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 |
|---|---|---|---|---|
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $5,957.90 | $9,166.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $5,914.35 | $9,099.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $9,159.80 | $14,092.00 | not published | 0 |
| Dilation of salivary duct CPT 42660 | $349.05 | $537.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $134.88 | $207.51 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $8,364.85 | $12,869.00 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $8,364.85 | $12,869.00 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $22.59 | $34.75 | $0.06 – $0.06 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $366.73 – $366.73 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $13.16 – $56.36 | 2 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $1,262.92 – $4,650.04 | 2 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.13 – $0.13 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $23.47 | $36.11 | $1.54 – $4.75 | 2 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $429.59 – $429.59 | 1 |
| Disability dlco CPT 94727 | $302.90 | $466.00 | not published | 0 |
| Disaccharidases CPT 82657 | $779.35 | $1,199.00 | not published | 0 |
| Discography cerv/thor spine CPT 72285 | $2,252.90 | $3,466.00 | not published | 0 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $11,437.40 | $17,596.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $2,007.85 | $3,089.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $1,690.65 | $2,601.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $237.90 | $366.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $82.55 | $127.00 | not published | 0 |
| Dna probe chlamydia CPT 87490 | $29.25 | $45.00 | not published | 0 |
| Dna probe gc CPT 87590 | $144.30 | $222.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $82.55 | $127.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $140.34 | $215.90 | $13.56 – $48.04 | 2 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,344.56 | $2,068.55 | $0.64 – $4.75 | 2 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $83.43 – $339.37 | 2 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $0.07 – $0.07 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $392.08 – $392.08 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $64.77 | $99.65 | $1.12 – $5.01 | 2 |
| Doppler echo complete CPT 93320 | $209.95 | $323.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,626.65 | $4,041.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $605.15 | $931.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $481.65 | $741.00 | not published | 0 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.07 – $0.07 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $93.77 – $348.34 | 2 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $650.32 | $1,000.49 | $414.50 – $1,560.39 | 2 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $72.31 | $111.25 | $4.63 – $21.58 | 2 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $728.72 | $1,121.10 | $185.78 – $884.33 | 2 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $54.86 | $84.40 | $0.20 – $0.20 | 1 |
| Dpyd gene common variants CPT 81232 | $1,218.75 | $1,875.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $495.30 | $762.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $991.90 | $1,526.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $3,422.90 | $5,266.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $261.30 | $402.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $4,511.65 | $6,941.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $5,045.30 | $7,762.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,354.60 | $2,084.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $611.00 | $940.00 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $2,982.20 | $4,588.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $397.15 | $611.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $163.15 | $251.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $428.35 | $659.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $83.50 – $83.50 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | $551.85 | $849.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,125.15 | $1,731.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $969.80 | $1,492.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,307.80 | $2,012.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.85 – $12.03 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $31.92 | $49.10 | $9.11 – $62.92 | 2 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $731.31 | $1,125.09 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $21.05 – $21.05 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $19.90 – $19.90 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $4.22 – $4.22 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $91.39 – $91.39 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $671.45 | $1,033.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $110.50 | $170.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $139.10 | $214.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $93.60 | $144.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $733.20 | $1,128.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $195.65 | $301.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $576.55 | $887.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $76.70 | $118.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $96.20 | $148.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $288.60 | $444.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $276.25 | $425.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,507.40 | $5,396.00 | not published | 0 |
| Ductogram sgl duct CPT 77053 | $567.45 | $873.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $568.10 | $874.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $458.25 | $705.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $720.85 | $1,109.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $759.85 | $1,169.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $801.45 | $1,233.00 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $2,832.47 | $4,357.65 | $144.93 – $545.22 | 2 |
| Dxa bone density axl vrt fx CPT 77085 | $1,684.15 | $2,591.00 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,405.35 | $5,239.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,923.70 | $4,498.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,644.85 | $4,069.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $639.60 | $984.00 | not published | 0 |
| Ecallantide injection HCPCS J1290 | not published | not published | $985.98 – $3,660.15 | 2 |
| Ecg 12 lead tracing only CPT 93005 | $96.85 | $149.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $284.70 | $438.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $367.25 | $565.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $438.75 | $675.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $375.05 | $577.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $375.05 | $577.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,347.45 | $2,073.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $238.55 | $367.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,347.45 | $2,073.00 | 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.