Hshs Good Shepherd Hospital INC

200 S Cedar St, Shelbyville, IL 62565 · (217) 774-3961

Critical Access HospitalsVoluntary non-profit - PrivateWebsite ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-03-24

1,322 price rows for 39 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

$42

cash

$15 to $58

35 negotiated rates

$58

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

$4,723

cash

$963 to $6,560

35 negotiated rates

$6,560

list

CT scan of the head, no contrast

CPT 70450

$1,722

cash

$598 to $2,391

35 negotiated rates

$2,391

list

CT scan of the pelvis, with contrast

CPT 72193

$2,674

cash

$929 to $3,714

35 negotiated rates

$3,714

list

Cataract surgery with lens implant

CPT 66984

—

cash

—

list

Chlamydia test (DNA)

CPT 87491

$202

cash

$70 to $281

35 negotiated rates

$281

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

—

list

Complete blood count (CBC) with differential

CPT 85025

$92

cash

$15 to $128

35 negotiated rates

$128

list

Comprehensive metabolic panel (blood test)

CPT 80053

$224

cash

$23 to $311

35 negotiated rates

$311

list

Diagnostic mammogram (both breasts)

CPT 77066

$474

cash

$151 to $659

35 negotiated rates

$659

list

Established patient office visit (about 40 minutes)

CPT 99215

$399

cash

$139 to $554

32 negotiated rates

$554

list

Gonorrhea test (DNA)

CPT 87591

$89

cash

$31 to $124

35 negotiated rates

$124

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

—

list

Lipid panel (cholesterol test)

CPT 80061

$141

cash

$23 to $196

70 negotiated rates

$196

list

Liver function panel

CPT 80076

$174

cash

$23 to $242

35 negotiated rates

$242

list

MRI of the brain, with and without contrast

CPT 70553

$3,961

cash

$1,290 to $5,501

35 negotiated rates

$5,501

list

MRI of the knee or other lower joint, no contrast

CPT 73721

$2,881

cash

$764 to $4,002

35 negotiated rates

$4,002

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148

$2,881

cash

$764 to $4,002

35 negotiated rates

$4,002

list

MRI of the neck (cervical spine), no contrast

CPT 72141

$3,620

cash

$764 to $5,028

35 negotiated rates

$5,028

list

New patient office visit (about 30 minutes)

CPT 99203

$197

cash

$68 to $273

32 negotiated rates

$273

list

New patient office visit (about 45 minutes)

CPT 99204

$336

cash

$117 to $467

32 negotiated rates

$467

list

New patient office visit (about 60 minutes)

CPT 99205

$409

cash

$142 to $568

32 negotiated rates

$568

list

PSA test (prostate)

CPT 84153

$210

cash

$31 to $291

35 negotiated rates

$291

list

Partial thromboplastin time (blood clotting test)

CPT 85730

$99

cash

$11 to $138

35 negotiated rates

$138

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

$132

cash

$46 to $183

35 negotiated rates

$183

list

Pregnancy ultrasound (after first trimester)

CPT 76805

$567

cash

$197 to $787

35 negotiated rates

$787

list

Prothrombin time (blood clotting test)

CPT 85610

$70

cash

$11 to $97

35 negotiated rates

$97

list

Screening mammogram (both breasts)

CPT 77067

$328

cash

$83 to $455

35 negotiated rates

$455

list

Sleep study (overnight, attended)

CPT 95810

$4,579

cash

$1,590 to $6,360

35 negotiated rates

$6,360

list

TSH test (thyroid)

CPT 84443

$154

cash

$34 to $214

70 negotiated rates

$214

list

Transvaginal ultrasound

CPT 76830

$765

cash

$266 to $1,063

35 negotiated rates

$1,063

list

Ultrasound of the abdomen (complete)

CPT 76700

$922

cash

$320 to $1,280

35 negotiated rates

$1,280

list

Upper endoscopy (EGD)

CPT 43235

—

cash

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$61

cash

$8 to $85

70 negotiated rates

$85

list

X-ray of the lower spine (4 or more views)

CPT 72110

$634

cash

$178 to $881

35 negotiated rates

$881

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.hshs.org/getmedia/f39ae893-96e3-4a40-b5ac-05a580323a91/370512290_hshs-good-shepherd-hospital-inc_standardcharges.zip
HSHS Good Shepherd Hospital · parsed · tall v3.0.0 · file dated 2026-03-24 · 2.1 MB · 1322 price rows read · read Nov 2026