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 |
|---|---|---|---|---|
| St evaluation swallow function CPT 92610 | $316.55 | $487.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | $507.65 | $781.00 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $304.82 | $468.95 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $652.60 | $1,004.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $969.80 | $1,492.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $214.50 | $330.00 | not published | 0 |
| Strep a dna dir probe CPT 87650 | $165.10 | $254.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $179.40 | $276.00 | not published | 0 |
| Streptomycin injection HCPCS J3000 | not published | not published | $53.30 – $183.69 | 2 |
| Streptozocin injection HCPCS J9320 | not published | not published | $2,270.00 – $2,270.00 | 1 |
| Stress test pulmonary CPT 94618 | $399.75 | $615.00 | not published | 0 |
| Str markers spec anal addl CPT 81266 | $345.80 | $532.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $1,118.00 | $1,720.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $303.55 | $467.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $282.10 | $434.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $26.62 | $40.95 | $5.20 – $5.20 | 1 |
| Sugars single quant CPT 84378 | $203.45 | $313.00 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $134.81 | $207.40 | $0.09 – $0.09 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | $206.05 | $317.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $39.40 | $60.62 | $318.50 – $318.50 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $103.16 | $158.70 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $77,452.66 – $294,201.70 | 2 |
| Surgical pathology level 1 gross examination only CPT 88300 | $143.00 | $220.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $232.05 | $357.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $268.45 | $413.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $590.20 | $908.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $494.00 | $760.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $631.15 | $971.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $72.15 | $111.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $50.70 | $78.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $248.30 | $382.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $308.75 | $475.00 | not published | 0 |
| Suspension sleeve lower ext HCPCS L2397 | $252.90 | $389.08 | not published | 0 |
| Svc venogram s&i CPT 75827 | $2,289.30 | $3,522.00 | not published | 0 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $9.54 – $57.85 | 2 |
| Synvisc or synvisc-one HCPCS J7325 | $1,415.99 | $2,178.45 | $15.45 – $59.54 | 2 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $102.05 | $157.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $23,128.97 | $35,583.03 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $5,736.95 | $8,826.07 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $698.82 | $1,075.10 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $46.80 | $72.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $42.90 | $66.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $61.10 | $94.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $70.20 | $108.00 | not published | 0 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.00 – $3.71 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $3.12 – $11.70 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.78 | $7.35 | $0.26 – $1.17 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $445.79 – $1,655.36 | 2 |
| Tacrolimus therapeutic drug level CPT 80197 | $55.90 | $86.00 | not published | 0 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $23.93 – $90.81 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $125.03 – $457.41 | 2 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $123.07 – $454.81 | 2 |
| Talymed HCPCS Q4127 | not published | not published | $116.43 – $116.43 | 1 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $1.24 – $1.24 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,665.05 | $7,177.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,605.00 | $11,700.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $4,393.35 | $6,759.00 | not published | 0 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $2,664.74 – $9,750.00 | 2 |
| Tavr perq femoral CPT 33361 | $30,338.10 | $46,674.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.50 – $2.60 | 2 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $194.35 | $299.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $165.10 | $254.00 | not published | 0 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.07 – $0.07 | 1 |
| Tc-99m bicisate HCPCS A9557 | $1,684.04 | $2,590.83 | $23,831.15 – $23,831.15 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $0.07 – $0.07 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $11,140.81 – $11,140.81 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | $3,058.54 | $4,705.45 | $11,140.81 – $11,140.81 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $2,015.00 – $2,015.00 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $247.06 | $380.10 | $650.00 – $650.00 | 1 |
| Tc-99m maa HCPCS A9540 | $348.18 | $535.66 | $195.00 – $195.00 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $59.48 | $91.50 | $367.25 – $367.25 | 1 |
| Tc-99m medronate HCPCS A9503 | $70.14 | $107.90 | $84.50 – $84.50 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $523.61 | $805.55 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $0.68 | $1.04 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $85.38 | $131.35 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $0.07 – $0.07 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $320.22 | $492.65 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $10.99 – $10.99 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $75.92 | $116.80 | $416.33 – $416.33 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $64.35 | $99.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $191.87 | $295.19 | $1,737.91 – $1,737.91 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $68.25 | $105.00 | $554.26 – $554.26 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $51.80 | $79.69 | $4,300.21 – $4,300.21 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $391.30 | $602.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $442.00 | $680.00 | not published | 0 |
| T cells total count CPT 86359 | $582.40 | $896.00 | not published | 0 |
| Tcranial magn stim tx deli CPT 90868 | $315.25 | $485.00 | not published | 0 |
| Tcranial magn stim tx plan CPT 90867 | $444.60 | $684.00 | not published | 0 |
| Tcran magn stim redetemine CPT 90869 | $444.60 | $684.00 | not published | 0 |
| Team conf w/pat by hc prof CPT 99366 | $102.70 | $158.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $369.05 – $1,395.94 | 2 |
| Telavancin injection HCPCS J3095 | not published | not published | $12.69 – $48.10 | 2 |
| Telehealth original site facility fee HCPCS Q3014 | $44.85 | $69.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $9,276.15 | $14,271.00 | not published | 0 |
| Telethx isodose plan simple CPT 77306 | $7,538.70 | $11,598.00 | not published | 0 |
| Temozolomide HCPCS J8700 | not published | not published | $0.61 – $1.76 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $17.67 – $67.67 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $54.89 – $191.88 | 2 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $20,874.78 | $32,115.05 | $292.29 – $1,055.80 | 2 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $16,223.68 – $16,223.68 | 1 |
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.