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 |
|---|---|---|---|---|
| #_fet/norfentcnfrmur CPT 80354 | $147.60 | $205.00 | $35.94 – $39.53 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $60.48 | $84.00 | $11.37 – $12.51 | 3 |
| Fibrin degradation products CPT 85362 | $144.00 | $200.00 | $11.37 – $12.51 | 3 |
| Fibrinogen activity CPT 85384 | $110.16 | $153.00 | $11.37 – $12.51 | 3 |
| Fl exam g/colon tube w contrast CPT 49465 | $564.48 | $784.00 | $374.87 – $412.36 | 3 |
| Flow cytometry interp 16 or more CPT 88189 | $307.44 | $427.00 | $84.39 – $92.83 | 3 |
| Flow cytometry marker each additional CPT 88185 | $194.40 | $270.00 | $84.39 – $92.83 | 3 |
| Flow cytometry one marker technical component CPT 88184 | $393.84 | $547.00 | $468.13 – $514.94 | 3 |
| Fluorescent antibody titer dna CPT 86256 | $226.80 | $315.00 | $29.57 – $32.53 | 3 |
| Fluoroguide needle placement CPT 77002 | $210.96 | $293.00 | $293.00 – $640.33 | 3 |
| Fluoroscopy up to 1 hour CPT 76000 | $522.00 | $725.00 | $374.87 – $412.36 | 3 |
| Folic acid CPT 82746 | $90.72 | $126.00 | $30.71 – $33.78 | 3 |
| Foot X-ray CPT 73630 | $352.08 | $489.00 | $177.88 – $195.67 | 3 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $248.40 | $345.00 | $345.00 – $396.71 | 3 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $240.48 | $334.00 | $334.00 – $396.71 | 3 |
| Fresh frozen plasma thawing ea un CPT 86927 | $370.08 | $514.00 | $268.41 – $295.25 | 3 |
| Fructosamine glycated protein CPT 82985 | $75.60 | $105.00 | $30.71 – $33.78 | 3 |
| Ftl cgen abnor five anal CPT 81512 | $961.20 | $1,335.00 | $119.65 – $131.61 | 3 |
| Ftl cgen abnor four anal CPT 81511 | $336.24 | $467.00 | $423.09 – $465.40 | 3 |
| Ftl cgen abnor two proteins CPT 81508 | $212.40 | $295.00 | $119.65 – $131.61 | 3 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $25.20 | $35.00 | $0.03 – $0.03 | 2 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $12.49 | $17.35 | $2.41 – $2.41 | 2 |
| Gammaglobulin iga CPT 82784 | $118.80 | $165.00 | $13.88 – $15.26 | 3 |
| Gammaglobulin ige CPT 82785 | $198.00 | $275.00 | $30.71 – $33.78 | 3 |
| Gamma glutamyltransferase CPT 82977 | $109.44 | $152.00 | $13.88 – $15.26 | 3 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $25.20 | $35.00 | $3.58 – $3.58 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $662.40 | $920.00 | $31.16 – $34.28 | 3 |
| Ghs bladder cath - complex-foley CPT 51703 | $507.60 | $705.00 | $272.96 – $300.26 | 3 |
| Ghs change cysto/gastrost CPT 43762 | $653.04 | $907.00 | $907.00 – $1,232.20 | 3 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $207.36 | $288.00 | $110.10 – $121.10 | 3 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $456.48 | $634.00 | $634.00 – $1,456.94 | 3 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $522.72 | $726.00 | $726.00 – $1,456.94 | 3 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $518.40 | $720.00 | $720.00 – $1,456.94 | 3 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $510.48 | $709.00 | $119.31 – $131.24 | 3 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $127.44 | $177.00 | $29.57 – $32.53 | 3 |
| Ghs dislocation elbow closed treatment CPT 24600 | $518.40 | $720.00 | $720.00 – $728.47 | 3 |
| Ghs fb removal - incisional CPT 10121 | $3,481.92 | $4,836.00 | $3,830.81 – $4,213.89 | 3 |
| Ghs fb removal - non-incisional CPT 20520 | $3,499.92 | $4,861.00 | $4,861.00 – $5,668.30 | 3 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $307.44 | $427.00 | $29.57 – $32.53 | 3 |
| Ghs fish cytogen CPT 88271 | $72.72 | $101.00 | $101.00 – $119.65 | 3 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $136.80 | $190.00 | $119.65 – $131.61 | 3 |
| Ghs hcv amplificaiton CPT 87521 | $920.88 | $1,279.00 | $110.10 – $121.10 | 3 |
| Ghs histoplasma antigen CPT 87385 | $483.12 | $671.00 | $27.07 – $29.78 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,519.92 | $2,111.00 | $522.95 – $575.25 | 3 |
| Ghs init tx 1st degree burn CPT 16000 | $429.12 | $596.00 | $577.32 – $596.00 | 3 |
| Ghs inj tendon origin/insertion CPT 20551 | $637.92 | $886.00 | $779.76 – $857.74 | 3 |
