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 |
|---|---|---|---|---|
| Foscarnet sodium injection HCPCS J1455 | $1,857.60 | $3,096.00 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $473.10 | $788.50 | not published | 0 |
| Fractionation ketosteroids CPT 83593 | $129.60 | $216.00 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | $750.60 | $1,251.00 | not published | 0 |
| _fragile x methylation-sendout CPT 81244 | $375.00 | $625.00 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $23,630.31 | $39,383.85 | $3,494.80 – $3,564.70 | 4 |
| Frozen cell preparation CPT 88241 | $24.00 | $40.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $49.20 | $82.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $2,736.56 | $4,560.93 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $97.20 | $162.00 | not published | 0 |
| Ftl cgen abnor three anal CPT 81510 | $148.80 | $248.00 | not published | 0 |
| Ftl cgen abnor two proteins CPT 81508 | $143.40 | $239.00 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $505.69 | $842.82 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $14,670.12 | $24,450.20 | $3,243.99 – $3,243.99 | 2 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $15,002.11 | $25,003.52 | $2,045.62 – $2,086.53 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $16,141.86 | $26,903.10 | $2,045.62 – $2,045.62 | 2 |
| Furnsh initial orthosis only HCPCS L1200 | $7,238.97 | $12,064.95 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $16.38 | $27.30 | not published | 0 |
| Fusion of big toe joint CPT 28750 | $59,825.44 | $99,709.07 | $7,194.09 – $7,194.09 | 3 |
| Fusion of big toe joint CPT 28755 | $13,246.08 | $22,076.80 | $7,194.09 – $7,194.09 | 3 |
| Fusion of foot bones CPT 28730 | $184,896.80 | $308,161.33 | $12,728.77 – $12,728.77 | 3 |
| Fusion of foot bones CPT 28740 | $147,501.60 | $245,836.00 | $7,194.09 – $7,337.97 | 4 |
| G6pd gene alys cmn variant CPT 81247 | $212.40 | $354.00 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $110.22 | $183.70 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $761.70 | $1,269.50 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $207.00 | $345.00 | not published | 0 |
| Galactokinase - sendout CPT 82759 | $216.00 | $360.00 | not published | 0 |
| Galectin-3 CPT 82777 | $113.40 | $189.00 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $49,347.44 | $82,245.73 | $5,993.77 – $5,993.77 | 3 |
| Gammaglobulin iga CPT 82784 | $70.80 | $118.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $75.60 | $126.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $79.20 | $132.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $23,025.00 | $38,375.00 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $1,138.08 | $1,896.80 | not published | 0 |
| Gba gene CPT 81251 | $331.80 | $553.00 | not published | 0 |
| General health panel CPT 80050 | $677.40 | $1,129.00 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $79,021.14 | $131,701.90 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $60,099.84 | $100,166.40 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $71,064.00 | $118,440.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $5,877.00 | $9,795.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $44,668.80 | $74,448.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $72.24 | $120.40 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $127.20 | $212.00 | not published | 0 |
| G-esoph reflx tst w/electrod CPT 91035 | $8,996.10 | $14,993.50 | $851.39 – $868.42 | 4 |
| Ghs abscess postoperative iandd complex CPT 10180 | $11,989.08 | $19,981.80 | $2,879.85 – $2,879.85 | 1 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $82.80 | $138.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $158.40 | $264.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $477.60 | $796.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $97.80 | $163.00 | not published | 0 |
| Ghs bleeding time (ivy) CPT 85002 | $87.60 | $146.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,313.40 | $2,189.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,345.60 | $5,576.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $1,474.38 | $2,457.30 | $247.71 – $252.66 | 4 |
| Ghs chemo >8 hrs CPT 96416 | $1,188.00 | $1,980.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $241.80 | $403.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $259.80 | $433.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $28,734.72 | $47,891.20 | $3,513.39 – $3,513.39 | 3 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,612.80 | $2,688.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $18,332.22 | $30,553.70 | $1,637.46 – $1,637.46 | 2 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $52.20 | $87.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $194.40 | $324.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $304.80 | $508.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $102.60 | $171.00 | not published | 0 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $194.40 | $324.00 | not published | 0 |
| Ghs hgb stability-thal CPT 83068 | $87.60 | $146.00 | not published | 0 |
| Ghs histoplasma antigen CPT 87385 | $327.60 | $546.00 | not published | 0 |
| Ghs HIV antibody CPT 86703 | $118.80 | $198.00 | not published | 0 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $536.40 | $894.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $1,030.80 | $1,718.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $240.00 | $400.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $359.40 | $599.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $8,835.30 | $14,725.50 | $876.90 – $894.44 | 4 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $8,218.56 | $13,697.60 | $876.90 – $894.44 | 4 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $8,825.10 | $14,708.50 | $876.90 – $894.44 | 4 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $70.20 | $117.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $14,527.74 | $24,212.90 | $1,637.46 – $1,637.46 | 2 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $18,174.48 | $30,290.80 | $403.03 – $411.10 | 4 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $15,569.82 | $25,949.70 | $1,637.46 – $1,637.46 | 2 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $133.20 | $222.00 | not published | 0 |
| Ghs mbp CPT 83873 | $74.40 | $124.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $9,901.26 | $16,502.10 | $876.90 – $894.44 | 4 |
| Ghs nerve blk intercostal, single level CPT 64420 | $9,901.26 | $16,502.10 | $699.84 – $713.83 | 4 |
| Ghs nerve block axillary nerve CPT 64417 | $1,774.20 | $2,957.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $3,012.60 | $5,021.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $8,839.68 | $14,732.80 | $876.90 – $894.44 | 4 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $9,817.56 | $16,362.60 | $876.90 – $894.44 | 4 |
| Ghs nerve block sciatic nerve CPT 64445 | $39,163.59 | $65,272.65 | $699.84 – $713.83 | 4 |
| Ghs nerve block suprascapular CPT 64418 | $816.00 | $1,360.00 | not published | 0 |
| Ghs ng placement w fluoro guidance CPT 43752 | $366.00 | $610.00 | not published | 0 |
| Ghs o2 saturation CPT 82810 | $166.80 | $278.00 | not published | 0 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $238.80 | $398.00 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,061.40 | $1,769.00 | not published | 0 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,316.00 | $3,860.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $10,914.12 | $18,190.20 | $876.90 – $894.44 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $11,183.64 | $18,639.40 | $876.90 – $894.44 | 4 |
| Ghs phenylketonurid CPT 84030 | $46.80 | $78.00 | not published | 0 |
| Ghs picc line insert < 5 CPT 36568 | $2,179.80 | $3,633.00 | not published | 0 |
| Ghs plt ct-manual CPT 85032 | $10.20 | $17.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $33.60 | $56.00 | not published | 0 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $45.00 | $75.00 | 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.