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 |
|---|---|---|---|---|
| Ghs protein, misc fluid CPT 84160 | $12.60 | $21.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $118.20 | $197.00 | not published | 0 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $22.80 | $38.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $63.00 | $105.00 | not published | 0 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $79.20 | $132.00 | not published | 0 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $22.80 | $38.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $66.00 | $110.00 | not published | 0 |
| Ghs semen analysis fert CPT 89320 | $286.80 | $478.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $54.60 | $91.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $975.00 | $1,625.00 | not published | 0 |
| Ghs urine, hydroxproline total CPT 83505 | $52.20 | $87.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $96.60 | $161.00 | not published | 0 |
| Giardia lamblia antibody CPT 86674 | $70.80 | $118.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $174.00 | $290.00 | not published | 0 |
| Gjb2 gene full sequence CPT 81252 | $500.40 | $834.00 | not published | 0 |
| Gjb2 gene known fam variants CPT 81253 | $288.60 | $481.00 | not published | 0 |
| Gjb6 gene com variants CPT 81254 | $250.20 | $417.00 | not published | 0 |
| Glassia injection HCPCS J0257 | $2,554.20 | $4,257.00 | not published | 0 |
| Glove finger flexion right lg xl HCPCS L3912 | $835.25 | $1,392.08 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $3,276.00 | $5,460.00 | not published | 0 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $2,956.38 | $4,927.30 | not published | 0 |
| Glucagon plasma - sendout CPT 82943 | $66.60 | $111.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $88.80 | $148.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $2.40 | $4.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $31.80 | $53.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $45.00 | $75.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $179.40 | $299.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $28.80 | $48.00 | not published | 0 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $76.08 | $126.80 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $7,736.88 | $12,894.80 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $263.40 | $439.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $203.40 | $339.00 | not published | 0 |
| Goniotomy CPT 65820 | $25,313.63 | $42,189.38 | $4,098.04 – $4,180.00 | 4 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $4,484.58 | $7,474.30 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $7,645.00 | $12,741.66 | not published | 0 |
| Graft axiofill 1000mg HCPCS J3590 | $9,873.18 | $16,455.30 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $46,628.14 | $77,713.56 | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $35,290.70 | $58,817.84 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $7,072.61 | $11,787.68 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $85,865.62 | $143,109.36 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $64,972.80 | $108,288.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $31,099.87 | $51,833.11 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $18,134.96 | $30,224.93 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $30,755.20 | $51,258.66 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $11,946.10 | $19,910.16 | not published | 0 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $6,729.75 | $11,216.25 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $64,026.64 | $106,711.06 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $11,889.23 | $19,815.38 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $64,140.34 | $106,900.56 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $30,379.86 | $50,633.10 | not published | 0 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $41,033.52 | $68,389.20 | $8,103.41 – $8,103.41 | 1 |
| Grfg autol fat lipo ea addl CPT 15772 | $41,033.52 | $68,389.20 | $8,103.41 – $8,103.41 | 1 |
| Growth hormone antibody CPT 86277 | $174.60 | $291.00 | not published | 0 |
| Growth stimulation gene 2 CPT 83006 | $228.00 | $380.00 | not published | 0 |
| G-tube reposition CPT 43761 | $2,193.60 | $3,656.00 | not published | 0 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,460.40 | $2,434.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $4,492.20 | $7,487.00 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $18,325.85 | $30,543.09 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $28,209.94 | $47,016.56 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $5,516.24 | $9,193.73 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $24,130.46 | $40,217.43 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | $13,656.72 | $22,761.20 | $3,881.91 – $3,881.91 | 1 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $400.06 | $666.77 | not published | 0 |
| Halo cervical into jckt vest HCPCS L0810 | $23,861.79 | $39,769.65 | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $164.28 | $273.80 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $14.04 | $23.40 | not published | 0 |
| Halo repl liner/interface HCPCS L0861 | $5,132.56 | $8,554.26 | not published | 0 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $837.18 | $1,395.30 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $11,489.01 | $19,148.35 | not published | 0 |
| Hand X-ray CPT 73130 | $368.40 | $614.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $66.00 | $110.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $658.20 | $1,097.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $502.20 | $837.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $591.60 | $986.00 | not published | 0 |
| Hbb gene com variants CPT 81361 | $324.60 | $541.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $598.80 | $998.00 | not published | 0 |
| Hcg free betachain test CPT 84704 | $175.80 | $293.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $69.60 | $116.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $259.20 | $432.00 | not published | 0 |
| Hc nm kidney imaging with flow CPT 78701 | $2,002.80 | $3,338.00 | not published | 0 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,076.40 | $1,794.00 | not published | 0 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $11,551.80 | $19,253.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,789.40 | $4,649.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,789.40 | $4,649.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,789.40 | $4,649.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $1,900.80 | $3,168.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $1,668.60 | $2,781.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $1,009.20 | $1,682.00 | not published | 0 |
| Hearing loss dup/del analys CPT 81431 | $1,124.40 | $1,874.00 | not published | 0 |
| Hearing loss sequence analys CPT 81430 | $2,687.40 | $4,479.00 | not published | 0 |
| Heart infarct image CPT 78466 | $930.60 | $1,551.00 | not published | 0 |
| Heel leather reinforced HCPCS L3440 | $664.72 | $1,107.87 | not published | 0 |
| Heinz bodies direct CPT 85441 | $53.40 | $89.00 | not published | 0 |
| Heinz bodies induced CPT 85445 | $60.00 | $100.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $174.00 | $290.00 | not published | 0 |
| Hematocrit CPT 85014 | $37.80 | $63.00 | not published | 0 |
| Hemoglobin CPT 85018 | $37.80 | $63.00 | not published | 0 |
| Hemoglobin fetal qualitative CPT 83033 | $35.40 | $59.00 | not published | 0 |
| Hemoglobin f (fetal) chemical CPT 83030 | $30.60 | $51.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $22.80 | $38.00 | 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.