Hshs Good Shepherd Hospital Inc
Hshs Good Shepherd Hospital Inc in Shelbyville, IL publishes cash prices for 34 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
200 S Cedar St, Shelbyville, IL 62565 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST | $4,723.20 | $6,560.00 | 28% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST | $4,723.20 | $6,560.00 | 28% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $1,721.52 | $2,391.00 | 28% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $1,721.52 | $2,391.00 | 28% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST | $2,674.08 | $3,714.00 | 28% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST | $2,674.08 | $3,714.00 | 28% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $474.48 | $659.00 | 28% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $474.48 | $659.00 | 28% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $375.84 | $522.00 | 28% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI | $375.84 | $522.00 | 28% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LWR EXT JOINT W/O CONTRAST | $2,881.44 | $4,002.00 | 28% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LWR EXT JOINT W/O CONTRAST | $2,881.44 | $4,002.00 | 28% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LWR EXT JOINT W&W/O CONTRAST | $4,353.12 | $6,046.00 | 28% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LWR EXT JOINT W&W/O CONTRAST | $4,353.12 | $6,046.00 | 28% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $2,881.44 | $4,002.00 | 28% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $2,881.44 | $4,002.00 | 28% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $3,960.72 | $5,501.00 | 28% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE | $3,960.72 | $5,501.00 | 28% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI L-SPINE W/O CONTRAST | $2,881.44 | $4,002.00 | 28% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI L-SPINE W/O CONTRAST | $2,881.44 | $4,002.00 | 28% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY >14 WEEKS SGL | $566.64 | $787.00 | 28% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY >14 WEEKS SGL | $566.64 | $787.00 | 28% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $327.60 | $455.00 | 28% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD | $327.60 | $455.00 | 28% |
| Sleep study in a lab (polysomnography) CPT 95810 HC SLEEP STUDY | $4,579.20 | $6,360.00 | 28% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC SLEEP STUDY | $4,579.20 | $6,360.00 | 28% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $765.36 | $1,063.00 | 28% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $765.36 | $1,063.00 | 28% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN CMPL | $921.60 | $1,280.00 | 28% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN CMPL | $921.60 | $1,280.00 | 28% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR L-SPINE 4+V | $634.32 | $881.00 | 28% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR L-SPINE 4+V | $634.32 | $881.00 | 28% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $41.76 | $58.00 | 28% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $41.76 | $58.00 | 28% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $141.12 | $196.00 | 28% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $141.12 | $196.00 | 28% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC AUTO W/AUTO DIFF | $92.16 | $128.00 | 28% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC AUTO W/AUTO DIFF | $92.16 | $128.00 | 28% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC W/O DIFF | $79.92 | $111.00 | 28% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W/O DIFF | $79.92 | $111.00 | 28% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOL PANEL | $223.92 | $311.00 | 28% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOL PANEL | $223.92 | $311.00 | 28% |
| Kidney function blood test panel CPT 80069 HC RENAL PANEL | $169.92 | $236.00 | 28% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL | $169.92 | $236.00 | 28% |
| Liver function blood test panel CPT 80076 HC LIVER (HEPATIC) PANEL | $174.24 | $242.00 | 28% |
| Liver function blood test panel inpatient CPT 80076 HC LIVER (HEPATIC) PANEL | $174.24 | $242.00 | 28% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $127.44 | $177.00 | 28% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $127.44 | $177.00 | 28% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $209.52 | $291.00 | 28% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL | $209.52 | $291.00 | 28% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $99.36 | $138.00 | 28% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $99.36 | $138.00 | 28% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME (PT) | $69.84 | $97.00 | 28% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME (PT) | $69.84 | $97.00 | 28% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORM | $154.08 | $214.00 | 28% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORM | $154.08 | $214.00 | 28% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $61.20 | $85.00 | 28% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/MICRO | $61.20 | $85.00 | 28% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/MICRO | $61.20 | $85.00 | 28% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE | $61.20 | $85.00 | 28% |
| Urinalysis without microscope exam, manual CPT 81002 HC URANALYSIS NON AUTO W/O MICRO | $32.40 | $45.00 | 28% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URANALYSIS NON AUTO W/O MICRO | $32.40 | $45.00 | 28% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 HC CLINIC VISIT INTERM NEW | $196.56 | $273.00 | 28% |
| New patient office visit, about 45 minutes CPT 99204 HC CLINIC VISIT COMPLEX NEW | $336.24 | $467.00 | 28% |
| New patient office visit, about 60 minutes CPT 99205 HC CLINIC VISIT COMPREH NEW | $408.96 | $568.00 | 28% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERA EXER; EA 15 MIN | $131.76 | $183.00 | 28% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERA EXER; EA 15 MIN | $131.76 | $183.00 | 28% |