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 |
|---|---|---|---|---|
| Chemodenerv musc neck dyston 64616 CPT 64616 | $1,812.20 | $2,788.00 | not published | 0 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $1,601.60 | $2,464.00 | not published | 0 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $1,601.60 | $2,464.00 | not published | 0 |
| Chemo ia push tecnique CPT 96420 | $3,233.75 | $4,975.00 | not published | 0 |
| Chemo intralesional over 7 CPT 96406 | $423.80 | $652.00 | not published | 0 |
| Chemo intralesional up to 7 96405 CPT 96405 | $211.25 | $325.00 | not published | 0 |
| Chemotherapy injection 96542 CPT 96542 | $504.40 | $776.00 | not published | 0 |
| Chemotx admn pertl cav impl CPT 96446 | $1,280.50 | $1,970.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $286.65 | $441.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $259.35 | $399.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,938.30 | $2,982.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $1,762.15 | $2,711.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $1,602.25 | $2,465.00 | not published | 0 |
| Chest X-ray CPT 71046 | $236.60 | $364.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $215.15 | $331.00 | not published | 0 |
| Chg pr pul rehab for copd patients CPT 94626 | $143.00 | $220.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $674.05 | $1,037.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $191.75 | $295.00 | not published | 0 |
| Chlamydia type CPT 87140 | $104.00 | $160.00 | not published | 0 |
| Chlnggrphy intraop addl s&i CPT 74301 | $263.25 | $405.00 | not published | 0 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $316.23 – $316.23 | 1 |
| Chloride CPT 82435 | $11.70 | $18.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $53.30 | $82.00 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $0.18 | $0.28 | $0.07 – $0.20 | 2 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $1.02 – $3.97 | 2 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $68.65 – $392.99 | 2 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $140.33 | $215.89 | $46.02 – $198.12 | 2 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $2.28 – $2.28 | 1 |
| Cholangiogram percutaneous compl CPT 47532 | $7,783.10 | $11,974.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $523.25 | $805.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,326.05 | $5,117.00 | not published | 0 |
| Cholesterol CPT 82465 | $40.30 | $62.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $319.80 | $492.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $59.15 | $91.00 | not published | 0 |
| Choline c-11 HCPCS A9515 | not published | not published | $32,500.00 – $32,500.00 | 1 |
| Cholinesterase CPT 82480 | $20.80 | $32.00 | not published | 0 |
| Chorion biopsy CPT 59015 | $1,762.15 | $2,711.00 | not published | 0 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $29.77 – $127.86 | 2 |
| Chrom analysis CPT 88273 | $70.20 | $108.00 | not published | 0 |
| Chromatography CPT 83021 | $1,077.70 | $1,658.00 | not published | 0 |
| Chromogenic substrate assay CPT 85130 | $507.00 | $780.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $487.50 | $750.00 | not published | 0 |
| Chromosome analys amniotic CPT 88269 | $409.50 | $630.00 | not published | 0 |
| Chromosome analysis 100 CPT 88249 | $729.95 | $1,123.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $341.25 | $525.00 | not published | 0 |
| Chromosome analysis 5 CPT 88261 | $1,162.20 | $1,788.00 | not published | 0 |
| Chromosome analys placenta CPT 88267 | $1,334.45 | $2,053.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $170.95 | $263.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $29.90 | $46.00 | not published | 0 |
| Chromosome study additional CPT 88289 | $285.35 | $439.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $390.00 | $600.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $130.00 | $200.00 | not published | 0 |
| Cidofovir injection HCPCS J0740 | not published | not published | $899.94 – $1,957.15 | 2 |
| Cilastatin sodium injection HCPCS J0743 | $45.66 | $70.25 | $11.86 – $46.80 | 2 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.07 – $940,744.01 | 2 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.13 – $0.13 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $45.27 | $69.65 | $3.94 – $5.40 | 2 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $184.08 – $184.08 | 1 |
| Circumcision (newborn) CPT 54150 | $1,415.70 | $2,178.00 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $98.57 | $151.65 | $3.31 – $17.49 | 2 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $2,024.75 | $3,115.00 | not published | 0 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $16.53 – $73.26 | 2 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $6,738.49 | $10,366.91 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $54.66 | $84.10 | $2.84 – $13.85 | 2 |
| Clip ligating vesolock lg HCPCS C1760 | $418.32 | $643.57 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $463.45 | $713.00 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $25.02 – $54.99 | 2 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $30.04 – $108.81 | 2 |
| Closure paravalvlr leak pq CPT 33999 | $986.70 | $1,518.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $848.25 | $1,305.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $720.20 | $1,108.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $317.20 | $488.00 | not published | 0 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $4.23 – $4.23 | 1 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $1,764.10 | $2,714.00 | not published | 0 |
| C motor evoked lwr limbs CPT 95929 | $305.50 | $470.00 | not published | 0 |
| #cms hgb-sulfhemoglobin CPT 83060 | $69.55 | $107.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $39.00 | $60.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $117.00 | $180.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $7.65 | $11.77 | $4.50 – $16.58 | 2 |
| Coagulation time activated teg CPT 85347 | $304.85 | $469.00 | not published | 0 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $9.95 – $9.95 | 1 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.07 – $0.07 | 1 |
| Cold agglutinin titer CPT 86157 | $81.90 | $126.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $19.36 – $79.04 | 2 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $124.38 – $460.79 | 2 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $131.11 | $201.71 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $250.91 | $386.01 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $232.27 | $357.34 | not published | 0 |
| Collar extrication adult univ HCPCS L0200 | $1,275.83 | $1,962.82 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $443.30 | $682.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $102.05 | $157.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $11.70 | $18.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $2,875.60 | $4,424.00 | not published | 0 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $3,300.05 | $5,077.00 | not published | 0 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $3,049.80 | $4,692.00 | not published | 0 |
| Colonoscopy for bleeding 44391 CPT 44391 | $3,024.45 | $4,653.00 | not published | 0 |
| Colonoscopy for foreign body CPT 44390 | $3,179.15 | $4,891.00 | not published | 0 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $3,026.40 | $4,656.00 | not published | 0 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $3,464.50 | $5,330.00 | not published | 0 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $3,210.35 | $4,939.00 | 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.