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 |
|---|---|---|---|---|
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $132.48 | $184.00 | $52.55 – $57.80 | 3 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $141.84 | $197.00 | $52.55 – $57.80 | 3 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $120.24 | $167.00 | $84.39 – $92.83 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $131.76 | $183.00 | $84.39 – $92.83 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $246.24 | $342.00 | $342.00 – $468.13 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $100.08 | $139.00 | $139.00 – $264.55 | 3 |
| Cytopath smear other source CPT 88160 | $159.84 | $222.00 | $84.39 – $92.83 | 3 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $301.68 | $419.00 | $419.00 – $468.13 | 3 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.10 | $0.14 | $0.05 – $0.05 | 2 |
| Dch glucoscan CPT 82948 | $12.96 | $18.00 | $13.88 – $15.26 | 3 |
| Dch validity tests CPT 81002 | $32.40 | $45.00 | $7.73 – $8.51 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $91.44 | $127.00 | $29.57 – $32.53 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,621.44 | $2,252.00 | $1,209.23 – $1,330.15 | 3 |
| Decalcification CPT 88311 | $53.28 | $74.00 | $74.00 – $102.13 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $716.40 | $995.00 | $933.08 – $995.00 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $87.78 | $121.91 | $48.61 – $2,925.25 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $826.56 | $1,148.00 | $536.60 – $590.26 | 3 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $39.60 | $55.00 | $9.98 – $9.98 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | $39.60 | $55.00 | $4.85 – $4.85 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $182.16 | $253.00 | $33.89 – $37.28 | 3 |
| Diabetes (HbA1c) Test CPT 83036 | $146.88 | $204.00 | $13.88 – $15.26 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $474.48 | $659.00 | $151.27 – $166.39 | 3 |
| Diagnostic Mammogram (one breast) CPT 77065 | $375.84 | $522.00 | $151.27 – $166.39 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $21.42 | $29.75 | $11.04 – $11.04 | 2 |
| Dicyclomine injection HCPCS J0500 | $42.84 | $59.50 | $18.69 – $18.69 | 2 |
| Diffusing capacity CPT 94729 | $216.72 | $301.00 | $182.43 – $200.67 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $1,296.00 | $1,800.00 | $31.16 – $34.28 | 3 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $25.20 | $35.00 | $0.05 – $0.05 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $25.20 | $35.00 | $1.17 – $1.17 | 2 |
| Disaccharidases CPT 82657 | $321.12 | $446.00 | $30.71 – $33.78 | 3 |
| Dna antibody native/double stranded CPT 86225 | $77.04 | $107.00 | $29.57 – $32.53 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $108.00 | $150.00 | $1.32 – $1.32 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $337.68 | $469.00 | $469.00 – $525.00 | 3 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $241.92 | $336.00 | $336.00 – $346.21 | 3 |
| Drain blood from under nail 11740 CPT 11740 | $241.92 | $336.00 | $210.41 – $231.45 | 3 |
| Drain cath image guided visceral pq CPT 49405 | $3,499.92 | $4,861.00 | $2,285.38 – $2,513.92 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $429.12 | $596.00 | $522.95 – $575.25 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $429.12 | $596.00 | $577.32 – $596.00 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $25.20 | $35.00 | $11.85 – $11.85 | 2 |
| Drug assay posaconazole CPT 80187 | $235.44 | $327.00 | $31.16 – $34.28 | 3 |
| Drug test def 1-7 classes HCPCS G0480 | $345.60 | $480.00 | $179.25 – $197.17 | 3 |
| Drug test def 22+ classes HCPCS G0483 | $673.20 | $935.00 | $417.18 – $458.90 | 3 |
| Drug test prsmv instrmnt CPT 80306 | $128.16 | $178.00 | $35.94 – $39.53 | 3 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $202.32 | $281.00 | $179.25 – $197.17 | 3 |
| Drvvt confirm - quest CPT 85597 | $172.08 | $239.00 | $11.37 – $12.51 | 3 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $229.68 | $319.00 | $319.00 – $346.21 | 3 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,419.84 | $1,972.00 | $346.21 – $380.83 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $263.52 | $366.00 | $81.43 – $89.58 | 3 |
| Ecg external < 48 hours recording CPT 93225 | $1,416.24 | $1,967.00 | $195.62 – $215.19 | 3 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,625.12 | $3,646.00 | $1,371.64 – $1,508.80 | 3 |
