Ohiohealth · Shelby, OH
27
In-network payers
223
Disclosed rate categories
41
Beds
4
Care quality
Shelby Hospital is a 41-bed voluntary non-profit - private hospital in Shelby, OH, affiliated with Ohiohealth. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 223 disclosed rate categories.
CCN (Medicare provider number)
361324
NPI
1487706016
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
41
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Shelby Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$2,455 - $3,043
from 4 insurers · median $2,661
Typical for a hospital with this service line
Gynecology
CPT 58571
$34,048 - $60,766
from 3 insurers · median $59,777
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$6,773 - $11,960
from 4 insurers · median $7,030
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,610 - $8,364
from 4 insurers · median $5,395
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$6,338 - $11,960
from 4 insurers · median $6,835
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,599 - $2,937
from 4 insurers · median $2,564
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$21,142 - $30,855
from 4 insurers · median $23,154
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,358 - $1,565
from 4 insurers · median $1,513
Typical for a hospital with this service line
CT imaging
CPT 71260
$1,822 - $2,096
from 2 insurers · median $1,959
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,649 - $1,822
from 2 insurers · median $1,736
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$21,982 - $30,855
from 4 insurers · median $24,572
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,455 - $3,286
from 4 insurers · median $2,661
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$281 - $385
from 4 insurers · median $364
Typical for a hospital with this service line
Gynecology
CPT 58661
$21,982 - $30,855
from 4 insurers · median $26,598
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$59,777 - $60,766
from 2 insurers · median $60,271
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$3,642 - $4,182
from 4 insurers · median $4,074
Hospital reports nuclear medicine services to CMS
Gynecology
CPT 58558
$12,644 - $24,255
from 3 insurers · median $15,102
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,599 - $3,242
from 4 insurers · median $2,564
Typical for a hospital with this service line
Gynecology
CPT 58662
$21,982 - $30,855
from 4 insurers · median $27,588
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,599 - $2,766
from 4 insurers · median $2,547
Typical for a hospital with this service line
Mammography
CPT 77067
$187 - $229
from 4 insurers · median $213
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$14,631 - $28,223
from 4 insurers · median $16,617
Typical for a hospital with this service line
MRI imaging
CPT 73721
$795 - $2,766
from 4 insurers · median $1,980
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$14,641 - $33,492
from 4 insurers · median $25,447
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 720% | 20 | 2 |
| Insurer B* | 21 | 560% | 10 | 8 |
| Insurer C* | 22 | 514% | 18 | 4 |
| Insurer D* | 23 | 467% | 20 | 3 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Shelby Hospital.
199 West Main Street, Shelby, OH 44875
(419) 342-5015
The nearest hospitals of similar type and size. Their rates are compared with Shelby Hospital for the same insurers and services above.
Galion Community Hospital
▲ Rates typically 21% higher than Shelby Hospital (24 services)
Mercy Health - Willard Hospital
▼ Rates typically 18% lower than Shelby Hospital (24 services)
Bucyrus Community Hospital
▲ Rates typically 19% higher than Shelby Hospital (24 services)
Lodi Hospital
▼ Rates typically 66% lower than Shelby Hospital (23 services)
Wyandot Memorial Hospital
▼ Rates typically 89% lower than Shelby Hospital (17 services)
Aultman Orrville Hospital
▼ Rates typically 39% lower than Shelby Hospital (24 services)
Hardin Memorial Hospital
Morrow County Hospital
Promedica Defiance Regional Hospital
Mercy Health - Urbana Hospital
About Shelby Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Shelby Hospital range from $2,455 to $3,286 across 4 insurers. Cigna's rate is $2,455. The median at nearby comparable hospitals is $1,948. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Shelby Hospital range from $2,455 to $3,043 across 4 insurers. Aetna's rate is $3,043. The median at nearby comparable hospitals is $1,948. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Shelby Hospital range from $6,773 to $11,960 across 4 insurers. UnitedHealthcare's rate is $11,960. The median at nearby comparable hospitals is $3,892. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Shelby Hospital range from $187 to $229 across 4 insurers. Aetna's rate is $229. The median at nearby comparable hospitals is $173. What a patient pays depends on their plan's deductible, coinsurance and network status.
Shelby Hospital has 41 beds. Facility type: Critical Access Hospital.
Shelby Hospital is located at 199 West Main Street, Shelby, OH 44875. Its main phone number is (419) 342-5015.
Shelby Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361324.
The National Provider Identifier (NPI) on file for Shelby Hospital is 1487706016.
Shelby Hospital is affiliated with Ohiohealth.
Shelby Hospital lists 27 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
223 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers