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 |
|---|---|---|---|---|
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $100.20 | $167.00 | not published | 0 |
| Mayo organic acids qualitative each specimen CPT 83919 | $112.80 | $188.00 | not published | 0 |
| Mayo oxalate 24 hour urine CPT 83945 | $74.40 | $124.00 | not published | 0 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $54.00 | $90.00 | not published | 0 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $142.80 | $238.00 | not published | 0 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $92.40 | $154.00 | not published | 0 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $93.60 | $156.00 | not published | 0 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $29.40 | $49.00 | not published | 0 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $55.20 | $92.00 | not published | 0 |
| Mayo pregnenolone CPT 84140 | $183.60 | $306.00 | not published | 0 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $84.00 | $140.00 | not published | 0 |
| Mayo proinsulin CPT 84206 | $180.00 | $300.00 | not published | 0 |
| Mayo psaft prostate specific antigen free CPT 84154 | $81.00 | $135.00 | not published | 0 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $209.40 | $349.00 | not published | 0 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $162.00 | $270.00 | not published | 0 |
| Mayo receptor assay transferrin soluble CPT 84238 | $142.80 | $238.00 | not published | 0 |
| Mayo renin CPT 84244 | $106.20 | $177.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $60.00 | $100.00 | not published | 0 |
| Mayo selenium CPT 84255 | $53.40 | $89.00 | not published | 0 |
| Mayo serotonin CPT 84260 | $199.20 | $332.00 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $26.40 | $44.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $155.40 | $259.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $72.00 | $120.00 | not published | 0 |
| Mayo tau phosphorylated 217 each CPT 84393 | $339.00 | $565.00 | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $345.00 | $575.00 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $69.60 | $116.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $124.20 | $207.00 | not published | 0 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $86.40 | $144.00 | not published | 0 |
| Mayo thyroglobulin CPT 84432 | $86.40 | $144.00 | not published | 0 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $24.60 | $41.00 | not published | 0 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $129.60 | $216.00 | not published | 0 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $37.80 | $63.00 | not published | 0 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $57.60 | $96.00 | not published | 0 |
| Mayo vasoactive intestinal peptide CPT 84586 | $91.80 | $153.00 | not published | 0 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $252.00 | $420.00 | not published | 0 |
| Mayo vitamin b3 (niacin) CPT 84591 | $238.80 | $398.00 | not published | 0 |
| Mayo vitamin k CPT 84597 | $144.00 | $240.00 | not published | 0 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $127.80 | $213.00 | not published | 0 |
| Mcoln1 gene CPT 81290 | $330.60 | $551.00 | not published | 0 |
| Mecp2 gene dup/delet variant CPT 81304 | $298.20 | $497.00 | not published | 0 |
| Mecp2 gene full seq CPT 81302 | $593.40 | $989.00 | not published | 0 |
| Mecp2 gene known variant CPT 81303 | $288.60 | $481.00 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $5,720.29 | $9,533.81 | not published | 0 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $25,466.15 | $42,443.58 | not published | 0 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $8,412.19 | $14,020.31 | not published | 0 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $10,654.58 | $17,757.64 | not published | 0 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $23,896.04 | $39,826.74 | not published | 0 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $32,486.40 | $54,144.00 | not published | 0 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $50.16 | $83.60 | not published | 0 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $13,942.92 | $23,238.20 | not published | 0 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $69.06 | $115.10 | not published | 0 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $54,796.15 | $91,326.92 | not published | 0 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $90.00 | $150.00 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $175.80 | $293.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $526.20 | $877.00 | not published | 0 |
| Metabolic panel ionized ca CPT 80047 | $232.20 | $387.00 | not published | 0 |
| Metal frame recipro hip & ca HCPCS L2628 | $6,337.00 | $10,561.67 | not published | 0 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $1,064.70 | $1,774.50 | not published | 0 |
| Methadone injection HCPCS J1230 | $68.76 | $114.60 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $58.50 | $97.50 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $90.00 | $150.00 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $41.40 | $69.00 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2,742.42 | $4,570.70 | not published | 0 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $366.00 | $610.00 | not published | 0 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,325.46 | $2,209.10 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $4.80 | $8.00 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $230.76 | $384.60 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $554.40 | $924.00 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $9.00 | $15.00 | not published | 0 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $12.96 | $21.60 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $26.94 | $44.90 | not published | 0 |
| Mgmt promoter methylation analysis CPT 81287 | $223.80 | $373.00 | not published | 0 |
| Microdissection manual CPT 88381 | $286.20 | $477.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $1,063.20 | $1,772.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $457.50 | $762.50 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $374.40 | $624.00 | not published | 0 |
| Milwaukee type superstructur HCPCS L1230 | $4,740.02 | $7,900.04 | not published | 0 |
| Miroderm HCPCS Q4175 | $29,694.67 | $49,491.12 | not published | 0 |
| Mitochondrial gene CPT 81440 | $2,199.60 | $3,666.00 | not published | 0 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $1,577.70 | $2,629.50 | not published | 0 |
| Mlh1 gene CPT 81288 | $351.60 | $586.00 | not published | 0 |
| Mlh1 gene dup/delete variant CPT 81294 | $382.20 | $637.00 | not published | 0 |
| Mlh1 gene full seq CPT 81292 | $1,065.00 | $1,775.00 | not published | 0 |
| Mlh1 gene known variants CPT 81293 | $323.40 | $539.00 | not published | 0 |
| Mnl appl strs jt radiography CPT 77071 | $146.40 | $244.00 | not published | 0 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $64,535.38 | $107,558.97 | not published | 0 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $17,498.65 | $29,164.41 | not published | 0 |
| Mopath procedure level 1 CPT 81400 | $229.80 | $383.00 | not published | 0 |
| Mopath procedure level 3 CPT 81402 | $589.80 | $983.00 | not published | 0 |
| Mopath procedure level 5 CPT 81404 | $611.40 | $1,019.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $857.40 | $1,429.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $1,018.20 | $1,697.00 | not published | 0 |
| Mopath procedure level 8 CPT 81407 | $1,399.20 | $2,332.00 | not published | 0 |
| Mopath procedure level 9 CPT 81408 | $2,540.40 | $4,234.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $930.18 | $1,550.30 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $16.80 | $28.00 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $163.92 | $273.20 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $580.20 | $967.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $391.80 | $653.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $464.40 | $774.00 | 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.