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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $572.40 | $954.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $111.60 | $186.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $122.40 | $204.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $191.40 | $319.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $90.60 | $151.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $91.80 | $153.00 | not published | 0 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $184.20 | $307.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $603.60 | $1,006.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $261.00 | $435.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $272.40 | $454.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $655.80 | $1,093.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $278.40 | $464.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $398.40 | $664.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $310.20 | $517.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $243.60 | $406.00 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $4,519.50 | $7,532.50 | not published | 0 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,935.00 | $3,225.00 | not published | 0 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $3,662.16 | $6,103.60 | not published | 0 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $0.06 | $0.10 | not published | 0 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $21,055.32 | $35,092.20 | not published | 0 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $46,241.58 | $77,069.30 | not published | 0 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $14,706.00 | $24,510.00 | not published | 0 |
| Inj, bortezomib, hospira HCPCS J9049 | $323.88 | $539.80 | not published | 0 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $61.44 | $102.40 | not published | 0 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $68.46 | $114.10 | not published | 0 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $2,724.24 | $4,540.40 | not published | 0 |
| Inj ceftolozane tazobactam HCPCS J0695 | $2,040.06 | $3,400.10 | not published | 0 |
| Inj, clindamycin (baxter) HCPCS J0737 | $83.10 | $138.50 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $381.00 | $635.00 | not published | 0 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | $496.08 | $826.80 | not published | 0 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $480.42 | $800.70 | not published | 0 |
| Inj daptomycin (xellia) HCPCS J0873 | $232.20 | $387.00 | not published | 0 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $12,415.98 | $20,693.30 | not published | 0 |
| Inj dx for sinogram CPT 20501 | $468.60 | $781.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $8,125.44 | $13,542.40 | $699.84 – $713.83 | 4 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $848.40 | $1,414.00 | not published | 0 |
| Injection, cangrelor HCPCS C9460 | $11,714.04 | $19,523.40 | not published | 0 |
| Injection, doxercalciferol HCPCS J1270 | $9.00 | $15.00 | not published | 0 |
| Injection for arthrography wrist (both sides) CPT 25246 | $407.40 | $679.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $468.60 | $781.00 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $13,884.54 | $23,140.90 | not published | 0 |
| Injection jaw joint x-ray CPT 21116 | $153.60 | $256.00 | not published | 0 |
| Injection jugular CPT 36299 | $319.80 | $533.00 | not published | 0 |
| Injection of sinus tract CPT 20500 | $1,747.80 | $2,913.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,519.40 | $4,199.00 | not published | 0 |
| Injection, peramivir HCPCS J2547 | $441.78 | $736.30 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $31,345.87 | $52,243.12 | $3,881.91 – $6,714.99 | 4 |
| Injection, renflexis HCPCS Q5104 | $2,915.64 | $4,859.40 | not published | 0 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $8,033.46 | $13,389.10 | $699.84 – $713.83 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,774.20 | $2,957.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $8,125.92 | $13,543.20 | $699.84 – $713.83 | 4 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $8,232.78 | $13,721.30 | $876.90 – $894.44 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $10,936.74 | $18,227.90 | $876.90 – $894.44 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $10,037.10 | $16,728.50 | $876.90 – $894.44 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $10,065.54 | $16,775.90 | $876.90 – $894.44 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $10,020.66 | $16,701.10 | $876.90 – $894.44 | 4 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $8,209.50 | $13,682.50 | $699.84 – $713.83 | 4 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $9,037.92 | $15,063.20 | $699.84 – $713.83 | 4 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $741.60 | $1,236.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $741.60 | $1,236.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $105.00 | $175.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $150.00 | $250.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $136.20 | $227.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $84.00 | $140.00 | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $2,218.20 | $3,697.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | $662.40 | $1,104.00 | not published | 0 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | $17,670.42 | $29,450.70 | not published | 0 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | $52,650.00 | $87,750.00 | not published | 0 |
| Inj for ext venography CPT 36005 | $570.00 | $950.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $240.60 | $401.00 | not published | 0 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $1,995.00 | $3,325.00 | not published | 0 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $18,654.24 | $31,090.40 | not published | 0 |
| Inj herzuma 10 mg HCPCS Q5113 | $12,185.88 | $20,309.80 | not published | 0 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $4,055.76 | $6,759.60 | not published | 0 |
| Inj ivig privigen 500 mg HCPCS J1459 | $29,699.94 | $49,499.90 | not published | 0 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $35.16 | $58.60 | not published | 0 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $454.86 | $758.10 | not published | 0 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $1,408.26 | $2,347.10 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $274.02 | $456.70 | not published | 0 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,629.60 | $2,716.00 | not published | 0 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $9.00 | $15.00 | not published | 0 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $2,603.28 | $4,338.80 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $1,263.36 | $2,105.60 | not published | 0 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $3,861.00 | $6,435.00 | not published | 0 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $3,189.60 | $5,316.00 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $10,473.96 | $17,456.60 | not published | 0 |
| Inj peritoneal venous shunt CPT 49427 | $769.20 | $1,282.00 | not published | 0 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $25,783.08 | $42,971.80 | not published | 0 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $4,047.06 | $6,745.10 | not published | 0 |
| Inj proc ankle arthr CPT 27648 | $375.00 | $625.00 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $96.00 | $160.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $222.00 | $370.00 | not published | 0 |
| Inj, releuko 1 mcg HCPCS Q5125 | $984.54 | $1,640.90 | not published | 0 |
| Inj scleros sol mult veins CPT 36471 | $553.80 | $923.00 | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $643.80 | $1,073.00 | not published | 0 |
| Inj secretin synthetic human HCPCS J2850 | $2,558.10 | $4,263.50 | not published | 0 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $8,516.58 | $14,194.30 | not published | 0 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $255.78 | $426.30 | not published | 0 |
| Inj testosterone cypionate HCPCS J1071 | $69.60 | $116.00 | not published | 0 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $1,629.60 | $2,716.00 | 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.