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 |
|---|---|---|---|---|
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $13.20 – $51.35 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $347.10 | $534.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $5.20 | $8.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $58.50 | $90.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $68.25 | $105.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $97.50 | $150.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $280.15 | $431.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $430.30 | $662.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $297.21 | $457.25 | $0.49 – $1.89 | 2 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.67 – $6.37 | 2 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $891.02 | $1,370.80 | $0.62 – $2.34 | 2 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $5,559.68 | $8,553.36 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $1,773.35 | $2,728.23 | not published | 0 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.98 – $0.98 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,396.20 | $2,148.00 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $488.80 | $752.00 | not published | 0 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $138.45 | $213.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $488.80 | $752.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $407.55 | $627.00 | not published | 0 |
| Fix g/colon tube w/device CPT 49460 | $4,574.70 | $7,038.00 | not published | 0 |
| Flebogamma injection HCPCS J1572 | not published | not published | $344.11 – $344.11 | 1 |
| Flecainide (tambocor)-sendout CPT 80181 | $71.50 | $110.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $2,063.10 | $3,174.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $2,563.60 | $3,944.00 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $22,100.00 – $22,100.00 | 1 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $2,275.00 – $2,275.00 | 1 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $4,116.00 – $4,116.00 | 1 |
| Flow cytometry marker each additional CPT 88185 | $1,365.00 | $2,100.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $222.95 | $343.00 | not published | 0 |
| Floxuridine injection HCPCS J9200 | not published | not published | $7,013.44 – $25,932.66 | 2 |
| Flt3 gene CPT 81245 | $977.60 | $1,504.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $494.00 | $760.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $49.11 | $75.55 | $3.84 – $15.54 | 2 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $121.80 – $1,093.95 | 2 |
| Fluidotherapy charges pt CPT 97022 | $71.50 | $110.00 | not published | 0 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $846.25 – $3,208.92 | 2 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $577.60 – $2,166.00 | 2 |
| Fluorescent antibody titer dna CPT 86256 | $223.60 | $344.00 | not published | 0 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $3,242.66 – $3,242.66 | 1 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $4,999.61 – $4,999.61 | 1 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $646.75 | $995.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $546.00 | $840.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $608.40 | $936.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $202.31 | $311.25 | $2.92 – $14.50 | 2 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $12.80 – $61.17 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $20,800.00 – $20,800.00 | 1 |
| Fmri brain by tech CPT 70554 | $4,865.90 | $7,486.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,396.20 | $2,148.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $488.80 | $752.00 | not published | 0 |
| Folic acid CPT 82746 | $46.80 | $72.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $22.78 | $35.05 | $0.10 – $0.10 | 1 |
| Follow-up angiography CPT 75898 | $5,427.50 | $8,350.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,575.73 | $2,424.20 | $80.80 – $80.80 | 1 |
| Fondaparinux sodium HCPCS J1652 | $54.02 | $83.10 | $1.22 – $4.36 | 2 |
| Foot X-ray CPT 73630 | $659.10 | $1,014.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $93.31 | $143.55 | $0.19 – $0.78 | 2 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $26.49 – $248.82 | 2 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $61.13 | $94.05 | $23.27 – $23.27 | 1 |
| Fracture assessment via dxa CPT 77086 | $978.90 | $1,506.00 | not published | 0 |
| _fragile x methylation-sendout CPT 81244 | $562.25 | $865.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $142.35 | $219.00 | not published | 0 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $5.53 – $5.53 | 1 |
| Fructosamine glycated protein CPT 82985 | $39.65 | $61.00 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $179.40 | $276.00 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $22.49 | $34.60 | $0.04 – $0.04 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $14.15 | $21.77 | $2.54 – $2.54 | 1 |
| G6pc gene CPT 81250 | $91.65 | $141.00 | not published | 0 |
| G6pd full gene sequence CPT 81249 | $2,137.20 | $3,288.00 | not published | 0 |
| G6pd known familial variant CPT 81248 | $4,973.80 | $7,652.00 | not published | 0 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $16.58 | $25.50 | $0.07 – $0.07 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $361.14 – $361.14 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.45 – $1.82 | 2 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $2.51 – $9.62 | 2 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.32 | $0.49 | $0.20 – $0.78 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $25.00 – $95.55 | 2 |
| Galectin-3 CPT 82777 | $241.15 | $371.00 | not published | 0 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $49.27 – $49.27 | 1 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $4,950.47 – $4,950.47 | 1 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $5,056.09 – $5,056.09 | 1 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,651.72 | $2,541.10 | $6,396.00 – $6,396.00 | 1 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $5,356.00 – $5,356.00 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $284.01 – $3,212.04 | 2 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $82.32 – $321.23 | 2 |
| Gammaglobulin iga CPT 82784 | $86.45 | $133.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $28.60 | $44.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $40.30 | $62.00 | not published | 0 |
| Gammaplex injection HCPCS J1557 | not published | not published | $106.19 – $369.01 | 2 |
| Gamunex-c/gammaked HCPCS J1561 | $7,372.04 | $11,341.60 | $81.65 – $318.57 | 2 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $67.35 – $186.81 | 2 |
| Gastric emptying imag study CPT 78265 | $2,233.40 | $3,436.00 | not published | 0 |
| Gastric emptying imag study CPT 78266 | $2,404.35 | $3,699.00 | not published | 0 |
| Gastroesophageal reflux test CPT 91034 | $2,804.75 | $4,315.00 | not published | 0 |
| Gated heart multiple CPT 78473 | $2,083.25 | $3,205.00 | not published | 0 |
| Gba gene CPT 81251 | $643.50 | $990.00 | not published | 0 |
| Gel-one HCPCS J7326 | not published | not published | $890.83 – $3,421.47 | 2 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $1.11 – $3.64 | 2 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $110.92 | $170.65 | $5.03 – $18.66 | 2 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $402.25 – $1,515.28 | 2 |
| General health panel CPT 80050 | $189.80 | $292.00 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $34,353.58 | $52,851.66 | 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.