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Ohiohealth Shelby Hospital

199 West Main Street, Shelby, OH 44875 · (419) 342-5015

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 4/5Mansfield, OH metro

Price file

Prices published

File dated 2026-04-01

1,134 price rows for 45 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 18 lines · metro median $51

$51
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 9 lines · metro median $2,826

$2,826
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 9 lines · metro median $1,086

$1,086
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 9 lines · metro median $2,005

$2,005
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 18 lines · metro median $59

$59
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 9 lines · metro median $2,876

$2,876
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 9 lines · metro median $3,199

$3,199
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 9 lines · metro median $3,321

$3,321
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 27 lines · metro median $23

$23
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 18 lines · metro median $59

$59
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 9 lines · metro median $522

$522
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 9 lines · metro median $314

$314
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 9 lines · metro median $314

$314
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 18 lines · metro median $59

$59
cash
Group psychotherapy

CPT 90853 · lowest of 36 lines · metro median $134

$134
cash
Left heart catheterization

CPT 93452 · lowest of 9 lines · metro median $6,552

$6,552
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 18 lines · metro median $51

$51
cash
Liver function panel

CPT 80076 · lowest of 18 lines · metro median $24

$24
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 9 lines · metro median $2,963

$2,963
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 9 lines · metro median $2,268

$2,268
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 9 lines · metro median $2,946

$2,946
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 9 lines · metro median $2,462

$2,462
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 9 lines · metro median $931

$931
cash
PSA test (prostate)

CPT 84153 · lowest of 18 lines · metro median $31

$31
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 18 lines · metro median $34

$34
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 18 lines · metro median $103

$103
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 9 lines · metro median $662

$662
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 9 lines · metro median $88

$88
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 9 lines · metro median $88

$88
cash
Prostate biopsy

CPT 55700 · lowest of 9 lines · metro median $1,458

$1,458
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 36 lines · metro median $21

$21
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 9 lines · metro median $158

$158
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 9 lines · metro median $248

$248
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 9 lines · metro median $314

$314
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 9 lines · metro median $172

$172
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 9 lines · metro median $3,593

$3,593
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 18 lines · metro median $1,854

$1,854
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 9 lines · metro median $2,974

$2,974
cash
TSH test (thyroid)

CPT 84443 · lowest of 9 lines · metro median $69

$69
cash
Transvaginal ultrasound

CPT 76830 · lowest of 9 lines · metro median $564

$564
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 9 lines · metro median $820

$820
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 9 lines · metro median $2,746

$2,746
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 9 lines · metro median $2,974

$2,974
cash
Urinalysis with microscope

CPT 81001 · lowest of 9 lines · metro median $10

$10
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 9 lines · metro median $471

$471
cash

Source files

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