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 |
|---|---|---|---|---|
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,444.35 | $5,299.00 | $191.13 – $1,500.00 | 6 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,735.85 | $4,209.00 | $267.35 – $2,064.00 | 6 |
| Mthfr gene analy common variants CPT 81291 | $236.60 | $364.00 | $81.68 – $81.68 | 1 |
| M.tuberculo dna dir probe CPT 87555 | $84.50 | $130.00 | $23.91 – $23.91 | 4 |
| Multiple sleep latency test CPT 95805 | $2,147.60 | $3,304.00 | $363.59 – $1,754.68 | 6 |
| Mumps antibody igg CPT 86735 | $72.15 | $111.00 | $11.61 – $21.53 | 50 |
| Mycophenolic acid HCPCS J7518 | $10.41 | $16.02 | $0.40 – $0.40 | 1 |
| Mycoplasma antibody igm CPT 86738 | $82.55 | $127.00 | $11.78 – $16.55 | 5 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $447.20 | $688.00 | $156.02 – $219.25 | 5 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $109.20 | $168.00 | $10.26 – $45.60 | 6 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $40.48 | $62.28 | $6.00 – $23.00 | 5 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $73.27 | $112.73 | $0.90 – $0.90 | 1 |
| Natriuretic peptide CPT 83880 | $137.80 | $212.00 | $34.92 – $164.00 | 6 |
| Natural killer cells total count CPT 86357 | $95.55 | $147.00 | $33.56 – $47.16 | 5 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $46.15 | $71.00 | $22.45 – $59.10 | 5 |
| Ndl insj without njx 3+ musc CPT 20561 | $53.30 | $82.00 | $32.41 – $59.10 | 5 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,202.20 | $3,388.00 | $119.36 – $403.20 | 5 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,868.10 | $2,874.00 | $318.03 – $1,350.00 | 6 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,807.65 | $2,781.00 | $72.18 – $1,365.00 | 6 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,479.45 | $5,353.00 | $184.60 – $2,639.00 | 6 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,531.10 | $3,894.00 | $165.99 – $1,937.00 | 6 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,379.00 | $3,660.00 | $105.48 – $1,886.00 | 6 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,932.15 | $4,511.00 | $225.95 – $801.97 | 5 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,476.50 | $3,810.00 | $152.11 – $1,395.00 | 6 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,293.85 | $3,529.00 | $138.22 – $548.48 | 5 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $7.15 | $11.00 | $0.74 – $1.70 | 6 |
| New Patient Office Visit (level 2) CPT 99202 | $151.45 | $233.00 | $39.18 – $119.27 | 49 |
| New Patient Office Visit (level 3) CPT 99203 | $198.90 | $306.00 | $67.95 – $98.08 | 32 |
| New Patient Office Visit (level 4) CPT 99204 | $270.40 | $416.00 | $111.17 – $147.66 | 32 |
| New Patient Office Visit (level 5) CPT 99205 | $349.70 | $538.00 | $152.10 – $378.40 | 48 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $356.09 | $547.83 | $16.00 – $18.00 | 5 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,676.35 | $2,579.00 | $224.51 – $918.97 | 5 |
| Nm imaging bone/joint whole body CPT 78306 | $1,573.00 | $2,420.00 | $191.52 – $1,073.00 | 6 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,632.15 | $2,511.00 | $137.64 – $1,217.00 | 6 |
| Nm imaging gastric emptying study CPT 78264 | $1,285.70 | $1,978.00 | $221.18 – $918.97 | 5 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,200.55 | $1,847.00 | $227.29 – $918.97 | 5 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,729.65 | $2,661.00 | $296.97 – $1,248.14 | 5 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,586.00 | $2,440.00 | $99.85 – $1,248.14 | 5 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,311.70 | $2,018.00 | $211.76 – $1,248.14 | 5 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,037.40 | $1,596.00 | $162.36 – $918.97 | 5 |
| Npm1 gene CPT 81310 | $510.25 | $785.00 | $219.28 – $406.76 | 50 |
| Nras gene variants exon 2&3 CPT 81311 | $550.55 | $847.00 | $263.10 – $488.05 | 49 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $166.40 | $256.00 | $111.67 – $187.82 | 47 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $119.60 | $184.00 | $69.34 – $116.62 | 47 |
| Observation direct referral from physician office for admission HCPCS G0379 | $394.55 | $607.00 | $1,064.75 – $1,064.75 | 1 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $707.85 | $1,089.00 | $184.31 – $194.85 | 10 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $285.35 | $439.00 | $83.99 – $141.27 | 47 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $482.30 | $742.00 | $136.32 – $229.28 | 47 |
