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 |
|---|---|---|---|---|
| Warde viscosity CPT 85810 | $48.75 | $75.00 | not published | 0 |
| Warde vitamin a CPT 84590 | $29.90 | $46.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $61.75 | $95.00 | not published | 0 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $53.95 | $83.00 | not published | 0 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $70.20 | $108.00 | not published | 0 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $70.85 | $109.00 | not published | 0 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $29.90 | $46.00 | not published | 0 |
| Warde zinc CPT 84630 | $19.50 | $30.00 | not published | 0 |
| Wbc automated CPT 85048 | $25.35 | $39.00 | not published | 0 |
| Western blot test CPT 84181 | $250.90 | $386.00 | not published | 0 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $859.87 | $1,322.88 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | $1,626.95 | $2,503.00 | not published | 0 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $1,762.15 | $2,711.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | $4,260.75 | $6,555.00 | not published | 0 |
| Whole mitochondrial genome CPT 81465 | $1,673.10 | $2,574.00 | not published | 0 |
| Who nontorsion jnts pre cst HCPCS L3915 | $706.80 | $1,087.38 | not published | 0 |
| Wilate injection HCPCS J7183 | not published | not published | $2.16 – $8.32 | 2 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $540.60 – $540.60 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $538.85 | $829.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $815.10 | $1,254.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $1,223.95 | $1,883.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $2,454.40 | $3,776.00 | not published | 0 |
| Wrist X-ray CPT 73110 | $689.00 | $1,060.00 | not published | 0 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $1,658.15 – $1,658.15 | 1 |
| X-ray abdomen 1 view CPT 74018 | $268.45 | $413.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $325.65 | $501.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $367.90 | $566.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $404.30 | $622.00 | not published | 0 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $447.85 | $689.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $412.10 | $634.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $2,445.30 | $3,762.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $284.05 | $437.00 | not published | 0 |
| X-ray bone length studies CPT 77073 | $236.60 | $364.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $574.60 | $884.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $449.15 | $691.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $376.35 | $579.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $449.15 | $691.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $516.10 | $794.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $637.00 | $980.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $566.80 | $872.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $715.00 | $1,100.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $468.00 | $720.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $626.60 | $964.00 | not published | 0 |
| Xray endovasc thor ao repr CPT 75956 | $7,500.35 | $11,539.00 | not published | 0 |
| Xray endovasc thor ao repr CPT 75957 | $8,251.10 | $12,694.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $464.75 | $715.00 | not published | 0 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $640.90 | $986.00 | not published | 0 |
| X-ray exam entire spi 6/> vw CPT 72084 | $672.10 | $1,034.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $419.90 | $646.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $377.00 | $580.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $432.90 | $666.00 | not published | 0 |
| X-ray exam of jaw joint CPT 70328 | $297.05 | $457.00 | not published | 0 |
| X-ray exam of middle ear CPT 70134 | $326.95 | $503.00 | not published | 0 |
| X-ray exam of penis CPT 74445 | $971.75 | $1,495.00 | not published | 0 |
| X-ray exam of perineum CPT 74775 | $1,391.65 | $2,141.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $193.70 | $298.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $287.30 | $442.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $387.40 | $596.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $687.70 | $1,058.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $449.15 | $691.00 | not published | 0 |
| X-ray fallopian tube CPT 74742 | $3,923.40 | $6,036.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $542.10 | $834.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $387.40 | $596.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $447.20 | $688.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $419.90 | $646.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $403.00 | $620.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $555.10 | $854.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $455.65 | $701.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $423.15 | $651.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $466.05 | $717.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $528.45 | $813.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $338.65 | $521.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $455.00 | $700.00 | not published | 0 |
| X-ray joint survey 1 view CPT 77077 | $222.95 | $343.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $468.00 | $720.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $644.80 | $992.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $278.85 | $429.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $457.60 | $704.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $357.50 | $550.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $471.25 | $725.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $568.10 | $874.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $416.00 | $640.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $258.05 | $397.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $323.05 | $497.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $280.15 | $431.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $456.30 | $702.00 | not published | 0 |
| X-ray of mammary ducts CPT 77054 | $1,133.60 | $1,744.00 | not published | 0 |
| X-ray optic foramina CPT 70190 | $280.80 | $432.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $174.20 | $268.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $269.10 | $414.00 | not published | 0 |
| Xray place dist ext thor ao CPT 75959 | $6,818.50 | $10,490.00 | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | $6,199.70 | $9,538.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $975.00 | $1,500.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $301.60 | $464.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $382.85 | $589.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $357.50 | $550.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $440.05 | $677.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $380.90 | $586.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $322.40 | $496.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $655.20 | $1,008.00 | 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.