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 |
|---|---|---|---|---|
| Clsd tx elbow dislocation child 24640 CPT 24640 | $601.20 | $835.00 | $835.00 – $1,456.94 | 3 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $663.12 | $921.00 | $921.00 – $1,456.94 | 3 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $3,456.72 | $4,801.00 | $1,456.94 – $1,602.63 | 3 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $518.40 | $720.00 | $720.00 – $1,456.94 | 3 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,044.00 | $1,450.00 | $1,450.00 – $1,456.94 | 3 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $518.40 | $720.00 | $720.00 – $1,456.94 | 3 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $518.40 | $720.00 | $720.00 – $1,456.94 | 3 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $518.40 | $720.00 | $720.00 – $1,456.94 | 3 |
| #cmvcul-virus inoculation shell CPT 87254 | $158.40 | $220.00 | $27.07 – $29.78 | 3 |
| Cmv pcr-sendout CPT 87496 | $64.80 | $90.00 | $90.00 – $110.10 | 3 |
| Cold agglutinin titer CPT 86157 | $95.76 | $133.00 | $29.57 – $32.53 | 3 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $278.64 | $387.00 | $237.93 – $261.73 | 3 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $278.64 | $387.00 | $237.93 – $261.73 | 3 |
| Collection of venous blood by venipuncture CPT 36415 | $17.28 | $24.00 | $8.64 – $9.51 | 3 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | not published | 0 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | not published | 0 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $187.92 | $261.00 | $261.00 – $416.27 | 3 |
| Compatibility test each unit immediate spin technique CPT 86920 | $196.56 | $273.00 | $273.00 – $416.27 | 3 |
| Complement antigen each component c3 CPT 86160 | $221.76 | $308.00 | $29.57 – $32.53 | 3 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,468.80 | $2,040.00 | $1,331.83 – $1,465.01 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $2,003.76 | $2,783.00 | $1,331.83 – $1,465.01 | 3 |
| Condylomata destruction 56420 CPT 56420 | $573.84 | $797.00 | $669.21 – $736.14 | 3 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $311.04 | $432.00 | $264.55 – $291.00 | 3 |
| Control nosebleed pack+caut 30905 CPT 30905 | $594.72 | $826.00 | $536.60 – $590.26 | 3 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $594.72 | $826.00 | $536.60 – $590.26 | 3 |
| Coombs direct CPT 86880 | $82.80 | $115.00 | $11.37 – $12.51 | 3 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $193.68 | $269.00 | $11.37 – $12.51 | 3 |
| Coombs indirect titer reference CPT 86886 | $216.00 | $300.00 | $11.37 – $12.51 | 3 |
| Cortisol total am CPT 82533 | $73.44 | $102.00 | $33.89 – $37.28 | 3 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $262.08 | $364.00 | $29.57 – $32.53 | 3 |
| C-peptide CPT 84681 | $271.44 | $377.00 | $30.71 – $33.78 | 3 |
| C-reactive protein CPT 86140 | $110.16 | $153.00 | $29.57 – $32.53 | 3 |
| C-reactive protein high sensitivity CPT 86141 | $110.16 | $153.00 | $29.57 – $32.53 | 3 |
| C-reactive protein, quantitative CPT 86406 | $131.76 | $183.00 | $29.57 – $32.53 | 3 |
| Creatine kinase CPT 82550 | $116.64 | $162.00 | $13.88 – $15.26 | 3 |
| Creatine kinase isoenzymes CPT 82552 | $269.28 | $374.00 | $30.71 – $33.78 | 3 |
| Creatine kinase mb CPT 82553 | $193.68 | $269.00 | $30.71 – $33.78 | 3 |
| Creatinine CPT 82565 | $92.88 | $129.00 | $13.88 – $15.26 | 3 |
| Creatinine 24 hour urine CPT 82570 | $36.72 | $51.00 | $13.88 – $15.26 | 3 |
| Creatinine clearance urine CPT 82575 | $197.28 | $274.00 | $13.88 – $15.26 | 3 |
| #creutz-prot.,western blot CPT 84182 | $211.68 | $294.00 | $104.86 – $115.35 | 3 |
| Crystal identification light microscopy CPT 89060 | $79.92 | $111.00 | $12.74 – $14.01 | 3 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,521.44 | $3,502.00 | $1,176.47 – $2,290.00 | 4 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $5,236.56 | $7,273.00 | $1,176.47 – $2,290.00 | 4 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,521.44 | $3,502.00 | $1,176.47 – $2,290.00 | 4 |
| Cta neck without &/or w/contrast CPT 70498 | $2,131.92 | $2,961.00 | $1,176.47 – $2,290.00 | 4 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,672.08 | $6,489.00 | $1,176.47 – $2,290.00 | 4 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,521.44 | $3,502.00 | $1,176.47 – $2,290.00 | 4 |
| CT Angiogram of the Head CPT 70496 | $2,561.04 | $3,557.00 | $1,176.47 – $2,290.00 | 4 |
