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 |
|---|---|---|---|---|
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $16,372.26 | $27,287.10 | $2,879.85 – $2,937.44 | 3 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $18,177.36 | $30,295.60 | $2,879.85 – $2,879.85 | 3 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $21,498.99 | $35,831.65 | $2,879.85 – $2,937.44 | 4 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $13,245.84 | $22,076.40 | $1,637.46 – $1,670.21 | 4 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $16,851.90 | $28,086.50 | $2,879.85 – $2,879.85 | 3 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $24,129.81 | $40,216.35 | $2,751.90 – $2,806.94 | 4 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $16,354.08 | $27,256.80 | $1,637.46 – $1,670.21 | 4 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $9,780.57 | $16,300.95 | not published | 0 |
| Exploration maxillary sinus CPT 31256 | $45,011.52 | $75,019.20 | $6,997.04 – $6,997.04 | 3 |
| Exploration of knee joint CPT 27310 | $64,535.38 | $107,558.97 | $3,243.99 – $3,243.99 | 1 |
| Explore parathyroid glands CPT 60500 | $60,280.16 | $100,466.93 | $5,869.15 – $5,986.53 | 4 |
| Explore wound neck 20100 CPT 20100 | $19,461.00 | $32,435.00 | $534.71 – $534.71 | 1 |
| Extended steel shank HCPCS L2360 | $476.77 | $794.62 | not published | 0 |
| Extension per extension per HCPCS L2760 | $494.96 | $824.94 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $581.40 | $969.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $58.80 | $98.00 | not published | 0 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $5,195.40 | $8,659.00 | not published | 0 |
| External recharg sys intern HCPCS L8689 | $7,092.31 | $11,820.51 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $581.40 | $969.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $88.80 | $148.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $6,394.52 | $10,657.53 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $1,580.40 | $2,634.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $313.20 | $522.00 | not published | 0 |
| Facility svs dental rehab HCPCS G0330 | $17,941.34 | $29,902.23 | $3,287.07 – $3,352.82 | 4 |
| Factor ix CPT 85250 | $222.00 | $370.00 | not published | 0 |
| Factor ix recombinant nos HCPCS J7195 | $20,201.40 | $33,669.00 | not published | 0 |
| Factor viii CPT 85240 | $105.00 | $175.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $9.00 | $15.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $100.80 | $168.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $54.00 | $90.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $4,121.65 | $6,869.41 | not published | 0 |
| #fecal-sodium CPT 84302 | $52.20 | $87.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $48.00 | $80.00 | not published | 0 |
| Femoral endovas graft add-on 34813 CPT 34813 | $3,260.40 | $5,434.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $498.92 | $831.54 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $900.90 | $1,501.50 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,698.98 | $9,498.30 | not published | 0 |
| Ferritin CPT 82728 | $142.20 | $237.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,068.62 | $3,447.70 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $700.80 | $1,168.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $745.20 | $1,242.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $387.60 | $646.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $303.00 | $505.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $67.80 | $113.00 | not published | 0 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $53.40 | $89.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $172.80 | $288.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $124.80 | $208.00 | not published | 0 |
| Fibrin degrade semiquant CPT 85378 | $63.60 | $106.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $50.40 | $84.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $104.40 | $174.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $67.20 | $112.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $265.80 | $443.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $90.00 | $150.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $4,099.68 | $6,832.80 | not published | 0 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,940.16 | $3,233.60 | not published | 0 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,698.90 | $2,831.50 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $30,379.86 | $50,633.10 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $9,291.54 | $15,485.90 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $543.60 | $906.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $453.00 | $755.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $10,287.64 | $17,146.06 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $69.60 | $116.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $348.60 | $581.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $4,472.94 | $7,454.90 | $922.00 – $922.00 | 3 |
| Flex thermoplastic collar mo HCPCS L0130 | $1,500.45 | $2,500.75 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $243.60 | $406.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $473.40 | $789.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $11,482.30 | $19,137.17 | not published | 0 |
| Flt3 gene CPT 81245 | $280.20 | $467.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $208.20 | $347.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $243.36 | $405.60 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $53.40 | $89.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,033.20 | $1,722.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $1,464.60 | $2,441.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | $246.00 | $410.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $1,024.20 | $1,707.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $118.56 | $197.60 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $91.26 | $152.10 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $543.60 | $906.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $543.60 | $906.00 | not published | 0 |
| Folic acid CPT 82746 | $107.40 | $179.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $9.00 | $15.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $5,172.60 | $8,621.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $11,536.20 | $19,227.00 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $679.80 | $1,133.00 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $1,751.46 | $2,919.10 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $435.24 | $725.40 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $318.53 | $530.89 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $1,775.51 | $2,959.19 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $1,406.93 | $2,344.88 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $1,152.25 | $1,920.41 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $1,517.74 | $2,529.57 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $1,066.84 | $1,778.06 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $470.31 | $783.85 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $2,909.79 | $4,849.65 | not published | 0 |
| Foot X-ray CPT 73630 | $720.00 | $1,200.00 | $86.28 – $88.01 | 4 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $5,860.45 | $9,767.42 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $4,224.65 | $7,041.08 | not published | 0 |
| Formoterol fumarate, inh HCPCS J7606 | $51.90 | $86.50 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $90.00 | $150.00 | 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.