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 |
|---|---|---|---|---|
| Platelet aggregation each agent teg CPT 85576 | $108.55 | $167.00 | $22.16 – $195.00 | 7 |
| Platelet automated CPT 85049 | $57.85 | $89.00 | $3.98 – $5.60 | 5 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $274.95 | $423.00 | $71.17 – $180.33 | 5 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,424.80 | $2,192.00 | $459.47 – $624.28 | 5 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,348.10 | $2,074.00 | $389.81 – $1,124.00 | 6 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,424.80 | $2,192.00 | $483.98 – $850.76 | 5 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,046.50 | $1,610.00 | $753.21 – $753.21 | 1 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $434.85 | $669.00 | $47.46 – $762.48 | 5 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $160.55 | $247.00 | $23.19 – $125.00 | 7 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,107.35 | $6,319.00 | $551.66 – $3,224.00 | 6 |
| Potassium 24 hour urine CPT 84133 | $52.00 | $80.00 | $4.21 – $42.00 | 7 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $42.25 | $65.00 | $1.00 – $1.60 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $36.40 | $56.00 | $4.23 – $11.00 | 6 |
| Pr application of long arm splint CPT 29105 | $208.65 | $321.00 | $35.33 – $332.04 | 49 |
| Pr application splint static short arm CPT 29125 | $154.70 | $238.00 | $37.55 – $271.86 | 49 |
| Pr biopsy skin punch single lesion CPT 11104 | $141.05 | $217.00 | $36.03 – $830.64 | 48 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $37.70 | $58.00 | $10.18 – $76.56 | 48 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $286.00 | $440.00 | $29.80 – $348.47 | 48 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $133.25 | $205.00 | $70.70 – $76.64 | 32 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $182.65 | $281.00 | $102.72 – $108.60 | 10 |
| Prealbumin CPT 84134 | $99.45 | $153.00 | $12.98 – $18.24 | 5 |
| Pr ecg 12 lead report only CPT 93010 | $42.90 | $66.00 | $7.22 – $8.07 | 10 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $93.60 | $144.00 | $15.87 – $17.21 | 10 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.87 | $7.50 | $1.71 – $2.76 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.87 | $7.50 | $0.01 – $0.01 | 5 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $571.35 | $879.00 | $94.70 – $544.00 | 6 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $490.10 | $754.00 | $59.13 – $544.00 | 6 |
| Pressure max expiratory/inspiratory CPT 94799 | $195.65 | $301.00 | $127.00 – $262.92 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $160.55 | $247.00 | $18.72 – $105.47 | 5 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $152.75 | $235.00 | $18.72 – $105.47 | 5 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $410.80 | $632.00 | $154.27 – $259.48 | 47 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $208.65 | $321.00 | $70.15 – $3,374.74 | 48 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $378.95 | $583.00 | $87.82 – $830.64 | 48 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $350.35 | $539.00 | $151.77 – $160.45 | 10 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $266.50 | $410.00 | $111.21 – $119.85 | 32 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $182.00 | $280.00 | $70.59 – $118.73 | 47 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $186.55 | $287.00 | $101.87 – $171.34 | 47 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $136.50 | $210.00 | $67.19 – $72.41 | 32 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $81.90 | $126.00 | $42.04 – $45.31 | 32 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $464.10 | $714.00 | $159.78 – $830.64 | 48 |
| Pr incision & drainage abscess simple/single CPT 10060 | $224.25 | $345.00 | $92.21 – $409.96 | 49 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $369.85 | $569.00 | $107.04 – $622.66 | 48 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $288.60 | $444.00 | $93.64 – $830.64 | 48 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $176.15 | $271.00 | $10.47 – $79.41 | 48 |
| Procalcitonin CPT 84145 | $159.25 | $245.00 | $24.21 – $34.03 | 5 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $31.73 | $48.81 | $2.95 – $32.53 | 6 |
| Progesterone CPT 84144 | $100.10 | $154.00 | $18.55 – $26.08 | 5 |
