | $698.00 | $268.41 – $295.25 | 3 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $889.92 | $1,236.00 | $396.71 – $436.38 | 3 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $342.00 | $475.00 | $396.71 – $436.38 | 3 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $758.88 | $1,054.00 | $396.71 – $436.38 | 3 |
| Red blood cells washed each unit HCPCS P9022 | $1,149.84 | $1,597.00 | $874.85 – $962.33 | 3 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $12.96 | $18.00 | $4.42 – $4.42 | 2 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | not published | not published | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $429.12 | $596.00 | $300.00 – $1,209.23 | 4 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,321.20 | $1,835.00 | $1,331.83 – $1,465.01 | 3 |
| Removal sutr or stapl no anes CPT 15853 | not published | not published | not published | 0 |
| Renal function panel CPT 80069 | $169.92 | $236.00 | $23.20 – $25.52 | 3 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,635.12 | $2,271.00 | $1,331.83 – $1,465.01 | 3 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $4,217.76 | $5,858.00 | $4,264.82 – $4,691.30 | 3 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,830.24 | $2,542.00 | $536.60 – $590.26 | 3 |
| Resp virus 6-11 targets CPT 87632 | $950.40 | $1,320.00 | $523.86 – $576.25 | 3 |
| Resuscitation cardiopulmonary CPT 92950 | $584.64 | $812.00 | $812.00 – $2,226.24 | 3 |
| Reticulocyte automated CPT 85045 | $81.36 | $113.00 | $15.24 – $16.76 | 3 |
| Reticulocyte direct measurement automated CPT 85046 | $81.36 | $113.00 | $15.24 – $16.76 | 3 |
| Rheumatoid factor qualitative CPT 86430 | $81.36 | $113.00 | $29.57 – $32.53 | 3 |
| Rheumatoid factor quantitative CPT 86431 | $133.20 | $185.00 | $29.57 – $32.53 | 3 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $49.76 | $69.11 | $24.63 – $14,041.89 | 5 |
| Rubella antibody igg CPT 86762 | $41.04 | $57.00 | $29.57 – $32.53 | 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.