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 |
|---|---|---|---|---|
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $163.15 | $251.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $200.85 | $309.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $239.20 | $368.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $7,800.00 | $12,000.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $1,145.95 | $1,763.00 | not published | 0 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $74.65 | $114.85 | $6.49 – $27.11 | 2 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $968.18 | $1,489.50 | $514.97 – $2,111.20 | 2 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $26.44 – $101.40 | 2 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $30.67 – $90.09 | 2 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $69.65 | $107.15 | $0.05 – $0.26 | 2 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.09 – $0.26 | 2 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $28,415.40 | $43,716.00 | $92.93 – $334.04 | 2 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $4,921.51 | $7,571.55 | $5.09 – $19.31 | 2 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $5.09 – $19.31 | 2 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $433.66 – $1,614.67 | 2 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $33.60 – $152.88 | 2 |
| Dch pulmonary stress test CPT 94621 | $1,924.00 | $2,960.00 | not published | 0 |
| Dch validity tests CPT 81002 | $57.20 | $88.00 | not published | 0 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $1,969.50 | $3,030.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $46.80 | $72.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $401.05 | $617.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $120.25 | $185.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,165.15 | $3,331.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $165.10 | $254.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $187.20 | $288.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $503.75 | $775.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $267.80 | $412.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $412.75 | $635.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $164.45 | $253.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $606.45 | $933.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $806.65 | $1,241.00 | not published | 0 |
| Decalcification CPT 88311 | $130.65 | $201.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $2.71 – $15.15 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $865.15 | $1,331.00 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $15.33 – $58.11 | 2 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $7.41 – $27.82 | 2 |
| Delivery of placenta 59414 CPT 59414 | $1,823.25 | $2,805.00 | not published | 0 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $11,307.40 | $17,396.00 | not published | 0 |
| Demonstrate use home inr mon HCPCS G0248 | $118.95 | $183.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $127.40 | $196.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $10,954.38 | $16,852.90 | $49.70 – $179.79 | 2 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $397.15 | $611.00 | not published | 0 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $79.75 – $251.23 | 2 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $2,521.35 | $3,879.00 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $1,669.85 | $2,569.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $37.93 | $58.35 | $6.62 – $32.18 | 2 |
| Desoxycorticosterone CPT 82633 | $631.80 | $972.00 | not published | 0 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $924.95 | $1,423.00 | not published | 0 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $2,521.35 | $3,879.00 | not published | 0 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $924.95 | $1,423.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,328.70 | $8,198.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,421.55 | $2,187.00 | not published | 0 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $3,613.35 | $5,559.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $988.00 | $1,520.00 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $765.70 | $1,178.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,673.10 | $2,574.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,074.20 | $6,268.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $139.10 | $214.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $365.95 | $563.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $4,521.90 | $6,956.77 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $2,212.80 | $3,404.30 | $7,895.10 – $7,895.10 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $1,418.79 | $2,182.76 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $183.30 | $282.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $300.95 | $463.00 | not published | 0 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $172.53 – $734.18 | 2 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $7.48 – $7.48 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.42 | $6.80 | $0.03 – $0.39 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $23.79 | $36.60 | $0.20 – $0.72 | 2 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $348.97 – $1,336.14 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $54.54 – $525.72 | 2 |
| Dextran 40 infusion HCPCS J7100 | $137.76 | $211.94 | $253.76 – $253.76 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $43.65 | $67.15 | $2.30 – $7.67 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $45.38 | $69.82 | $51.87 – $51.87 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $43.90 | $67.54 | $3.44 – $11.70 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | $44.91 | $69.09 | $5.17 – $23.40 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $66.95 | $103.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $70.85 | $109.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $38.35 | $59.00 | not published | 0 |
| Diag bronchoscope/catheter CPT 31643 | $3,014.70 | $4,638.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $289.25 | $445.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $52.00 | $80.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $52.00 | $80.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $503.75 | $775.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $327.60 | $504.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $521.95 | $803.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $391.30 | $602.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $8,333.00 | $12,820.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $573.30 | $882.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.13 – $0.46 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $203.12 | $312.50 | $10.49 – $55.58 | 2 |
| Dicyclomine injection HCPCS J0500 | $75.32 | $115.87 | $19.85 – $96.85 | 2 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $1.50 – $1.50 | 1 |
| Diffusing capacity CPT 94729 | $182.00 | $280.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $187.20 | $288.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $27.12 | $41.73 | $6.80 – $57.33 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $15,014.28 | $23,098.90 | $8,446.59 – $32,954.87 | 2 |
| Digoxin total therapeutic drug level CPT 80162 | $57.85 | $89.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $139.96 | $215.33 | $165.02 – $266.76 | 2 |
| Dilate biliary duct/ampulla CPT 47542 | $7,367.75 | $11,335.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,797.90 | $2,766.00 | 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.