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 |
|---|---|---|---|---|
| Lens, intraocular (new tech) HCPCS C1780 | $821.24 | $1,368.73 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $7,880.34 | $13,133.90 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $7,052.90 | $11,754.84 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $2,898.49 | $4,830.81 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $90.00 | $150.00 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $5,460.00 | $9,100.00 | not published | 0 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $15,695.40 | $26,159.00 | not published | 0 |
| Levalbuterol non-comp unit HCPCS J7614 | $4.80 | $8.00 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $29.28 | $48.80 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $193.80 | $323.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $128.16 | $213.60 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $62,810.42 | $104,684.04 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $70.20 | $117.00 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $70.20 | $117.00 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $75.00 | $125.00 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $642.50 | $1,070.83 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $352.58 | $587.63 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $4,021.10 | $6,701.84 | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $15,458.58 | $25,764.30 | $1,637.46 – $1,637.46 | 2 |
| Lig/band angioaccess av fistula CPT 37607 | $18,006.18 | $30,010.30 | $3,130.45 – $3,193.06 | 3 |
| Liletta, 52 mg HCPCS J7297 | $10,901.28 | $18,168.80 | not published | 0 |
| Limited ankle motion ea jnt HCPCS L2200 | $1,294.66 | $2,157.76 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $1,009.06 | $1,681.77 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $386.10 | $643.50 | not published | 0 |
| Lipase CPT 83690 | $77.40 | $129.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $67.20 | $112.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $234.60 | $391.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $90.60 | $151.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $55.20 | $92.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | $133.20 | $222.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $66.00 | $110.00 | not published | 0 |
| Liver Function Test CPT 80076 | $136.80 | $228.00 | not published | 0 |
| Liver imaging CPT 78201 | $1,009.80 | $1,683.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $1,075.20 | $1,792.00 | not published | 0 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $36,071.32 | $60,118.87 | $3,243.99 – $7,337.97 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $9.00 | $15.00 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $1,502.77 | $2,504.61 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $617.57 | $1,029.28 | not published | 0 |
| Low back disk surgery CPT 63030 | $36,825.19 | $61,375.32 | $7,194.09 – $7,337.97 | 4 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,158.20 | $3,597.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,897.80 | $3,163.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,146.00 | $1,910.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $339.60 | $566.00 | not published | 0 |
| Lsh uterus 250 g or less CPT 58541 | $57,547.81 | $95,913.02 | $10,538.83 – $10,749.61 | 4 |
| Lso corset front HCPCS L0972 | $916.89 | $1,528.15 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $990.70 | $1,651.17 | not published | 0 |
| Lso full corset HCPCS L0976 | $1,302.48 | $2,170.80 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $1,478.23 | $2,463.71 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $6,788.08 | $11,313.46 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $5,240.59 | $8,734.32 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $1,410.98 | $2,351.64 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $7,099.72 | $11,832.86 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $5,484.43 | $9,140.72 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $2,272.31 | $3,787.19 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $2,498.01 | $4,163.35 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $6,763.07 | $11,271.78 | not published | 0 |
| Lso s/c shell/panel prefab HCPCS L0639 | $168.60 | $281.00 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $304.80 | $508.00 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $682.11 | $1,136.85 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $792.25 | $1,320.42 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $2,615.40 | $4,359.00 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $772.35 | $1,287.25 | not published | 0 |
| Lumbar sling HCPCS L1090 | $876.60 | $1,461.00 | not published | 0 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $99,584.61 | $165,974.35 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,360.20 | $2,267.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $32,917.50 | $54,862.50 | not published | 0 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $49,234.14 | $82,056.90 | not published | 0 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $30,999.00 | $51,665.00 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $2,898.49 | $4,830.81 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $1,479.60 | $2,466.00 | not published | 0 |
| Lymphocyte culture mixed CPT 86821 | $60.00 | $100.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $58.20 | $97.00 | not published | 0 |
| Lysis penil circumic lesion CPT 54162 | $3,822.18 | $6,370.30 | $2,072.49 – $2,113.94 | 4 |
| Macroscopic exam arthropod CPT 87168 | $162.00 | $270.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $44.40 | $74.00 | not published | 0 |
| Magnesium CPT 83735 | $52.20 | $87.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $106.50 | $177.50 | not published | 0 |
| Malaria antibody CPT 86750 | $94.80 | $158.00 | not published | 0 |
| Male sling procedure CPT 53440 | $52,772.31 | $87,953.85 | $13,080.50 – $13,342.11 | 4 |
| Mammosite ced HCPCS C1728 | $12,337.88 | $20,563.13 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $642.98 | $1,071.63 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $34,618.56 | $57,697.60 | $6,583.32 – $6,714.99 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $19,973.20 | $33,288.67 | not published | 0 |
| Mastectomy partial CPT 19301 | $46,723.09 | $77,871.82 | $3,881.91 – $6,583.32 | 4 |
| Mastoids complete CPT 70130 | $639.60 | $1,066.00 | not published | 0 |
| Mast simple complete CPT 19303 | $108,867.29 | $181,445.48 | $6,583.32 – $6,583.32 | 2 |
| Matrion 1 sq cm HCPCS Q4201 | $27,343.84 | $45,573.07 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $65,967.70 | $109,946.16 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | $103.80 | $173.00 | not published | 0 |
| M.avium-intra dna dir prob CPT 87560 | $107.40 | $179.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $66.60 | $111.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $121.20 | $202.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $189.60 | $316.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $241.20 | $402.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $107.40 | $179.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $73.80 | $123.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $66.00 | $110.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $96.60 | $161.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $448.20 | $747.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $336.00 | $560.00 | 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.