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 |
|---|---|---|---|---|
| B cells total count CPT 86355 | $190.80 | $265.00 | $104.86 – $115.35 | 3 |
| #_benzodiazconfur CPT 80346 | $108.00 | $150.00 | $35.94 – $39.53 | 3 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $73.44 | $102.00 | $29.57 – $32.53 | 3 |
| Beta-2 microglobulin CPT 82232 | $147.60 | $205.00 | $33.89 – $37.28 | 3 |
| Bilirubin direct CPT 82248 | $62.64 | $87.00 | $13.88 – $15.26 | 3 |
| Bilirubin total CPT 82247 | $72.00 | $100.00 | $13.88 – $15.26 | 3 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $625.68 | $869.00 | $272.96 – $300.26 | 3 |
| Blood Clotting (PT/INR) Test CPT 85610 | $69.84 | $97.00 | $11.37 – $12.51 | 3 |
| Blood Clotting (PTT) Test CPT 85730 | $99.36 | $138.00 | $11.37 – $12.51 | 3 |
| Blood Count (CBC) Test CPT 85025 | $92.16 | $128.00 | $15.24 – $16.76 | 3 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $79.92 | $111.00 | $15.24 – $16.76 | 3 |
| Blood Culture Test CPT 87040 | $249.84 | $347.00 | $27.07 – $29.78 | 3 |
| Blood draw capillary 36416 CPT 36416 | $31.68 | $44.00 | $8.64 – $9.51 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | $283.68 | $394.00 | $174.92 – $192.42 | 3 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $54.00 | $75.00 | $30.71 – $33.78 | 3 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $47.52 | $66.00 | $13.88 – $15.26 | 3 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $45.36 | $63.00 | $13.88 – $15.26 | 3 |
| Blood smear interpretation CPT 85060 | $77.04 | $107.00 | $15.24 – $16.76 | 3 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $33.12 | $46.00 | $15.24 – $16.76 | 3 |
| Blood typing abo CPT 86900 | $153.36 | $213.00 | $11.37 – $12.51 | 3 |
| Blood typing ag donor ea ag CPT 86902 | $453.60 | $630.00 | $11.37 – $12.51 | 3 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $453.60 | $630.00 | $11.37 – $12.51 | 3 |
| Blood typing rh (d) CPT 86901 | $50.40 | $70.00 | $11.37 – $12.51 | 3 |
| Blood typing rh phenotype complete reference CPT 86906 | $70.56 | $98.00 | $11.37 – $12.51 | 3 |
| Bone Density Scan (DEXA) CPT 77080 | $479.52 | $666.00 | $249.76 – $274.74 | 3 |
| Bone imaging multiple areas CPT 78305 | $1,316.16 | $1,828.00 | $1,163.96 – $1,280.35 | 3 |
| Bone/joint imaging ltd area CPT 78300 | $1,006.56 | $1,398.00 | $1,163.96 – $1,280.35 | 3 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $112.32 | $156.00 | $29.57 – $32.53 | 3 |
| Bowel imaging CPT 78290 | $867.60 | $1,205.00 | $1,163.96 – $1,205.00 | 3 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,850.56 | $5,348.00 | $1,557.48 – $2,862.00 | 4 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,505.68 | $4,869.00 | $1,557.48 – $2,862.00 | 4 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,770.56 | $3,848.00 | $1,557.48 – $2,862.00 | 4 |
| Brain MRI (with and without contrast) CPT 70553 | $3,960.72 | $5,501.00 | $1,289.52 – $2,862.00 | 4 |
| Brain MRI (with contrast) CPT 70552 | $3,562.56 | $4,948.00 | $1,289.52 – $2,862.00 | 4 |
| Brain MRI (without contrast) CPT 70551 | $2,881.44 | $4,002.00 | $764.30 – $2,862.00 | 4 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,735.36 | $5,188.00 | $5,188.00 – $5,984.48 | 3 |
| Bronchial challenge CPT 94070 | $672.48 | $934.00 | $326.87 – $359.56 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $141.12 | $196.00 | $102.13 – $112.35 | 3 |
| Bundled special stain group 2 CPT 88313 | $162.72 | $226.00 | $102.13 – $112.35 | 3 |
| Buprenorphine and metabolite - sendout CPT 80348 | $59.04 | $82.00 | $35.94 – $39.53 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $138.96 | $193.00 | $29.57 – $32.53 | 3 |
| Calcium 24 hour urine CPT 82340 | $72.00 | $100.00 | $13.88 – $15.26 | 3 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $25.20 | $35.00 | $0.05 – $0.05 | 2 |
| Calcium ionized CPT 82330 | $243.36 | $338.00 | $30.71 – $33.78 | 3 |
| Calcium total CPT 82310 | $89.28 | $124.00 | $13.88 – $15.26 | 3 |
| Calculi urinary-sendout CPT 82360 | $133.20 | $185.00 | $30.71 – $33.78 | 3 |
| Calculus analysis qual CPT 82355 | $137.52 | $191.00 | $30.71 – $33.78 | 3 |
| Calprotectin fecal CPT 83993 | $421.20 | $585.00 | $30.71 – $33.78 | 3 |
| Carbamazepine total therapeutic drug level CPT 80156 | $628.56 | $873.00 | $31.16 – $34.28 | 3 |
| Carbon dioxide CPT 82374 | $115.92 | $161.00 | $13.88 – $15.26 | 3 |
