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 |
|---|---|---|---|---|
| Inj, releuko 1 mcg HCPCS Q5125 | $439.92 | $611.00 | $0.56 – $403.60 | 5 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $108.00 | $150.00 | $0.21 – $0.21 | 2 |
| Insertion catheter bladder non indwelling CPT 51701 | $241.92 | $336.00 | $272.96 – $300.26 | 3 |
| Insertion catheter bladder temporary simple CPT 51702 | $241.92 | $336.00 | $272.96 – $300.26 | 3 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $5,911.92 | $8,211.00 | $3,475.50 – $3,823.05 | 3 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,917.44 | $4,052.00 | $3,475.50 – $3,823.05 | 3 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,607.20 | $5,010.00 | $3,475.50 – $3,823.05 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $6,798.24 | $9,442.00 | $6,711.93 – $7,383.12 | 3 |
| Insulin total CPT 83525 | $164.16 | $228.00 | $33.89 – $37.28 | 3 |
| Intens cardiac rehab no exer HCPCS G0423 | $272.16 | $378.00 | $378.00 – $494.29 | 3 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $272.16 | $378.00 | $378.00 – $494.29 | 3 |
| Intrinsic factor antibody CPT 86340 | $180.00 | $250.00 | $29.57 – $32.53 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | $727.20 | $1,010.00 | $1,010.00 – $2,226.24 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $2.38 | $3.30 | $0.25 – $0.25 | 2 |
| Iron CPT 83540 | $92.88 | $129.00 | $13.88 – $15.26 | 3 |
| Iron binding capacity CPT 83550 | $52.56 | $73.00 | $13.88 – $15.26 | 3 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.09 | $1.52 | $0.40 – $0.40 | 2 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $111.60 | $155.00 | $146.72 – $155.00 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $133.92 | $186.00 | $186.00 – $933.08 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $105.12 | $146.00 | $146.00 – $933.08 | 3 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $120.24 | $167.00 | $167.00 – $1,461.72 | 3 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $396.00 | $550.00 | $550.00 – $933.08 | 3 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $794.88 | $1,104.00 | $374.87 – $412.36 | 3 |
| Jak2 targeted sequence analysis CPT 81279 | $678.96 | $943.00 | $423.09 – $465.40 | 3 |
| John cunningham antibody CPT 86711 | $1,213.20 | $1,685.00 | $29.57 – $32.53 | 3 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $192.24 | $267.00 | $13.88 – $15.26 | 3 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $25.20 | $35.00 | $0.54 – $0.54 | 2 |
| Kidney imag w/bld flow multi CPT 78709 | $2,383.92 | $3,311.00 | $1,163.96 – $1,280.35 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,905.12 | $2,646.00 | $1,163.96 – $1,280.35 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $786.24 | $1,092.00 | $533.41 – $586.76 | 3 |
| Kit gene analys d816 variant CPT 81273 | $628.56 | $873.00 | $119.65 – $131.61 | 3 |
| Knee MRI (with and without contrast) CPT 73723 | $4,353.12 | $6,046.00 | $1,289.52 – $2,862.00 | 4 |
| Knee MRI (with contrast) CPT 73722 | $3,594.24 | $4,992.00 | $1,289.52 – $2,862.00 | 4 |
| Knee MRI (without contrast) CPT 73721 | $2,881.44 | $4,002.00 | $764.30 – $2,862.00 | 4 |
| Knee X-ray CPT 73564 | $436.32 | $606.00 | $177.88 – $195.67 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $97.92 | $136.00 | $13.88 – $15.26 | 3 |
| Lactated ringers intravenous solution HCPCS J7120 | $39.60 | $55.00 | $3.93 – $3.93 | 2 |
| Lactic acid CPT 83605 | $239.04 | $332.00 | $30.71 – $33.78 | 3 |
| Lactoferrin fecal qualitative CPT 83630 | $123.12 | $171.00 | $30.71 – $33.78 | 3 |
| Lead capillary CPT 83655 | $136.80 | $190.00 | $31.62 – $34.78 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,550.88 | $2,154.00 | $533.41 – $586.76 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $108.00 | $150.00 | $0.07 – $0.07 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $276.48 | $384.00 | $31.16 – $34.28 | 3 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $108.00 | $150.00 | $3.56 – $3.56 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $25.20 | $35.00 | $0.08 – $0.08 | 2 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $108.00 | $150.00 | $0.02 – $0.02 | 2 |
| Lidocaine therapeutic drug level CPT 80176 | $189.36 | $263.00 | $31.16 – $34.28 | 3 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $108.00 | $150.00 | $4.52 – $4.52 | 2 |
| Lipase CPT 83690 | $103.68 | $144.00 | $13.88 – $15.26 | 3 |
| Lipoprotein blood quant CPT 83704 | $95.76 | $133.00 | $72.34 – $79.57 | 3 |
