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 |
|---|---|---|---|---|
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $15,635.75 | $24,055.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $20,679.75 | $31,815.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $15,860.00 | $24,400.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $10,815.35 | $16,639.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,280.50 | $1,970.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $12,287.60 | $18,904.00 | not published | 0 |
| Rmvl perq right heart vad CPT 33997 | $630.50 | $970.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $14,632.15 | $22,511.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $14,528.80 | $22,352.00 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $281.45 | $433.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $678.60 | $1,044.00 | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $15,021.50 | $23,110.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $6,968.65 | $10,721.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $14,192.75 | $21,835.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $14,192.75 | $21,835.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $201.66 | $310.24 | not published | 0 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $2.65 – $10.53 | 2 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $52.83 – $197.54 | 2 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17,878.74 | $27,505.75 | $18.69 – $68.51 | 2 |
| Romiplostim injection HCPCS J2796 | $349.51 | $537.71 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $7,141.65 | $10,987.15 | $20.41 – $74.69 | 2 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $370.40 | $569.85 | $0.10 – $0.46 | 2 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $39.38 – $148.33 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,656.85 | $2,549.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,131.35 | $3,279.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,590.25 | $3,985.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,856.10 | $4,394.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,495.00 | $2,300.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $5,001.10 | $7,694.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $4,616.30 | $7,102.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $266.50 | $410.00 | not published | 0 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $1,885.00 – $1,885.00 | 1 |
| Rubella antibody igg CPT 86762 | $46.80 | $72.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $195.65 | $301.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $468.00 | $720.00 | not published | 0 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $3,530.80 | $5,432.00 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $96.33 | $148.20 | $61.64 – $230.36 | 2 |
| Salivary gland imaging CPT 78230 | $1,796.60 | $2,764.00 | not published | 0 |
| Salmonella antibody CPT 86768 | $65.65 | $101.00 | not published | 0 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $0.07 – $0.07 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $95.35 – $390.13 | 2 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $274.61 – $1,050.01 | 2 |
| S bowel endoscope w/stent CPT 44379 | $3,428.75 | $5,275.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $881.40 | $1,356.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $538.85 | $829.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $761.15 | $1,171.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $517.40 | $796.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $554.45 | $853.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $683.15 | $1,051.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $861.25 | $1,325.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $689.00 | $1,060.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $642.20 | $988.00 | not published | 0 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,307.85 | $5,089.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $3,115.85 | $4,793.62 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $78.00 | $120.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,442.70 | $3,758.00 | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,442.70 | $3,758.00 | not published | 0 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $141.05 | $217.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $171.60 | $264.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $53.95 | $83.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $11,541.37 | $17,755.96 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $7,474.35 | $11,499.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $38.35 | $59.00 | not published | 0 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $15,733.51 – $15,733.51 | 1 |
| Semen analysis w/count CPT 89310 | $274.30 | $422.00 | not published | 0 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.07 – $0.07 | 1 |
| Serpina1 gene CPT 81332 | $174.85 | $269.00 | not published | 0 |
| Sertraline (zoloft) - sendout CPT 80332 | $217.75 | $335.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $1,582.75 | $2,435.00 | not published | 0 |
| Set radiation therapy field CPT 77285 | $2,827.50 | $4,350.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $4,680.65 | $7,201.00 | not published | 0 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.07 – $0.07 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.33 – $0.33 | 1 |
| Sf3b1 gene common variants CPT 81347 | $490.10 | $754.00 | not published | 0 |
| Sgmdsc w/band ligation CPT 45350 | $2,685.80 | $4,132.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $313.95 | $483.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $142.35 | $219.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $284.70 | $438.00 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $169.05 | $260.07 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $117.80 | $181.23 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $62.56 | $96.25 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $41.26 | $63.48 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $51.25 | $78.84 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $77.20 | $118.77 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $107.15 | $164.85 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $5,696.60 | $8,764.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $5,179.20 | $7,968.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $4,708.60 | $7,244.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $690.30 | $1,062.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $1,009.45 | $1,553.00 | not published | 0 |
| Sialography s&i CPT 70390 | $684.45 | $1,053.00 | not published | 0 |
| Sickling rbc CPT 85660 | $120.25 | $185.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $2,727.40 | $4,196.00 | not published | 0 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $2,890.55 | $4,447.00 | not published | 0 |
| Sigmoidoscopy for bleeding CPT 45334 | $3,014.05 | $4,637.00 | not published | 0 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $2,808.00 | $4,320.00 | not published | 0 |
| Sigmoidoscopy w/ablation CPT 45346 | $3,314.35 | $5,099.00 | not published | 0 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $2,899.00 | $4,460.00 | not published | 0 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $3,314.35 | $5,099.00 | not published | 0 |
| Sigmoidoscopy w/resection CPT 45349 | $3,314.35 | $5,099.00 | 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.