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 |
|---|---|---|---|---|
| Head CT scan (without contrast) CPT 70450 | $1,721.52 | $2,391.00 | $962.88 – $2,290.00 | 4 |
| Helicobacter pylori antibody igm CPT 86677 | $239.76 | $333.00 | $29.57 – $32.53 | 3 |
| Hematocrit CPT 85014 | $36.72 | $51.00 | $15.24 – $16.76 | 3 |
| Hemoglobin CPT 85018 | $40.32 | $56.00 | $15.24 – $16.76 | 3 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $82.08 | $114.00 | $13.88 – $15.26 | 3 |
| Hemoglobin plasma CPT 83051 | $79.92 | $111.00 | $13.88 – $15.26 | 3 |
| Hemolysins/agglutinins auto CPT 86940 | $108.72 | $151.00 | $11.37 – $12.51 | 3 |
| Hemophilus influenza antibdy CPT 86684 | $305.28 | $424.00 | $29.57 – $32.53 | 3 |
| Heparin assay CPT 85520 | $189.36 | $263.00 | $11.37 – $12.51 | 3 |
| Heparin bolus from bag HCPCS J1644 | $25.20 | $35.00 | $0.30 – $0.30 | 2 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.09 | $0.12 | $0.03 – $0.03 | 2 |
| Hepatitis a antibody igm CPT 86709 | $118.80 | $165.00 | $29.57 – $32.53 | 3 |
| Hepatitis b core antibody igm CPT 86705 | $98.64 | $137.00 | $29.57 – $32.53 | 3 |
| Hepatitis b core antibody total CPT 86704 | $221.04 | $307.00 | $29.57 – $32.53 | 3 |
| Hepatitis b surface antibody CPT 86706 | $192.96 | $268.00 | $29.57 – $32.53 | 3 |
| Hepatitis c antibody CPT 86803 | $105.84 | $147.00 | $29.57 – $32.53 | 3 |
| Hepatobiliary system imaging CPT 78226 | $1,170.00 | $1,625.00 | $1,163.96 – $1,280.35 | 3 |
| Hereditary colon ca dsordrs CPT 81435 | $1,702.08 | $2,364.00 | $923.07 – $1,015.38 | 3 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $166.32 | $231.00 | $29.57 – $32.53 | 3 |
| Herpes simplex type 2 antibody igg CPT 86696 | $166.32 | $231.00 | $29.57 – $32.53 | 3 |
| Herpes simplex virus isolation CPT 87255 | $199.44 | $277.00 | $110.10 – $121.10 | 3 |
| Heterophile antibodies screening CPT 86308 | $115.92 | $161.00 | $29.57 – $32.53 | 3 |
| Hip X-ray CPT 73502 | $336.96 | $468.00 | $177.88 – $195.67 | 3 |
| Histamine CPT 83088 | $148.32 | $206.00 | $72.34 – $79.57 | 3 |
| Hla ii typing 1 loc hr CPT 81382 | $294.48 | $409.00 | $119.65 – $131.61 | 3 |
| Home sleep test/type 3 porta HCPCS G0399 | $303.12 | $421.00 | $421.00 – $480.87 | 3 |
| Homocysteine CPT 83090 | $122.40 | $170.00 | $33.89 – $37.28 | 3 |
| Homogenization tissue CPT 87176 | $68.40 | $95.00 | $27.07 – $29.78 | 3 |
| Homovanillic acid (hva) CPT 83150 | $326.16 | $453.00 | $33.89 – $37.28 | 3 |
| Hpv types 16 & 18 only CPT 87625 | $187.92 | $261.00 | $110.10 – $121.10 | 3 |
| H pylori (c-13) breath CPT 83013 | $181.44 | $252.00 | $174.92 – $192.42 | 3 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,702.08 | $2,364.00 | $1,684.41 – $1,852.85 | 3 |
| Htt gene detc abnor alleles CPT 81271 | $327.60 | $455.00 | $423.09 – $455.00 | 3 |
| Human epididymis protein 4 (he4) CPT 86305 | $412.56 | $573.00 | $29.57 – $32.53 | 3 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $8.85 | $12.29 | $2.82 – $2.82 | 2 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $25.20 | $35.00 | $7.24 – $7.24 | 2 |
| Hydration IV infusion each additional hour CPT 96361 | $120.24 | $167.00 | $167.00 – $1,461.72 | 3 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $419.04 | $582.00 | $582.00 – $933.08 | 3 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $41.76 | $58.00 | $36.40 – $36.40 | 2 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $25.20 | $35.00 | $0.23 – $0.23 | 2 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $94.32 | $131.00 | $110.10 – $121.10 | 3 |
| Igh@ var region somatic mutation analy CPT 81263 | $468.00 | $650.00 | $423.09 – $465.40 | 3 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $132.48 | $184.00 | $102.13 – $112.35 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $538.56 | $748.00 | $416.72 – $458.40 | 3 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $187.92 | $261.00 | $261.00 – $416.72 | 3 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $249.84 | $347.00 | $29.57 – $32.53 | 3 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $212.40 | $295.00 | $29.57 – $32.53 | 3 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $160.56 | $223.00 | $29.57 – $32.53 | 3 |
| Immunodiffusion nes CPT 86329 | $108.00 | $150.00 | $29.57 – $32.53 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $357.12 | $496.00 | $29.57 – $32.53 | 3 |
