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 |
|---|---|---|---|---|
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $19,161.61 | $29,479.40 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $24,325.48 | $37,423.81 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $8,794.48 | $13,529.97 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,085.72 | $6,285.72 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $62.98 – $304.20 | 2 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.07 – $920,142.76 | 2 |
| Idh1 common variants CPT 81120 | $624.00 | $960.00 | not published | 0 |
| Idh2 common variants CPT 81121 | $986.70 | $1,518.00 | not published | 0 |
| Idursulfase injection HCPCS J1743 | not published | not published | $949.55 – $3,524.43 | 2 |
| Ifnl3 gene CPT 81283 | $705.90 | $1,086.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $86.73 | $133.43 | $39.94 – $162.96 | 2 |
| Igh gene rearrange amp meth CPT 81261 | $715.65 | $1,101.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,199.25 | $1,845.00 | not published | 0 |
| Igk rearrangeabn clonal pop CPT 81264 | $715.65 | $1,101.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $253.50 | $390.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $208.65 | $321.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $183.30 | $282.00 | not published | 0 |
| Ikbkap gene CPT 81260 | $770.25 | $1,185.00 | not published | 0 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,427.10 | $3,734.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $3,927.95 | $6,043.00 | not published | 0 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $19.31 – $19.31 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $152.05 | $233.92 | $96.94 – $341.71 | 2 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $411.30 | $632.77 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $90.51 | $139.25 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $28.62 | $44.03 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $18.64 | $28.67 | not published | 0 |
| Immune complex assay CPT 86332 | $1,251.25 | $1,925.00 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $5,816.40 | $8,948.30 | $81.25 – $301.99 | 2 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $138.89 – $529.30 | 2 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $4,567.94 | $7,027.60 | $82.24 – $320.45 | 2 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $618.02 – $618.02 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $50.70 | $78.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $59.15 | $91.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $218.40 | $336.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $323.05 | $497.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $100.10 | $154.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $222.95 | $343.00 | not published | 0 |
| Immunoglobulin assay CPT 86023 | $150.80 | $232.00 | not published | 0 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,285.81 | $1,978.17 | not published | 0 |
| Implant biventricular device 33976 CPT 33976 | $7,242.95 | $11,143.00 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $46,578.78 | $71,659.66 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $16,200.89 | $24,924.44 | not published | 0 |
| Implant neuroelectrodes CPT 64553 | $9,121.45 | $14,033.00 | not published | 0 |
| Implant neuroelectrodes CPT 64555 | $7,801.30 | $12,002.00 | not published | 0 |
| Implant neurostim arrays CPT 61886 | $41,984.80 | $64,592.00 | not published | 0 |
| Implant single ventricular device 33975 CPT 33975 | $3,032.25 | $4,665.00 | not published | 0 |
| Implant spine infusion pump CPT 62362 | $26,698.10 | $41,074.00 | not published | 0 |
| Implant tcat pulm vlv perq CPT 33477 | $30,109.30 | $46,322.00 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $1,661.13 | $2,555.58 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $8,613.80 | $13,252.00 | not published | 0 |
| Implnt spinl canal catheter 62350 CPT 62350 | $4,715.10 | $7,254.00 | not published | 0 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $0.07 – $0.07 | 1 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $73.59 – $281.97 | 2 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $27,364.74 – $27,364.74 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,313.02 | $5,096.95 | $27,364.74 – $27,364.74 | 1 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $0.07 – $0.07 | 1 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $0.07 – $0.07 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $13,682.37 – $13,682.37 | 1 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $5,755.75 – $5,755.75 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,686.10 | $2,594.00 | not published | 0 |
| Incision of achilles tendon CPT 27605 | $2,753.40 | $4,236.00 | not published | 0 |
| Incision of breast lesion CPT 19020 | $1,996.15 | $3,071.00 | not published | 0 |
| Incision of burn scab initi CPT 16035 | $410.15 | $631.00 | not published | 0 |
| Incision of foot fascia CPT 28008 | $4,547.40 | $6,996.00 | not published | 0 |
| Incision of tendon & muscle CPT 23405 | $5,624.45 | $8,653.00 | not published | 0 |
| Incision of thigh tendon CPT 27306 | $4,542.20 | $6,988.00 | not published | 0 |
| Incision of thigh tendons CPT 27307 | $4,542.20 | $6,988.00 | not published | 0 |
| Incision of toe tendons 28011 CPT 28011 | $1,094.60 | $1,684.00 | not published | 0 |
| Incision of tongue fold CPT 41010 | $1,059.50 | $1,630.00 | not published | 0 |
| Incisn of toe tndn CPT 28010 | $1,094.60 | $1,684.00 | not published | 0 |
| Incisn windpipe CPT 31600 | $2,123.55 | $3,267.00 | not published | 0 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $9.02 – $34.52 | 2 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $2,459.60 | $3,784.00 | not published | 0 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $65.65 | $101.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $374.40 | $576.00 | not published | 0 |
| Infect ag eia influenza a or b ea CPT 87400 | $132.60 | $204.00 | not published | 0 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,326.00 | $2,040.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $701.35 | $1,079.00 | not published | 0 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $651.95 | $1,003.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $739.05 | $1,137.00 | not published | 0 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $50.05 | $77.00 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $98.15 | $151.00 | not published | 0 |
| Infect ag if legionella pneumophila CPT 87278 | $89.70 | $138.00 | not published | 0 |
| Infect ag if pneumocystis carinii CPT 87281 | $194.35 | $299.00 | not published | 0 |
| Infect ag na herpes simplex quant CPT 87530 | $200.85 | $309.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $112.45 | $173.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $198.25 | $305.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $187.20 | $288.00 | not published | 0 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $449.80 | $692.00 | not published | 0 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,402.70 | $2,158.00 | not published | 0 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $74.10 | $114.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $89.70 | $138.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $102.70 | $158.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $104.00 | $160.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $85.15 | $131.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $20.15 | $31.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $87.75 | $135.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $43.55 | $67.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $261.95 | $403.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $68.25 | $105.00 | 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.