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 |
|---|---|---|---|---|
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,668.60 | $2,781.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,441.20 | $2,402.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,599.00 | $7,665.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,555.20 | $7,592.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,290.20 | $3,817.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $1,897.80 | $3,163.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $1,636.80 | $2,728.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $192.00 | $320.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $2,320.80 | $3,868.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,897.80 | $3,163.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,636.80 | $2,728.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,320.80 | $3,868.00 | not published | 0 |
| Cuffs adj lock with active con HCPCS L3740 | $6,948.02 | $11,580.03 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $67.20 | $112.00 | not published | 0 |
| Culture afb any source CPT 87116 | $101.40 | $169.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $118.20 | $197.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $124.20 | $207.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $40.20 | $67.00 | not published | 0 |
| Culture body fluid CPT 87070 | $86.40 | $144.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $142.20 | $237.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $74.40 | $124.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $91.20 | $152.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $135.00 | $225.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $42.00 | $70.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $84.60 | $141.00 | not published | 0 |
| Culture typing added method CPT 87158 | $55.20 | $92.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $49.20 | $82.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $202.20 | $337.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $69.60 | $116.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $12,620.24 | $21,033.73 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,894.80 | $3,158.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $39.60 | $66.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $9.00 | $15.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $164.40 | $274.00 | not published | 0 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,027.86 | $1,713.10 | not published | 0 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $20.94 | $34.90 | not published | 0 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $832.80 | $1,388.00 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $102.60 | $171.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $9.90 | $16.50 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,788.30 | $2,980.50 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $15,907.86 | $26,513.10 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $34,548.34 | $57,580.56 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $540.00 | $900.00 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $289.80 | $483.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $373.20 | $622.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $289.80 | $483.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $289.80 | $483.00 | not published | 0 |
| Cystatin c CPT 82610 | $278.40 | $464.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $1,141.20 | $1,902.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $84.60 | $141.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $752.40 | $1,254.00 | not published | 0 |
| Cysto impl 4 or more HCPCS C9740 | $42,590.19 | $70,983.65 | $9,385.42 – $9,573.13 | 4 |
| Cysto rx balo cath urtl strx CPT 52284 | $23,484.70 | $39,141.17 | $5,315.89 – $5,422.21 | 4 |
| Cystoscopy and treatment CPT 52224 | $14,633.16 | $24,388.60 | $3,494.80 – $3,564.70 | 4 |
| Cystoscopy and treatment CPT 52234 | $18,858.64 | $31,431.07 | $3,494.80 – $3,564.70 | 4 |
| Cystoscopy and treatment CPT 52235 | $22,645.60 | $37,742.67 | $3,494.80 – $3,564.70 | 4 |
| Cystoscopy and treatment CPT 52240 | $24,112.48 | $40,187.47 | $5,315.89 – $5,422.21 | 4 |
| Cystoscopy and treatment CPT 52260 | $22,204.74 | $37,007.90 | $2,072.49 – $2,113.94 | 4 |
| Cystoscopy and treatment CPT 52265 | $23,732.22 | $39,553.70 | $2,072.49 – $2,113.94 | 4 |
| Cystoscopy and treatment CPT 52276 | $25,489.20 | $42,482.00 | $2,072.49 – $2,113.94 | 4 |
| Cystoscopy and treatment CPT 52310 | $91,433.24 | $152,388.73 | $2,072.49 – $2,113.94 | 4 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,381.40 | $3,969.00 | $691.33 – $705.15 | 4 |
| Cystoscopy chemodenervation CPT 52287 | $20,566.54 | $34,277.57 | $2,072.49 – $2,113.94 | 4 |
| Cystoscopy removal of clots CPT 52001 | $15,352.74 | $25,587.90 | $3,494.80 – $3,564.70 | 4 |
| Cystoscopy & ureter catheter CPT 52005 | $14,246.19 | $23,743.65 | $2,072.49 – $2,113.94 | 4 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $17,470.25 | $29,117.08 | $2,072.49 – $2,113.94 | 4 |
| Cystouretero & or pyeloscope CPT 52351 | $23,634.26 | $39,390.43 | $3,494.80 – $3,564.70 | 4 |
| Cysto/uretero stricture tx CPT 52344 | $24,855.29 | $41,425.48 | $3,494.80 – $3,494.80 | 3 |
| Cystouretero w/biopsy CPT 52354 | $28,838.29 | $48,063.82 | $5,315.89 – $5,422.21 | 4 |
| Cysto/uretero w/lithotripsy CPT 52356 | $31,601.92 | $52,669.87 | $5,315.89 – $5,422.21 | 4 |
| Cystouretero w/lithotripsy CPT 52353 | $30,499.79 | $50,832.98 | $5,315.89 – $5,422.21 | 4 |
| Cystouretero w/stone remove CPT 52352 | $23,853.43 | $39,755.72 | $3,494.80 – $3,564.70 | 4 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $16,153.60 | $26,922.67 | $2,072.49 – $2,113.94 | 4 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $25,342.04 | $42,236.73 | $2,072.49 – $2,113.94 | 4 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $90.00 | $150.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $141.60 | $236.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $4,146.60 | $6,911.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $89.40 | $149.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $75.60 | $126.00 | not published | 0 |
| Cyto/molecular report CPT 88291 | $127.80 | $213.00 | not published | 0 |
| Cytopath c/v thin layer redo CPT 88143 | $64.80 | $108.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $126.00 | $210.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $82.20 | $137.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $75.00 | $125.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $291.00 | $485.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $252.00 | $420.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $158.40 | $264.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $174.60 | $291.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $291.00 | $485.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $162.00 | $270.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $180.00 | $300.00 | not published | 0 |
| Cytopath tbs c/v manual CPT 88164 | $67.80 | $113.00 | not published | 0 |
| Cytotoxic antibody screening CPT 86807 | $193.20 | $322.00 | not published | 0 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $622.20 | $1,037.00 | not published | 0 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $90.00 | $150.00 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,885.24 | $11,475.40 | not published | 0 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $42,181.80 | $70,303.00 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $14,976.90 | $24,961.50 | not published | 0 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $105.72 | $176.20 | not published | 0 |
| D&c after delivery 59160 CPT 59160 | $14,937.96 | $24,896.60 | $3,209.41 – $3,273.60 | 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.