Supplies, drugs & other prices at OhioHealth Shelby Hospital

Shelby, OH · every code in this section with a posted price and a Medicare benchmark.

119 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,790.75 $2,755 2.3×
2d tte w or w/o fol w/con,co (C8923) $1,515.80 $2,332 1.9×
2d tte w or w/o fol w/con,fu (C8924) $592.80 $912 1.7×
Ablation b9 thyroid nodule perq laser w/img gdn (0673T) $2,375.75 $3,655 1.4×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T)
range across 2 matching MRF lines
$6,780.80–$13,561.60 $10,432–$20,864 varies
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T)
range across 2 matching MRF lines
$1,716–$3,432 $2,640–$5,280 varies
Adm tocilizu covid-19 1st (M0249) $807.30 $1,242 1.8×
Adm tocilizu covid-19 2nd (M0250) $807.30 $1,242 1.8×
Admin hepatitis b vaccine (G0010) $35.75 $55 0.8×
Admin influenza virus vac (G0008) $35.75 $55 0.8×
Admin pneumococcal vaccine (G0009) $35.75 $55 0.8×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $160.55 $247 4.3×
Ca screen;flexi sigmoidscope (G0104) $1,938.30 $2,982 2.1×
Catheterize for urine spec (P9612) $362.70 $558 38.8×
Colon ca scrn not hi rsk ind (G0121) $2,442.70 $3,758 2.6×
Colorectal scrn; hi risk ind (G0105) $2,442.70 $3,758 2.6×
Comt gene analysis c.472g>a variant (0032U) $1,867.45 $2,873 10.7×
Covid-19 lab test non-cdc (U0002)
range across 4 matching MRF lines
$167.70–$201.50 $258–$310 varies
Cyp1a2 gene analysis common variants (0031U) $1,527.50 $2,350 8.7×
Cyp2d6 3' gene dup/mlt (0076U) $5,265 $8,100 11.7×
Cyp2d6 5' gene dup/mlt (0075U) $4,889.30 $7,522 10.8×
Cyp2d6 full gene sequence (0071U) $2,632.50 $4,050 4.4×
Cyp2d6 gen com&slct rar vrnt (0070U) $708.50 $1,090 1.0×
Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) $3,572.40 $5,496 7.9×
Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) $3,948.10 $6,074 8.8×
Cyp2d6 nonduplicated gene (0074U) $4,512.95 $6,943 10.0×
Demonstrate use home inr mon (G0248) $118.95 $183 0.9×
Diab manage trn per indiv (G0108) $46.15 $71 0.8×
Diab manage trn ind/group (G0109) $38.35 $59 2.4×
Direct refer hospital observ (G0379) $375.05 $577 0.6×
Eia hiv-1/hiv-2 screen (G0432) $68.90 $106 3.5×
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) $663 $1,020 7.0×
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) $663 $1,020 7.0×
Elec stim other than wound (G0283) $61.75 $95 4.9×
Elec stim unattend for press (G0281) $61.75 $95 5.3×
Electrophysiologic eval ccm-d leads at 1st impl (0930T) $3,367 $5,180 2.8×
Electrophysiologic eval ccm-d leads separate (0931T) $3,367 $5,180 2.8×
Electrophysiologic Eval Icds W/Ss Electrode (0577T) $852.80 $1,312 0.7×
Esd endoscopy or colonoscopy (C9779) $2,691 $4,140 0.7×
Esophag muc integ w/eso egd (C9777) $5,769.40 $8,876 1.5×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $15,688.40 $24,136 1.4×
Extrnl counterpulse, per tx (G0166) $1,966.90 $3,026 14.9×
Fecal blood scrn immunoassay (G0328)
range across 2 matching MRF lines
$84.50–$141.05 $130–$217 varies
Hbot, full body chamber, 30m (G0277) $687.70 $1,058 5.0×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $25,896 $39,840 1.5×
Hospital outpt clinic visit (G0463)
range across 9 matching MRF lines
$40.95–$96.85 $63–$149 varies
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $971.10 $1,494 22.4×
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$1,595.10–$3,190.20 $2,454–$4,908 varies
Insertion of substernal implantable defibrillator electrode (0572T) $15,065.05 $23,177 1.8×
Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system… (0680T) $12,511.85 $19,249 0.6×
Insertion perm ccm-d system pulse generator only (0916T) $15,860 $24,400 0.7×
Insj perm ccm-d sys 1 transvns lead only (0917T) $12,977.25 $19,965 1.6×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $12,977.25 $19,965 1.6×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $20,679.75 $31,815 0.7×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $20,679.75 $31,815 0.7×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $536.25 $825 4.4×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $927.55 $1,427 1.8×
Mnt subs tx for change dx (G0270) $20.80 $32 0.7×
