HSHS Good Shepherd Hospital — price list

← Hospital overviewVerified from HSHS Good Shepherd Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

117 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Cftr gene com variants Inpatient & outpatient	81220 CPT	$1,529	$1,101	$382 – $1,529	—
Chlmyd pneum dna amp probe Inpatient & outpatient	87486 CPT	$288	$207	$72.00 – $288	—
Cns dna amp probe type 12-25 Inpatient & outpatient	87483 CPT	$1,863	$1,341	$466 – $1,863	$1,863
Culture othr specimn aerobic Inpatient & outpatientapprox. match	87070 CPT	$220	$158	$27.07 – $220	$220
Detect agent nos dna amp Inpatient & outpatient	87798 CPT	$266	$192	$66.50 – $266	—
Detect agent nos dna amp Inpatient & outpatient	87798 CPT	$266	$192	$66.50 – $266	—
Fibrinogen activity Inpatient & outpatient	85384 CPT	$153	$110	$11.37 – $153	$153
Fungi identification mold Inpatient & outpatient	87107 CPT	$151	$109	$27.07 – $151	—
4plex covid/rsv/flu pcr Inpatient & outpatient	87637 CPT	$550	$396	$110 – $550	$550
Actin smooth musc antibody- 90 Inpatient & outpatient	86015 CPT	$132	$95.04	$29.57 – $132	—
Antineutrophil cyto antb screen- 90 Inpatient & outpatient	86036 CPT	$243	$175	$29.57 – $243	$243
Antithrombin iii ag-90 Inpatient & outpatient	85301 CPT	$102	$73.44	$11.37 – $102	—
Beta lactamase Inpatient & outpatient	87185 CPT	$41.00	$29.52	$10.25 – $41.00	$41.00
Blood count reticulocytes auto Inpatient & outpatient	85046 CPT	$113	$81.36	$15.24 – $113	$113
Candida species dna/rna amplified probe tech Inpatient & outpatient	87481 CPT	$213	$153	$53.25 – $213	—
CBC auto withauto diff Inpatient & outpatient	85025 CPT	$128	$92.16	$15.24 – $128	$116
Chlamydia trach amp-90 Inpatient & outpatient	87491 CPT	$281	$202	$70.25 – $281	$281
Chmyd pneum dna pcr probe-90 Inpatient & outpatient	87486 CPT	$288	$207	$72.00 – $288	—
Cmv qn-90 Inpatient & outpatient	87497 CPT	$546	$393	$110 – $546	—
Compliment ag Inpatient & outpatient	86160 CPT	$308	$222	$29.57 – $308	$308
Covid-19 lab test - 2 day completion Inpatient & outpatientapprox. match	87635 CPT	$90.00	$64.80	$22.50 – $110	—
Cul typ id bld pthgn 6+ trgt Inpatient & outpatient	87154 CPT	$1,018	$733	$255 – $1,018	$1,122
Culture afb/TB/mycobact-90 Inpatient & outpatient	87116 CPT	$97.00	$69.84	$24.25 – $97.00	—
Culture fungus id yeast-90 Inpatient & outpatient	87106 CPT	$159	$114	$27.07 – $159	—
Culture fungus other-90 Inpatient & outpatient	87102 CPT	$295	$212	$27.07 – $295	—
Culture fungus skin/hair/nail -90 Inpatient & outpatient	87101 CPT	$249	$179	$27.07 – $249	—
Culture scr presump pathogens-90 Inpatient & outpatientapprox. match	87081 CPT	$167	$120	$27.07 – $167	$167
Culture type serologic Inpatient & outpatient	87147 CPT	$60.00	$43.20	$15.00 – $60.00	$60.00
Culture typing id nucleic acid Inpatient & outpatient	87149 CPT	$222	$160	$27.07 – $222	—
Culture urine id each isol Inpatient & outpatient	87088 CPT	$59.00	$42.48	$14.75 – $59.00	$59.00