| CT angio pelvis CPT 72191 | $2,715.84 | $3,772.00 | $1,176.47 – $2,290.00 | 4 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,521.44 | $3,502.00 | $1,176.47 – $2,290.00 | 4 |
| CT bone density axial CPT 77078 | $473.04 | $657.00 | $249.76 – $657.00 | 4 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,965.60 | $2,730.00 | $962.88 – $2,290.00 | 4 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,779.12 | $2,471.00 | $338.02 – $2,290.00 | 4 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,494.80 | $3,465.00 | $962.88 – $2,290.00 | 4 |
| CT neck soft tissue w/contrast CPT 70491 | $1,764.00 | $2,450.00 | $962.88 – $2,290.00 | 4 |
| CT neck soft tissue without contrast CPT 70490 | $1,668.24 | $2,317.00 | $338.02 – $2,290.00 | 4 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,818.00 | $2,525.00 | $962.88 – $2,290.00 | 4 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,024.64 | $2,812.00 | $962.88 – $2,290.00 | 4 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,728.00 | $2,400.00 | $962.88 – $2,290.00 | 4 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,565.28 | $2,174.00 | $338.02 – $2,174.00 | 4 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $516.96 | $718.00 | $536.60 – $590.26 | 3 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,240.16 | $7,278.00 | $962.88 – $2,290.00 | 4 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,723.20 | $6,560.00 | $481.44 – $2,290.00 | 4 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,879.36 | $5,388.00 | $962.88 – $2,290.00 | 4 |
| CT thoracic spine w/contrast CPT 72129 | $2,352.96 | $3,268.00 | $962.88 – $2,290.00 | 4 |
| CT thoracic spine without contrast CPT 72128 | $1,928.16 | $2,678.00 | $338.02 – $2,290.00 | 4 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $199.44 | $277.00 | $277.00 – $338.02 | 4 |
| CT t-spine w /wo contrast CPT 72130 | $2,927.52 | $4,066.00 | $962.88 – $2,290.00 | 4 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,965.60 | $2,730.00 | $962.88 – $2,290.00 | 4 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,732.32 | $2,406.00 | $338.02 – $2,290.00 | 4 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,494.80 | $3,465.00 | $962.88 – $2,290.00 | 4 |
| Culture aerobic additional method definitive id each CPT 87077 | $100.80 | $140.00 | $27.07 – $29.78 | 3 |
| Culture afb any source CPT 87116 | $69.84 | $97.00 | $27.07 – $29.78 | 3 |
| Culture anaerobic additional method definitive id each CPT 87076 | $80.64 | $112.00 | $27.07 – $29.78 | 3 |
| Culture anaerobic except blood CPT 87075 | $208.80 | $290.00 | $27.07 – $29.78 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | $12.24 | $17.00 | $17.00 – $27.07 | 3 |
| Culture body fluid CPT 87070 | $158.40 | $220.00 | $27.07 – $29.78 | 3 |
| Culture fungi definitive id mold CPT 87107 | $108.72 | $151.00 | $27.07 – $29.78 | 3 |
| Culture fungi definitive id yeast CPT 87106 | $114.48 | $159.00 | $27.07 – $29.78 | 3 |
| Culture fungi other (except blood) CPT 87102 | $212.40 | $295.00 | $27.07 – $29.78 | 3 |
| Culture fungi skin/hair/nail CPT 87101 | $179.28 | $249.00 | $27.07 – $29.78 | 3 |
| Culture screening strep group a CPT 87081 | $120.24 | $167.00 | $27.07 – $29.78 | 3 |
| Culture typing immunologic CPT 87147 | $43.20 | $60.00 | $27.07 – $29.78 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $807.84 | $1,122.00 | $523.86 – $576.25 | 3 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $190.08 | $264.00 | $110.10 – $121.10 | 3 |
| Culture urine each isolate CPT 87088 | $42.48 | $59.00 | $27.07 – $29.78 | 3 |
| Culture virus isolation CPT 87250 | $97.20 | $135.00 | $27.07 – $29.78 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $67.68 | $94.00 | $30.71 – $33.78 | 3 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.20 | $35.00 | $1.06 – $1.06 | 2 |
| Cyclic citrullinated peptide antibody CPT 86200 | $124.56 | $173.00 | $29.57 – $32.53 | 3 |
| Cyclosporine 2 hour CPT 80158 | $244.08 | $339.00 | $31.16 – $34.28 | 3 |
| Cystatin c CPT 82610 | $95.04 | $132.00 | $30.71 – $33.78 | 3 |
| Cystine urine quantitative CPT 82131 | $514.08 | $714.00 | $30.71 – $33.78 | 3 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $165.60 | $230.00 | $29.57 – $32.53 | 3 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $165.60 | $230.00 | $29.57 – $32.53 | 3 |
| Cytopath fl nongyn filter CPT 88106 | $128.16 | $178.00 | $84.39 – $92.83 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $118.08 | $164.00 | $84.39 – $92.83 | 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.