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 |
|---|---|---|---|---|
| Injection epidural blood patch or clot CPT 62273 | $1,720.55 | $2,647.00 | not published | 0 |
| Injection for arthrography wrist (both sides) CPT 25246 | $1,318.20 | $2,028.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $1,734.85 | $2,669.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,241.50 | $1,910.00 | not published | 0 |
| Injection for spleen x-ray CPT 38200 | $183.95 | $283.00 | not published | 0 |
| Injection for ureter x-ray CPT 50684 | $2,237.30 | $3,442.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $2,067.00 | $3,180.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $142.32 | $218.95 | $11.86 – $43.29 | 2 |
| Injection glatiramer acetate HCPCS J1595 | $119.18 | $183.35 | $373.75 – $373.75 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $11,657.30 | $17,934.30 | $21.00 – $79.82 | 2 |
| Injection into brain canal CPT 61055 | $208.00 | $320.00 | not published | 0 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $6.70 – $6.70 | 1 |
| Injection jugular CPT 36299 | $333.45 | $513.00 | not published | 0 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $9.74 – $37.25 | 2 |
| Injection of sinus tract CPT 20500 | $1,059.50 | $1,630.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,154.07 | $3,313.95 | $11.05 – $42.06 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $10.27 – $10.27 | 1 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $2,223.00 | $3,420.00 | not published | 0 |
| Injection, renflexis HCPCS Q5104 | $105.60 | $162.46 | $42.59 – $170.69 | 2 |
| Injection, ruconest HCPCS J0596 | not published | not published | $62.45 – $225.36 | 2 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $3,190.20 | $4,908.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,208.70 | $3,398.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $982.80 | $1,512.00 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,862.90 | $2,866.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,859.00 | $2,860.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $3,777.80 | $5,812.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $845.00 | $1,300.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,620.50 | $5,570.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,307.20 | $5,088.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,973.75 | $4,575.00 | not published | 0 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $275.32 – $1,013.81 | 2 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $2,163.20 | $3,328.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $923.65 | $1,421.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $923.65 | $1,421.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $147.55 | $227.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $110.50 | $170.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $160.55 | $247.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $131.30 | $202.00 | not published | 0 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $0.07 – $0.07 | 1 |
| Injection treatment of nerve CPT 64605 | $3,507.40 | $5,396.00 | not published | 0 |
| Injection treatment of nerve CPT 64681 | $2,253.55 | $3,467.00 | not published | 0 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $106.54 | $163.90 | $57.35 – $215.15 | 2 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $35.90 – $143.91 | 2 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $648.79 – $2,447.71 | 2 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $97.64 – $338.13 | 2 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,174.25 | $3,345.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,854.45 | $2,853.00 | not published | 0 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $322.58 – $1,211.02 | 2 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $29.53 – $117.00 | 2 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $16.85 – $61.95 | 2 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $58.61 – $229.13 | 2 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $32.22 – $135.01 | 2 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $238.72 – $887.12 | 2 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $2.05 – $7.22 | 2 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $12.63 – $49.99 | 2 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $4.88 – $19.83 | 2 |
| Inj for ext venography CPT 36005 | $4,214.60 | $6,484.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $1,774.50 | $2,730.00 | not published | 0 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.92 – $2.86 | 2 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $1,030.80 – $4,277.65 | 2 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $5.65 – $79.69 | 2 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $130.00 – $130.00 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $199.22 – $750.56 | 2 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $4,709.97 – $18,010.92 | 2 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $3.15 – $13.13 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $8.43 – $35.82 | 2 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $127.27 – $477.88 | 2 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.07 – $0.07 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $5.11 – $22.88 | 2 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $107.05 – $409.89 | 2 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $131.74 – $467.87 | 2 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,521.35 | $3,879.00 | not published | 0 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $671.45 | $1,033.00 | not published | 0 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $2.58 – $9.62 | 2 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $2,930.52 | $4,508.50 | $32.44 – $32.44 | 1 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $88.66 – $88.66 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $134.96 – $501.35 | 2 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $146.12 – $146.12 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $4.44 – $16.25 | 2 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.22 – $0.91 | 2 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $1,296.36 | $1,994.40 | $840.54 – $3,148.60 | 2 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $251.55 | $387.00 | not published | 0 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $22.02 – $82.03 | 2 |
| Inj ivig privigen 500 mg HCPCS J1459 | $1,979.51 | $3,045.40 | $85.73 – $320.32 | 2 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $3.25 – $14.30 | 2 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $4.51 – $15.93 | 2 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $2.69 – $9.62 | 2 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $116.89 | $179.83 | $41.57 – $199.42 | 2 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $2.26 – $8.65 | 2 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $37.44 – $142.87 | 2 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $41.30 – $166.14 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $24.30 | $37.38 | $12.06 – $24.83 | 2 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $8.73 – $33.41 | 2 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $559.48 – $2,067.07 | 2 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $143.46 – $143.46 | 1 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.07 – $0.07 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $183.65 – $868.99 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $1,339.24 – $5,029.70 | 2 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $6.50 – $23.08 | 2 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $740.32 | $1,138.95 | $14.04 – $14.04 | 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.