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 |
|---|---|---|---|---|
| Sigmoidoscopy w/tumr remove CPT 45338 | $2,973.75 | $4,575.00 | not published | 0 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $2,737.80 | $4,212.00 | not published | 0 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $3,314.35 | $5,099.00 | not published | 0 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $3,129.75 | $4,815.00 | not published | 0 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $579.15 | $891.00 | not published | 0 |
| Sig w/tndsc balloon dilation CPT 45340 | $2,973.75 | $4,575.00 | not published | 0 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $1.76 – $1.76 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $422.50 | $650.00 | $231.15 – $743.54 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,916.85 | $2,949.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,738.75 | $2,675.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,502.15 | $2,311.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $4,828.20 | $7,428.00 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $95,108.15 – $360,987.25 | 2 |
| Sirolimus, oral HCPCS J7520 | $16.67 | $25.64 | $1.63 – $6.89 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $143.70 – $763.43 | 2 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $204.10 | $314.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $188.50 | $290.00 | not published | 0 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $6,573.97 – $6,573.97 | 1 |
| Slco1b1 gene com variants CPT 81328 | $1,065.35 | $1,639.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $3,593.20 | $5,528.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $1,414.40 | $2,176.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $401.32 | $617.41 | not published | 0 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $18.64 | $28.67 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $86.52 | $133.11 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $4,499.24 | $6,921.90 | not published | 0 |
| Slp pure tone screening CPT 92551 | $67.60 | $104.00 | not published | 0 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $105,838.72 – $105,838.72 | 1 |
| Small bowel endoscopy CPT 44360 | $2,466.10 | $3,794.00 | not published | 0 |
| Small bowel endoscopy CPT 44364 | $2,554.50 | $3,930.00 | not published | 0 |
| Small bowel endoscopy CPT 44366 | $2,951.65 | $4,541.00 | not published | 0 |
| Small bowel endoscopy CPT 44369 | $2,518.10 | $3,874.00 | not published | 0 |
| Small bowel endoscopy CPT 44376 | $2,961.40 | $4,556.00 | not published | 0 |
| Small bowel endoscopy CPT 44378 | $3,265.60 | $5,024.00 | not published | 0 |
| Small bowel endoscopy CPT 44382 | $2,815.15 | $4,331.00 | not published | 0 |
| Small bowel endoscopy CPT 44384 | $2,956.20 | $4,548.00 | not published | 0 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $2,984.80 | $4,592.00 | not published | 0 |
| Small bowel endoscopy 44365 CPT 44365 | $2,481.70 | $3,818.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44361 | $2,490.15 | $3,831.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44377 | $3,109.60 | $4,784.00 | not published | 0 |
| Small bowel endoscopy br/wa CPT 44380 | $2,681.25 | $4,125.00 | not published | 0 |
| Small bowel endoscopy br/wa CPT 44381 | $2,956.20 | $4,548.00 | not published | 0 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $4,980.30 | $7,662.00 | not published | 0 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $1,755.00 – $1,755.00 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $108.55 | $167.00 | not published | 0 |
| Smear gram stain CPT 87205 | $81.90 | $126.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $155.35 | $239.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $417.95 | $643.00 | not published | 0 |
| Smear wet mount CPT 87210 | $192.40 | $296.00 | not published | 0 |
| Smn1 gene full gene sequence CPT 81336 | $1,309.10 | $2,014.00 | not published | 0 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $924.30 | $1,422.00 | not published | 0 |
| Smpd1 gene common variants CPT 81330 | $770.25 | $1,185.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $678.60 | $1,044.00 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $77.87 | $119.80 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $74.10 | $114.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $43.65 | $67.15 | $3.87 – $16.25 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $46.38 | $71.35 | $2.34 – $8.13 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $57.26 | $88.10 | $1.21 – $4.10 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $45.01 | $69.25 | $0.98 – $0.98 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $11.66 | $17.94 | $3.70 – $12.94 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $124.76 – $474.70 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $9.75 | $15.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $2.79 | $4.29 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $169.05 | $260.07 | not published | 0 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $7,020.00 | $10,800.00 | not published | 0 |
| Somatropin injection HCPCS J2941 | not published | not published | $986.77 – $986.77 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | $9,360.00 | $14,400.00 | not published | 0 |
| So neo gsap dna mcrstl ins CPT 81457 | $7,410.00 | $11,400.00 | not published | 0 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $142.81 – $142.81 | 1 |
| Special physics consult CPT 77370 | $3,096.60 | $4,764.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $1,058.20 | $1,628.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $4,132.70 | $6,358.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $7,567.30 | $11,642.00 | not published | 0 |
| Specimen fat stain CPT 89125 | $35.10 | $54.00 | not published | 0 |
| Sperm antibody test CPT 89325 | $279.50 | $430.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,674.40 | $2,576.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $632.45 | $973.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $952.38 | $1,465.20 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $28.62 | $44.03 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $30.62 | $47.10 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $12.64 | $19.45 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $181.02 | $278.50 | not published | 0 |
| Split blood or products CPT 86985 | $225.55 | $347.00 | not published | 0 |
| Spontaneous nystagmus study CPT 92531 | $189.15 | $291.00 | not published | 0 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $24,375.00 – $24,375.00 | 1 |
| Srs linear based CPT 77372 | $7,036.90 | $10,826.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $128.05 | $197.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $213.85 | $329.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $41.26 | $63.48 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $215.15 | $331.00 | not published | 0 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $40,493.70 | $62,298.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $4,132.97 | $6,358.42 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $309.20 | $475.69 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $8,799.56 | $13,537.78 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $30,936.10 | $47,594.00 | not published | 0 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $4,123.60 | $6,344.00 | not published | 0 |
| Stent placemt retro carotid CPT 37217 | $28,271.10 | $43,494.00 | not published | 0 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $39,973.70 | $61,498.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $124.15 | $191.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $254.15 | $391.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $334.75 | $515.00 | 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.