Neuro csf prion prtn qual (0035U) $2,035.80 $3,132 3.8×
Njx bone sub matrl into subchondral bone defect (0707T) $5,991.70 $9,218 1.8×
Njx platelet plasma (0232T) $3,363.10 $5,174 7.6×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $921.05 $1,417 2.9×
Onc Merkel Cll Carc Srm Quan (0058U) $1,018.55 $1,567 3.2×
Oth resp proc, group (G0239) $258.05 $397 7.0×
Oth resp proc, indiv (G0238) $89.70 $138 3.1×
Pathogen test for platelets (P9100) $125.45 $193 2.1×
Perc d-e cor revasc chro sin (C9607) $19,083.35 $29,359 1.0×
Perc d-e cor revasc t cabg s (C9604) $12,396.80 $19,072 1.1×
Perc d-e cor stent ather s (C9602) $18,700.50 $28,770 1.0×
Perc drug-el cor stent sing (C9600) $18,700.50 $28,770 1.6×
Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) $4,257.50 $6,550 0.7×
Perq Sacral Augmt Bilat Inj (0201T) $10,694.45 $16,453 1.5×
Perq Sacral Augmt Unilat Inj (0200T)
range across 2 matching MRF lines
$9,830.60–$19,661.20 $15,124–$30,248 varies
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $11,427 $17,580 1.0×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $129.35 $199 3.5×
Programming dev eval icds w/ss eltrd in person (0575T) $173.55 $267 4.7×
Prolonged iv inf, req pump (C8957) $522.60 $804 2.5×
Psa screening (G0103) $53.95 $83 2.8×
Quan MRI alys brain with diagnostic MRI (0866T) $503.75 $775 2.1×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $1,272.05 $1,957 1.8×
Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) $10,910.25 $16,785 3.1×
Relocation skin pocket implanted ccm-d pg (0925T) $5,073.90 $7,806 2.5×
Rem interrog dev eval ss ld icds < 90d tech (0579T) $152.75 $235 4.1×
Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) $12,287.60 $18,904 3.5×
Removal perm ccm-d system pulse generator only (0919T) $10,093.85 $15,529 2.7×
Removal Ss Dfb Electrode (0573T) $15,065.05 $23,177 4.1×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $15,065.05 $23,177 4.1×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $1,714.70 $2,638 2.8×
Revasc intra lithotrip-stent (C9765) $16,444.35 $25,299 0.9×
Revasc intravasc lithotripsy (C9764) $13,735.15 $21,131 1.2×
Revasc lith-sten-ath tib/per (C9775) $18,236.40 $28,056 1.0×
Revasc lithotr-ather tib/per (C9774) $18,236.40 $28,056 1.0×
Revasc lithotr-stent tib/per (C9773) $18,236.40 $28,056 1.0×
Revasc lithotrip tibi/perone (C9772) $16,413.15 $25,251 1.4×
Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) $2,093 $3,220 0.6×
Rmvl & Rplcmt Pg Compnt Wcs (0519T) $14,825.85 $22,809 1.4×
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) $10,093.85 $15,529 2.7×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $10,093.85 $15,529 2.7×
Rmvl perm ccm-d sys dual transvns leads only (0922T) $10,093.85 $15,529 2.7×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $15,065.05 $23,177 4.1×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $15,860 $24,400 0.7×
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) $17,039.75 $26,215 1.6×
Rx Metab Advrs Trgt Seq Alys (0029U) $1,695.85 $2,609 2.3×
Rx metab warfarin rx response trgt seq alys (0030U) $2,379.65 $3,661 17.7×
Scr c/v cyto,thinlayer,rescr (G0145) $78 $120 2.9×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $8,407.10 $12,934 2.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $11,774.10 $18,114 2.1×
Therapeutic procd strg endur (G0237) $87.10 $134 3.0×
Tpmt and Nudt15 Genotype (0034U) $890.50 $1,370 1.9×
Transcatheter Renal Sympath Denervation Bilat (0339T) $8,233.55 $12,667 1.5×
Transcatheter renal sympath denervation unilat (0338T) $8,233.55 $12,667 1.5×
Trauma respons w/hosp criti (G0390)
range across 4 matching MRF lines
$4,789.85–$10,605.40 $7,369–$16,316 varies
Trim nail(s) (G0127) $87.75 $135 1.5×
Trluml Perip Athrc Brchiocph (0237T) $8,100.30 $12,462 0.7×
Trluml Perip Athrc Iliac Art (0238T) $13,108.55 $20,167 0.7×
Tte w or w/o fol w/con,stres (C8928) $1,529.45 $2,353 2.0×
Tte w or w/o fol w/cont, com (C8921) $1,838.85 $2,829 2.4×
Tte w or wo fol wcon,doppler (C8929) $1,347.45 $2,073 1.7×
Unsched dialysis esrd pt hos (G0257) $3,498.95 $5,383 5.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.