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 |
|---|---|---|---|---|
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $105.60 | $176.00 | not published | 0 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $64.20 | $107.00 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,414.68 | $2,357.80 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $59,632.85 | $99,388.08 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $57,866.40 | $96,444.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $46,699.20 | $77,832.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $55,178.15 | $91,963.58 | not published | 0 |
| Idet 1 or more levels CPT 22527 | $5,745.60 | $9,576.00 | not published | 0 |
| Idet single level CPT 22526 | $8,573.40 | $14,289.00 | not published | 0 |
| Idh1 common variants CPT 81120 | $384.60 | $641.00 | not published | 0 |
| Idh2 common variants CPT 81121 | $588.00 | $980.00 | not published | 0 |
| I&d vag hemtma obst/postpart CPT 57022 | $3,972.60 | $6,621.00 | not published | 0 |
| Ifnl3 gene CPT 81283 | $118.80 | $198.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $146.64 | $244.40 | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $727.20 | $1,212.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $529.20 | $882.00 | not published | 0 |
| Igk rearrangeabn clonal pop CPT 81264 | $549.60 | $916.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $298.20 | $497.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $464.40 | $774.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $298.20 | $497.00 | not published | 0 |
| Ikbkap gene CPT 81260 | $228.00 | $380.00 | not published | 0 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $41,534.28 | $69,223.80 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $4,839.08 | $8,065.13 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $2,415.41 | $4,025.68 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $2,791.05 | $4,651.75 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $2,865.54 | $4,775.90 | not published | 0 |
| Immune complex assay CPT 86332 | $91.20 | $152.00 | not published | 0 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $8,808.90 | $14,681.50 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $96.00 | $160.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $80.40 | $134.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $36.00 | $60.00 | not published | 0 |
| Immunodiffusion nes CPT 86329 | $63.00 | $105.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $60.60 | $101.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $210.00 | $350.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $711.00 | $1,185.00 | not published | 0 |
| Immunoglobulin assay CPT 86023 | $35.40 | $59.00 | not published | 0 |
| Immunology procedure CPT 86849 | $122.40 | $204.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $11,449.55 | $19,082.58 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $8,332.51 | $13,887.51 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $28,262.96 | $47,104.94 | not published | 0 |
| Implant neuroelectrodes CPT 63655 | $111,458.28 | $185,763.80 | $30,593.52 – $31,205.39 | 4 |
| Implant neuroelectrodes CPT 64555 | $45,623.18 | $76,038.63 | $6,318.43 – $6,444.80 | 4 |
| Implant neuroelectrodes CPT 64561 | $59,680.43 | $99,467.38 | $6,318.43 – $6,444.80 | 4 |
| Implant neurostim arrays CPT 61886 | $58,383.19 | $97,305.32 | $30,593.52 – $31,205.39 | 4 |
| Implant ureth bulk agent HCPCS L8606 | $9,197.33 | $15,328.88 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $13,091.71 | $21,819.52 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $35,710.09 | $59,516.82 | $6,318.43 – $30,593.52 | 4 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $104,161.84 | $173,603.07 | $10,538.83 – $10,538.83 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $7,577.94 | $12,629.90 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $6,375.66 | $10,626.10 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $3,550.20 | $5,917.00 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $16,845.54 | $28,075.90 | $1,637.46 – $1,670.21 | 4 |
| Incision of eardrum CPT 69421 | $12,903.39 | $21,505.65 | $3,287.07 – $3,352.82 | 4 |
| Incision of foot fascia CPT 28008 | $41,498.63 | $69,164.38 | $3,243.99 – $3,308.87 | 4 |
| Incision of foot tendon 28234 CPT 28234 | $75,663.39 | $126,105.65 | $3,243.99 – $3,308.87 | 4 |
| Incision of heel bone CPT 28300 | $84,971.58 | $141,619.30 | $7,194.09 – $12,728.77 | 4 |
| Incision of metatarsal CPT 28308 | $70,809.52 | $118,015.87 | $7,194.09 – $7,337.97 | 4 |
| Incision of midfoot bones CPT 28304 | $75,663.39 | $126,105.65 | $7,194.09 – $7,337.97 | 4 |
| Incision of toe tendons 28011 CPT 28011 | $2,858.40 | $4,764.00 | not published | 0 |
| Incision of tongue fold CPT 41010 | $21,637.90 | $36,063.17 | $5,869.15 – $5,986.53 | 4 |
| Incision of urethra CPT 53010 | $20,730.78 | $34,551.30 | $5,315.89 – $5,422.21 | 4 |
| Incisn of toe tndn CPT 28010 | $2,858.40 | $4,764.00 | not published | 0 |
| Incisn windpipe CPT 31600 | $3,961.20 | $6,602.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $231.60 | $386.00 | not published | 0 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $100.80 | $168.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $398.40 | $664.00 | not published | 0 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $313.20 | $522.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $405.60 | $676.00 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $68.40 | $114.00 | not published | 0 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $126.60 | $211.00 | not published | 0 |
| Infect ag if hep delta agent CPT 87380 | $178.80 | $298.00 | not published | 0 |
| Infect ag if influenza a CPT 87276 | $19.20 | $32.00 | not published | 0 |
| Infect ag if influenza b CPT 87275 | $19.20 | $32.00 | not published | 0 |
| Infect ag if legionella pneumophila CPT 87278 | $66.00 | $110.00 | not published | 0 |
| Infect ag if nos ea CPT 87299 | $33.60 | $56.00 | not published | 0 |
| Infect ag if pneumocystis carinii CPT 87281 | $23.40 | $39.00 | not published | 0 |
| Infect ag if varicella zoster CPT 87290 | $73.20 | $122.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $153.60 | $256.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $63.00 | $105.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $96.00 | $160.00 | not published | 0 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $544.80 | $908.00 | not published | 0 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $558.00 | $930.00 | not published | 0 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $39.60 | $66.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $188.40 | $314.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $83.40 | $139.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $58.20 | $97.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $96.60 | $161.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $157.80 | $263.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $126.60 | $211.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $70.80 | $118.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $64.80 | $108.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $127.80 | $213.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $150.00 | $250.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $81.00 | $135.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $189.60 | $316.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $114.00 | $190.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $213.00 | $355.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,971.00 | $3,285.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $210.60 | $351.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $172.80 | $288.00 | 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.