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 |
|---|---|---|---|---|
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $394.20 | $657.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $603.60 | $1,006.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $690.60 | $1,151.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $795.00 | $1,325.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $495.00 | $825.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $375.60 | $626.00 | not published | 0 |
| X-ray joint survey 1 view CPT 77077 | $774.00 | $1,290.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $418.20 | $697.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $463.20 | $772.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $366.00 | $610.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $446.40 | $744.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $450.00 | $750.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $738.00 | $1,230.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $783.60 | $1,306.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $738.00 | $1,230.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $58.20 | $97.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $472.80 | $788.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $309.00 | $515.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $260.40 | $434.00 | not published | 0 |
| X-ray of mammary ducts CPT 77054 | $1,942.20 | $3,237.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $339.00 | $565.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $478.20 | $797.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $897.60 | $1,496.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $402.60 | $671.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $450.00 | $750.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $514.80 | $858.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $672.00 | $1,120.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $475.20 | $792.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $464.40 | $774.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $551.40 | $919.00 | not published | 0 |
| X-ray sella turcica CPT 70240 | $388.80 | $648.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $273.00 | $455.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $57.00 | $95.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $636.60 | $1,061.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $554.40 | $924.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $767.40 | $1,279.00 | not published | 0 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $473.40 | $789.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $691.80 | $1,153.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $310.20 | $517.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $351.60 | $586.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $174.60 | $291.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $430.80 | $718.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $1,110.60 | $1,851.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $564.60 | $941.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $571.20 | $952.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $246.00 | $410.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $499.20 | $832.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $406.80 | $678.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $114.00 | $190.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $795.00 | $1,325.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $492.00 | $820.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $367.20 | $612.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $524.40 | $874.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $772.80 | $1,288.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $414.60 | $691.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $41.40 | $69.00 | not published | 0 |
| Yersinia antibody CPT 86793 | $75.00 | $125.00 | not published | 0 |
| Zika virus dna/rna amp probe CPT 87662 | $195.60 | $326.00 | not published | 0 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $96.00 | $160.00 | 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.