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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe CPT 87798 | $389.35 | $599.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $68.90 | $106.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $1,120.60 | $1,724.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $746.85 | $1,149.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $85.15 | $131.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $313.95 | $483.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $282.75 | $435.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $68.90 | $106.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $172.25 | $265.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $278.85 | $429.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $249.60 | $384.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $115.70 | $178.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $72.15 | $111.00 | not published | 0 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $231.40 | $356.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $635.05 | $977.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $111.80 | $172.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $635.05 | $977.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $454.35 | $699.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $165.75 | $255.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $633.10 | $974.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $560.95 | $863.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $412.10 | $634.00 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,452.46 | $2,234.55 | $53.00 – $198.45 | 2 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,574.50 | $2,422.30 | $35.51 – $128.90 | 2 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,869.27 | $2,875.80 | $33.45 – $75.08 | 2 |
| Influenza dna amp prob addl CPT 87503 | $49.40 | $76.00 | not published | 0 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $141.94 – $542.69 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $49.08 – $187.66 | 2 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $728.00 | $1,120.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $417.95 | $643.00 | not published | 0 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $10.26 – $38.48 | 2 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $12.30 – $45.96 | 2 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.37 – $1.50 | 2 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $84.37 – $84.37 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $107,832.79 – $412,113.26 | 2 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $10.16 – $38.87 | 2 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $60.49 – $224.71 | 2 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $543.55 – $2,138.89 | 2 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $2.68 – $9.88 | 2 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $7.72 – $28.60 | 2 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $222.91 – $954.79 | 2 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $72.42 – $378.50 | 2 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $62.01 – $62.01 | 1 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $812.50 – $812.50 | 1 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $59.20 | $91.08 | $30.78 – $115.44 | 2 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $12.09 – $12.09 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $5.53 – $20.35 | 2 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $294.26 – $294.26 | 1 |
| Inj. asceniv HCPCS J1554 | not published | not published | $844.06 – $3,217.31 | 2 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $94.01 – $351.91 | 2 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $180.02 – $706.55 | 2 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $137.28 – $506.09 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $470.99 | $724.60 | $285.82 – $1,078.29 | 2 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $107.67 | $165.64 | $67.70 – $259.16 | 2 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $361.02 – $1,364.29 | 2 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $297.70 – $297.70 | 1 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $297.70 – $297.70 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $718.81 – $2,786.29 | 2 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $2,875.22 – $11,145.10 | 2 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $588.53 – $2,202.79 | 2 |
| Inj, bupivacaine liposome HCPCS J0666 | $1,040.36 | $1,600.55 | $2.54 – $9.43 | 2 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $3.12 – $3.12 | 1 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $105.66 – $1,099.80 | 2 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $6.44 – $6.44 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $1,592.50 – $1,592.50 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.55 – $6.50 | 2 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.70 – $7.22 | 2 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $81.41 | $125.25 | $8.63 – $31.98 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $723.26 | $1,112.70 | $4.08 – $14.82 | 2 |
| Inj ceftolozane tazobactam HCPCS J0695 | $546.94 | $841.45 | $15.52 – $52.98 | 2 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $27.87 – $102.25 | 2 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $147.07 – $1,096.81 | 2 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $152.65 – $580.97 | 2 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $22.23 – $22.23 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $1,602.90 | $2,466.00 | not published | 0 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,775.04 – $6,676.61 | 2 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $3,381.89 – $3,381.89 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $29.90 – $107.97 | 2 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $15.31 – $56.88 | 2 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $2.03 | $3.12 | $1.33 – $4.55 | 2 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $339.04 | $521.60 | $1.97 – $14.24 | 2 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $7.16 – $28.28 | 2 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.10 – $0.26 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.07 – $0.26 | 2 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $5.29 – $27.30 | 2 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.07 – $0.07 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,780.70 | $4,278.00 | not published | 0 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $7.04 – $26.59 | 2 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $11.36 – $43.55 | 2 |
| Inj dx for sinogram CPT 20501 | $1,687.40 | $2,596.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $3,023.80 | $4,652.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $2,106.00 | $3,240.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $88.47 – $326.82 | 2 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $818.67 – $3,053.25 | 2 |
| Injection, cangrelor HCPCS C9460 | $61.45 | $94.54 | $124.09 – $124.09 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $661.70 | $1,018.00 | not published | 0 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $118.72 – $424.58 | 2 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.64 – $2.47 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | $2,346.50 | $3,610.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $32.02 – $140.92 | 2 |
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.