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 |
|---|---|---|---|---|
| Crystal identification light microscopy CPT 89060 | $219.05 | $337.00 | not published | 0 |
| Csf leakage imaging CPT 78650 | $1,760.85 | $2,709.00 | not published | 0 |
| Csf shunt reprogram 62252 CPT 62252 | $286.65 | $441.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $597.35 | $919.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,497.95 | $3,843.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,468.70 | $3,798.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,273.40 | $5,036.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $2,300.35 | $3,539.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,411.85 | $5,249.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,165.80 | $3,332.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $2,300.35 | $3,539.00 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $2,372.50 | $3,650.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $2,298.40 | $3,536.00 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,691.30 | $2,602.00 | not published | 0 |
| CT colonography dx CPT 74261 | $1,197.30 | $1,842.00 | not published | 0 |
| CT colonography screening CPT 74263 | $1,197.30 | $1,842.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $3,129.10 | $4,814.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $2,380.95 | $3,663.00 | not published | 0 |
| CT guid parench tis ablat CPT 77013 | $3,586.70 | $5,518.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $380.25 | $585.00 | not published | 0 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,371.50 | $2,110.00 | not published | 0 |
| CT hrt w/3d image CPT 75572 | $1,371.50 | $2,110.00 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $1,375.40 | $2,116.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,606.50 | $4,010.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,369.90 | $3,646.00 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,867.80 | $4,412.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $2,215.85 | $3,409.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $2,013.70 | $3,098.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,437.50 | $3,750.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,923.35 | $2,959.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,749.15 | $2,691.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,589.25 | $2,445.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $628.55 | $967.00 | not published | 0 |
| CT scan for therapy guide CPT 77014 | $2,804.10 | $4,314.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,249.35 | $4,999.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,825.55 | $4,347.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,559.70 | $3,938.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $2,328.30 | $3,582.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $2,116.40 | $3,256.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $640.90 | $986.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $2,561.00 | $3,940.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,869.10 | $4,414.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,607.80 | $4,012.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,155.10 | $4,854.00 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $93.60 | $144.00 | not published | 0 |
| Culture afb any source CPT 87116 | $241.15 | $371.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $195.00 | $300.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $174.20 | $268.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $78.00 | $120.00 | not published | 0 |
| Culture body fluid CPT 87070 | $148.85 | $229.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $95.55 | $147.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $108.55 | $167.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $238.55 | $367.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $292.50 | $450.00 | not published | 0 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $180.05 | $277.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $114.40 | $176.00 | not published | 0 |
| Culture quantitative aerobic other source CPT 87071 | $198.90 | $306.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $101.40 | $156.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $76.70 | $118.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $1,090.05 | $1,677.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $115.05 | $177.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $63.05 | $97.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $639.55 | $983.92 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,752.40 | $2,696.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $336.70 | $518.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $28.08 | $43.20 | $1.61 – $8.26 | 2 |
| Cyclic citrullinated peptide antibody CPT 86200 | $162.50 | $250.00 | not published | 0 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $329.03 | $506.20 | $1.06 – $5.72 | 2 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $28.83 | $44.35 | $3.37 – $5.46 | 2 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $123.57 – $463.84 | 2 |
| Cyclosporine 2 hour CPT 80158 | $37.70 | $58.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $8.55 | $13.15 | $1.31 – $5.40 | 2 |
| Cyclosporine oral 100 mg HCPCS J7502 | $30.62 | $47.10 | $3.52 – $14.30 | 2 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $11,344.05 | $17,452.38 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $975.00 | $1,500.00 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $1,318.20 | $2,028.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $444.60 | $684.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $1,065.35 | $1,639.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $1,244.75 | $1,915.00 | not published | 0 |
| Cystatin c CPT 82610 | $89.05 | $137.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $2,495.35 | $3,839.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $389.35 | $599.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $564.85 | $869.00 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $4,360.85 | $6,709.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,150.50 | $1,770.00 | not published | 0 |
| Cystoscopy chemodenervation CPT 52287 | $1,691.30 | $2,602.00 | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | $2,859.35 | $4,399.00 | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $4,381.00 | $6,740.00 | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | $4,449.90 | $6,846.00 | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $79.69 | $122.60 | $1.37 – $5.14 | 2 |
| Cytogenetics 25-99 CPT 88274 | $70.20 | $108.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $4,689.75 | $7,215.00 | not published | 0 |
| Cytogenom microarray copy nmbr var CPT 81228 | $3,790.80 | $5,832.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $325.65 | $501.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $190.45 | $293.00 | not published | 0 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $3,076.05 – $11,791.72 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $251.55 | $387.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $41.60 | $64.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $37.70 | $58.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $283.40 | $436.00 | not published | 0 |
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.