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 |
|---|---|---|---|---|
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $4,284.96 | $7,141.60 | $899.22 – $917.20 | 4 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $9,418.92 | $15,698.20 | $899.22 – $917.20 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | $7,966.44 | $13,277.40 | $899.22 – $899.22 | 3 |
| Urea nitrogen CPT 84520 | $27.60 | $46.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $54.00 | $90.00 | not published | 0 |
| Urea nitrogen clearance CPT 84545 | $16.80 | $28.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $592.80 | $988.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $652.80 | $1,088.00 | not published | 0 |
| Uric acid blood CPT 84550 | $27.60 | $46.00 | not published | 0 |
| Uric acid urine CPT 84560 | $81.00 | $135.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $28.20 | $47.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $42.60 | $71.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $79.20 | $132.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $81.00 | $135.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $83.40 | $139.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $241.80 | $403.00 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $16,406.10 | $27,343.50 | not published | 0 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $56,408.16 | $94,013.60 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $17.76 | $29.60 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $8.10 | $13.50 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $79.50 | $132.50 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $43.38 | $72.30 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $438.78 | $731.30 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $100.08 | $166.80 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $58.80 | $98.00 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $164.82 | $274.70 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $29.52 | $49.20 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $25.38 | $42.30 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $115.32 | $192.20 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $21,563.99 | $35,939.98 | not published | 0 |
| Vaginal hysterectomy CPT 58260 | $28,108.56 | $46,847.60 | $4,959.62 – $5,058.81 | 3 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $78.42 | $130.70 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $102.60 | $171.00 | not published | 0 |
| Valrubicin injection HCPCS J9357 | $29,530.02 | $49,216.70 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $2,486.28 | $4,143.80 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | $13.98 | $23.30 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $100.80 | $168.00 | not published | 0 |
| Vanomycin dna amp probe CPT 87500 | $163.80 | $273.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $87.00 | $145.00 | not published | 0 |
| Varus/valgus strap padded/li HCPCS L2270 | $444.98 | $741.63 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $58.50 | $97.50 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $36,222.90 | $60,371.50 | not published | 0 |
| Vein x-ray kidney CPT 75831 | $4,543.80 | $7,573.00 | not published | 0 |
| Vein x-ray liver CPT 75891 | $4,543.80 | $7,573.00 | not published | 0 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,524.20 | $4,207.00 | not published | 0 |
| Vein x-ray skull CPT 75870 | $5,330.40 | $8,884.00 | not published | 0 |
| Vein x-ray spleen/liver CPT 75810 | $4,543.80 | $7,573.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $2,179.80 | $3,633.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $2,113.20 | $3,522.00 | not published | 0 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,622.40 | $2,704.00 | not published | 0 |
| Venous mech thrombectomy CPT 37187 | $10,260.60 | $17,101.00 | not published | 0 |
| Venous m-thrombectomy add-on CPT 37188 | $10,260.60 | $17,101.00 | not published | 0 |
| Venous sampling s&i CPT 75893 | $5,755.20 | $9,592.00 | not published | 0 |
| Version cephalic external CPT 59412 | $9,119.70 | $15,199.50 | $3,209.41 – $3,273.60 | 4 |
| Very long chain fatty acids CPT 82726 | $547.20 | $912.00 | not published | 0 |
| Vest large holster HCPCS Q0498 | $4,347.73 | $7,246.22 | not published | 0 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $214.56 | $357.60 | not published | 0 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $141.66 | $236.10 | not published | 0 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $359.10 | $598.50 | not published | 0 |
| Virus isolation addl studies ea CPT 87253 | $241.80 | $403.00 | not published | 0 |
| Visc & infraren abd 1 prosth CPT 34845 | $3,399.60 | $5,666.00 | not published | 0 |
| Visc & infraren abd 2 prosth CPT 34846 | $3,568.80 | $5,948.00 | not published | 0 |
| Visc & infraren abd 3 prosth CPT 34847 | $3,747.60 | $6,246.00 | not published | 0 |
| Visc & infraren abd 4+ prost CPT 34848 | $3,934.80 | $6,558.00 | not published | 0 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $36,090.06 | $60,150.10 | $132.00 – $134.64 | 4 |
| Vitamin b-12 CPT 82607 | $105.60 | $176.00 | not published | 0 |
| Vitamin D Test CPT 82306 | $241.20 | $402.00 | not published | 0 |
| Vkorc1 gene CPT 81355 | $233.40 | $389.00 | not published | 0 |
| Volume measurement urine timed CPT 81050 | $39.00 | $65.00 | not published | 0 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $216.72 | $361.20 | not published | 0 |
| Vulvectomy simple partial CPT 56620 | $16,078.44 | $26,797.40 | $3,209.41 – $3,273.60 | 4 |
| Warde 1003990 aldosterone CPT 82088 | $189.60 | $316.00 | not published | 0 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $111.60 | $186.00 | not published | 0 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $74.40 | $124.00 | not published | 0 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $160.20 | $267.00 | not published | 0 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $80.40 | $134.00 | not published | 0 |
| Warde 1015200 kappa light chain free CPT 83521 | $28.20 | $47.00 | not published | 0 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $239.40 | $399.00 | not published | 0 |
| Warde 3008005 oligoclonal bands CPT 83916 | $35.40 | $59.00 | not published | 0 |
| Warde 3016000 west nile virus antibody CPT 86788 | $148.80 | $248.00 | not published | 0 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $148.80 | $248.00 | not published | 0 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $80.40 | $134.00 | not published | 0 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $88.80 | $148.00 | not published | 0 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $24.00 | $40.00 | not published | 0 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $218.40 | $364.00 | not published | 0 |
| Warde 3400852 arsenic CPT 82175 | $64.80 | $108.00 | not published | 0 |
| Warde 3708165 mercury urine CPT 83825 | $60.00 | $100.00 | not published | 0 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $47.40 | $79.00 | not published | 0 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $63.00 | $105.00 | not published | 0 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $26.40 | $44.00 | not published | 0 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $187.80 | $313.00 | not published | 0 |
| Warde aldolase CPT 82085 | $58.20 | $97.00 | not published | 0 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $529.80 | $883.00 | not published | 0 |
| Warde amiodarone therapeutic drug level CPT 80151 | $46.80 | $78.00 | not published | 0 |
| Warde analysis gene hfe common variants CPT 81256 | $1,069.80 | $1,783.00 | not published | 0 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $602.40 | $1,004.00 | not published | 0 |
| Warde anti-mullerian hormone CPT 82166 | $78.60 | $131.00 | not published | 0 |
| Warde apolipoprotein b CPT 82172 | $91.80 | $153.00 | not published | 0 |
| Warde bile acids CPT 82239 | $35.40 | $59.00 | not published | 0 |
| Warde cadmium blood CPT 82300 | $41.40 | $69.00 | 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.