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 |
|---|---|---|---|---|
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $75.00 | $125.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $95.94 | $159.90 | not published | 0 |
| Kidney imaging morphology CPT 78700 | $814.20 | $1,357.00 | not published | 0 |
| Kidney imag w/bld flow multi CPT 78709 | $2,580.00 | $4,300.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,140.20 | $3,567.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $14,723.61 | $24,539.35 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $16,614.88 | $27,691.46 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $241.20 | $402.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $53,602.56 | $89,337.60 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $52,790.40 | $87,984.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $31,815.72 | $53,026.20 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $5,792.05 | $9,653.42 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $29,430.99 | $49,051.65 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $28,280.64 | $47,134.40 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $6,175.58 | $10,292.64 | not published | 0 |
| Knee arthroscopy/surgery CPT 29875 | $25,111.43 | $41,852.38 | $3,243.99 – $3,308.87 | 2 |
| Knee control condylar pad HCPCS L2810 | $711.48 | $1,185.80 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $714.38 | $1,190.63 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $1,248.76 | $2,081.27 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $1,248.76 | $2,081.27 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $1,058.33 | $1,763.89 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $690.90 | $1,151.50 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $1,021.72 | $1,702.86 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $2,563.81 | $4,273.01 | not published | 0 |
| Knee X-ray CPT 73564 | $448.20 | $747.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $4,086.74 | $6,811.24 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $4,086.74 | $6,811.24 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $6,681.82 | $11,136.37 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $702.50 | $1,170.83 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $1,162.19 | $1,936.99 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $6,375.28 | $10,625.46 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $5,044.26 | $8,407.10 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $2,481.78 | $4,136.30 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $5,681.72 | $9,469.54 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $4,733.03 | $7,888.39 | not published | 0 |
| Kras gene addl variants CPT 81276 | $530.40 | $884.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $530.40 | $884.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $938.72 | $1,564.54 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $1,354.37 | $2,257.28 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $9.00 | $15.00 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $3,198.38 | $5,330.64 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $289.86 | $483.10 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $39.60 | $66.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $75.00 | $125.00 | not published | 0 |
| Lactic acid CPT 83605 | $83.40 | $139.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $73.80 | $123.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $263.40 | $439.00 | not published | 0 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $134,272.32 | $223,787.20 | $26,901.72 – $26,901.72 | 1 |
| Lam facetec & foramot lumbar CPT 63047 | $84,543.83 | $140,906.38 | $17,383.71 – $17,383.71 | 2 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $123,917.90 | $206,529.83 | $26,901.72 – $26,901.72 | 3 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $37,004.94 | $61,674.90 | not published | 0 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $33.54 | $55.90 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $24,996.10 | $41,660.17 | $5,993.77 – $6,113.65 | 3 |