| Carboxyhemoglobin quantitative CPT 82375 | $86.40 | $120.00 | $30.71 – $33.78 | 3 |
| Carcinoembryonic ag (cea) CPT 82378 | $146.88 | $204.00 | $30.71 – $33.78 | 3 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,831.84 | $5,322.00 | $2,787.86 – $3,066.65 | 3 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $236.16 | $328.00 | $328.00 – $494.29 | 3 |
| Cardiolipin antibody iga CPT 86147 | $319.68 | $444.00 | $29.57 – $32.53 | 3 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,413.36 | $1,963.00 | $1,962.83 – $1,963.00 | 3 |
| Carotene CPT 82380 | $133.20 | $185.00 | $13.88 – $15.26 | 3 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $900.72 | $1,251.00 | $533.41 – $586.76 | 3 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $2,499.12 | $3,471.00 | $3,121.56 – $3,433.71 | 3 |
| Cataract Surgery CPT 66984 | not published | not published | not published | 0 |
| Catecholamines,fractionated, urine CPT 82382 | $198.72 | $276.00 | $33.89 – $37.28 | 3 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $17.28 | $24.00 | $8.64 – $9.51 | 3 |
| Cdna analysis for variants CPT 81403 | $345.60 | $480.00 | $423.09 – $465.40 | 3 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $25.20 | $35.00 | $1.37 – $1.37 | 2 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $25.20 | $35.00 | $1.44 – $1.44 | 2 |
| Ceftazidime and avibactam HCPCS J0714 | $162.81 | $226.13 | $172.77 – $596.20 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $25.20 | $35.00 | $0.76 – $0.76 | 2 |
| #celiac hla-dq2 CPT 81377 | $470.16 | $653.00 | $119.65 – $131.61 | 3 |
| Cell count w differential body fluid CPT 89051 | $79.92 | $111.00 | $12.74 – $14.01 | 3 |
| #cf-97variants CPT 81220 | $1,100.88 | $1,529.00 | $923.07 – $1,015.38 | 3 |
| Change cystostomy tube simple CPT 51705 | $525.60 | $730.00 | $272.96 – $300.26 | 3 |
| Chest 2 vws w oblique CPT 71048 | $232.56 | $323.00 | $177.88 – $195.67 | 3 |
| Chest apical lordotic proj CPT 71047 | $529.92 | $736.00 | $177.88 – $195.67 | 3 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,872.80 | $3,990.00 | $962.88 – $2,290.00 | 4 |
| Chest CT scan (with contrast) CPT 71260 | $2,456.64 | $3,412.00 | $962.88 – $2,290.00 | 4 |
| Chest CT scan (without contrast) CPT 71250 | $1,892.16 | $2,628.00 | $338.02 – $2,290.00 | 4 |
| Chest X-ray CPT 71046 | $293.04 | $407.00 | $177.88 – $195.67 | 3 |
| Chest X-ray (single view) CPT 71045 | $232.56 | $323.00 | $177.88 – $195.67 | 3 |
| Chg pr pul rehab for copd patients CPT 94626 | $128.16 | $178.00 | $108.28 – $119.10 | 3 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $809.28 | $1,124.00 | $374.87 – $412.36 | 3 |
| Chlamydia type CPT 87140 | $69.84 | $97.00 | $27.07 – $29.78 | 3 |
| Chloride CPT 82435 | $59.76 | $83.00 | $13.88 – $15.26 | 3 |
| Chloride 24 hour urine CPT 82436 | $21.60 | $30.00 | $13.88 – $15.26 | 3 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $50.04 | $69.50 | $39.22 – $39.22 | 2 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $508.32 | $706.00 | $640.33 – $704.36 | 3 |
| Cholesterol CPT 82465 | $70.56 | $98.00 | $13.88 – $15.26 | 3 |
| Cholesterol body fluid CPT 84999 | $197.28 | $274.00 | $30.71 – $33.78 | 3 |
| Cholesterol (Lipid) Test CPT 80061 | $141.12 | $196.00 | $23.20 – $25.52 | 3 |
| Cholinesterase CPT 82480 | $79.20 | $110.00 | $13.88 – $15.26 | 3 |
| Chromatography CPT 83021 | $132.48 | $184.00 | $15.24 – $16.76 | 3 |
| Chromo high res and frag x - sendout CPT 81243 | $620.64 | $862.00 | $119.65 – $131.61 | 3 |
| Chromosome analysis 15-20 cell count CPT 88262 | $568.80 | $790.00 | $119.65 – $131.61 | 3 |
| Chromosome study additional CPT 88289 | $220.32 | $306.00 | $119.65 – $131.61 | 3 |
| Chronic urticaria - sendout CPT 86343 | $146.88 | $204.00 | $29.57 – $32.53 | 3 |
| Clearance of airways CPT 31720 | $439.20 | $610.00 | $182.43 – $200.67 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $632.88 | $879.00 | $536.60 – $590.26 | 3 |
| Clot factor xii hageman CPT 85280 | $141.84 | $197.00 | $65.06 – $71.56 | 3 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $450.72 | $626.00 | $626.00 – $1,456.94 | 3 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $518.40 | $720.00 | $720.00 – $1,456.94 | 3 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $518.40 | $720.00 | $720.00 – $1,456.94 | 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.