| Echocardiography doppler color flow mapping CPT 93325 | $592.56 | $823.00 | $173.10 – $190.41 | 3 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,789.20 | $2,485.00 | $1,371.64 – $1,508.80 | 3 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $522.00 | $725.00 | $725.00 – $1,371.64 | 3 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $803.52 | $1,116.00 | $1,116.00 – $1,371.64 | 3 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $383.76 | $533.00 | $533.00 – $685.82 | 3 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $610.56 | $848.00 | $848.00 – $1,371.64 | 3 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $37.44 | $52.00 | $52.00 – $227.70 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $819.36 | $1,138.00 | $1,049.54 – $1,138.00 | 3 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,704.96 | $2,368.00 | $1,419.63 – $1,561.60 | 3 |
| Eeg recording awake and asleep CPT 95819 | $1,195.92 | $1,661.00 | $1,049.54 – $1,154.50 | 3 |
| EKG tracing for initial prev HCPCS G0404 | $282.96 | $393.00 | $81.43 – $89.58 | 3 |
| Electrical stimulation/unattended 97014 CPT 97014 | $128.88 | $179.00 | $95.99 – $179.00 | 4 |
| Electrolyte panel CPT 80051 | $179.28 | $249.00 | $23.20 – $25.52 | 3 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $278.64 | $387.00 | $387.00 – $419.91 | 3 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $347.04 | $482.00 | $419.91 – $461.90 | 3 |
| Emg needle test 1-extremity CPT 95860 | $278.64 | $387.00 | $387.00 – $419.91 | 3 |
| Emg needle test 4-extremities CPT 95864 | $381.60 | $530.00 | $419.91 – $461.90 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $25.20 | $35.00 | $0.87 – $0.87 | 2 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $25.20 | $35.00 | $4.95 – $4.95 | 2 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $25.20 | $35.00 | $1.83 – $1.83 | 2 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $19.07 | $26.48 | $12.49 – $596.20 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $40.32 | $56.00 | $29.57 – $32.53 | 3 |
| Epstein barr nuclear antigen antibody CPT 86664 | $40.32 | $56.00 | $29.57 – $32.53 | 3 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $40.32 | $56.00 | $29.57 – $32.53 | 3 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $120.06 | $166.75 | $15.11 – $15.11 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $207.36 | $288.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $297.36 | $413.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $598.32 | $831.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $714.24 | $992.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,076.40 | $1,495.00 | not published | 0 |
| Estradiol total CPT 82670 | $288.72 | $401.00 | $33.89 – $37.28 | 3 |
| Estrogens total-sendout CPT 82672 | $298.80 | $415.00 | $33.89 – $37.28 | 3 |
| Evaluation psychiatric diagnostic CPT 90791 | $347.04 | $482.00 | $482.00 – $786.59 | 3 |
| Event monitor CPT 93270 | $631.44 | $877.00 | $132.16 – $145.38 | 3 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $6,181.92 | $8,586.00 | $5,668.30 – $6,235.13 | 3 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $6,427.44 | $8,927.00 | $5,668.30 – $6,235.13 | 3 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,519.92 | $2,111.00 | $1,331.83 – $1,465.01 | 3 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $863.28 | $1,199.00 | $1,199.00 – $1,331.83 | 3 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $750.24 | $1,042.00 | $423.09 – $465.40 | 3 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $30.96 | $43.00 | $43.00 – $268.41 | 3 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $570.96 | $793.00 | $468.13 – $514.94 | 3 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $136.80 | $190.00 | $29.57 – $32.53 | 3 |
| Facial bones <3 CPT 70140 | $399.60 | $555.00 | $177.88 – $195.67 | 3 |
| Factor ix CPT 85250 | $162.00 | $225.00 | $65.06 – $71.56 | 3 |
| Factor viii CPT 85240 | $204.48 | $284.00 | $11.37 – $12.51 | 3 |
| Fat/lipids feces qualitative CPT 82705 | $146.88 | $204.00 | $13.88 – $15.26 | 3 |
| #fecal-sodium CPT 84302 | $154.08 | $214.00 | $13.88 – $15.26 | 3 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3.54 | $4.91 | $1.85 – $1,439.20 | 5 |
| Ferritin CPT 82728 | $209.52 | $291.00 | $30.71 – $33.78 | 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.