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 |
|---|---|---|---|---|
| Opn fem art expos cndt crtj 34714 CPT 34714 | $1,119.00 | $1,865.00 | not published | 0 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $121,737.14 | $202,895.23 | $43,669.39 – $44,542.77 | 4 |
| Opn impltj nea sacral nerve CPT 64581 | $58,451.15 | $97,418.58 | $19,234.03 – $19,618.71 | 4 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $106,285.84 | $177,143.07 | $30,593.52 – $31,205.39 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | $57,628.94 | $96,048.23 | $7,194.09 – $7,337.97 | 4 |
| Optx medial ankle fx CPT 27766 | $27,476.54 | $45,794.23 | $7,194.09 – $7,337.97 | 4 |
| Oral everolimus HCPCS J7527 | $88.50 | $147.50 | not published | 0 |
| Orchiopexy ingun/scrot appr CPT 54640 | $19,246.68 | $32,077.80 | $3,549.75 – $3,620.74 | 4 |
| Organic acids total quant ea spec CPT 83918 | $130.80 | $218.00 | not published | 0 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $4,492.38 | $7,487.30 | not published | 0 |
| Oropharyngeal biopsy 42800 CPT 42800 | $18,190.26 | $30,317.10 | $1,538.30 – $1,538.30 | 3 |
| Ortho dvc repair per 15 min HCPCS L4205 | $2,173.87 | $3,623.11 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $2,289.32 | $3,815.53 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $4,405.11 | $7,341.85 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $4,720.61 | $7,867.68 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $133.20 | $222.00 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $2,147.10 | $3,578.50 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $2,546.61 | $4,244.35 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $837.18 | $1,395.30 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $2,147.10 | $3,578.50 | not published | 0 |
| Orthopantogram CPT 70355 | $447.60 | $746.00 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $270.33 | $450.55 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $270.33 | $450.55 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $387.86 | $646.43 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $4,811.48 | $8,019.14 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $2,824.09 | $4,706.82 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $6,412.55 | $10,687.58 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $211.46 | $352.44 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $742.49 | $1,237.49 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $565.01 | $941.69 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $92.62 | $154.36 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $494.00 | $823.34 | not published | 0 |
| Osmolality blood CPT 83930 | $85.20 | $142.00 | not published | 0 |
| Osmolality urine CPT 83935 | $90.60 | $151.00 | not published | 0 |
| Outrigger HCPCS L1080 | $483.85 | $806.41 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $1,525.86 | $2,543.10 | not published | 0 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $99.78 | $166.30 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $234.00 | $390.00 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $50,658.48 | $84,430.80 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $120.90 | $201.50 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $6,304.44 | $10,507.40 | not published | 0 |
| Palingen or palingen xplus HCPCS Q4173 | $20,538.82 | $34,231.36 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $0.06 | $0.10 | not published | 0 |
| Palonosetron hcl HCPCS J2469 | $90.00 | $150.00 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $377.58 | $629.30 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $7,228.50 | $12,047.50 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $70.20 | $117.00 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $242.28 | $403.80 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $294.60 | $491.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,086.60 | $1,811.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $829.80 | $1,383.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $966.60 | $1,611.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $465.60 | $776.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $41,558.02 | $69,263.37 | $3,243.99 – $3,308.87 | 4 |
| Partial removal foot fascia CPT 28060 | $48,801.94 | $81,336.57 | $3,243.99 – $3,243.99 | 3 |
| Partial removal of pharynx 42890 CPT 42890 | $56,023.54 | $93,372.57 | $5,869.15 – $5,869.15 | 2 |
| Partial removal of thyroid CPT 60220 | $54,392.84 | $90,654.73 | $5,993.77 – $6,113.65 | 4 |
| Partial removal of tibia CPT 27640 | $51,191.05 | $85,318.42 | $3,243.99 – $3,243.99 | 3 |
| Partial thyroid excision CPT 60210 | $48,256.76 | $80,427.93 | $5,993.77 – $6,113.65 | 4 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $15,483.65 | $25,806.08 | not published | 0 |
| Part removal of metatarsal CPT 28110 | $18,249.00 | $30,415.00 | $3,243.99 – $3,308.87 | 4 |
| Passy muir valve metal trach HCPCS L8501 | $3,879.04 | $6,465.07 | not published | 0 |
| Patten bottom HCPCS L2370 | $2,787.96 | $4,646.60 | not published | 0 |
| Pca3/klk3 antigen CPT 81313 | $873.00 | $1,455.00 | not published | 0 |
| Pdgfra gene CPT 81314 | $873.00 | $1,455.00 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $211.46 | $352.44 | not published | 0 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $24,837.66 | $41,396.10 | not published | 0 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $16,157.28 | $26,928.80 | not published | 0 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $8,078.64 | $13,464.40 | not published | 0 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $9,675.06 | $16,125.10 | not published | 0 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $118,975.38 | $198,292.30 | not published | 0 |
| Pelv band/spread bar thigh c HCPCS L1640 | $4,123.77 | $6,872.95 | not published | 0 |
| Pelvic control band & belt b HCPCS L2640 | $2,737.33 | $4,562.22 | not published | 0 |
| Pelvic control band & belt u HCPCS L2630 | $2,016.96 | $3,361.60 | not published | 0 |
| Pelvic control hip heavy dut HCPCS L2620 | $2,177.83 | $3,629.71 | not published | 0 |
| Pelvic control pelvic sling HCPCS L2580 | $3,780.40 | $6,300.66 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,158.20 | $3,597.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,897.80 | $3,163.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,636.80 | $2,728.00 | not published | 0 |
| Pelvic & hip control thigh c HCPCS L1680 | $7,544.17 | $12,573.61 | not published | 0 |
| Pelv & thor control gluteal HCPCS L2650 | $1,205.48 | $2,009.13 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $24,002.58 | $40,004.30 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $16,131.60 | $26,886.00 | not published | 0 |
| Peng benzathine/procaine inj HCPCS J0558 | $940.92 | $1,568.20 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,428.24 | $2,380.40 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $595.32 | $992.20 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $27,216.58 | $45,360.97 | not published | 0 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $1,952.64 | $3,254.40 | not published | 0 |
| Pentamidine non-comp unit HCPCS J2545 | $1,952.64 | $3,254.40 | not published | 0 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $11,775.66 | $19,626.10 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $7,169.40 | $11,949.00 | not published | 0 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $546.84 | $911.40 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,114.00 | $5,190.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $1,026.00 | $1,710.00 | not published | 0 |
| Perit-vens shunt pat tst CPT 78291 | $723.00 | $1,205.00 | not published | 0 |
| Permanent tear duct plug HCPCS A4263 | $1,111.09 | $1,851.81 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | $158.03 | $263.39 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $2,305.20 | $3,842.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $6,269.40 | $10,449.00 | not published | 0 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $59,091.34 | $98,485.57 | $9,385.42 – $9,573.13 | 4 |
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.