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 |
|---|---|---|---|---|
| Prq trluml c angiop 1art&/br CPT 92920 | $4,802.85 | $7,389.00 | not published | 0 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $12,779.00 | $19,660.00 | not published | 0 |
| Prq trluml revsc ch occ ant CPT 92943 | $19,290.70 | $29,678.00 | not published | 0 |
| Pr removal drug delivery implant CPT 11982 | $2,080.65 | $3,201.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $401.70 | $618.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $683.80 | $1,052.00 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,269.80 | $3,492.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $57.85 | $89.00 | not published | 0 |
| Psychoanalysis CPT 90845 | $539.50 | $830.00 | not published | 0 |
| Psychoeducation 45 min + HCPCS G0177 | $198.90 | $306.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $481.00 | $740.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $157.95 | $243.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $247.65 | $381.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $313.95 | $483.00 | not published | 0 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $164.45 | $253.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $32.50 | $50.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $107.25 | $165.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $109.85 | $169.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $57.85 | $89.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $55.90 | $86.00 | not published | 0 |
| Pten gene full sequence CPT 81321 | $3,489.20 | $5,368.00 | not published | 0 |
| Pten gene known fam variant CPT 81322 | $633.10 | $974.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $266.50 | $410.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $226.85 | $349.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $246.35 | $379.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $147.55 | $227.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $161.20 | $248.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $61.75 | $95.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $100.75 | $155.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $66.95 | $103.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $72.80 | $112.00 | not published | 0 |
| Pul art balloon repr percut CPT 92997 | $11,278.80 | $17,352.00 | not published | 0 |
| Pul art balloon repr percut CPT 92998 | $5,174.00 | $7,960.00 | not published | 0 |
| Pulmonary vent imaging CPT 78579 | $717.60 | $1,104.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $291.85 | $449.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $773.50 | $1,190.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $109.85 | $169.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $553.80 | $852.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $564.20 | $868.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $183.46 – $183.46 | 1 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $120.76 – $120.76 | 1 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $2,256.80 | $3,472.00 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $3,708.90 | $5,706.00 | not published | 0 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $36.61 | $56.32 | $21.76 – $102.57 | 2 |
| Pyruvate CPT 84210 | $144.95 | $223.00 | not published | 0 |
| Pyruvate kinase CPT 84220 | $445.90 | $686.00 | not published | 0 |
| Quant diff pulm perf w/imaging CPT 78597 | $889.20 | $1,368.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $42.90 | $66.00 | not published | 0 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $3,029.07 – $3,029.07 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $2,941.71 – $2,941.71 | 1 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $403.07 – $1,628.38 | 2 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $7,466.29 | $11,486.60 | $452.94 – $1,822.41 | 2 |
| Radiation physics consult CPT 77336 | $2,375.75 | $3,655.00 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $2,165.80 | $3,332.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77332 | $1,721.85 | $2,649.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77333 | $1,807.65 | $2,781.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77334 | $1,898.00 | $2,920.00 | not published | 0 |
| Radiation treatment delivery CPT 77402 | $1,823.90 | $2,806.00 | not published | 0 |
| Radiation treatment delivery CPT 77412 | $2,011.10 | $3,094.00 | not published | 0 |
| Radiology port images(s) CPT 77417 | $820.30 | $1,262.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $14,203.80 | $21,852.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $287.33 – $1,098.63 | 2 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,237.95 | $3,443.00 | not published | 0 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,349.10 | $3,614.00 | not published | 0 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,720.25 | $4,185.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,467.40 | $3,796.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $2,029.95 | $3,123.00 | not published | 0 |
| Radphm quant measure sgl area add-on CPT 78835 | $1,665.95 | $2,563.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $20,285.95 | $31,209.15 | $126.57 – $473.92 | 2 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $154.89 – $805.87 | 2 |
| Rapid Strep Test CPT 87880 | $42.25 | $65.00 | not published | 0 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,079.68 | $1,661.04 | $640.02 – $2,404.81 | 2 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $64,631.52 | $99,433.10 | $382.83 – $1,433.84 | 2 |
| Rbc serum pretx incubj drugs CPT 86975 | $585.65 | $901.00 | not published | 0 |
| Red blood cells each unit HCPCS P9021 | $904.80 | $1,392.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $638.30 | $982.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $786.50 | $1,210.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $1,348.10 | $2,074.00 | not published | 0 |
| Red cell sequestration CPT 78140 | $853.45 | $1,313.00 | not published | 0 |
| Redo endovas vena cava filtr CPT 37192 | $5,114.20 | $7,868.00 | not published | 0 |
| Refill maint impl spine pump CPT 95991 | $1,277.25 | $1,965.00 | not published | 0 |
| Refill/maint pump/resvr syst CPT 96522 | $390.00 | $600.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $181.67 | $279.49 | $4.92 – $24.77 | 2 |
| Relocation skin pocket aicd CPT 33223 | $10,977.85 | $16,889.00 | not published | 0 |
| Relocation skin pocket pm CPT 33222 | $10,910.25 | $16,785.00 | not published | 0 |
| Rem/biv cast full arm/leg CPT 29705 | $2,063.10 | $3,174.00 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $20.62 | $31.73 | $11.44 – $41.28 | 2 |
| Rem endovas vena cava filter CPT 37193 | $9,699.95 | $14,923.00 | not published | 0 |
| Rem interrog dev eval icpms CPT 93297 | $83.20 | $128.00 | not published | 0 |
| Rem interrog dev eval scrms CPT 93298 | $83.20 | $128.00 | not published | 0 |
| Rem interrog evl pm/ids CPT 93296 | $58.50 | $90.00 | not published | 0 |
| Removable soft interface le HCPCS K0672 | $175.04 | $269.29 | not published | 0 |
| Removal biliary drg cath CPT 47537 | $666.25 | $1,025.00 | not published | 0 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,307.80 | $2,012.00 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,927.30 | $6,042.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $639.60 | $984.00 | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $267.80 | $412.00 | not published | 0 |
| Removal duct glbldr calculi CPT 47544 | $4,185.35 | $6,439.00 | not published | 0 |
| Removal foreign body foot subcutaneous right CPT 28190 | $991.90 | $1,526.00 | not published | 0 |
| Removal implant superficial separate procedure CPT 20670 | $4,129.45 | $6,353.00 | 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.