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 |
|---|---|---|---|---|
| X-ray sella turcica CPT 70240 | $200.20 | $308.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $361.40 | $556.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $346.45 | $533.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,390.35 | $2,139.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $206.70 | $318.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $372.45 | $573.00 | not published | 0 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $358.15 | $551.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $504.40 | $776.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $412.10 | $634.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $200.85 | $309.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $360.10 | $554.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $302.90 | $466.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $426.40 | $656.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $356.85 | $549.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $395.20 | $608.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $318.50 | $490.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $352.95 | $543.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $338.00 | $520.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $523.25 | $805.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $575.90 | $886.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $457.60 | $704.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $505.70 | $778.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $707.85 | $1,089.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $592.80 | $912.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $434.20 | $668.00 | not published | 0 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $6,417.12 – $6,417.12 | 1 |
| Xyntha inj HCPCS J7185 | not published | not published | $2.62 – $9.75 | 2 |
| Yersinia antibody CPT 86793 | $319.80 | $492.00 | not published | 0 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $421,582.72 – $421,582.72 | 1 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $141.40 – $141.40 | 1 |
| Ziconotide injection HCPCS J2278 | not published | not published | $17.22 – $63.57 | 2 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $2.57 – $9.82 | 2 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $9.82 – $9.82 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $397.15 | $611.00 | not published | 0 |
| Zika virus igm antibody CPT 86794 | $262.60 | $404.00 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $35.13 | $54.04 | $5.33 – $46.74 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $13.56 – $51.87 | 2 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $57.05 – $57.05 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $132.70 | $204.15 | $8.85 – $36.40 | 2 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.07 – $0.07 | 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.