Mercy Hospital Logan County
200 S. Academy Road, Guthrie, OK · Mercy · · NPI 1306126818
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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,455.40 | $5,316.00 | $184.04 – $2,617.00 | 6 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,539.55 | $3,907.00 | $162.10 – $980.18 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,408.25 | $3,705.00 | $105.76 – $1,886.00 | 6 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $319.15 | $491.00 | $24.41 – $305.00 | 6 |
| L/s ratio fetal lung CPT 83661 | $176.15 | $271.00 | $19.56 – $19.56 | 4 |
| Lung Function Test (Spirometry) CPT 94010 | $384.15 | $591.00 | $23.30 – $441.20 | 49 |
| Lung perfusion imaging CPT 78580 | $1,077.05 | $1,657.00 | $152.08 – $918.97 | 5 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $40,940.77 | $62,985.80 | $4,128.00 – $5,301.00 | 5 |
| Macroscopic exam arthropod CPT 87168 | $36.40 | $56.00 | $3.80 – $5.34 | 5 |
| Macroscopic exam parasite CPT 87169 | $36.40 | $56.00 | $3.83 – $5.39 | 5 |
| Magnesium CPT 83735 | $68.25 | $105.00 | $5.96 – $46.00 | 6 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $55.12 | $84.80 | $1.96 – $2.12 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $100.75 | $155.00 | $32.70 – $271.86 | 5 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $127.40 | $196.00 | $20.78 – $271.86 | 5 |
| Mastoids complete CPT 70130 | $267.15 | $411.00 | $38.30 – $240.32 | 5 |
| M.avium-intra dna dir prob CPT 87560 | $83.85 | $129.00 | $24.27 – $24.27 | 4 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $76.70 | $118.00 | $12.86 – $18.08 | 5 |
| Mayo aathr protein s free CPT 85306 | $134.55 | $207.00 | $13.63 – $151.00 | 6 |
| Mayo activated protein c resistance assay CPT 85307 | $89.70 | $138.00 | $13.63 – $19.15 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $215.15 | $331.00 | $34.31 – $48.21 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $83.85 | $129.00 | $13.15 – $127.00 | 6 |
| Mayo alpha 1 antitrypsin CPT 82103 | $87.75 | $135.00 | $11.95 – $93.00 | 6 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $98.15 | $151.00 | $13.41 – $18.85 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $677.95 | $1,043.00 | $108.19 – $152.04 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $421.85 | $649.00 | $81.53 – $114.58 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $398.45 | $613.00 | $121.86 – $121.86 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,480.05 | $2,277.00 | $1,031.80 – $1,450.00 | 5 |
| Mayo androstenedione CPT 82157 | $110.50 | $170.00 | $26.04 – $36.60 | 5 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $84.50 | $130.00 | $12.99 – $115.00 | 6 |
| Mayo antithrombin iii antigen CPT 85301 | $104.00 | $160.00 | $9.62 – $106.00 | 6 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $89.70 | $138.00 | $13.39 – $62.00 | 6 |
| Mayo avwpr vw factor activity CPT 85397 | $109.85 | $169.00 | $27.45 – $38.58 | 5 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $186.55 | $287.00 | $43.86 – $47.37 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $45.50 | $70.00 | $9.05 – $73.00 | 6 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $478.40 | $736.00 | $128.83 – $181.05 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $381.55 | $587.00 | $190.90 – $268.28 | 5 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $90.35 | $139.00 | $11.47 – $16.13 | 5 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $73.45 | $113.00 | $11.73 – $16.49 | 5 |
| Mayo brcmg brucella antibody igm CPT 86622 | $69.55 | $107.00 | $7.94 – $7.94 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $128.70 | $198.00 | $12.10 – $17.00 | 5 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $94.90 | $146.00 | $15.01 – $21.09 | 5 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $91.65 | $141.00 | $23.82 – $33.48 | 5 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $250.90 | $386.00 | $108.71 – $152.78 | 5 |
| Mayo ceruloplasmin CPT 82390 | $78.00 | $120.00 | $9.55 – $92.00 | 47 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $165.10 | $254.00 | $12.56 – $17.65 | 5 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $94.90 | $146.00 | $11.46 – $70.00 | 6 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $57.85 | $89.00 | $10.51 – $10.51 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $61.75 | $95.00 | $11.28 – $11.28 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $355.55 | $547.00 | $103.62 – $103.62 | 4 |
