Shelby Hospital
199 West Main Street, Shelby, OH · OhioHealth · · NPI 1487706016
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $81.90 | $126.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $154.70 | $238.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $206.70 | $318.00 | not published | 0 |
| 24 hr ambulatory b/p monitor CPT 93786 | $321.10 | $494.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,790.75 | $2,755.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,515.80 | $2,332.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $2,232.10 | $3,434.00 | not published | 0 |
| 3d ech img cgen car anomal CPT 93319 | $290.55 | $447.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $7,637.50 | $11,750.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $377.65 | $581.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $3,002.35 | $4,619.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $178.10 | $274.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $88.40 | $136.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $88.40 | $136.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $192.02 | $295.41 | $75.64 – $284.70 | 2 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $221.65 | $341.00 | not published | 0 |
| Abciximab injection HCPCS J0130 | not published | not published | $0.07 – $0.07 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $5,562.05 | $8,557.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $2,271.10 | $3,494.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,286.70 | $3,518.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $2,286.70 | $3,518.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $1,092.65 | $1,681.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,343.25 | $3,605.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,037.10 | $3,134.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,771.25 | $2,725.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,274.70 | $5,038.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $2,976.35 | $4,579.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,705.95 | $4,163.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,584.05 | $2,437.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $820.30 | $1,262.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $545.35 | $839.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,684.15 | $2,591.00 | not published | 0 |
| Abl1 gene CPT 81170 | $682.50 | $1,050.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $4,657.25 | $7,165.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $18,739.50 | $28,830.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $18,465.20 | $28,408.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $18,951.40 | $29,156.00 | not published | 0 |
| Ablate pulm tumor perq crybl CPT 32994 | $16,465.80 | $25,332.00 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $24,698.70 | $37,998.00 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $3,549.65 | $5,461.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $2,604.55 | $4,007.00 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $3,891.55 | $5,987.00 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $7,148.70 | $10,998.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $304.20 | $468.00 | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | $3,408.60 | $5,244.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,037.10 | $3,134.00 | not published | 0 |
| Abltj mal prst8 tiss hifu CPT 55880 | $18,712.85 | $28,789.00 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $15.59 – $55.45 | 2 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,438.20 | $6,828.00 | not published | 0 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $9,830.60 | $15,124.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $31.98 | $49.20 | $0.09 – $0.33 | 2 |
| Acetaminophen level CPT 80143 | $144.95 | $223.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $88.93 | $136.81 | $29.28 – $140.53 | 2 |
| Acetylcholine receptor modulating antibody CPT 86043 | $175.50 | $270.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $296.40 | $456.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $27.14 | $41.75 | $0.63 – $3.58 | 2 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $15.12 – $52.98 | 2 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $30.55 | $47.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $272.35 | $419.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.29 | $0.45 | $0.05 – $0.33 | 2 |
| #acylcarnitineprfl CPT 82017 | $144.30 | $222.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $750.39 | $1,154.45 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $24.21 | $37.25 | $0.78 – $2.08 | 2 |
| Adenovirus antibody,serum - quest CPT 86603 | $194.35 | $299.00 | not published | 0 |
| Adh-sendout CPT 84588 | $234.00 | $360.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $2,771.60 | $4,264.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $4,458.80 | $6,859.70 | $1.43 – $1.43 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $546.00 | $840.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $570.70 | $878.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,126.45 | $1,733.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $648.05 | $997.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $325.00 | $500.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $325.00 | $500.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $44.20 | $68.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $21.45 | $33.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $35.75 | $55.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $35.75 | $55.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $35.75 | $55.00 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $20.80 | $32.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $17,264.68 | $26,561.05 | $71.15 – $266.31 | 2 |
| Adrenal cortex & medulla img CPT 78075 | $2,239.25 | $3,445.00 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $133.90 | $206.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $220.35 | $339.00 | not published | 0 |
| Aflibercept injection HCPCS J0178 | not published | not published | $1,343.06 – $5,206.96 | 2 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $391.45 – $1,452.88 | 2 |
| Air conduction bilat CPT 92552 | $75.40 | $116.00 | not published | 0 |
| Air injection into abdomen 49400 CPT 49400 | $2,207.40 | $3,396.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $83.20 | $128.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $155.45 | $239.15 | $90.23 – $345.02 | 2 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $36.09 – $138.00 | 2 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $114.04 | $175.44 | $90.23 – $345.02 | 2 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $18.05 – $69.03 | 2 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $55.90 | $86.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $9.75 | $15.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.34 – $1.24 | 2 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.27 – $1.04 | 2 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.13 – $0.46 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $137.15 | $211.00 | not published | 0 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $36,084.56 – $36,084.56 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $4,149.19 – $15,686.84 | 2 |
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.