| Immunoglobulin assay CPT 86023 | $155.52 | $216.00 | $29.57 – $32.53 | 3 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $5,114.16 | $7,103.00 | $3,397.93 – $3,737.73 | 3 |
| Infect ag eia influenza a or b ea CPT 87400 | $46.08 | $64.00 | $27.07 – $29.78 | 3 |
| Infect ag ia optc obs influenza CPT 87804 | $54.72 | $76.00 | $27.07 – $29.78 | 3 |
| Infect ag if nos ea CPT 87299 | $84.96 | $118.00 | $27.07 – $29.78 | 3 |
| Infect ag na herpes simplex quant CPT 87530 | $299.52 | $416.00 | $110.10 – $121.10 | 3 |
| Infect ag na hpv high-risk types CPT 87624 | $115.92 | $161.00 | $110.10 – $121.10 | 3 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $86.40 | $120.00 | $110.10 – $120.00 | 3 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,321.20 | $1,835.00 | $523.86 – $576.25 | 3 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $99.36 | $138.00 | $27.07 – $29.78 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $300.24 | $417.00 | $18.00 – $27.07 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $99.36 | $138.00 | $27.07 – $29.78 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $143.28 | $199.00 | $27.07 – $29.78 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $287.28 | $399.00 | $27.07 – $29.78 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $169.92 | $236.00 | $27.07 – $29.78 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $64.80 | $90.00 | $27.07 – $29.78 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $252.72 | $351.00 | $27.07 – $29.78 | 3 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $230.40 | $320.00 | $27.07 – $29.78 | 3 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $262.80 | $365.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $202.32 | $281.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $115.20 | $160.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,341.36 | $1,863.00 | $523.86 – $576.25 | 3 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $401.76 | $558.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $217.44 | $302.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $352.80 | $490.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $89.28 | $124.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $321.12 | $446.00 | $90.00 – $110.10 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $346.32 | $481.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $396.00 | $550.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $151.92 | $211.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $53.28 | $74.00 | $74.00 – $110.10 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $687.60 | $955.00 | $523.86 – $576.25 | 3 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $336.24 | $467.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $388.80 | $540.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $709.92 | $986.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $294.48 | $409.00 | $110.10 – $121.10 | 3 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $464.40 | $645.00 | $523.86 – $576.25 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $382.32 | $531.00 | $421.27 – $463.40 | 3 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $12.18 | $16.92 | $12.01 – $3,994.13 | 5 |
| Inj ceftolozane tazobactam HCPCS J0695 | $15.07 | $20.93 | $14.77 – $366.91 | 5 |
| Injection epidural blood patch or clot CPT 62273 | $1,557.36 | $2,163.00 | $2,163.00 – $2,419.82 | 3 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,662.48 | $2,309.00 | $1,453.30 – $1,598.63 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,496.16 | $2,078.00 | $1,263.59 – $1,389.95 | 3 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $637.92 | $886.00 | $779.76 – $857.74 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $637.92 | $886.00 | $779.76 – $857.74 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $302.40 | $420.00 | $146.72 – $161.39 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $276.48 | $384.00 | $146.72 – $161.39 | 3 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $418.32 | $581.00 | $146.72 – $161.39 | 3 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $133.92 | $186.00 | $146.72 – $161.39 | 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.