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 |
|---|---|---|---|---|
| Helicobacter pylori antibody igm CPT 86677 | $153.40 | $236.00 | not published | 0 |
| Hematocrit CPT 85014 | $6.50 | $10.00 | not published | 0 |
| Hematopoietic nuclear tx CPT 79403 | $3,854.50 | $5,930.00 | not published | 0 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $58.08 – $215.28 | 2 |
| Hemodialysis one evaluation CPT 90935 | $3,498.95 | $5,383.00 | not published | 0 |
| Hemoglobin CPT 85018 | $6.50 | $10.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $58.50 | $90.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $149.50 | $230.00 | not published | 0 |
| Hemophilus influenza antibdy CPT 86684 | $58.50 | $90.00 | not published | 0 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,912.95 | $2,943.00 | not published | 0 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $121.83 – $428.61 | 2 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $121.83 – $428.61 | 2 |
| Heparin assay CPT 85520 | $861.25 | $1,325.00 | not published | 0 |
| Heparin bolus from bag HCPCS J1644 | $70.52 | $108.50 | $0.37 – $1.30 | 2 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.51 | $0.78 | $0.03 – $0.13 | 2 |
| Hepatitis a antibody igm CPT 86709 | $74.10 | $114.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $92.95 | $143.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $87.10 | $134.00 | not published | 0 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $490.30 | $754.31 | $222.13 – $951.02 | 2 |
| Hepatitis b surface ag quan CPT 87467 | $488.15 | $751.00 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $71.50 | $110.00 | not published | 0 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $239.28 – $914.88 | 2 |
| Hepatitis c antibody CPT 86803 | $46.80 | $72.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $1,943.50 | $2,990.00 | not published | 0 |
| Hereditary colon ca dsordrs CPT 81435 | $6,230.25 | $9,585.00 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $101.40 | $156.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $101.40 | $156.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $179.40 | $276.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $135.20 | $208.00 | not published | 0 |
| Heterophile antibody absrbj CPT 86310 | $45.50 | $70.00 | not published | 0 |
| Hexa gene CPT 81255 | $574.60 | $884.00 | not published | 0 |
| Hhv-6 dna quant CPT 87533 | $1,006.85 | $1,549.00 | not published | 0 |
| Hip X-ray CPT 73502 | $397.15 | $611.00 | not published | 0 |
| Histamine CPT 83088 | $256.10 | $394.00 | not published | 0 |
| Histochemical stains add-on CPT 88314 | $128.70 | $198.00 | not published | 0 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $121.17 – $463.39 | 2 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $2.95 – $11.83 | 2 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $11.96 – $44.79 | 2 |
| Hizentra injection HCPCS J1559 | not published | not published | $24.01 – $88.66 | 2 |
| Hla class i high defin qual CPT 86832 | $1,272.05 | $1,957.00 | not published | 0 |
| Hla class ii high defin qual CPT 86833 | $1,158.95 | $1,783.00 | not published | 0 |
| Hla ii typing 1 loc hr CPT 81382 | $876.85 | $1,349.00 | not published | 0 |
| Hla ii typing ag equiv lr CPT 81375 | $239.20 | $368.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $335.40 | $516.00 | not published | 0 |
| Hla i typing 1 locus hr CPT 81380 | $1,069.25 | $1,645.00 | not published | 0 |
| Hla i typing complete lr CPT 81372 | $349.70 | $538.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $341.25 | $525.00 | not published | 0 |
| Hla i typing low res one locus ea CPT 81373 | $376.35 | $579.00 | not published | 0 |
| Hlth bhv assmt/reassessment CPT 96156 | $185.90 | $286.00 | not published | 0 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.07 – $0.07 | 1 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.48 – $1.89 | 2 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.37 – $1.43 | 2 |
| Homocysteine CPT 83090 | $187.85 | $289.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $103.35 | $159.00 | not published | 0 |
| Homovanillic acid (hva) CPT 83150 | $69.55 | $107.00 | not published | 0 |
| Hpa-15 genotyping CPT 81112 | $129.35 | $199.00 | not published | 0 |
| Hpa-1 genotyping CPT 81105 | $129.35 | $199.00 | not published | 0 |
| Hpa-2 genotyping CPT 81106 | $129.35 | $199.00 | not published | 0 |
| Hpa-3 genotyping CPT 81107 | $129.35 | $199.00 | not published | 0 |
| Hpa-4 genotyping CPT 81108 | $129.35 | $199.00 | not published | 0 |
| Hpa-5 genotyping CPT 81109 | $129.35 | $199.00 | not published | 0 |
| Hpa-6 genotyping CPT 81110 | $129.35 | $199.00 | not published | 0 |
| Hpa-9 genotyping CPT 81111 | $129.35 | $199.00 | not published | 0 |
| Hpv types 16 & 18 only CPT 87625 | $45.50 | $70.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $70.20 | $108.00 | not published | 0 |
| Hrdtry cardmypy gene panel CPT 81439 | $6,434.35 | $9,899.00 | not published | 0 |
| Hrdtry perph neurphy panel CPT 81448 | $5,350.80 | $8,232.00 | not published | 0 |
| Htt gene detc abnor alleles CPT 81271 | $487.50 | $750.00 | not published | 0 |
| Human epididymis protein 4 (he4) CPT 86305 | $98.15 | $151.00 | not published | 0 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $20.48 – $20.48 | 1 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $53.64 – $195.46 | 2 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.85 – $3.25 | 2 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $176.15 | $271.00 | $0.62 – $2.41 | 2 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $31.62 | $48.65 | $8.82 – $26.52 | 2 |
| Hydration IV infusion each additional hour CPT 96361 | $89.05 | $137.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $296.40 | $456.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $85.83 | $132.05 | $36.04 – $136.11 | 2 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $540.51 | $831.55 | $0.14 – $0.59 | 2 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $184.14 | $283.30 | not published | 0 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.07 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $55.80 | $85.85 | $28.78 – $80.02 | 2 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.65 – $0.65 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $447.85 | $689.00 | not published | 0 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $29.65 – $113.23 | 2 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $351.00 – $351.00 | 1 |
| Hyperthermia ext gen deep CPT 77605 | $3,223.35 | $4,959.00 | not published | 0 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $31.26 – $114.99 | 2 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $2,449.20 | $3,768.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $929.50 | $1,430.00 | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $1,286.35 – $1,286.35 | 1 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $33,204.67 – $33,204.67 | 1 |
| I-123 ioflupane diag HCPCS A9584 | $4,151.62 | $6,387.10 | $16,042.00 – $16,042.00 | 1 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $72.12 | $110.95 | $622.96 – $622.96 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $0.07 – $0.07 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $33.48 | $51.50 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $172.25 | $265.00 | not published | 0 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $52.36 – $164.84 | 2 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $5.17 – $19.31 | 2 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $1,938.95 – $1,938.95 | 1 |
| Icatibant injection HCPCS J1744 | $148.08 | $227.82 | $605.74 – $605.74 | 1 |
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.