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 |
|---|---|---|---|---|
| X-ray small intestine follow-through study CPT 74248 | $1,503.36 | $2,088.00 | $374.87 – $412.36 | 3 |
| X-ray spine single view CPT 72020 | $250.56 | $348.00 | $177.88 – $195.67 | 3 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $412.56 | $573.00 | $177.88 – $195.67 | 3 |
| X-ray sternum > 2 views CPT 71120 | $383.04 | $532.00 | $177.88 – $195.67 | 3 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $733.68 | $1,019.00 | $374.87 – $412.36 | 3 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $476.64 | $662.00 | $177.88 – $195.67 | 3 |
| X-ray thoracic spine 2 views CPT 72070 | $274.32 | $381.00 | $177.88 – $195.67 | 3 |
| X-ray thoracic spine 3 views CPT 72072 | $412.56 | $573.00 | $177.88 – $195.67 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $412.56 | $573.00 | $177.88 – $195.67 | 3 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $352.08 | $489.00 | $88.94 – $97.83 | 3 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $407.00 | $407.00 | $177.88 – $195.67 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $773.28 | $1,074.00 | $374.87 – $412.36 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $837.36 | $1,163.00 | $374.87 – $412.36 | 3 |
| X-ray wrist 2 views (both sides) CPT 73100 | $331.92 | $461.00 | $88.94 – $97.83 | 3 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $38.02 | $52.80 | $8.38 – $8.38 | 2 |
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.