| Observation per hour HCPCS G0378 | $65.00 | $100.00 | $37.43 – $44.99 | 2 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $70,607.19 | $108,626.45 | $17,631.00 – $22,170.00 | 5 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $61.24 | $94.22 | $2.31 – $2.43 | 5 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $172.75 | $265.77 | $15.00 – $17.60 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.18 – $8.84 | 6 |
| Optx clavicular fx w/int fix CPT 23515 | $1,690.65 | $2,601.00 | $623.72 – $6,361.60 | 47 |
| Optx prox humrl fx w/int fix CPT 23615 | $1,955.20 | $3,008.00 | $757.89 – $11,458.10 | 47 |
| Organic acids total quant ea spec CPT 83918 | $117.00 | $180.00 | $20.99 – $29.50 | 5 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $68.24 | $104.99 | $10.19 – $117.61 | 6 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $13.00 | $20.00 | $1,377.62 – $1,377.62 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $148.85 | $229.00 | $447.44 – $447.44 | 1 |
| Osmolality blood CPT 83930 | $76.70 | $118.00 | $5.88 – $8.26 | 5 |
| Osmolality urine CPT 83935 | $76.05 | $117.00 | $6.07 – $8.53 | 6 |
| Ot evaluation high complexity patient/family CPT 97167 | $598.65 | $921.00 | $89.56 – $161.91 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $541.45 | $833.00 | $89.56 – $161.91 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $566.80 | $872.00 | $89.56 – $161.91 | 5 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $98.80 | $152.00 | $45.21 – $78.91 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $94.25 | $145.00 | $41.39 – $72.95 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $96.85 | $149.00 | $23.93 – $104.00 | 6 |
| Ot re-evaluation patient/family CPT 97168 | $426.40 | $656.00 | $61.51 – $109.72 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $89.70 | $138.00 | $32.02 – $57.06 | 6 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $26.00 | $40.00 | $19.38 – $34.87 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $89.05 | $137.00 | $20.28 – $36.94 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $75.40 | $116.00 | $25.94 – $87.08 | 6 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $94.25 | $145.00 | $29.72 – $52.67 | 6 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $94.25 | $145.00 | $28.72 – $74.00 | 6 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $15.09 | $23.22 | $0.65 – $36.40 | 6 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $7.44 | $11.45 | $1.98 – $5.08 | 5 |
| Parathormone (pth) intact CPT 83970 | $201.50 | $310.00 | $36.72 – $274.69 | 6 |
| Parathyroid planar imaging CPT 78070 | $1,052.35 | $1,619.00 | $193.44 – $1,083.00 | 6 |
| Pdgfra gene CPT 81314 | $539.50 | $830.00 | $293.09 – $411.89 | 5 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $18,772.62 | $28,880.96 | $239.76 – $1,895.40 | 5 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $6,105.94 | $9,393.76 | $1,182.96 – $1,503.60 | 5 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,182.70 | $3,358.00 | $143.16 – $1,655.80 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,035.15 | $3,131.00 | $158.53 – $1,532.00 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,822.60 | $2,804.00 | $71.07 – $1,457.00 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,344.25 | $5,145.00 | $202.93 – $2,306.00 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $2,414.10 | $3,714.00 | $139.08 – $1,926.00 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $594.75 | $915.00 | $61.07 – $472.00 | 6 |
| Pelvic Ultrasound (limited) CPT 76857 | $438.10 | $674.00 | $21.91 – $295.00 | 6 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $887.89 | $1,365.99 | $160.92 – $234.12 | 5 |
| Pericardiocentesis wwo imaging CPT 33016 | $641.55 | $987.00 | $191.01 – $3,216.50 | 48 |
| Ph body fluid CPT 83986 | $45.50 | $70.00 | $3.18 – $26.00 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $200.99 | $309.22 | $30.76 – $30.76 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $85.15 | $131.00 | $13.61 – $19.13 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $105.95 | $163.00 | $11.79 – $107.00 | 8 |
| Phlebotomy therapeutic CPT 99195 | $143.65 | $221.00 | $79.55 – $271.86 | 5 |
| Phosphorus CPT 84100 | $44.85 | $69.00 | $4.22 – $32.00 | 7 |
| Phosphorus 24 hour urine CPT 84105 | $40.30 | $62.00 | $5.14 – $51.00 | 51 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $108.19 | $166.44 | $2.21 – $5.98 | 6 |
| Pinworm exam CPT 87172 | $29.90 | $46.00 | $3.80 – $3.80 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $53.63 | $82.51 | $2.28 – $185.98 | 6 |
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.