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 |
|---|---|---|---|---|
| Peri-proc device eval pm CPT 93286 | $127.40 | $196.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | $4,213.95 | $6,483.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $1,751.75 | $2,695.00 | not published | 0 |
| Perit-vens shunt pat tst CPT 78291 | $861.25 | $1,325.00 | not published | 0 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $3.06 – $3.06 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $24,430.90 | $37,586.00 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $30,338.10 | $46,674.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $1,129.70 | $1,738.00 | not published | 0 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $12,779.00 | $19,660.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $11,257.35 | $17,319.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47539 | $15,871.70 | $24,418.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $15,871.70 | $24,418.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $975.00 | $1,500.00 | not published | 0 |
| Perq transcath cls aortic CPT 93591 | $11,602.50 | $17,850.00 | not published | 0 |
| Perq transcath septal reduxn CPT 93583 | $11,691.55 | $17,987.00 | not published | 0 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $18,443.20 | $28,374.15 | $28.72 – $105.24 | 2 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $107.76 – $415.22 | 2 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,525.95 | $6,963.00 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $5,372.25 | $8,265.00 | not published | 0 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,926.00 | $6,040.00 | not published | 0 |
| Pet image w/ct lmtd CPT 78814 | $4,070.30 | $6,262.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $2,590.93 | $3,986.04 | not published | 0 |
| Ph body fluid CPT 83986 | $63.70 | $98.00 | not published | 0 |
| Phencyclidine (pcp) CPT 83992 | $105.30 | $162.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $78.66 | $121.01 | $46.52 – $199.94 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $63.70 | $98.00 | not published | 0 |
| Phentolaine mesylate inj HCPCS J2760 | $1,424.44 | $2,191.45 | $742.06 – $2,565.10 | 2 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $21.48 | $33.05 | $0.07 – $0.07 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $767.00 – $767.00 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $23.37 | $35.95 | $1.12 – $3.06 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $54.60 | $84.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $546.65 | $841.00 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $8,134.10 | $12,514.00 | not published | 0 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $8,541.00 | $13,140.00 | not published | 0 |
| Phosphorus CPT 84100 | $53.30 | $82.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $65.65 | $101.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $61.36 | $94.40 | $4.83 – $14.37 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $1,049.50 | $1,614.62 | $3,771.95 – $3,771.95 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | $3,997.50 | $6,150.00 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $1,500.12 | $2,307.87 | not published | 0 |
| Pin finger fracture each CPT 26756 | $2,271.10 | $3,494.00 | not published | 0 |
| Pinworm exam CPT 87172 | $86.45 | $133.00 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $32.82 | $50.50 | $1.88 – $7.41 | 2 |
| Place cath intracranial art CPT 36228 | $1,470.95 | $2,263.00 | not published | 0 |
| Place cath xtrnl carotid CPT 36227 | $1,279.20 | $1,968.00 | not published | 0 |
| Place cecostomy tube perc CPT 49442 | $4,197.05 | $6,457.00 | not published | 0 |
| Place duod/jej tube perc CPT 49441 | $4,085.25 | $6,285.00 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $4,085.25 | $6,285.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,129.70 | $1,738.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $531.70 | $818.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,129.70 | $1,738.00 | not published | 0 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $9,222.20 | $14,188.00 | not published | 0 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $83.85 | $129.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $25,208.30 | $38,782.00 | not published | 0 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,128.45 | $4,813.00 | not published | 0 |
| Placental lactogen CPT 83632 | $300.95 | $463.00 | not published | 0 |
| Place right device/marker pros CPT 55876 | $5,077.80 | $7,812.00 | not published | 0 |
| Place slctv cath carotd art uni CPT 36224 | $15,223.00 | $23,420.00 | not published | 0 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $18,878.60 | $29,044.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $11,728.60 | $18,044.00 | not published | 0 |
| Place slctv cath subclavian art CPT 36225 | $5,631.60 | $8,664.00 | not published | 0 |
| Place slctv cath vertebral art uni CPT 36226 | $7,953.40 | $12,236.00 | not published | 0 |
| Plasma cryo redu path each HCPCS P9025 | $52.00 | $80.00 | not published | 0 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $343.79 – $343.79 | 1 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $146.38 – $146.38 | 1 |
| Plas shoe insert w ank joint HCPCS L2180 | $204.98 | $315.36 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $269.54 | $414.68 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $304.20 | $468.00 | not published | 0 |
| Platelet automated CPT 85049 | $27.30 | $42.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,925.30 | $2,962.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $2,878.20 | $4,428.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,990.95 | $3,063.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,139.15 | $3,291.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,198.30 | $3,382.00 | not published | 0 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $8,032.05 | $12,357.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $10,589.15 | $16,291.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $8,962.20 | $13,788.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $8,962.20 | $13,788.00 | not published | 0 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $13,096.85 | $20,149.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $507.00 | $780.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $175.50 | $270.00 | not published | 0 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $11,422.45 | $17,573.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $531.70 | $818.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $531.70 | $818.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | not published | not published | $203.10 – $241.02 | 2 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $180.70 | $278.00 | not published | 0 |
| Plmt access bil tree sm bwl CPT 47541 | $6,914.70 | $10,638.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $8,433.75 | $12,975.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $10,090.60 | $15,524.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | $8,962.20 | $13,788.00 | not published | 0 |
| Pm device progr eval dual CPT 93280 | $141.70 | $218.00 | not published | 0 |
| Pm device progr eval multi CPT 93281 | $167.70 | $258.00 | not published | 0 |
| Pmp22 gene dup/delet CPT 81324 | $1,230.45 | $1,893.00 | not published | 0 |
| Pmp22 gene known fam variant CPT 81326 | $633.10 | $974.00 | not published | 0 |
| Pm phone r-strip device eval CPT 93293 | $94.90 | $146.00 | not published | 0 |
| Pms2 gene dup/delet variants CPT 81319 | $1,114.75 | $1,715.00 | not published | 0 |
| Pms2 gene full seq analysis CPT 81317 | $1,856.40 | $2,856.00 | not published | 0 |
| Pms2 known familial variants CPT 81318 | $924.30 | $1,422.00 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $86.45 | $133.00 | not published | 0 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $231.59 – $863.98 | 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.