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 |
|---|---|---|---|---|
| Low cost skin substitute app HCPCS C5271 | $443.30 | $682.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5273 | $1,316.90 | $2,026.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $536.90 | $826.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,561.00 | $3,940.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,328.30 | $3,582.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,116.40 | $3,256.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,564.60 | $5,484.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,240.90 | $4,986.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,946.45 | $4,533.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $396.50 | $610.00 | not published | 0 |
| Low frequency non-thermal Ultrasound CPT 97610 | $524.55 | $807.00 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $475.80 | $732.00 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $2,373.80 | $3,652.00 | not published | 0 |
| Lumizyme injection HCPCS J0221 | not published | not published | $351.25 – $1,310.66 | 2 |
| Lung Function Test (Spirometry) CPT 94010 | $246.35 | $379.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $825.50 | $1,270.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $22,297.54 | $34,303.90 | $350.41 – $1,331.85 | 2 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $40,040.94 | $61,601.45 | $71.34 – $268.32 | 2 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $1,907.43 – $1,907.43 | 1 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $1,545.90 – $1,545.90 | 1 |
| Lvad shower bag heartmate HCPCS Q0501 | $563.71 | $867.24 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $1,275.30 | $1,962.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $577.85 | $889.00 | not published | 0 |
| Lymph vessel x-ray arm/leg CPT 75801 | $2,785.90 | $4,286.00 | not published | 0 |
| Lymph vessel x-ray arms/legs CPT 75803 | $3,998.15 | $6,151.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75805 | $8,139.95 | $12,523.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75807 | $8,139.95 | $12,523.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $92.30 | $142.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $81.90 | $126.00 | not published | 0 |
| Magnesium CPT 83735 | $51.35 | $79.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $46.93 | $72.20 | $0.85 – $3.19 | 2 |
| Magnetic image bone marrow CPT 77084 | $1,840.80 | $2,832.00 | not published | 0 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $127.73 – $127.73 | 1 |
| Malaria antibody CPT 86750 | $32.50 | $50.00 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $163.15 | $251.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $163.15 | $251.00 | not published | 0 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $3.80 – $16.51 | 2 |
| Map tachycard site(s) CPT 93609 | $6,898.45 | $10,613.00 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $85.77 – $321.10 | 2 |
| Marker biop eviva buckle ss HCPCS A4648 | $202.33 | $311.27 | not published | 0 |
| Mastoids complete CPT 70130 | $1,162.20 | $1,788.00 | not published | 0 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $134.69 – $134.69 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $35.44 – $35.44 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $70.85 | $109.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $414.70 | $638.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $100.75 | $155.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $491.40 | $756.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $163.80 | $252.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $76.70 | $118.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $54.60 | $84.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $313.30 | $482.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $76.70 | $118.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $61.10 | $94.00 | not published | 0 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $48.10 | $74.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $63.05 | $97.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $585.00 | $900.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $487.50 | $750.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $780.00 | $1,200.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $5,796.70 | $8,918.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $51.35 | $79.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $52.00 | $80.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $62.40 | $96.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $70.20 | $108.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $728.65 | $1,121.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $107.25 | $165.00 | not published | 0 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $100.75 | $155.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $93.60 | $144.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $1,488.50 | $2,290.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $599.30 | $922.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $146.25 | $225.00 | not published | 0 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $120.25 | $185.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $421.85 | $649.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $105.30 | $162.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $117.00 | $180.00 | not published | 0 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $555.10 | $854.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $65.00 | $100.00 | not published | 0 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $315.90 | $486.00 | not published | 0 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $214.50 | $330.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $72.15 | $111.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $343.20 | $528.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $402.35 | $619.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $114.40 | $176.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $114.40 | $176.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,710.15 | $2,631.00 | not published | 0 |
| Mayo chromium CPT 82495 | $117.65 | $181.00 | not published | 0 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $71.50 | $110.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $200.20 | $308.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $1,695.85 | $2,609.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $195.00 | $300.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $100.75 | $155.00 | not published | 0 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $140.40 | $216.00 | not published | 0 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $175.50 | $270.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $105.30 | $162.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $118.30 | $182.00 | not published | 0 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $573.30 | $882.00 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $40.30 | $62.00 | not published | 0 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $42.25 | $65.00 | not published | 0 |
| Mayo dihydrotestosterone CPT 82642 | $68.90 | $106.00 | not published | 0 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $3,346.20 | $5,148.00 | not published | 0 |
| Mayo efpo chloride stool CPT 82438 | $33.80 | $52.00 | 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.