Adenosine 3 mg/250 ml bag for osm at Shelby Hospital

199 West Main Street, Shelby, OH · OhioHealth · · NPI 1487706016

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 10, 2026

$24.21

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$37.25

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.78 with Caresource vs $2.08 with Bcbs — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Caresource Exchange $0.78 ↓ -97%
Bcbs Anthem Blue Connection Other Commercial Plan $2.08 ↓ -91%
Bcbs Anthem All Commercial Plans $2.08 ↓ -91%

Visitor-reported prices

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Adenosine 3 mg/250 ml bag for osm at other Ohio hospitals

Hospital City Cash price Negotiated range
Trinity Medical Center East Steubenville $153.74 $0.32 – $20.79
University Hospitals Regional Hospitals - Geauga Medical Center Chardon $528.78 $1.29 – $1.29
University Hospitals Geneva Medical Center Geneva $528.78 $1.45 – $1.45
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road $528.78 not published
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard $528.78 $0.86 – $0.86
University Hospitals Portage Medical Center Ravenna OH 44266 $528.78 $1.16 – $1.16
University Hospitals St. John Medical Center Westlake OH $528.78 $0.76 – $7.28
University Hospitals Samaritan Medical Center Ashland $528.78 $1.10 – $5.40

All Ohio hospitals for this procedure →