Lima Memorial Health System

1001 Bellefontaine Avenue, Lima, OH 45804 · (419) 998-4731

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 3/5Lima, OH metro Website ↗

Price file

Prices published

File dated 2026-04-01

965 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $11

$11

cash

$8 to $39

9 negotiated rates

$12

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 7 lines · metro median $463

$463

cash

$333 to $1,532

7 negotiated rates

$514

list

CT scan of the head, no contrast

CPT 70450 · lowest of 3 lines · metro median $138

$138

cash

$100 to $459

7 negotiated rates

$153

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 7 lines · metro median $224

$224

cash

$167 to $770

7 negotiated rates

$249

list

Cataract surgery with lens implant

CPT 66984 · metro median $2,607

$2,607

cash

—

$2,897

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · metro median $4,074

$4,074

cash

—

$4,527

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,296 to $19,444

13 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $43

$43

cash

$35 to $161

9 negotiated rates

$48

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $995

$995

cash

$888 to $4,083

7 negotiated rates

$1,106

list

Colonoscopy with biopsy

CPT 45380 · metro median $1,301

$1,301

cash

$1,143 to $5,253

7 negotiated rates

$1,446

list

Colonoscopy with polyp removal

CPT 45385 · metro median $1,301

$1,301

cash

$1,143 to $5,253

7 negotiated rates

$1,446

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 7 lines · metro median $9

cash

$8 to $36

9 negotiated rates

$10

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $13

$13

cash

$11 to $49

9 negotiated rates

$14

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $160

$160

cash

$101 to $464

7 negotiated rates

$178

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $24

$24

cash

—

$27

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $439

$439

cash

—

$488

list

Family psychotherapy with the patient

CPT 90847 · metro median $167

$167

cash

$169 to $779

7 negotiated rates

$186

list

Family psychotherapy without the patient

CPT 90846 · metro median $167

$167

cash

$169 to $779

7 negotiated rates

$186

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $6,350

$6,350

cash

$5,773 to $26,541

7 negotiated rates

$7,055

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $43

$43

cash

$35 to $161

9 negotiated rates

$48

list

Group psychotherapy

CPT 90853 · metro median $94

$94

cash

$97 to $446

7 negotiated rates

$104

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$13,956 to $39,118

13 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,066 to $15,810

13 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,231 to $25,161

13 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $3,993

$3,993

cash

$3,419 to $15,719

7 negotiated rates

$4,437

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $3,553

$3,553

cash

$3,124 to $14,365

7 negotiated rates

$3,948

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $632

$632

cash

—

$702

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $3,640

$3,640

cash

$3,096 to $14,233

7 negotiated rates

$4,044

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $15

$15

cash

$13 to $62

9 negotiated rates

$17

list

Liver function panel

CPT 80076 · lowest of 4 lines · metro median $9

cash

$8 to $38

9 negotiated rates

$10

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 7 lines · metro median $463

$463

cash

$333 to $1,532

7 negotiated rates

$514

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 7 lines · metro median $290

$290

cash

$228 to $1,048

7 negotiated rates

$322

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 7 lines · metro median $290

$290

cash

$228 to $1,048

7 negotiated rates

$322

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 7 lines · metro median $290

$290

cash

$228 to $1,048

7 negotiated rates

$322

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$17,474 to $49,510

13 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 3 lines · metro median $1,032

$1,032

cash

$845 to $3,883

7 negotiated rates

$1,147

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 5 lines · metro median $369

$369

cash

—

$410

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $399

$399

cash

—

$443

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $439

$439

cash

—

$488

list

PSA test (prostate)

CPT 84153 · lowest of 5 lines · metro median $23

$23

cash

$18 to $85

9 negotiated rates

$26

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 9 lines · metro median $7

cash

$6 to $28

9 negotiated rates

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 12 lines · metro median $31

$31

cash

$22 to $128

8 negotiated rates

$34

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $138

$138

cash

$100 to $459

7 negotiated rates

$153

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $14

$14

cash

—

$15

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines · metro median $17

$17

cash

—

$19

list

Prostate biopsy

CPT 55700 · metro median $2,246

$2,246

cash

—

$2,496

list

Prostate removal (laparoscopic)

CPT 55866 · metro median $11,178

$11,178

cash

$10,150 to $46,667

7 negotiated rates

$12,420

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 14 lines · metro median $5

cash

$4 to $20

9 negotiated rates

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $167

$167

cash

$169 to $779

7 negotiated rates

$186

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $167

$167

cash

$169 to $779

7 negotiated rates

$186

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $167

$167

cash

$169 to $779

7 negotiated rates

$186

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $3,963

$3,963

cash

$3,739 to $17,189

7 negotiated rates

$4,403

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 3 lines · metro median $133

$133

cash

$83 to $383

7 negotiated rates

$148

list

Shoulder arthroscopy with decompression

CPT 29826 · metro median $266

$266

cash

—

$295

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 3 lines · metro median $7,654

$7,654

cash

$820 to $3,770

7 negotiated rates

$8,504

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $797

$797

cash

$845 to $3,883

7 negotiated rates

$886

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 3 lines · metro median $797

$797

cash

$674 to $3,099

7 negotiated rates

$886

list

TSH test (thyroid)

CPT 84443 · lowest of 10 lines · metro median $22

$22

cash

$17 to $77

9 negotiated rates

$24

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $6,383

$6,383

cash

$5,653 to $25,989

7 negotiated rates

$7,092

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $138

$138

cash

$100 to $459

7 negotiated rates

$153

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 3 lines · metro median $138

$138

cash

$100 to $459

7 negotiated rates

$153

list

Upper endoscopy (EGD)

CPT 43235 · metro median $1,016

$1,016

cash

$866 to $3,982

7 negotiated rates

$1,129

list

Upper endoscopy with biopsy

CPT 43239 · metro median $1,016

$1,016

cash

$866 to $3,982

7 negotiated rates

$1,129

list

Urinalysis with microscope

CPT 81001 · lowest of 7 lines · metro median $4

cash

$3 to $15

9 negotiated rates

list

Vaginal delivery after a previous cesarean

CPT 59610 · metro median $3,859

$3,859

cash

—

$4,288

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$5,342 to $13,673

13 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · metro median $3,681

$3,681

cash

—

$4,090

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 6 lines · metro median $69

$138

cash

$100 to $459

7 negotiated rates

$153

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.limamemorial.org/media/bahnfbgb/344434676_lima-memorial-health-system_standardcharges.json
Lima Memorial Health System · parsed · json v3.0.0 · file dated 2026-04-01 · 34.5 MB · 965 price rows read · read Nov 2026