| Laparo partial nephrectomy CPT 50543 | $82,322.72 | $137,204.53 | $10,538.83 – $10,749.61 | 4 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $53,474.53 | $89,124.22 | $5,993.77 – $6,113.65 | 4 |
| Laparo radical nephrectomy CPT 50545 | $88,365.11 | $147,275.18 | $355.38 – $355.38 | 3 |
| Laparo remove w/ureter CPT 50548 | $109,823.85 | $183,039.75 | $355.38 – $362.49 | 4 |
| Laparoscopye procstom 43659 CPT 43659 | $79,468.73 | $132,447.88 | $10,538.83 – $10,749.61 | 4 |
| Laparoscopy excise lesions CPT 58662 | $27,173.74 | $45,289.57 | $5,993.77 – $6,113.65 | 4 |
| Laparoscopy lymphadenectomy CPT 38571 | $93,518.96 | $155,864.93 | $10,538.83 – $10,749.61 | 4 |
| Laparoscopy orchiectomy CPT 54690 | $97,462.02 | $162,436.70 | $5,993.77 – $5,993.77 | 3 |
| Laparoscopy pyeloplasty CPT 50544 | $91,433.24 | $152,388.73 | $10,538.83 – $10,538.83 | 3 |
| Laparoscopy remove adnexa CPT 58661 | $36,718.33 | $61,197.22 | $5,993.77 – $6,113.65 | 4 |
| Laparoscopy surg colpopexy CPT 57425 | $102,507.04 | $170,845.07 | $10,538.83 – $10,749.61 | 4 |
| Laparo-vag hyst incl t/o CPT 58552 | $56,808.37 | $94,680.62 | $10,538.83 – $10,538.83 | 3 |
| Lap enterolysis CPT 44180 | $79,527.12 | $132,545.20 | $5,993.77 – $5,993.77 | 3 |
| Lap gastric bypass/roux-en-y CPT 43644 | $97,555.52 | $162,592.53 | $217.10 – $217.10 | 2 |
| Lap ing hernia repair init CPT 49650 | $62,324.22 | $103,873.70 | $5,993.77 – $6,113.65 | 4 |
| Lap ing hernia repair recur CPT 49651 | $62,435.68 | $104,059.47 | $5,993.77 – $6,113.65 | 4 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $78,191.33 | $130,318.88 | $10,538.83 – $10,538.83 | 2 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | $73,105.15 | $121,841.92 | $10,538.83 – $10,538.83 | 3 |
| Lap sleeve gastrectomy CPT 43775 | $100,515.77 | $167,526.28 | $28.68 – $29.25 | 3 |
| Laps surg prst8ect rpbic rad CPT 55866 | $93,704.15 | $156,173.58 | $10,538.83 – $10,749.61 | 4 |
| Laps surg prst8ect smpl stot CPT 55867 | $76,108.80 | $126,848.00 | $10,538.83 – $10,538.83 | 3 |
| Largsc w/laser dstrj les CPT 31572 | $5,931.60 | $9,886.00 | not published | 0 |
| Largsc w/njx augmentation CPT 31574 | $2,865.00 | $4,775.00 | not published | 0 |
| Largsc w/ther injection CPT 31573 | $44,179.72 | $73,632.87 | $1,764.66 – $3,696.43 | 2 |
| Laryngoplasty laryngeal sten CPT 31552 | $49,673.64 | $82,789.40 | $5,869.15 – $5,986.53 | 3 |
| Laryngoscope w/vc inj CPT 31570 | $30,282.43 | $50,470.72 | $3,696.43 – $3,696.43 | 3 |
| Laryngoscop w/arytenoidectom CPT 31560 | $49,673.64 | $82,789.40 | $5,869.15 – $5,986.53 | 4 |
| Laryngoscop w/vc inj + scope CPT 31571 | $44,452.03 | $74,086.72 | $3,696.43 – $3,696.43 | 1 |
| Laryngoscopy and dilation CPT 31528 | $43,474.30 | $72,457.17 | $3,696.43 – $3,770.36 | 4 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $17,520.07 | $29,200.12 | $5,869.15 – $5,986.53 | 4 |
| Laryngoscopy telescopic CPT 31579 | $1,123.80 | $1,873.00 | $387.77 – $395.53 | 4 |
| Laryngoscopy w/bx & op scope CPT 31536 | $22,394.88 | $37,324.80 | $3,696.43 – $3,770.36 | 4 |
| Laryngoscopy w/fb removal CPT 31530 | $40,800.54 | $68,000.90 | $3,696.43 – $3,696.43 | 3 |
| Larynscop remve cart + scop CPT 31561 | $58,589.76 | $97,649.60 | $5,869.15 – $5,986.53 | 4 |
| Larynscop w/tumr exc + scope CPT 31541 | $44,179.72 | $73,632.87 | $3,696.43 – $3,770.36 | 4 |
| Laser surgery of prostate CPT 52648 | $25,327.16 | $42,211.93 | $5,315.89 – $5,422.21 | 4 |
| Lateral thoracic extension HCPCS L1210 | $2,131.36 | $3,552.26 | not published | 0 |
| Lateral trochanteric pad HCPCS L1290 | $676.90 | $1,128.16 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $40,608.00 | $67,680.00 | not published | 0 |
| Lead capillary CPT 83655 | $52.80 | $88.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $44,959.15 | $74,931.91 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $19,442.94 | $32,404.90 | not published | 0 |
| Legg perthes orthosis trilat HCPCS L1720 | $5,967.36 | $9,945.60 | not published | 0 |
| Legg perthes orth scottish r HCPCS L1730 | $5,037.80 | $8,396.34 | not published | 0 |
| Legg perthes patten bottom t HCPCS L1755 | $7,242.92 | $12,071.53 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $6,293.62 | $10,489.36 | not published | 0 |
| Leishmania antibody CPT 86717 | $78.60 | $131.00 | 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.