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 |
|---|---|---|---|---|
| Shoe wedge sach HCPCS L3340 | $742.49 | $1,237.49 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $1,396.01 | $2,326.68 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $4,507.82 | $7,513.04 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $482.21 | $803.68 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $28,535.67 | $47,559.45 | $7,194.09 – $7,337.97 | 3 |
| Shoulder X-ray CPT 73030 | $427.20 | $712.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $735.64 | $1,226.06 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $517.48 | $862.46 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $13,010.85 | $21,684.75 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $349.20 | $582.00 | not published | 0 |
| Sialography s&i CPT 70390 | $642.00 | $1,070.00 | not published | 0 |
| Sickling rbc CPT 85660 | $55.20 | $92.00 | not published | 0 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $4,008.18 | $6,680.30 | $1,186.40 – $1,210.12 | 4 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $10,076.58 | $16,794.30 | $922.00 – $940.44 | 4 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,526.46 | $2,544.10 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,900.80 | $3,168.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,668.60 | $2,781.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,007.40 | $1,679.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $3,290.40 | $5,484.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $2,328.35 | $3,880.59 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $1,541.71 | $2,569.51 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $12.18 | $20.30 | not published | 0 |
| Skin Biopsy CPT 11102 | $15,982.44 | $26,637.40 | $403.03 – $411.10 | 3 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $19,063.92 | $31,773.20 | $2,045.62 – $2,086.53 | 3 |
| Sleeve fing rolyan med HCPCS L3933 | $1,691.65 | $2,819.42 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $751.09 | $1,251.82 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $24,036.00 | $40,060.00 | not published | 0 |
| Small bowel endoscopy CPT 44364 | $10,751.82 | $17,919.70 | $1,902.48 – $1,940.53 | 4 |
| Small bowel endoscopy CPT 44369 | $3,177.84 | $5,296.40 | $1,902.48 – $1,940.53 | 4 |
| Small bowel endoscopy/biopsy CPT 44377 | $24,538.85 | $40,898.08 | $1,902.48 – $1,902.48 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $66.60 | $111.00 | not published | 0 |
| Smear gram stain CPT 87205 | $42.60 | $71.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $27.00 | $45.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $241.80 | $403.00 | not published | 0 |
| Smear wet mount CPT 87210 | $35.40 | $59.00 | not published | 0 |
| Smpd1 gene common variants CPT 81330 | $330.60 | $551.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $252.60 | $421.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $7,643.45 | $12,739.09 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $5,826.56 | $9,710.94 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $4,734.87 | $7,891.45 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $281.20 | $468.67 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $50.40 | $84.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $75.00 | $125.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $120.00 | $200.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $63.78 | $106.30 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $180.18 | $300.30 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $372.06 | $620.10 | not published | 0 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $1,315.56 | $2,192.60 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $28.20 | $47.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $21.72 | $36.20 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $659.31 | $1,098.85 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $1,391.56 | $2,319.27 | not published | 0 |
| Sp bone agrft morsel add-on CPT 20937 | $122,928.95 | $204,881.58 | $17,383.71 – $17,383.71 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | $145,454.78 | $242,424.63 | $12,728.77 – $12,983.34 | 2 |
| Special physics consult CPT 77370 | $1,362.60 | $2,271.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $1,085.40 | $1,809.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $3,379.20 | $5,632.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $2,064.60 | $3,441.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $24.00 | $40.00 | not published | 0 |
| Sperm antibody test CPT 89325 | $108.60 | $181.00 | not published | 0 |
| Spinal bone allograftstructural 20931 CPT 20931 | $72,342.87 | $120,571.45 | $12,728.77 – $12,728.77 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | $145,454.78 | $242,424.63 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $4,017.69 | $6,696.15 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $520.76 | $867.94 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $765.78 | $1,276.30 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $779.30 | $1,298.84 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $765.78 | $1,276.30 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $16,033.86 | $26,723.10 | $3,513.39 – $3,513.39 | 1 |
| Split blood or products CPT 86985 | $273.60 | $456.00 | not published | 0 |
| Srs linear based CPT 77372 | $16,255.20 | $27,092.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $192.00 | $320.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $2,415.41 | $4,025.68 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $36,625.78 | $61,042.96 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $29,440.80 | $49,068.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $32,557.45 | $54,262.42 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $3,381.57 | $5,635.95 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $103,487.11 | $172,478.52 | $460.24 – $469.44 | 4 |
| Stent placemt retro carotid CPT 37217 | $19,841.40 | $33,069.00 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $45.00 | $75.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $874.09 | $1,456.81 | not published | 0 |
| Stimulants synthetic CPT 80371 | $159.60 | $266.00 | not published | 0 |
| Stocking sup grips 4 pre ots HCPCS L0982 | $144.60 | $241.00 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $1,280.07 | $2,133.45 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $300.00 | $500.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $99.60 | $166.00 | not published | 0 |
| Streptomycin injection HCPCS J3000 | $877.50 | $1,462.50 | not published | 0 |
| Str markers specimen anal CPT 81265 | $790.20 | $1,317.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $9.48 | $15.80 | not published | 0 |
| Sugars single quant CPT 84378 | $240.60 | $401.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $7,727.16 | $12,878.60 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $440.16 | $733.60 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $2,205.65 | $3,676.09 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $124.20 | $207.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $186.00 | $310.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $302.40 | $504.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $360.00 | $600.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $597.00 | $995.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $658.20 | $1,097.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $101.40 | $169.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $52.80 | $88.00 | 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.