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 |
|---|---|---|---|---|
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,189.20 | $3,368.00 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $23.50 | $36.16 | $4.66 – $13.91 | 2 |
| Teriparatide injection HCPCS J3110 | not published | not published | $327.15 – $327.15 | 1 |
| Tert gene targeted seq alys CPT 81345 | $1,622.40 | $2,496.00 | not published | 0 |
| Test for chlorohydrocarbons CPT 82441 | $318.50 | $490.00 | not published | 0 |
| Test for porphobilinogen CPT 84106 | $97.50 | $150.00 | not published | 0 |
| Testicular imaging w/vasc flow CPT 78761 | $1,136.85 | $1,749.00 | not published | 0 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $683.35 – $683.35 | 1 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $3.39 – $12.48 | 2 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $125.45 | $193.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $781.30 | $1,202.00 | not published | 0 |
| Tetanus ig im CPT 90389 | not published | not published | $4,219.61 – $4,219.61 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $1,765.86 | $2,716.70 | $980.98 – $3,718.46 | 2 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $31.11 – $118.04 | 2 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $6,119.75 | $9,415.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $57.85 | $89.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $87.10 | $134.00 | not published | 0 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $364.00 | $560.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $33.80 | $52.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $36.40 | $56.00 | not published | 0 |
| Ther/proph/diag inj ia CPT 96373 | $157.30 | $242.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $23.98 | $36.90 | $3.04 – $11.44 | 2 |
| Thiotepa injection HCPCS J9340 | not published | not published | $1,441.38 – $1,441.38 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $4,063.80 | $6,252.00 | not published | 0 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,899.65 | $4,461.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $9,079.85 | $13,969.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $17,391.40 | $26,756.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $30,914.65 | $47,561.00 | not published | 0 |
| Thrombin time CPT 85670 | $74.75 | $115.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $603.85 | $929.00 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $124.80 | $192.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $769.60 | $1,184.00 | not published | 0 |
| Thyroid mets imag whole body CPT 78018 | $1,944.80 | $2,992.00 | not published | 0 |
| Thyroid met uptake CPT 78020 | $438.75 | $675.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $68.90 | $106.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $551.20 | $848.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $1,161.55 | $1,787.00 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $7,095.60 | $10,916.31 | $3,592.50 – $13,441.42 | 2 |
| Thyroxine binding globulin (tbg) CPT 84442 | $68.90 | $106.00 | not published | 0 |
| Tibial length sock fx or equ HCPCS L2840 | $66.55 | $102.39 | not published | 0 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $44,526.30 | $68,502.00 | not published | 0 |
| Tib/per revasc stnt & ather CPT 37235 | $22,475.70 | $34,578.00 | not published | 0 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $11,237.85 | $17,289.00 | not published | 0 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $1,881.30 – $1,881.30 | 1 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $1,881.30 – $1,881.30 | 1 |
| Tigecycline injection HCPCS J3243 | $54.60 | $84.00 | $0.86 – $4.10 | 2 |
| Tilt table study CPT 93660 | $1,728.35 | $2,659.00 | not published | 0 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $0.07 – $0.07 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $275.86 | $424.40 | $5.83 – $23.53 | 2 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $0.07 – $983,151.78 | 2 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $495.53 | $762.35 | $320.70 – $1,182.16 | 2 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $33.11 – $33.11 | 1 |
| Tissue culture placenta CPT 88235 | $2,120.95 | $3,263.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $2,109.90 | $3,246.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $1,909.70 | $2,938.00 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $196.30 | $302.00 | not published | 0 |
| Tixagev and cilgav inj HCPCS M0220 | $269.10 | $414.00 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $212.29 – $212.29 | 1 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $2,073.81 | $3,190.47 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $190.22 | $292.65 | $4.18 – $12.81 | 2 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $24.58 – $104.00 | 2 |
| Tobramycin peak therapeutic drug level CPT 80200 | $64.35 | $99.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $7,051.43 | $10,848.35 | $9.84 – $38.81 | 2 |
| Tocilizumab for covid-19 HCPCS Q0249 | $18.28 | $28.12 | $12.87 – $49.21 | 2 |
| Tomosynthesis breast screen bilateral CPT 77063 | $52.00 | $80.00 | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $3.75 | $5.77 | $2.28 – $11.57 | 2 |
| Topotecan oral HCPCS J8705 | not published | not published | $212.33 – $812.05 | 2 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $25,728.59 | $39,582.45 | $67.15 – $255.58 | 2 |
| Total tau CPT 84394 | $975.00 | $1,500.00 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $416.00 | $640.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $408.20 | $628.00 | not published | 0 |
| Tp53 gene full gene sequence CPT 81351 | $1,297.40 | $1,996.00 | not published | 0 |
| Tp53 gene known famil vrnt CPT 81353 | $799.50 | $1,230.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,261.00 | $1,940.00 | not published | 0 |
| Tpmt gene com vrnts CPT 81335 | $689.00 | $1,060.00 | not published | 0 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $651.21 – $2,357.88 | 2 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $840.45 | $1,293.00 | not published | 0 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $46.15 | $71.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $36.14 | $55.60 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | $1,972.10 | $3,034.00 | not published | 0 |
| Transcath biopsy CPT 37200 | $4,730.05 | $7,277.00 | not published | 0 |
| Transcath closure of asd CPT 93580 | $11,691.55 | $17,987.00 | not published | 0 |
| Transcath closure of vsd CPT 93581 | $12,614.55 | $19,407.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $1,845.35 | $2,839.00 | not published | 0 |
| Transcath mv repair addl prosthesis CPT 33419 | $924.95 | $1,423.00 | not published | 0 |
| Transcath mv repair init prosthesis CPT 33418 | $30,338.10 | $46,674.00 | not published | 0 |
| Transcath occlusion cns CPT 61624 | $9,673.30 | $14,882.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $11,280.10 | $17,354.00 | not published | 0 |
| Trans cath replace aortic valve 33366 CPT 33366 | $30,338.10 | $46,674.00 | not published | 0 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $10,910.90 | $16,786.00 | not published | 0 |
| Transferrin CPT 84466 | $96.85 | $149.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $838.50 | $1,290.00 | not published | 0 |
| Transperi needle place pros CPT 55875 | $3,511.30 | $5,402.00 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,256.17 | $6,547.95 | $129.51 – $500.83 | 2 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $3,565.48 | $5,485.35 | $73.57 – $225.49 | 2 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $2,044.12 | $3,144.80 | $48.65 – $123.31 | 2 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $10,605.40 | $16,316.00 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $339.40 | $522.15 | not published | 0 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $2,157.35 | $3,319.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $839.80 | $1,292.00 | 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.