| Prolactin CPT 84146 | $117.00 | $180.00 | $17.24 – $148.00 | 48 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $49.40 | $76.00 | $13.51 – $13.51 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $131.23 | $201.90 | $11.00 – $11.00 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $57.22 | $88.03 | $4.07 – $10.07 | 5 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $38.58 | $59.36 | $3.42 – $6.21 | 5 |
| Protein c activity CPT 85303 | $142.35 | $219.00 | $12.31 – $17.30 | 5 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $106.60 | $164.00 | $9.55 – $94.52 | 6 |
| Protein s total CPT 85305 | $138.45 | $213.00 | $10.33 – $14.51 | 5 |
| Protein total 24 hour urine CPT 84156 | $42.90 | $66.00 | $3.26 – $18.00 | 6 |
| Protein total body fluid CPT 84157 | $55.25 | $85.00 | $3.56 – $21.00 | 41 |
| Protein total serum plasma whole blood CPT 84155 | $46.80 | $72.00 | $3.26 – $18.00 | 8 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $36.40 | $56.00 | $3.50 – $3.50 | 4 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $140.40 | $216.00 | $62.87 – $207.58 | 44 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $226.85 | $349.00 | $38.98 – $271.86 | 48 |
| Pr removal intrauterine device CPT 58301 | $174.20 | $268.00 | $54.44 – $96.28 | 47 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $475.15 | $731.00 | $152.94 – $830.64 | 48 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $397.15 | $611.00 | $50.72 – $409.96 | 49 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $442.65 | $681.00 | $52.27 – $409.96 | 49 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $319.15 | $491.00 | $41.02 – $409.96 | 49 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $393.25 | $605.00 | $53.57 – $409.96 | 49 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $630.50 | $970.00 | $134.19 – $3,216.50 | 48 |
| PSA (Prostate) Test CPT 84153 | $105.30 | $162.00 | $16.36 – $130.99 | 6 |
| Psychoeducation 45 min + HCPCS G0177 | $113.10 | $174.00 | $410.78 – $410.78 | 1 |
| Psychotherapy group therapy CPT 90853 | $274.95 | $423.00 | $25.11 – $207.58 | 5 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $200.20 | $308.00 | $71.19 – $362.68 | 5 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $222.95 | $343.00 | $93.92 – $362.68 | 5 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $235.30 | $362.00 | $138.48 – $362.68 | 5 |
| Psytx complex interactive CPT 90785 | $43.55 | $67.00 | $11.46 – $19.27 | 47 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $94.90 | $146.00 | $23.77 – $86.00 | 2 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $32.50 | $50.00 | $5.81 – $5.81 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $128.70 | $198.00 | $30.41 – $99.00 | 2 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $83.20 | $128.00 | $23.02 – $79.96 | 2 |
| Pt application of modality traction mechanical CPT 97012 | $98.80 | $152.00 | $23.19 – $82.00 | 2 |
| Pt evaluation high complexity patient/family CPT 97163 | $426.40 | $656.00 | $88.72 – $158.37 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $369.20 | $568.00 | $88.72 – $158.37 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $394.55 | $607.00 | $88.72 – $158.37 | 5 |
| Pt re-evaluation patient/family CPT 97164 | $297.70 | $458.00 | $61.23 – $108.19 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $83.20 | $128.00 | $25.94 – $46.78 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $75.40 | $116.00 | $26.44 – $49.00 | 6 |
| Pt wheelchair management each 15 minutes CPT 97542 | $48.75 | $75.00 | $27.99 – $50.51 | 5 |
| Pulmonary vent imaging CPT 78579 | $795.60 | $1,224.00 | $124.89 – $124.89 | 4 |
| Pulse ox continuous overnight monitoring CPT 94762 | $352.30 | $542.00 | $21.08 – $262.92 | 5 |
| Pulse ox multiple CPT 94761 | $141.70 | $218.00 | $3.31 – $97.00 | 6 |
| Pulse ox single CPT 94760 | $65.00 | $100.00 | $6.02 – $51.00 | 2 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $60.45 | $93.00 | $12.49 – $271.86 | 49 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $268.45 | $413.00 | $84.26 – $830.64 | 48 |
| Puncture spinal lumbar diagnostic CPT 62270 | $350.35 | $539.00 | $54.84 – $1,442.34 | 49 |
| Pyruvate CPT 84210 | $63.05 | $97.00 | $12.88 – $18.10 | 5 |
| Quest t3 uptake CPT 84479 | $65.00 | $100.00 | $5.75 – $49.57 | 6 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $2,030.27 | $3,123.50 | $525.02 – $525.02 | 4 |
| Rapid Strep Test CPT 87880 | $60.45 | $93.00 | $14.70 – $91.81 | 6 |
| Rbc count only automated CPT 85041 | $18.85 | $29.00 | $2.69 – $3.78 | 5 |
| Reconstruct shoulder joint CPT 23470 | $2,133.30 | $3,282.00 | $1,005.61 – $11,458.10 | 47 |
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.