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 |
|---|---|---|---|---|
| Stress test pulmonary CPT 94618 | $321.75 | $495.00 | $29.88 – $231.08 | 5 |
| Str markers specimen anal CPT 81265 | $811.20 | $1,248.00 | $207.31 – $207.31 | 4 |
| St treatment speech individual CPT 92507 | $681.20 | $1,048.00 | $67.94 – $221.53 | 6 |
| St treatment swallow dysfunction/oral CPT 92526 | $226.20 | $348.00 | $75.02 – $198.68 | 6 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $0.63 – $1.62 | 6 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $54.86 | $84.40 | $1.60 – $1.60 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $52.49 | $80.76 | $6.42 – $51.45 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $79.95 | $123.00 | $13.83 – $72.00 | 6 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $128.05 | $197.00 | $28.16 – $86.00 | 6 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $201.50 | $310.00 | $36.52 – $150.00 | 6 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $300.30 | $462.00 | $62.20 – $150.00 | 7 |
| Susceptibility agar dilution per agent CPT 87181 | $31.20 | $48.00 | $4.23 – $5.94 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $31.85 | $49.00 | $4.23 – $13.00 | 7 |
| Susceptibility mic per plate CPT 87186 | $46.80 | $72.00 | $7.69 – $69.00 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $52.65 | $81.00 | $3.91 – $5.50 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $122.85 | $189.00 | $15.07 – $129.64 | 6 |
| T3 (triiodothyronine) total CPT 84480 | $94.90 | $146.00 | $12.61 – $17.73 | 5 |
| T4 (thyroxine) free CPT 84439 | $96.20 | $148.00 | $8.02 – $79.37 | 6 |
| T4 (thyroxine) total CPT 84436 | $59.80 | $92.00 | $6.11 – $52.63 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.87 | $7.50 | $0.18 – $0.29 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $185.90 | $286.00 | $12.21 – $17.16 | 5 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,636.70 | $2,518.00 | $675.59 – $949.41 | 5 |
| Target gsa panel organ neop CPT 81445 | $2,342.60 | $3,604.00 | $531.83 – $531.83 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,169.68 | $1,799.51 | $148.80 – $192.00 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $130.65 | $201.00 | $88.95 – $135.00 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $192.40 | $296.00 | $55.13 – $77.48 | 6 |
| Tc-99m labeled rbc HCPCS A9560 | $343.85 | $529.00 | $132.00 – $132.00 | 1 |
| Tc-99m maa HCPCS A9540 | $134.55 | $207.00 | $31.50 – $31.50 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $234.00 | $360.00 | $59.33 – $162.00 | 2 |
| Tc-99m medronate HCPCS A9503 | $153.40 | $236.00 | $13.65 – $37.83 | 5 |
| Tc-99m oxidronate HCPCS A9561 | $135.20 | $208.00 | $59.00 – $59.00 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $48.10 | $74.00 | $1.81 – $1.81 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $382.85 | $589.00 | $113.95 – $366.00 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $168.35 | $259.00 | $77.24 – $280.74 | 6 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $214.50 | $330.00 | $41.79 – $63.42 | 6 |
| T cells absolute cd 4 count CPT 86361 | $167.70 | $258.00 | $23.82 – $23.82 | 4 |
| T cells total count CPT 86359 | $113.10 | $174.00 | $33.56 – $50.94 | 6 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $24,997.58 | $38,457.81 | $8,121.50 – $12,241.50 | 5 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $17.50 | $26.92 | $2.14 – $41.02 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $100.10 | $154.00 | $12.58 – $90.00 | 6 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $41.60 | $64.00 | $30.10 – $58.94 | 6 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $33.15 | $51.00 | $21.67 – $50.85 | 6 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $31.50 | $48.46 | $3.52 – $136.10 | 6 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $410.80 | $632.00 | $89.58 – $1,281.78 | 48 |