| Mayo chromium CPT 82495 | $68.90 | $106.00 | $18.04 – $33.46 | 50 |
| Mayo coccidioides antibody CPT 86635 | $68.25 | $105.00 | $10.20 – $14.34 | 5 |
| Mayo cocou cortisone urine CPT 82542 | $260.00 | $400.00 | $21.43 – $30.11 | 5 |
| Mayo cortisol free CPT 82530 | $96.20 | $148.00 | $14.86 – $22.56 | 6 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $71.50 | $110.00 | $37.47 – $52.66 | 5 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $70.20 | $108.00 | $10.78 – $15.15 | 5 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $424.45 | $653.00 | $304.61 – $486.88 | 5 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $74.10 | $114.00 | $11.79 – $55.00 | 6 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $116.35 | $179.00 | $22.48 – $41.70 | 48 |
| Mayo dihydrotestosterone CPT 82642 | $94.90 | $146.00 | $36.60 – $36.60 | 1 |
| Mayo efpo chloride stool CPT 82438 | $46.15 | $71.00 | $4.45 – $6.25 | 5 |
| Mayo estriol CPT 82677 | $83.85 | $129.00 | $21.51 – $207.00 | 6 |
| Mayo estrone CPT 82679 | $93.60 | $144.00 | $22.19 – $31.19 | 5 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $70.20 | $108.00 | $14.53 – $20.43 | 5 |
| Mayo everolimus therapeutic drug level CPT 80169 | $206.05 | $317.00 | $12.21 – $17.16 | 5 |
| Mayo factor ii CPT 85210 | $89.05 | $137.00 | $11.55 – $11.55 | 4 |
| Mayo factor v CPT 85220 | $116.35 | $179.00 | $15.00 – $39.26 | 6 |
| Mayo factor vii CPT 85230 | $120.25 | $185.00 | $15.92 – $22.38 | 5 |
| Mayo factor viii vw factor antigen CPT 85246 | $162.50 | $250.00 | $20.40 – $28.68 | 5 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $149.50 | $230.00 | $20.40 – $28.68 | 5 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $170.95 | $263.00 | $20.40 – $28.68 | 5 |
| Mayo factor x CPT 85260 | $130.65 | $201.00 | $15.92 – $15.92 | 4 |
| Mayo factor xi CPT 85270 | $134.55 | $207.00 | $15.92 – $22.38 | 5 |
| Mayo fat/lipids feces quantitative CPT 82710 | $99.45 | $153.00 | $14.94 – $144.00 | 5 |
| Mayo fbl culture fungi blood CPT 87103 | $87.75 | $135.00 | $18.20 – $25.58 | 5 |
| Mayo ffspg allergen clam igg CPT 86001 | $26.00 | $40.00 | $9.78 – $9.78 | 1 |
| Mayo fibrinogen antigen CPT 85385 | $100.10 | $154.00 | $12.86 – $12.86 | 4 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $69.55 | $107.00 | $19.28 – $27.09 | 5 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $124.15 | $191.00 | $31.21 – $57.90 | 49 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $50.70 | $78.00 | $12.27 – $17.24 | 5 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $118.30 | $182.00 | $22.96 – $214.00 | 6 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $75.40 | $116.00 | $7.91 – $12.00 | 6 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $94.90 | $146.00 | $16.90 – $18.25 | 2 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $91.00 | $140.00 | $24.17 – $33.96 | 5 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $289.25 | $445.00 | $15.36 – $93.00 | 6 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $100.10 | $154.00 | $13.33 – $18.74 | 6 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $137.80 | $212.00 | $18.51 – $26.01 | 5 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $178.10 | $274.00 | $18.51 – $26.01 | 5 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $62.40 | $96.00 | $14.29 – $20.09 | 6 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $143.65 | $221.00 | $10.66 – $14.98 | 5 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $163.15 | $251.00 | $34.42 – $57.90 | 44 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $126.10 | $194.00 | $31.21 – $43.86 | 5 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $299.65 | $461.00 | $38.11 – $53.55 | 5 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $253.50 | $390.00 | $64.21 – $97.46 | 9 |
| Mayo infliximab therapeutic drug level CPT 80230 | $167.05 | $257.00 | $34.31 – $34.31 | 4 |
| Mayo inhab inhibin a CPT 86336 | $72.80 | $112.00 | $13.87 – $62.00 | 6 |
| Mayo insft insulin free CPT 83527 | $72.80 | $112.00 | $11.52 – $11.52 | 4 |
| Mayo insulin antibodies CPT 86337 | $122.20 | $188.00 | $19.04 – $26.76 | 5 |
| Mayo iodine CPT 83789 | $144.95 | $223.00 | $21.45 – $30.14 | 5 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $126.75 | $195.00 | $24.11 – $33.89 | 5 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $124.80 | $192.00 | $24.11 – $24.11 | 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.