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 |
|---|---|---|---|---|
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,337.68 | $5,562.80 | not published | 0 |
| #cf-97variants CPT 81220 | $544.20 | $907.00 | not published | 0 |
| Cftr gene dup/delet variants CPT 81222 | $676.20 | $1,127.00 | not published | 0 |
| Cftr gene known fam variants CPT 81221 | $288.60 | $481.00 | not published | 0 |
| Chemo adm cns w/lmbr punct CPT 96450 | $678.60 | $1,131.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | $548.40 | $914.00 | not published | 0 |
| Chemotherapy injection 96542 CPT 96542 | $384.60 | $641.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $69.00 | $115.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $57.00 | $95.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,158.20 | $3,597.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $1,327.80 | $2,213.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $1,146.00 | $1,910.00 | not published | 0 |
| Chest X-ray CPT 71046 | $426.60 | $711.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $213.60 | $356.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $99.60 | $166.00 | not published | 0 |
| Chlamydia trachomatis ag if CPT 87270 | $107.40 | $179.00 | not published | 0 |
| Chlamydia type CPT 87140 | $84.60 | $141.00 | not published | 0 |
| Chloride CPT 82435 | $27.60 | $46.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $51.60 | $86.00 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $261.90 | $436.50 | not published | 0 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $400.68 | $667.80 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $135.24 | $225.40 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | $2,631.60 | $4,386.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $733.20 | $1,222.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,435.80 | $7,393.00 | not published | 0 |
| Cholesterol CPT 82465 | $32.40 | $54.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $67.80 | $113.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $153.60 | $256.00 | not published | 0 |
| Cholinesterase CPT 82480 | $75.60 | $126.00 | not published | 0 |
| Chrom analysis CPT 88273 | $141.60 | $236.00 | not published | 0 |
| Chromatography CPT 83021 | $54.00 | $90.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $375.00 | $625.00 | not published | 0 |
| Chromosome analys amniotic CPT 88269 | $408.60 | $681.00 | not published | 0 |
| Chromosome analysis 100 CPT 88249 | $597.60 | $996.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $514.20 | $857.00 | not published | 0 |
| Chromosome analysis 45 CPT 88263 | $680.40 | $1,134.00 | not published | 0 |
| Chromosome analysis 5 CPT 88261 | $513.60 | $856.00 | not published | 0 |
| Chromosome analysis 50-100 CPT 88248 | $597.60 | $996.00 | not published | 0 |
| Chromosome analys placenta CPT 88267 | $268.80 | $448.00 | not published | 0 |
| Chromosome banding study CPT 88283 | $259.20 | $432.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $167.40 | $279.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $63.00 | $105.00 | not published | 0 |
| Chromosome study additional CPT 88289 | $66.60 | $111.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $49.80 | $83.00 | not published | 0 |
| Cilastatin sodium injection HCPCS J0743 | $382.02 | $636.70 | not published | 0 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $40.98 | $68.30 | not published | 0 |
| Circum 28 days or older CPT 54161 | $14,647.78 | $24,412.97 | $2,072.49 – $2,113.94 | 4 |
| Circumcision (newborn) CPT 54150 | $10,149.84 | $16,916.40 | $2,072.49 – $2,113.94 | 4 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $164.40 | $274.00 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $793.80 | $1,323.00 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $29,871.43 | $49,785.71 | not published | 0 |
| Claviculectomy partial CPT 23120 | $73,125.98 | $121,876.63 | $7,194.09 – $7,194.09 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $169.68 | $282.80 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $8,658.95 | $14,431.58 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $3,306.59 | $5,510.99 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,780.40 | $4,634.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $1,207.80 | $2,013.00 | not published | 0 |
| Clot factor fletcher fact CPT 85292 | $120.60 | $201.00 | not published | 0 |
| Clot factor viii reltd antgn CPT 85244 | $174.60 | $291.00 | not published | 0 |
| Clot factor wght kininogen CPT 85293 | $200.40 | $334.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $220.80 | $368.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $33.60 | $56.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $298.20 | $497.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $748.20 | $1,247.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $17,727.84 | $29,546.40 | $3,287.07 – $3,352.82 | 3 |
| #cms hgb-sulfhemoglobin CPT 83060 | $90.00 | $150.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $166.20 | $277.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $365.40 | $609.00 | not published | 0 |
| Cnbp gene detc abnor allele CPT 81187 | $272.40 | $454.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $54,373.50 | $90,622.50 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $64.80 | $108.00 | not published | 0 |
| Cocaine 4 % nasal solution HCPCS C9046 | $901.20 | $1,502.00 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $33,936.77 | $56,561.28 | not published | 0 |
| Coch implant microphone repl HCPCS L8616 | $2,850.18 | $4,750.30 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $42.60 | $71.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $105.60 | $176.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | $327.60 | $546.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $821.24 | $1,368.73 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $550.71 | $917.85 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $1,328.09 | $2,213.48 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $910.22 | $1,517.04 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $12.60 | $21.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $6,070.68 | $10,117.80 | $922.00 – $940.44 | 4 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $19,527.49 | $32,545.82 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $4,472.94 | $7,454.90 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $4,472.94 | $7,454.90 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy submucous njx CPT 45381 | $9,158.88 | $15,264.80 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy w/ablation CPT 45388 | $4,291.44 | $7,152.40 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy w/control bleed CPT 45382 | $9,158.88 | $15,264.80 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $3,134.70 | $5,224.50 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy (with biopsy) CPT 45380 | $8,765.76 | $14,609.60 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy (with polyp removal) CPT 45385 | $7,996.56 | $13,327.60 | $1,186.40 – $1,210.12 | 4 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $37,382.68 | $62,304.47 | not published | 0 |
| Combination bilateral ho HCPCS L1690 | $7,822.44 | $13,037.40 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $110.40 | $184.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $110.40 | $184.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $87.00 | $145.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $99.60 | $166.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $100.20 | $167.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $14,979.36 | $24,965.60 | $1,637.46 – $1,670.21 | 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.