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 |
|---|---|---|---|---|
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $13,705.51 | $22,842.51 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $35,734.39 | $59,557.32 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $23,990.19 | $39,983.65 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $35,347.27 | $58,912.11 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $33,374.69 | $55,624.48 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $13,437.07 | $22,395.11 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $12,496.51 | $20,827.51 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,322.00 | $3,870.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $243.60 | $406.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $45.00 | $75.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $70.20 | $117.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $1,981.38 | $3,302.30 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $102,964.26 | $171,607.10 | not published | 0 |
| Alt/sgpt CPT 84460 | $27.60 | $46.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $66.60 | $111.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $136.32 | $227.20 | not published | 0 |
| Amino acid screen, urine CPT 82128 | $139.20 | $232.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $85.20 | $142.00 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $140.40 | $234.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $233.94 | $389.90 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $34.68 | $57.80 | not published | 0 |
| Ammonia CPT 82140 | $98.40 | $164.00 | not published | 0 |
| Amniotic fluid scan CPT 82143 | $115.80 | $193.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $561.60 | $936.00 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,909.62 | $3,182.70 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $156.78 | $261.30 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $170.40 | $284.00 | not published | 0 |
| Amputation thru metatarsal CPT 28805 | $51,017.86 | $85,029.77 | $7,194.09 – $7,194.09 | 2 |
| Amputation toe interphalangeal joint CPT 28825 | $15,082.50 | $25,137.50 | $3,243.99 – $3,308.87 | 4 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $32,573.06 | $54,288.43 | $3,243.99 – $3,308.87 | 4 |
| Amylase CPT 82150 | $128.40 | $214.00 | not published | 0 |
| Ana ds-dna CPT 86226 | $70.80 | $118.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $898.20 | $1,497.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $898.20 | $1,497.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $92.40 | $154.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $84.00 | $140.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $6,150.60 | $10,251.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $891.00 | $1,485.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $8,816.40 | $14,694.00 | not published | 0 |
| Angiotensin ii CPT 82163 | $133.80 | $223.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $3,560.40 | $5,934.00 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $6,712.80 | $11,188.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $10,279.80 | $17,133.00 | not published | 0 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $8,816.40 | $14,694.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $8,816.40 | $14,694.00 | not published | 0 |
| Anidulafungin injection HCPCS J0348 | $2,233.44 | $3,722.40 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29895 | $66,105.80 | $110,176.33 | $7,194.09 – $7,337.97 | 4 |
| Ankle arthroscopy/surgery CPT 29897 | $64,969.47 | $108,282.45 | $7,194.09 – $7,337.97 | 4 |
| Ankle X-ray CPT 73610 | $417.60 | $696.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $19,630.38 | $32,717.30 | $4,959.62 – $5,058.81 | 4 |
| Anterior asis pad HCPCS L1250 | $688.97 | $1,148.28 | not published | 0 |
| Anterior swing band HCPCS L2335 | $2,448.83 | $4,081.39 | not published | 0 |
| Anterior thoracic derotation HCPCS L1260 | $821.62 | $1,369.37 | not published | 0 |
| Anterior thoracic extension HCPCS L1220 | $1,897.45 | $3,162.41 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $193.80 | $323.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $144.00 | $240.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $189.60 | $316.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $40.20 | $67.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $241.20 | $402.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $292.20 | $487.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $111.00 | $185.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $120.60 | $201.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $15,325.20 | $25,542.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $163.20 | $272.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $20.40 | $34.00 | not published | 0 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $72,342.87 | $120,571.45 | $12,728.77 – $12,728.77 | 1 |
| Antinuclear antibodies CPT 86038 | $49.80 | $83.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $49.80 | $83.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $47.40 | $79.00 | not published | 0 |
| Antistreptolysin o screen CPT 86063 | $180.00 | $300.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $114.60 | $191.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $95.40 | $159.00 | not published | 0 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $19,587.30 | $32,645.50 | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | $992.40 | $1,654.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81411 | $2,646.00 | $4,410.00 | not published | 0 |
| Apc gene dup/delet variants CPT 81203 | $463.20 | $772.00 | not published | 0 |
| Apc gene full sequence CPT 81201 | $1,290.00 | $2,150.00 | not published | 0 |
| Apc gene known fam variants CPT 81202 | $288.60 | $481.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $503.40 | $839.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $76,002.84 | $126,671.40 | $5,993.77 – $5,993.77 | 3 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,909.20 | $3,182.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,734.60 | $2,891.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,269.60 | $2,116.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $3,141.00 | $5,235.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,655.40 | $2,759.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $1,269.60 | $2,116.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $507.60 | $846.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $511.80 | $853.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $607.80 | $1,013.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $857.40 | $1,429.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $377.40 | $629.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $606.60 | $1,011.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $8,248.06 | $13,746.77 | $732.74 – $732.74 | 3 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $8,440.63 | $14,067.72 | $732.74 – $747.40 | 4 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $11,193.82 | $18,656.36 | not published | 0 |
| Apply halo w/removal cranial CPT 20661 | $1,050.00 | $1,750.00 | not published | 0 |
| Apply interstit radiat compl CPT 77778 | $6,859.80 | $11,433.00 | not published | 0 |
| Apply rigid leg cast 29445 CPT 29445 | $832.80 | $1,388.00 | not published | 0 |
| #aptt mix-1:1 incubated CPT 87532 | $40.80 | $68.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $314.40 | $524.00 | 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.