| Ghs insertion of needle - bone CPT 36680 | $861.84 | $1,197.00 | $779.76 – $857.74 | 3 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $863.28 | $1,199.00 | $1,199.00 – $1,209.23 | 3 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $755.28 | $1,049.00 | $933.08 – $1,026.39 | 3 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $861.84 | $1,197.00 | $536.60 – $590.26 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $889.20 | $1,235.00 | $1,209.23 – $1,235.00 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $863.28 | $1,199.00 | $1,199.00 – $1,209.23 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $863.28 | $1,199.00 | $1,199.00 – $1,209.23 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $750.24 | $1,042.00 | $1,042.00 – $1,209.23 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $863.28 | $1,199.00 | $1,199.00 – $1,209.23 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $890.64 | $1,237.00 | $1,209.23 – $1,237.00 | 3 |
| Ghs mbp CPT 83873 | $93.60 | $130.00 | $30.71 – $33.78 | 3 |
| Ghs musc test done w/n test comp CPT 95886 | $230.40 | $320.00 | $320.00 – $419.91 | 3 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $331.92 | $461.00 | $419.91 – $461.00 | 3 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,321.92 | $1,836.00 | $210.41 – $231.45 | 3 |
| Ghs nerve block axillary nerve CPT 64417 | $2,108.88 | $2,929.00 | $1,263.59 – $1,389.95 | 3 |
| Ghs nerve block brachial plexus CPT 64415 | $1,923.12 | $2,671.00 | $2,671.00 – $4,053.04 | 3 |
| Ghs ng placement w fluoro guidance CPT 43752 | $861.84 | $1,197.00 | $1,197.00 – $1,232.20 | 3 |
| Ghs phenylketonurid CPT 84030 | $102.96 | $143.00 | $13.88 – $15.26 | 3 |
| Ghs plngl fx pm cl CPT 26725 | $516.96 | $718.00 | $718.00 – $1,456.94 | 3 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $56.88 | $79.00 | $13.88 – $15.26 | 3 |
| Ghs protoporphyrins fract CPT 84202 | $127.44 | $177.00 | $30.71 – $33.78 | 3 |
| Ghs pr without cont pulse ox CPT 94625 | $136.08 | $189.00 | $108.28 – $119.10 | 3 |
| Ghs quinidine CPT 80194 | $154.08 | $214.00 | $31.16 – $34.28 | 3 |
| Ghs removal intranasal foreign body CPT 30300 | $392.40 | $545.00 | $536.60 – $545.00 | 3 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $176.40 | $245.00 | $29.57 – $32.53 | 3 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $448.56 | $623.00 | $27.07 – $29.78 | 3 |
| Ghs sedimentation rate CPT 85651 | $76.32 | $106.00 | $15.24 – $16.76 | 3 |
| Ghs sensitivity (per antimicro) CPT 87184 | $69.84 | $97.00 | $27.07 – $29.78 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $863.28 | $1,199.00 | $577.32 – $635.05 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $863.28 | $1,199.00 | $577.32 – $635.05 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $863.28 | $1,199.00 | $577.32 – $635.05 | 3 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $568.08 | $789.00 | $577.32 – $635.05 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $653.04 | $907.00 | $577.32 – $635.05 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $568.08 | $789.00 | $577.32 – $635.05 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,321.92 | $1,836.00 | $1,209.23 – $1,330.15 | 3 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $863.28 | $1,199.00 | $1,199.00 – $1,209.23 | 3 |
| Ghs urine, porphyrins quant CPT 84120 | $146.88 | $204.00 | $30.71 – $33.78 | 3 |
| Gi inhouse confirmation CPT 87045 | $146.16 | $203.00 | $27.07 – $29.78 | 3 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $483.84 | $672.00 | $272.02 – $403.60 | 5 |
| Glucagon plasma - sendout CPT 82943 | $136.80 | $190.00 | $33.89 – $37.28 | 3 |
| Glucose 1 hr post dose CPT 82950 | $70.56 | $98.00 | $13.88 – $15.26 | 3 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $41.76 | $58.00 | $13.88 – $15.26 | 3 |
| Glucose blood quantitative CPT 82947 | $53.28 | $74.00 | $13.88 – $15.26 | 3 |
| Glucose body fluid CPT 82945 | $88.56 | $123.00 | $13.88 – $15.26 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $163.44 | $227.00 | $30.71 – $33.78 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $112.28 | $155.94 | $19.19 – $3,994.13 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $98.64 | $137.00 | $33.89 – $37.28 | 3 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $98.64 | $137.00 | $33.89 – $37.28 | 3 |
| Hand X-ray CPT 73130 | $352.08 | $489.00 | $177.88 – $195.67 | 3 |
| Haptoglobin quantitative CPT 83010 | $49.68 | $69.00 | $30.71 – $33.78 | 3 |
| Hcg qualitative CPT 84703 | $109.44 | $152.00 | $13.88 – $15.26 | 3 |
| Hcg quantitative CPT 84702 | $166.32 | $231.00 | $33.89 – $37.28 | 3 |
| Head CT scan (with and without contrast) CPT 70470 | $2,004.48 | $2,784.00 | $962.88 – $2,290.00 | 4 |
| Head CT scan (with contrast) CPT 70460 | $1,814.40 | $2,520.00 | $962.88 – $2,290.00 | 4 |
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.