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 |
|---|---|---|---|---|
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $988.65 | $1,521.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $994.50 | $1,530.00 | not published | 0 |
| Uric acid blood CPT 84550 | $18.85 | $29.00 | not published | 0 |
| Uric acid urine CPT 84560 | $110.50 | $170.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $66.30 | $102.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $9.75 | $15.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $48.10 | $74.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $104.65 | $161.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $98.15 | $151.00 | not published | 0 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $0.07 – $0.07 | 1 |
| Urography, antegrade CPT 74425 | $1,228.50 | $1,890.00 | not published | 0 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $0.07 – $0.07 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $0.07 – $0.07 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $6,892.54 | $10,603.90 | $22.59 – $82.94 | 2 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $1,013.22 – $1,013.22 | 1 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $274.81 – $1,050.73 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $250.00 – $955.89 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $265.02 – $1,013.35 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $149.23 – $570.57 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $111.44 – $426.08 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | $95.84 | $147.45 | $187.20 – $187.20 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $636.81 – $636.81 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $397.02 – $397.02 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $1,018.03 – $1,018.03 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $780.39 – $780.39 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $198.77 – $198.77 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $60.90 | $93.70 | $78.33 – $78.33 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $123.56 – $465.47 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $820.30 – $820.30 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $247.07 – $247.07 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $127.75 – $488.48 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $119.64 – $457.47 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $301.84 – $1,093.95 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $109.69 | $168.75 | $53.84 – $200.01 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $1,999.47 – $1,999.47 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $0.07 – $0.07 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $303.88 | $467.50 | $141.94 – $542.69 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $141.93 – $542.69 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $37.16 – $142.09 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $89.80 | $138.15 | $38.00 – $145.28 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $119.86 – $119.86 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $441.87 – $441.87 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $124.22 – $124.22 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $80.48 | $123.81 | $128.25 – $128.25 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $59.93 – $59.93 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $159.25 – $159.25 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $419.32 – $419.32 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $62.64 – $239.53 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $18.58 – $71.05 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $705.76 | $1,085.79 | $1,454.38 – $1,454.38 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $1,236.69 – $1,236.69 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $411.60 | $633.23 | $1,117.81 – $1,117.81 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $1,022.78 – $1,022.78 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $300.64 | $462.53 | $601.19 – $601.19 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $1,808.04 – $1,808.04 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $390.74 | $601.14 | $226.90 – $867.56 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $438.58 – $1,676.94 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $443.95 – $1,648.14 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $816.15 | $1,255.61 | $531.93 – $1,937.26 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $290.75 – $290.75 | 1 |
| Vaccine rabies im CPT 90675 | $958.06 | $1,473.94 | $530.45 – $2,130.57 | 2 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $1,917.50 – $1,917.50 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,457.88 | $2,242.90 | $3,378.38 – $3,378.38 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $3,378.38 – $3,378.38 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $1,911.00 – $1,911.00 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $901.81 – $901.81 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $642.33 – $642.33 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $148.02 | $227.72 | $67.51 – $251.10 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $144.53 | $222.35 | $61.82 – $217.62 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $952.71 – $952.71 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $563.48 | $866.90 | $1,189.50 – $1,189.50 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $1,455.81 – $1,455.81 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.07 – $0.07 | 1 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,131.41 | $1,740.63 | not published | 0 |
| Vad cable power module dc input HCPCS Q0478 | $581.01 | $893.86 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $14,814.14 | $22,790.99 | not published | 0 |
| Vaginal bx CPT 58999 | $613.60 | $944.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $73.45 | $113.00 | not published | 0 |
| Valrubicin injection HCPCS J9357 | not published | not published | $2,340.53 – $9,051.38 | 2 |
| Valvuloplasty aortic CPT 92986 | $17,613.05 | $27,097.00 | not published | 0 |
| Valvuloplasty mitral CPT 92987 | $11,278.80 | $17,352.00 | not published | 0 |
| Valvuloplasty pulmonary CPT 92990 | $11,278.80 | $17,352.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $111.74 | $171.90 | $0.05 – $0.05 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $80.18 | $123.35 | $0.21 – $0.21 | 1 |
| Vancomycin hcl injection HCPCS J3370 | $18.90 | $29.07 | $12.09 – $12.09 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $57.85 | $89.00 | not published | 0 |
| Vantas implant HCPCS J9225 | not published | not published | $0.07 – $0.07 | 1 |
| Varicella zoster antibody igg CPT 86787 | $194.35 | $299.00 | not published | 0 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $14,186.71 – $14,186.71 | 1 |
| Varus/valgus strap padded/li HCPCS L2270 | $127.78 | $196.59 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $30.13 | $46.35 | $2.13 – $10.60 | 2 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $30,377.88 | $46,735.20 | $37.51 – $140.86 | 2 |
| Veeg cont 2-12 hrs CPT 95713 | $3,019.90 | $4,646.00 | not published | 0 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $5,276.70 | $8,118.00 | not published | 0 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $3,019.90 | $4,646.00 | not published | 0 |
| Veeg unmon 12-26 hrs CPT 95714 | $5,276.70 | $8,118.00 | not published | 0 |
| Veeg unmon 2-12 hrs CPT 95711 | $3,019.90 | $4,646.00 | not published | 0 |
| Vein x-ray adrenal gland CPT 75840 | $2,304.90 | $3,546.00 | not published | 0 |
| Vein x-ray adrenal glands CPT 75842 | $3,976.70 | $6,118.00 | not published | 0 |
| Vein x-ray kidney CPT 75831 | $3,474.90 | $5,346.00 | 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.