| Lipoprotein direct measurement hdl CPT 83718 | $105.84 | $147.00 | $13.88 – $15.26 | 3 |
| Lipoprotein direct measurement ldl CPT 83721 | $95.04 | $132.00 | $13.88 – $15.26 | 3 |
| Lithium therapeutic drug level CPT 80178 | $1,188.72 | $1,651.00 | $31.16 – $34.28 | 3 |
| Liver Function Test CPT 80076 | $174.24 | $242.00 | $23.20 – $25.52 | 3 |
| Liver/spleen imag static only CPT 78215 | $1,152.00 | $1,600.00 | $1,600.00 – $2,787.86 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $25.20 | $35.00 | $2.33 – $2.33 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,057.84 | $4,247.00 | $962.88 – $2,290.00 | 4 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,386.80 | $3,315.00 | $962.88 – $2,290.00 | 4 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,982.16 | $2,753.00 | $338.02 – $2,290.00 | 4 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,084.56 | $5,673.00 | $1,289.52 – $2,862.00 | 4 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,514.32 | $4,881.00 | $1,289.52 – $2,862.00 | 4 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,881.44 | $4,002.00 | $382.15 – $2,862.00 | 4 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $419.04 | $582.00 | $177.88 – $195.67 | 3 |
| Lung Function Test (Spirometry) CPT 94010 | $337.68 | $469.00 | $182.43 – $200.67 | 3 |
| Lung perfusion imaging CPT 78580 | $1,170.00 | $1,625.00 | $1,625.00 – $2,787.86 | 3 |
| Macroscopic exam arthropod CPT 87168 | $33.84 | $47.00 | $27.07 – $29.78 | 3 |
| Magnesium CPT 83735 | $140.40 | $195.00 | $13.88 – $15.26 | 3 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $108.00 | $150.00 | $0.68 – $0.68 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $278.64 | $387.00 | $182.43 – $200.67 | 3 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $278.64 | $387.00 | $182.43 – $200.67 | 3 |
| Mastoids complete CPT 70130 | $447.84 | $622.00 | $177.88 – $195.67 | 3 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $75.60 | $105.00 | $30.71 – $33.78 | 3 |
| Mayo aathr protein s free CPT 85306 | $219.60 | $305.00 | $11.37 – $12.51 | 3 |
| Mayo activated protein c resistance assay CPT 85307 | $110.16 | $153.00 | $15.24 – $16.76 | 3 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $104.40 | $145.00 | $31.16 – $34.28 | 3 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $304.56 | $423.00 | $35.94 – $39.53 | 3 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $141.84 | $197.00 | $30.71 – $33.78 | 3 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $198.72 | $276.00 | $35.94 – $39.53 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $209.52 | $291.00 | $30.71 – $33.78 | 3 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $71.28 | $99.00 | $31.16 – $34.28 | 3 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $342.72 | $476.00 | $119.65 – $131.61 | 3 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,132.56 | $1,573.00 | $119.65 – $131.61 | 3 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $620.64 | $862.00 | $423.09 – $465.40 | 3 |
| Mayo androstenedione CPT 82157 | $242.64 | $337.00 | $33.89 – $37.28 | 3 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $182.16 | $253.00 | $30.71 – $33.78 | 3 |
| Mayo antithrombin iii antigen CPT 85301 | $73.44 | $102.00 | $11.37 – $12.51 | 3 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $269.28 | $374.00 | $29.57 – $32.53 | 3 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $99.36 | $138.00 | $35.94 – $39.53 | 3 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $123.84 | $172.00 | $29.57 – $32.53 | 3 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $259.92 | $361.00 | $361.00 – $423.09 | 3 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $101.52 | $141.00 | $29.57 – $32.53 | 3 |
| Mayo brcmg brucella antibody igm CPT 86622 | $93.60 | $130.00 | $29.57 – $32.53 | 3 |
| Mayo c1 esterase inhibitor CPT 83883 | $284.40 | $395.00 | $29.57 – $32.53 | 3 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $239.04 | $332.00 | $35.94 – $39.53 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $241.92 | $336.00 | $30.71 – $33.78 | 3 |
| Mayo ceruloplasmin CPT 82390 | $139.68 | $194.00 | $13.88 – $15.26 | 3 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $72.00 | $100.00 | $30.71 – $33.78 | 3 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $332.64 | $462.00 | $29.57 – $32.53 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $160.56 | $223.00 | $29.57 – $32.53 | 3 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $516.24 | $717.00 | $29.57 – $32.53 | 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.