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 |
|---|---|---|---|---|
| Susceptibility mic per plate CPT 87186 | $69.60 | $116.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $88.80 | $148.00 | not published | 0 |
| Suspension sleeve lower ext HCPCS L2397 | $925.49 | $1,542.48 | not published | 0 |
| Svc venogram s&i CPT 75827 | $2,879.40 | $4,799.00 | not published | 0 |
| Synvisc or synvisc-one HCPCS J7325 | $5,300.46 | $8,834.10 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $79.20 | $132.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $38,577.60 | $64,296.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $33,907.68 | $56,512.80 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $28,524.56 | $47,540.93 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $24,303.68 | $40,506.13 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $84.60 | $141.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $181.20 | $302.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $142.20 | $237.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $38.40 | $64.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $90.84 | $151.40 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $117.00 | $195.00 | not published | 0 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $5,569.56 | $9,282.60 | not published | 0 |
| Talymed HCPCS Q4127 | $6,501.28 | $10,835.47 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,629.60 | $2,716.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,629.60 | $2,716.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,010.00 | $3,350.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,599.00 | $7,665.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $1,827.60 | $3,046.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $9,874.20 | $16,457.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,547.58 | $2,579.30 | not published | 0 |
| Tbp gene detc abnor alleles CPT 81344 | $272.40 | $454.00 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $84.60 | $141.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $223.80 | $373.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $610.20 | $1,017.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $733.26 | $1,222.10 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $922.50 | $1,537.50 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $439.20 | $732.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $175.20 | $292.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $142.80 | $238.00 | not published | 0 |
| T cells total count CPT 86359 | $60.00 | $100.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $1,901.40 | $3,169.00 | not published | 0 |
| Telethx isodose plan simple CPT 77306 | $862.20 | $1,437.00 | not published | 0 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $4,002.42 | $6,670.70 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $7,981.32 | $13,302.20 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $32,110.44 | $53,517.40 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,858.40 | $4,764.00 | not published | 0 |
| Tension based scoliosis orth HCPCS L1005 | $12,947.23 | $21,578.72 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $57.66 | $96.10 | not published | 0 |
| Tert gene targeted seq alys CPT 81345 | $1,484.40 | $2,474.00 | not published | 0 |
| Test for chlorohydrocarbons CPT 82441 | $138.00 | $230.00 | not published | 0 |
| Testicular imaging w/vasc flow CPT 78761 | $1,263.60 | $2,106.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $66.00 | $110.00 | not published | 0 |
| Test socket below knee HCPCS L5620 | $2,248.45 | $3,747.42 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $2,512.32 | $4,187.20 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $16,907.88 | $28,179.80 | not published | 0 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $6,600.00 | $11,000.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $75.60 | $126.00 | not published | 0 |
| Ther/proph/diag inj ia CPT 96373 | $238.80 | $398.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $29.16 | $48.60 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $2,963.99 | $4,939.99 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $3,953.24 | $6,588.74 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $2,089.13 | $3,481.89 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $2,726.03 | $4,543.38 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $1,274.66 | $2,124.43 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $1,389.44 | $2,315.73 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $11,522.31 | $19,203.85 | $621.93 – $634.37 | 4 |
| Thoracic control thoracic ba HCPCS L2660 | $1,560.83 | $2,601.39 | not published | 0 |
| Thoracic pad HCPCS L1060 | $943.46 | $1,572.43 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $4,650.53 | $7,750.88 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $12,918.00 | $21,530.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $21,645.00 | $36,075.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $52,770.60 | $87,951.00 | not published | 0 |
| Thrombin time CPT 85670 | $84.00 | $140.00 | not published | 0 |
| Thromboplastin inhibition CPT 85705 | $146.40 | $244.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $147.60 | $246.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $4,550.58 | $7,584.30 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $4,610.69 | $7,684.48 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $4,682.31 | $7,803.85 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $5,730.43 | $9,550.71 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $101.40 | $169.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $1,768.80 | $2,948.00 | not published | 0 |
| Thyroid mets imag whole body CPT 78018 | $1,399.80 | $2,333.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $164.40 | $274.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $319.20 | $532.00 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $1,447.44 | $2,412.40 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $105.00 | $175.00 | not published | 0 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $2,796.30 | $4,660.50 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $13,013.09 | $21,688.49 | not published | 0 |
| Tissue culture placenta CPT 88235 | $573.60 | $956.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $713.40 | $1,189.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $573.60 | $956.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $17.40 | $29.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $32,876.24 | $54,793.74 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $30.60 | $51.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | $63,522.31 | $105,870.52 | $10,538.83 – $10,538.83 | 3 |
| Tlh uterus over 250 g CPT 58572 | $63,842.35 | $106,403.92 | $10,538.83 – $10,749.61 | 4 |
| Tlh w/t/o 250 g or less CPT 58571 | $70,228.75 | $117,047.92 | $10,538.83 – $10,749.61 | 4 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $69,921.42 | $116,535.70 | $10,538.83 – $10,749.61 | 4 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $6,336.82 | $10,561.36 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $5,456.74 | $9,094.57 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $6,487.73 | $10,812.88 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $4,594.45 | $7,657.41 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $4,356.52 | $7,260.87 | not published | 0 |
| Tlso corset front HCPCS L0970 | $930.90 | $1,551.50 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $3,021.19 | $5,035.31 | 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.