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 |
|---|---|---|---|---|
| Osmolality urine CPT 83935 | $55.90 | $86.00 | not published | 0 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $334.75 | $515.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $237.25 | $365.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $214.50 | $330.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $225.55 | $347.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $258.05 | $397.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $89.70 | $138.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $100.75 | $155.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $105.30 | $162.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $105.30 | $162.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $137.80 | $212.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $100.75 | $155.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $70.85 | $109.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $70.85 | $109.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $102.70 | $158.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $90.35 | $139.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $93.60 | $144.00 | not published | 0 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $0.07 – $0.07 | 1 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $1.40 – $6.96 | 2 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $153.63 | $236.35 | $0.15 – $0.52 | 2 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $0.07 – $0.07 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $22.82 | $35.10 | $9.10 – $9.10 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $1,981.72 – $1,981.72 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $147.03 | $226.20 | $0.18 – $0.72 | 2 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,172.10 | $3,341.70 | $20.61 – $88.01 | 2 |
| Palb2 gene known famil vrnt CPT 81308 | $1,136.20 | $1,748.00 | not published | 0 |
| Palifermin injection HCPCS J2425 | not published | not published | $61.05 – $220.94 | 2 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $606.14 – $606.14 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $20.40 | $31.38 | $25.64 – $95.75 | 2 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $11,834.29 – $11,834.29 | 1 |
| Palonosetron hcl HCPCS J2469 | $27.14 | $41.75 | $0.76 – $3.84 | 2 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $105.98 | $163.05 | $18.97 – $81.77 | 2 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $293.33 – $1,077.12 | 2 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $25.71 | $39.56 | $29.58 – $29.58 | 1 |
| Papaverin hcl injection HCPCS J2440 | $73.07 | $112.42 | $243.75 – $243.75 | 1 |
| Parathormone (pth) intact CPT 83970 | $165.10 | $254.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,356.90 | $3,626.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $2,136.55 | $3,287.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,243.80 | $3,452.00 | not published | 0 |
| Paricalcitol HCPCS J2501 | not published | not published | $1.14 – $5.85 | 2 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $137.80 | $212.00 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $4.34 – $4.34 | 1 |
| Part removal of metatarsal CPT 28113 | $2,410.20 | $3,708.00 | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $143.75 | $221.16 | not published | 0 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $557.42 – $2,131.29 | 2 |
| Pdgfra gene CPT 81314 | $1,377.35 | $2,119.00 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $12.64 | $19.45 | not published | 0 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $0.07 – $0.07 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $0.07 – $0.07 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $48,320.90 – $175,958.45 | 2 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $10,005.45 | $15,393.00 | $99.28 – $129.87 | 2 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $519.08 | $798.58 | $224.47 – $760.57 | 2 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,726.56 | $8,810.10 | $231.27 – $881.08 | 2 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $389.49 – $1,939.02 | 2 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $373.33 | $574.36 | $176.30 – $814.45 | 2 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $583.06 | $897.02 | $253.66 – $1,192.88 | 2 |
| Peginesatide injection HCPCS J0890 | not published | not published | $0.07 – $0.07 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $7,237.23 – $7,237.23 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $6,186.07 – $23,075.33 | 2 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $391.47 – $1,474.14 | 2 |
| Pelvic control hip heavy dut HCPCS L2620 | $516.46 | $794.55 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,206.10 | $3,394.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,005.25 | $3,085.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,823.25 | $2,805.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,976.35 | $4,579.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $2,705.95 | $4,163.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $2,460.25 | $3,785.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $543.40 | $836.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $442.65 | $681.00 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $16,273.24 | $25,035.75 | $99.56 – $374.40 | 2 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $180.15 | $277.15 | $6.35 – $34.26 | 2 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $29.53 – $112.91 | 2 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,133.70 | $1,744.15 | $49.81 – $174.33 | 2 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $47.06 | $72.40 | $1.49 – $4.88 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $298.68 – $298.68 | 1 |
| Penile injection CPT 54235 | $464.10 | $714.00 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $21,740.37 | $33,446.72 | not published | 0 |
| Penile vascular study CPT 93980 | $764.40 | $1,176.00 | not published | 0 |
| Penile vascular study CPT 93981 | $446.55 | $687.00 | not published | 0 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $140.03 – $516.04 | 2 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.07 – $0.07 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $0.07 – $0.07 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $105.70 | $162.61 | $343.40 – $343.40 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $4,324.62 – $17,761.45 | 2 |
| Perc cryo ablate renal tum CPT 50593 | $14,157.00 | $21,780.00 | not published | 0 |
| Perc d-e cor revasc chro add HCPCS C9608 | $6,927.70 | $10,658.00 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $19,083.35 | $29,359.00 | not published | 0 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $5,226.65 | $8,041.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $12,396.80 | $19,072.00 | not published | 0 |
| Perc d-e cor stent ather br HCPCS C9603 | $8,739.90 | $13,446.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $18,700.50 | $28,770.00 | not published | 0 |
| Perc drug-el cor stent bran HCPCS C9601 | $5,208.45 | $8,013.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $18,700.50 | $28,770.00 | not published | 0 |
| Perc rf ablate renal tumor CPT 50592 | $8,039.20 | $12,368.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $5,413.85 | $8,329.00 | not published | 0 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $489.38 | $752.90 | $70.04 – $270.47 | 2 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $13,259.35 | $20,399.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $6,956.30 | $10,702.00 | not published | 0 |
| Peripheral vascular rehab CPT 93668 | $98.80 | $152.00 | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $168.35 | $259.00 | 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.