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 |
|---|---|---|---|---|
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,599.05 | $5,537.00 | not published | 0 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $151,599.50 – $151,599.50 | 1 |
| Positional nystagmus test CPT 92532 | $189.15 | $291.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $46.80 | $72.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $46.38 | $71.35 | $0.29 – $0.65 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $9.75 | $15.00 | not published | 0 |
| Pq biliary strict dil s&i CPT 74363 | $5,114.85 | $7,869.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $2,722.20 | $4,188.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $10,725.00 | $16,500.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $5,197.40 | $7,996.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $6,472.05 | $9,957.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $9,625.20 | $14,808.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $9,606.35 | $14,779.00 | not published | 0 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $661.00 – $2,429.51 | 2 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $1,589.22 | $2,444.95 | $563.55 – $563.55 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,271.10 | $3,494.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $227.50 | $350.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $284.70 | $438.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $24.70 | $38.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $11,101.35 | $17,079.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $9,193.60 | $14,144.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $267.80 | $412.00 | not published | 0 |
| Prealbumin CPT 84134 | $69.55 | $107.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $8.32 | $12.80 | $0.46 – $3.71 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | $3.41 | $5.25 | $0.01 – $0.07 | 2 |
| Pregabalin - sendout CPT 80366 | $81.90 | $126.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,883.40 | $4,436.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $661.70 | $1,018.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $488.15 | $751.00 | not published | 0 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $88.40 | $136.00 | not published | 0 |
| Prepare penis study CPT 54230 | $2,156.05 | $3,317.00 | not published | 0 |
| Pressure velocity wire add ves CPT 93572 | $1,313.00 | $2,020.00 | not published | 0 |
| Pre-tibial shell molded to p HCPCS L2340 | $863.86 | $1,329.02 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $263.90 | $406.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $548.60 | $844.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $326.30 | $502.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $200.20 | $308.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $222.95 | $343.00 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $385.45 | $593.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $91.65 | $141.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $109.85 | $169.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $128.05 | $197.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $153.40 | $236.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,687.75 | $4,135.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $333.45 | $513.00 | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | $173.55 | $267.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $141.70 | $218.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $99.45 | $153.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $151.45 | $233.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $196.30 | $302.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $217.10 | $334.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $6,099.60 | $9,384.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $23,488.40 | $36,136.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $6,721.00 | $10,340.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $599.30 | $922.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $271.70 | $418.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $544.05 | $837.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $410.15 | $631.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $350.35 | $539.00 | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,641.47 | $7,140.73 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,739.53 | $2,676.20 | $330.34 – $1,189.70 | 2 |
| Procalcitonin CPT 84145 | $302.25 | $465.00 | not published | 0 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $840.26 – $840.26 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $28.93 | $44.51 | $4.29 – $19.18 | 2 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $2.28 – $2.28 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $603.20 | $928.00 | not published | 0 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $2,071.55 | $3,187.00 | not published | 0 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $216.83 – $216.83 | 1 |
| Progesterone CPT 84144 | $39.00 | $60.00 | not published | 0 |
| Prolactin CPT 84146 | $118.95 | $183.00 | not published | 0 |
| Prolonged IV inf, req pump HCPCS C8957 | $522.60 | $804.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.52 – $0.52 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $4.87 – $23.21 | 2 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $27.50 | $42.30 | $0.15 – $0.52 | 2 |
| _propoxygc/msur CPT 80367 | $135.85 | $209.00 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $35.88 | $55.20 | $63.31 – $63.31 | 1 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $823.26 | $1,266.56 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $25.35 | $39.00 | $2.78 – $7.41 | 2 |
| Protect body sock ea pre ots HCPCS L0984 | $106.48 | $163.82 | not published | 0 |
| Protein c activity CPT 85303 | $520.65 | $801.00 | not published | 0 |
| Protein c concentrate HCPCS J2724 | not published | not published | $2.56 – $97.70 | 2 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $118.30 | $182.00 | not published | 0 |
| Protein s total CPT 85305 | $117.00 | $180.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $40.30 | $62.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $44.20 | $68.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $9.75 | $15.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $2,412.60 | $3,711.70 | $19.37 – $19.37 | 1 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $707.20 | $1,088.00 | not published | 0 |
| Protoporphyrin rbc screen CPT 84203 | $352.30 | $542.00 | not published | 0 |
| Prq card angio/athrect addl CPT 92925 | $8,739.90 | $13,446.00 | not published | 0 |
| Prq cardiac angio addl art CPT 92921 | $3,992.30 | $6,142.00 | not published | 0 |
| Prq card revasc chronic addl CPT 92944 | $7,820.15 | $12,031.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $13,897.00 | $21,380.00 | not published | 0 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $14,911.00 | $22,940.00 | not published | 0 |
| Prq card stent/ath/angio CPT 92934 | $7,820.15 | $12,031.00 | not published | 0 |
| Prq card stent w/angio addl CPT 92929 | $7,965.10 | $12,254.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $11,602.50 | $17,850.00 | not published | 0 |
| Prq revasc byp graft addl CPT 92938 | $7,965.10 | $12,254.00 | not published | 0 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $11,700.65 | $18,001.00 | not published | 0 |
| Prq trlml c athrc st angiop1 CPT 92933 | $12,779.00 | $19,660.00 | 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.