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 |
|---|---|---|---|---|
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $18,152.10 | $30,253.50 | $732.74 – $732.74 | 3 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $15,941.34 | $26,568.90 | $403.03 – $403.03 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $12,866.88 | $21,444.80 | $403.03 – $403.03 | 3 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $14,610.36 | $24,350.60 | $1,637.46 – $1,670.21 | 4 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $6,556.44 | $10,927.40 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $33.60 | $56.00 | not published | 0 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $24,727.88 | $41,213.14 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $13,973.82 | $23,289.70 | $3,209.41 – $3,273.60 | 4 |
| Conization of cervix CPT 57520 | $15,099.78 | $25,166.30 | $3,209.41 – $3,273.60 | 4 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $4,409.52 | $7,349.20 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $13,119.29 | $21,865.48 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $10,930.47 | $18,217.45 | not published | 0 |
| Constj trachesophgl fstl CPT 31611 | $35,194.04 | $58,656.73 | $3,287.07 – $3,352.82 | 3 |
| Consultation pathology during surgery CPT 88329 | $96.60 | $161.00 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,348.20 | $2,247.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $105.60 | $176.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $252.00 | $420.00 | not published | 0 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $417.00 | $695.00 | not published | 0 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $64.20 | $107.00 | not published | 0 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,732.80 | $7,888.00 | not published | 0 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,543.80 | $7,573.00 | not published | 0 |
| Contrast x-ray of ankle CPT 73615 | $1,882.20 | $3,137.00 | not published | 0 |
| Contrast x-ray of elbow CPT 73085 | $682.80 | $1,138.00 | not published | 0 |
| Contrast x-ray of hip CPT 73525 | $2,671.20 | $4,452.00 | not published | 0 |
| Contrast x-ray of knee joint CPT 73580 | $2,859.60 | $4,766.00 | not published | 0 |
| Contrast x-ray of wrist CPT 73115 | $1,551.00 | $2,585.00 | not published | 0 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $25,275.82 | $42,126.37 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $11,104.09 | $18,506.81 | not published | 0 |
| Conversion ext bil drg cath CPT 47535 | $5,451.60 | $9,086.00 | not published | 0 |
| Coombs direct CPT 86880 | $199.20 | $332.00 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $144.00 | $240.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $193.20 | $322.00 | not published | 0 |
| Core ndl bx lng/med perq CPT 32408 | $4,367.40 | $7,279.00 | not published | 0 |
| Cor hlx vlgs double osteot CPT 28299 | $94,414.68 | $157,357.80 | $7,194.09 – $12,728.77 | 4 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $28,228.99 | $47,048.32 | $7,194.09 – $7,194.09 | 3 |
| Corneal trnspl endothelial CPT 65756 | $33,584.94 | $55,974.90 | $4,098.04 – $4,180.00 | 4 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $17,675.40 | $29,459.00 | not published | 0 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $17,815.68 | $29,692.80 | $3,243.99 – $3,308.87 | 4 |
| Correct rectal prolapse CPT 45541 | $11,288.04 | $18,813.40 | $2,751.90 – $2,806.94 | 4 |
| Corrj halux rigdus without implt CPT 28289 | $75,663.39 | $126,105.65 | $3,243.99 – $3,308.87 | 4 |
| Cortisol acth stimulation test - sendout CPT 80400 | $311.40 | $519.00 | not published | 0 |
| Cortisol total am CPT 82533 | $166.20 | $277.00 | not published | 0 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $631.50 | $1,052.50 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $12,186.59 | $20,310.98 | not published | 0 |
| Covers for upright each HCPCS L1120 | $351.65 | $586.09 | not published | 0 |
| Cover wrist HCPCS L3984 | $344.58 | $574.30 | not published | 0 |
| Covid-19 lab test non-cdc HCPCS U0002 | $122.40 | $204.00 | not published | 0 |
| #covid19rsv-rsv CPT 87634 | $46.20 | $77.00 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $180.00 | $300.00 | not published | 0 |
| C-peptide CPT 84681 | $95.40 | $159.00 | not published | 0 |
| Cranial cervical orthosis HCPCS L0112 | $22,094.25 | $36,823.75 | not published | 0 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,177.20 | $1,962.00 | not published | 0 |
| C-reactive protein CPT 86140 | $109.80 | $183.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $140.40 | $234.00 | not published | 0 |
| C-reactive protein, quantitative CPT 86406 | $29.40 | $49.00 | not published | 0 |
| Create eardrum opening CPT 69436 | $15,587.10 | $25,978.50 | $1,538.30 – $1,569.07 | 4 |
| Creatine kinase CPT 82550 | $58.80 | $98.00 | not published | 0 |
| Creatine kinase isoenzymes CPT 82552 | $89.40 | $149.00 | not published | 0 |
| Creatine kinase mb CPT 82553 | $84.60 | $141.00 | not published | 0 |
| Creatine - sendout CPT 82540 | $78.60 | $131.00 | not published | 0 |
| Creatinine CPT 82565 | $27.60 | $46.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $52.80 | $88.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $107.40 | $179.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $66.00 | $110.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $9,492.90 | $15,821.50 | not published | 0 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $30.00 | $50.00 | not published | 0 |
| Cryptococcus abs qn - sendout CPT 86641 | $98.40 | $164.00 | not published | 0 |
| Cryptosporidium antigen CPT 87272 | $135.00 | $225.00 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $69.60 | $116.00 | not published | 0 |
| Csf leakage imaging CPT 78650 | $1,303.20 | $2,172.00 | not published | 0 |
| Cstb gene full gene sequence CPT 81189 | $694.80 | $1,158.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $1,207.20 | $2,012.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,158.20 | $3,597.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,942.20 | $3,237.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,158.20 | $3,597.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $1,168.20 | $1,947.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,510.80 | $2,518.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,327.80 | $2,213.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $1,330.80 | $2,218.00 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $2,168.40 | $3,614.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $2,158.20 | $3,597.00 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,158.20 | $3,597.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $1,948.80 | $3,248.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,522.80 | $2,538.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | $35,180.03 | $58,633.38 | $244.56 – $244.56 | 2 |
| CT guid parench tis ablat CPT 77013 | $1,533.00 | $2,555.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $192.00 | $192.00 | not published | 0 |
| CT hrt w/3d image CPT 75572 | $524.40 | $874.00 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $847.80 | $1,413.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,897.80 | $3,163.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,636.80 | $2,728.00 | not published | 0 |
| Ctlso a-p-l control molded HCPCS L0700 | $8,053.00 | $13,421.66 | not published | 0 |
| Ctlso a-p-l control with inter HCPCS L0710 | $8,852.45 | $14,754.08 | not published | 0 |
| Ctlso axilla sling HCPCS L1010 | $728.87 | $1,214.79 | not published | 0 |
| Ctlso milwauke initial model HCPCS L1000 | $8,202.76 | $13,671.26 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,158.20 | $3,597.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $1,168.20 | $1,947.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $1,441.20 | $2,402.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,900.80 | $3,168.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,900.80 | $3,168.00 | 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.