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 |
|---|---|---|---|---|
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $8,208.54 | $13,680.90 | $876.90 – $894.44 | 4 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $160.80 | $268.00 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $12.90 | $21.50 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1,034.28 | $1,723.80 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,707.48 | $2,845.80 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,137.06 | $6,895.10 | not published | 0 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $520.68 | $867.80 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $73.80 | $123.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $79.20 | $132.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $96.60 | $161.00 | not published | 0 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,170.00 | $1,950.00 | not published | 0 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $7,508.10 | $12,513.50 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $865.80 | $1,443.00 | not published | 0 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $25,247.03 | $42,078.38 | $6,018.92 – $6,139.30 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | $17,897.39 | $29,828.98 | $3,822.46 – $3,822.46 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | $16,373.12 | $27,288.53 | $3,822.46 – $3,898.91 | 2 |
| Ercp stent exchange w/dilate CPT 43276 | $27,256.57 | $45,427.62 | $6,018.92 – $6,139.30 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $5,625.90 | $9,376.50 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $164.94 | $274.90 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $1,284.00 | $2,140.00 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $5,895.66 | $9,826.10 | not published | 0 |
| Esophagoscopy balloon <30mm CPT 43220 | $3,091.20 | $5,152.00 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $3,111.60 | $5,186.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,550.40 | $2,584.00 | not published | 0 |
| Esophagoscopy lesion ablate CPT 43229 | $5,898.60 | $9,831.00 | not published | 0 |
| Esophagoscopy rigid balloon CPT 43195 | $26,933.49 | $44,889.15 | $3,822.46 – $3,898.91 | 4 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $26,912.24 | $44,853.73 | $1,902.48 – $1,940.53 | 4 |
| Esophagoscp rig trnso inject CPT 43192 | $40,704.90 | $67,841.50 | $3,822.46 – $3,898.91 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | $35,194.04 | $58,656.73 | $3,287.07 – $3,352.82 | 4 |
| Esophagus motility study CPT 91010 | $1,528.08 | $2,546.80 | $369.96 – $377.36 | 4 |
| Esoph egd dilation <30 mm CPT 43249 | $14,341.58 | $23,902.63 | $1,902.48 – $1,940.53 | 4 |
| Esoph imped funct test > 1hr CPT 91038 | $3,085.20 | $5,142.00 | $369.96 – $377.36 | 4 |
| Esoph scope w/submucous inj CPT 43201 | $3,111.60 | $5,186.00 | not published | 0 |
| Establish access to artery CPT 36100 | $1,008.00 | $1,680.00 | not published | 0 |
| Estradiol total CPT 82670 | $266.40 | $444.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $57.60 | $96.00 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $89.40 | $149.00 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $679.74 | $1,132.90 | not published | 0 |
| Euglobulin lysis CPT 85360 | $202.80 | $338.00 | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $234.60 | $391.00 | not published | 0 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $8,242.80 | $13,738.00 | not published | 0 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $23,196.00 | $38,660.00 | not published | 0 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $23,196.00 | $38,660.00 | not published | 0 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $23,196.00 | $38,660.00 | not published | 0 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $8,242.80 | $13,738.00 | not published | 0 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $18,266.40 | $30,444.00 | not published | 0 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $22,891.80 | $38,153.00 | not published | 0 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $19,786.20 | $32,977.00 | not published | 0 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $19,786.20 | $32,977.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $4,998.82 | $8,331.36 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $5,064.22 | $8,440.37 | not published | 0 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $18,080.94 | $30,134.90 | $2,879.85 – $2,937.44 | 2 |
