St Ritas Medical Center
730 W. Market St., Lima, OH · Mercy · · NPI 1811939887
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $13,422.24 | $22,370.40 | $3,209.41 – $3,273.60 | 4 |
| Dch glucoscan CPT 82948 | $35,194.04 | $58,656.73 | $2,288.07 – $7,136.98 | 4 |
| Dch validity tests CPT 81002 | $39.00 | $65.00 | not published | 0 |
| Dcmprn plantar digital nerve CPT 64726 | $39,134.39 | $65,223.98 | $3,243.99 – $3,308.87 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $30.60 | $51.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $610.20 | $1,017.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $28,219.44 | $47,032.40 | $3,243.99 – $3,243.99 | 2 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $18,412.80 | $30,688.00 | $732.74 – $732.74 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,471.40 | $4,119.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $28,751.04 | $47,918.40 | $403.03 – $403.03 | 3 |
| Debride nail1-5 11720 CPT 11720 | $143.40 | $239.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $198.60 | $331.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $28,751.04 | $47,918.40 | $403.03 – $403.03 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $51,017.86 | $85,029.77 | $732.74 – $732.74 | 2 |
| Decalcification CPT 88311 | $68.40 | $114.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $399.00 | $665.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $601.20 | $1,002.00 | not published | 0 |
| Decompression of tibia nerve CPT 28035 | $48,020.30 | $80,033.83 | $1,936.01 – $1,974.73 | 4 |
| Deep muscle biopsy 20205 CPT 20205 | $27,270.48 | $45,450.80 | $2,879.85 – $2,937.44 | 4 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $476.46 | $794.10 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $3,040.74 | $5,067.90 | not published | 0 |
| Delayed breast prosthesis 19342 CPT 19342 | $64,285.93 | $107,143.22 | $8,103.41 – $8,103.41 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $2,962.80 | $4,938.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $13,350.54 | $22,250.90 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $8,950.57 | $14,917.61 | not published | 0 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $28,114.80 | $46,858.00 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $2,385.60 | $3,976.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $111.18 | $185.30 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $82.80 | $138.00 | not published | 0 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $30,004.80 | $50,008.00 | not published | 0 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $5,980.20 | $9,967.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $11,023.98 | $18,373.30 | $1,936.01 – $1,974.73 | 4 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $11,023.98 | $18,373.30 | $1,936.01 – $1,974.73 | 4 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $11,007.90 | $18,346.50 | $1,936.01 – $1,974.73 | 4 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $10,981.80 | $18,303.00 | $1,936.01 – $1,974.73 | 4 |
| Detect agent nos dna dir CPT 87797 | $181.80 | $303.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $162.00 | $270.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $17,145.14 | $28,575.23 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $11,216.25 | $18,693.75 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $5,838.78 | $9,731.30 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $7,299.16 | $12,165.27 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $303.00 | $505.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.80 | $8.00 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $44.22 | $73.70 | not published | 0 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $522.84 | $871.40 | not published | 0 |
| Dextran 40 infusion HCPCS J7100 | $778.08 | $1,296.80 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $90.00 | $150.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $90.00 | $150.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $65.28 | $108.80 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $90.00 | $150.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $113.40 | $189.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $124.20 | $207.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $21,452.92 | $35,754.87 | $5,993.77 – $6,113.65 | 4 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $16,323.73 | $27,206.22 | $1,637.46 – $1,637.46 | 3 |
| Diagnostic radio unlisted proc CPT 76499 | $187.80 | $313.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $18,336.60 | $30,561.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $99.36 | $165.60 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $98.52 | $164.20 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $228.18 | $380.30 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $16.14 | $26.90 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $19,249.38 | $32,082.30 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $67.20 | $112.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $456.30 | $760.50 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $4,843.20 | $8,072.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $7,592.52 | $12,654.20 | $899.22 – $917.20 | 4 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $486.60 | $811.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $166.80 | $278.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $466.20 | $777.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $3,066.60 | $5,111.00 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $97,870.34 | $163,117.23 | $9,385.42 – $9,385.42 | 3 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $9.00 | $15.00 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $8,538.12 | $14,230.20 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $9.00 | $15.00 | not published | 0 |
| Dipyridamole injection HCPCS J1245 | $299.40 | $499.00 | not published | 0 |
| Disaccharidases CPT 82657 | $243.60 | $406.00 | not published | 0 |
| Discography cerv/thor spine CPT 72285 | $3,825.60 | $6,376.00 | not published | 0 |
| Dise eval slp do brth flx dx CPT 42975 | $39,677.18 | $66,128.63 | $1,764.66 – $3,352.82 | 4 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $2,916.00 | $4,860.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $496.20 | $827.00 | not published | 0 |
| Dmpk gene charac alleles CPT 81239 | $454.20 | $757.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $362.40 | $604.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $87.00 | $145.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $52.80 | $88.00 | not published | 0 |
| Dna probe chlamydia CPT 87490 | $260.40 | $434.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $52.80 | $88.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $468.00 | $780.00 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $638.40 | $1,064.00 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $266.22 | $443.70 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $52,282.80 | $87,138.00 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,795.50 | $2,992.50 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $308.10 | $513.50 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $248.40 | $414.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,403.20 | $5,672.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $3,687.00 | $6,145.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $654.00 | $1,090.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $516.00 | $860.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $688.20 | $1,147.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $27,994.27 | $46,657.11 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $7,060.20 | $11,767.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $8.70 | $14.50 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.