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 |
|---|---|---|---|---|
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $15.60 | $26.00 | not published | 0 |
| Drop lock knee HCPCS L2182 | $754.57 | $1,257.62 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $274.03 | $456.71 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $11,664.90 | $19,441.50 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $7,733.60 | $12,889.34 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $24,657.19 | $41,095.31 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $7,313.31 | $12,188.85 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $34,470.56 | $57,450.94 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $30,403.95 | $50,673.25 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $34,608.43 | $57,680.72 | not published | 0 |
| Drug assay caffeine CPT 80155 | $67.80 | $113.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $140.40 | $234.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $63.60 | $106.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $72.00 | $120.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $234.60 | $391.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $681.60 | $1,136.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $132.60 | $221.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $318.00 | $530.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $186.60 | $311.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $78.60 | $131.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $139.80 | $233.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $8,881.92 | $14,803.20 | $1,936.01 – $1,974.73 | 4 |
| Ductogram sgl duct CPT 77053 | $1,383.00 | $2,305.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $23,973.22 | $39,955.36 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $17,135.70 | $28,559.50 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $28,101.57 | $46,835.95 | $6,997.04 – $6,997.04 | 3 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $37,332.42 | $62,220.70 | $1,764.66 – $1,799.95 | 4 |
| Dx bronchoscope/wash 31622 CPT 31622 | $50,088.46 | $83,480.77 | $5,869.15 – $5,869.15 | 2 |
| Dx laryngoscopy w/oper scope CPT 31526 | $38,559.53 | $64,265.88 | $3,696.43 – $3,770.36 | 4 |
| Ecallantide injection HCPCS J1290 | $19,858.92 | $33,098.20 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $143,108.51 | $238,514.18 | $131.91 – $134.64 | 4 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $25,327.20 | $42,212.00 | not published | 0 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $25,327.20 | $42,212.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $30,630.60 | $51,051.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $2,587.20 | $4,312.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $2,358.60 | $3,931.00 | not published | 0 |
| E coli 0157 ag ia CPT 87335 | $86.40 | $144.00 | not published | 0 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $25,243.98 | $42,073.30 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $63.00 | $105.00 | not published | 0 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $25,871.77 | $43,119.62 | $1,902.48 – $1,902.48 | 3 |
| Egd control bleeding any CPT 43255 | $9,805.38 | $16,342.30 | $1,902.48 – $1,940.53 | 4 |
| Egd dilate stricture CPT 43245 | $7,925.89 | $13,209.82 | $1,902.48 – $1,940.53 | 4 |
| Egd endo mucosal resection CPT 43254 | $9,805.38 | $16,342.30 | $3,822.46 – $3,822.46 | 3 |
| Egd guide wire insertion CPT 43248 | $327,791.72 | $546,319.53 | $899.22 – $917.20 | 4 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $5,799.77 | $9,666.28 | $1,902.48 – $1,940.53 | 4 |
| Egd lesion ablation CPT 43270 | $15,427.05 | $25,711.75 | $1,902.48 – $1,940.53 | 4 |
| Egd remove foreign body CPT 43247 | $9,655.14 | $16,091.90 | $899.22 – $917.20 | 4 |
| Egd remove lesion snare CPT 43251 | $10,450.46 | $17,417.43 | $1,902.48 – $1,940.53 | 4 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $3,004.86 | $5,008.10 | $1,902.48 – $1,902.48 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $6,034.10 | $10,056.83 | $1,902.48 – $1,940.53 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $5,635.45 | $9,392.42 | $1,902.48 – $1,940.53 | 4 |
| Egd varices ligation CPT 43244 | $4,842.45 | $8,070.75 | $1,902.48 – $1,940.53 | 4 |
| Egfr gene com variants CPT 81235 | $890.40 | $1,484.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $92.40 | $154.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $19,054.08 | $31,756.80 | not published | 0 |
| Electrolyte panel CPT 80051 | $111.60 | $186.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,851.00 | $3,085.00 | not published | 0 |
| Elliotts b solution per ml HCPCS J9175 | $284.58 | $474.30 | not published | 0 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $12,348.54 | $20,580.90 | not published | 0 |
| Embolization s&i CPT 75894 | $2,171.40 | $3,619.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $15,077.40 | $25,129.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $15,077.40 | $25,129.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $15,489.00 | $25,815.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $15,077.40 | $25,129.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $63.00 | $105.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $63.00 | $105.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $63.00 | $105.00 | not published | 0 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $5,330.40 | $8,884.00 | not published | 0 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $5,330.40 | $8,884.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $4,291.21 | $7,152.01 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $2,949.98 | $4,916.64 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $4,056.82 | $6,761.36 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $733.20 | $1,222.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $754.20 | $1,257.00 | not published | 0 |
| Endo cholangiopancreatograph CPT 43262 | $18,241.22 | $30,402.03 | $3,822.46 – $3,822.46 | 3 |
| Endo knee-shin frct swg & st HCPCS L5812 | $4,571.88 | $7,619.80 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $4,810.95 | $8,018.25 | not published | 0 |
| Endoluminal bx biliary tree CPT 47543 | $1,426.20 | $2,377.00 | not published | 0 |
| Endoscopic injection/implant CPT 51715 | $17,089.17 | $28,481.95 | $3,494.80 – $3,564.70 | 4 |
| Endoscopic pancreatoscopy CPT 43273 | $17,897.39 | $29,828.98 | $3,822.46 – $3,822.46 | 2 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $5,082.42 | $8,470.70 | $1,902.48 – $1,940.53 | 4 |
| Endoscopy maxillary sinus CPT 31267 | $48,646.48 | $81,077.47 | $6,997.04 – $7,136.98 | 4 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $21,318.64 | $35,531.07 | $5,869.15 – $5,986.53 | 4 |
| Endo, single, pulmonary HCPCS C1601 | $10,958.75 | $18,264.58 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $4,039.62 | $6,732.70 | not published | 0 |
| Endovasc prosth delayed 33886 CPT 33886 | $5,980.20 | $9,967.00 | not published | 0 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $23,282.40 | $38,804.00 | not published | 0 |
| Endovasc visc aorta 1 graft CPT 34841 | $2,796.60 | $4,661.00 | not published | 0 |
| Endovasc visc aorta 2 graft CPT 34842 | $2,936.40 | $4,894.00 | not published | 0 |
| Endovasc visc aorta 3 graft CPT 34843 | $3,083.40 | $5,139.00 | not published | 0 |
| Endovasc visc aorta 4 graft CPT 34844 | $3,237.60 | $5,396.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $8,880.00 | $14,800.00 | not published | 0 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $4,342.80 | $7,238.00 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $16,811.88 | $28,019.80 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $436.08 | $726.80 | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $44.40 | $74.00 | not published | 0 |
| Enzyme cell activity ra CPT 82658 | $616.20 | $1,027.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $1,348.20 | $2,247.00 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $3,964.94 | $6,608.23 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $1,132.05 | $1,886.75 | 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.