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 |
|---|---|---|---|---|
| Alkaline phosphatase CPT 84075 | $9.75 | $15.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $292.50 | $450.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $54.60 | $84.00 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $302.32 | $465.11 | $144.26 – $144.26 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $171.22 – $171.22 | 1 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $5,098.58 | $7,843.97 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $52.19 – $52.19 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $547.07 | $841.65 | $255.56 – $255.56 | 1 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $156.98 | $241.51 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $214.31 – $214.31 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $478.27 | $735.80 | $411.18 – $411.18 | 1 |
| Alloskin HCPCS Q4115 | not published | not published | $24.61 – $24.61 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | $128.70 | $198.00 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1,659.38 | $2,552.90 | $8.81 – $33.09 | 2 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $266.50 | $410.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $77.35 | $119.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $68.90 | $106.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $0.92 | $1.42 | $66.76 – $66.76 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $23,242.18 | $35,757.20 | $160.06 – $594.62 | 2 |
| Alt/sgpt CPT 84460 | $9.75 | $15.00 | not published | 0 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $7.94 – $30.16 | 2 |
| Aluminum - quest CPT 82108 | $86.45 | $133.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $1,367.60 | $2,104.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $477.75 | $735.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $28.63 | $44.05 | $1.05 – $3.51 | 2 |
| Amino acids quant 2-5 CPT 82136 | $159.90 | $246.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $45.50 | $70.00 | $2.54 – $2.54 | 1 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $3.08 – $11.18 | 2 |
| Aminolevulinic acid delta CPT 82135 | $141.70 | $218.00 | not published | 0 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $669.59 – $2,569.19 | 2 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $45.56 | $70.10 | $14.11 – $33.61 | 2 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $79.59 | $122.45 | $4.44 – $16.38 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $23.56 | $36.25 | $0.86 – $2.54 | 2 |
| Amitriptyline (elavil) -sendout CPT 80335 | $115.70 | $178.00 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $56.22 | $86.49 | $37.75 – $140.14 | 2 |
| Ammonia CPT 82140 | $245.70 | $378.00 | not published | 0 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $867.10 | $1,334.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $910.00 | $1,400.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $83.85 | $129.00 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $286.00 | $440.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $135.78 | $208.90 | $58.01 – $325.46 | 2 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $17.51 – $68.25 | 2 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $342.26 | $526.55 | $38.45 – $155.87 | 2 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $32.01 | $49.25 | $0.83 – $4.62 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $44.23 | $68.05 | $2.54 – $10.66 | 2 |
| Amputation toe interphalangeal joint CPT 28825 | $2,271.10 | $3,494.00 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $2,566.85 | $3,949.00 | not published | 0 |
| Amylase CPT 82150 | $83.20 | $128.00 | not published | 0 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $372.26 – $372.26 | 1 |
| Ana ds-dna CPT 86226 | $410.80 | $632.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $77.35 | $119.00 | not published | 0 |
| Anal pressure record CPT 91122 | $1,294.80 | $1,992.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $192.40 | $296.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $163.15 | $251.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $684.45 | $1,053.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $33.15 | $51.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $180.70 | $278.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $4,185.35 | $6,439.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $946.40 | $1,456.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $8,313.50 | $12,790.00 | not published | 0 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $30,442.10 | $46,834.00 | not published | 0 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $27,588.60 | $42,444.00 | not published | 0 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $5,864.95 | $9,023.00 | not published | 0 |
| Angiotensin ii CPT 82163 | $58.50 | $90.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $6,736.02 | $10,363.10 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $31,840.90 | $48,986.00 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $6,755.45 | $10,393.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $22,854.00 | $35,160.00 | not published | 0 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $6,509.75 | $10,015.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $16,627.00 | $25,580.00 | not published | 0 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.82 – $3.32 | 2 |
| Ankle X-ray CPT 73610 | $513.50 | $790.00 | not published | 0 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $789.10 | $1,214.00 | not published | 0 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $88.40 | $136.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $88.40 | $136.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $88.40 | $136.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $88.40 | $136.00 | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | $3,090.10 | $4,754.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $194.35 | $299.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $663.65 | $1,021.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $304.20 | $468.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $100.10 | $154.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $557.05 | $857.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $383.50 | $590.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $82.55 | $127.00 | not published | 0 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $306.80 | $472.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $45.50 | $70.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $130.00 | $200.00 | not published | 0 |
| Antidepressant not specified CPT 80338 | $219.70 | $338.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $2.53 – $9.43 | 2 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $2.09 – $7.80 | 2 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $4.17 – $15.34 | 2 |
| Anti mog serum - sendout CPT 86362 | $1,732.90 | $2,666.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $217.75 | $335.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $206.70 | $318.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $175.50 | $270.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $194.35 | $299.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $578.50 | $890.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $32.50 | $50.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $289.25 | $445.00 | 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.