| Exc abd les sc 3 cm/> CPT 22903 | $29,963.62 | $49,939.37 | $3,549.75 – $3,549.75 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $18,441.54 | $30,735.90 | $2,879.85 – $2,937.44 | 4 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $13,443.96 | $22,406.60 | $1,637.46 – $1,637.46 | 2 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $14,653.50 | $24,422.50 | $1,637.46 – $1,670.21 | 2 |
| Exc back tum deep 5 cm/> CPT 21933 | $13,364.04 | $22,273.40 | $2,879.85 – $2,879.85 | 3 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $15,352.14 | $25,586.90 | $1,637.46 – $1,637.46 | 1 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $17,919.76 | $29,866.27 | $1,637.46 – $1,670.21 | 3 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $14,551.86 | $24,253.10 | $702.07 – $702.07 | 1 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $13,292.52 | $22,154.20 | $702.07 – $702.07 | 1 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $13,502.82 | $22,504.70 | $1,637.46 – $1,637.46 | 1 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $13,418.88 | $22,364.80 | $1,637.46 – $1,670.21 | 3 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $14,722.86 | $24,538.10 | $1,637.46 – $1,637.46 | 1 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $28,224.48 | $47,040.80 | $2,879.85 – $2,937.44 | 3 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $15,902.58 | $26,504.30 | $403.03 – $403.03 | 3 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $13,266.66 | $22,111.10 | $702.07 – $716.11 | 3 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $11,503.32 | $19,172.20 | $2,879.85 – $2,879.85 | 3 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $16,327.02 | $27,211.70 | $1,637.46 – $1,670.21 | 3 |
| Exchange biliary drg cath CPT 47536 | $2,857.20 | $4,762.00 | not published | 0 |
| Exchange drainage catheter CPT 49423 | $3,145.20 | $5,242.00 | not published | 0 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $13,508.76 | $22,514.60 | $2,879.85 – $2,879.85 | 1 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | $24,858.75 | $41,431.25 | $2,879.85 – $2,937.44 | 4 |
| Excise anal ext tag/papilla CPT 46220 | $18,576.63 | $30,961.05 | $1,186.40 – $1,210.12 | 4 |
| Excise inferior turbinate CPT 30130 | $50,890.06 | $84,816.77 | $5,869.15 – $6,997.04 | 4 |
| Excise parotid gland/lesion CPT 42415 | $47,519.87 | $79,199.78 | $5,869.15 – $5,869.15 | 3 |
| Excise/repair mouth lesion CPT 40812 | $14,760.90 | $24,601.50 | $1,538.30 – $1,538.30 | 3 |
| Excise submaxillary gland CPT 42440 | $38,797.17 | $64,661.95 | $5,869.15 – $5,986.53 | 3 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $18,174.48 | $30,290.80 | $702.07 – $716.11 | 3 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $14,527.74 | $24,212.90 | $1,637.46 – $1,670.21 | 4 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $13,445.82 | $22,409.70 | $702.07 – $716.11 | 3 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $14,002.92 | $23,338.20 | $1,637.46 – $1,670.21 | 4 |
| Excision breast lesion CPT 19125 | $25,738.42 | $42,897.37 | $3,881.91 – $3,959.55 | 4 |
| Excision of anal lesion(s) CPT 46922 | $19,193.97 | $31,989.95 | $2,751.90 – $2,806.94 | 4 |
| Excision of lingual tonsil CPT 42870 | $66,982.15 | $111,636.92 | $5,869.15 – $5,869.15 | 3 |
| Excision of tongue lesion CPT 41112 | $29,498.39 | $49,163.98 | $3,287.07 – $3,287.07 | 3 |
| Excision tongue lesion without closure 41110 CPT 41110 | $16,181.16 | $26,968.60 | $3,287.07 – $3,352.82 | 4 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $14,906.04 | $24,843.40 | $1,637.46 – $1,637.46 | 2 |
| Excis partial tal calc CPT 28120 | $39,134.39 | $65,223.98 | $3,243.99 – $3,243.99 | 3 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $14,983.56 | $24,972.60 | $2,879.85 – $2,937.44 | 4 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $22,522.14 | $37,536.90 | $702.07 – $716.11 | 4 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $23,572.86 | $39,288.10 | $1,637.46 – $1,670.21 | 3 |
| Exc malig feenl >4cm 11646 CPT 11646 | $16,488.78 | $27,481.30 | $2,879.85 – $2,937.44 | 3 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $16,611.73 | $27,686.22 | $403.03 – $411.10 | 4 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $12,266.22 | $20,443.70 | $702.07 – $716.11 | 4 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $16,494.54 | $27,490.90 | $702.07 – $702.07 | 3 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $19,961.94 | $33,269.90 | $2,879.85 – $2,937.44 | 4 |
| Exc prtl bn phlnx toe CPT 28124 | $53,051.71 | $88,419.52 | $3,243.99 – $3,308.87 | 4 |
| Exc rect tum transanal part CPT 45171 | $24,440.79 | $40,734.65 | $2,751.90 – $2,751.90 | 3 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $19,669.11 | $32,781.85 | $2,879.85 – $2,937.44 | 3 |
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.