| Throat x-ray & fluoroscopy CPT 70370 | $271.05 | $417.00 | $70.12 – $70.12 | 4 |
| Thrombin time CPT 85670 | $63.05 | $97.00 | $5.13 – $7.21 | 5 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $44.85 | $69.00 | $5.75 – $8.09 | 5 |
| Thyroglobulin antibody CPT 86800 | $87.75 | $135.00 | $14.15 – $105.85 | 6 |
| Thyroid imaging CPT 78013 | $698.75 | $1,075.00 | $128.48 – $918.97 | 5 |
| Thyroid (TSH) Test CPT 84443 | $98.80 | $152.00 | $14.94 – $128.54 | 6 |
| Thyroid Ultrasound CPT 76536 | $533.00 | $820.00 | $69.96 – $348.00 | 6 |
| Thyroxine binding globulin (tbg) CPT 84442 | $75.40 | $116.00 | $13.15 – $18.48 | 5 |
| Tissue culture placenta CPT 88235 | $438.10 | $674.00 | $133.69 – $187.88 | 5 |
| Tissue culture skin/biopsy CPT 88233 | $273.65 | $421.00 | $125.18 – $125.18 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | $58.50 | $90.00 | $3.80 – $32.68 | 6 |
| Tissue transglutaminase iga CPT 86364 | $96.20 | $148.00 | $10.26 – $14.41 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $124.15 | $191.00 | $14.35 – $20.16 | 5 |
| Tomosynthesis breast screen bilateral CPT 77063 | $102.70 | $158.00 | $19.99 – $95.86 | 5 |
| Total Hip Replacement CPT 27130 | $3,415.75 | $5,255.00 | $1,074.65 – $1,807.51 | 47 |
| Total Knee Replacement CPT 27447 | $3,166.80 | $4,872.00 | $1,072.96 – $11,458.10 | 47 |
| Toxoplasma antibody igg CPT 86777 | $86.45 | $133.00 | $12.80 – $17.99 | 6 |
| Toxoplasma antibody igm CPT 86778 | $89.05 | $137.00 | $12.82 – $18.01 | 5 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $91.86 | $141.33 | $6.00 – $6.00 | 1 |
| Transferrin CPT 84466 | $95.55 | $147.00 | $11.35 – $15.95 | 7 |
| Transfusion blood/blood component(s) CPT 36430 | $998.40 | $1,536.00 | $389.32 – $901.46 | 6 |
| Treat elbow dislocation CPT 24605 | $1,078.35 | $1,659.00 | $437.06 – $1,425.19 | 47 |
| Treat finger fracture each CPT 26742 | $717.60 | $1,104.00 | $116.00 – $1,425.19 | 48 |
| Treat fracture of radius CPT 25505 | $793.00 | $1,220.00 | $446.39 – $1,425.19 | 47 |
| Treat fracture of ulna CPT 25535 | $930.80 | $1,432.00 | $413.34 – $695.23 | 47 |
| Treat hip dislocation CPT 27257 | $806.00 | $1,240.00 | $304.46 – $1,425.19 | 47 |
| Treat kneecap dislocation CPT 27562 | $900.25 | $1,385.00 | $435.10 – $731.82 | 47 |
| Treat kneecap fracture CPT 27524 | $1,519.05 | $2,337.00 | $648.32 – $6,361.60 | 47 |
| Treat knuckle dislocation CPT 26705 | $937.95 | $1,443.00 | $360.63 – $1,425.19 | 47 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $128.70 | $198.00 | $49.66 – $271.86 | 5 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $128.70 | $198.00 | $13.58 – $13.58 | 4 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $137.80 | $212.00 | $6.64 – $447.44 | 6 |
| Treatment of ankle fracture CPT 27792 | $1,489.80 | $2,292.00 | $559.10 – $6,361.60 | 47 |
| Treatment of ankle fracture CPT 27814 | $1,810.90 | $2,786.00 | $657.97 – $6,361.60 | 47 |
| Treatment of ankle fracture 27786 CPT 27786 | $590.85 | $909.00 | $266.77 – $448.70 | 47 |
| Treatment of toe fracture 28510 CPT 28510 | $255.45 | $393.00 | $108.05 – $190.77 | 47 |
| Treat metacarpal fracture CPT 26608 | $1,363.05 | $2,097.00 | $423.47 – $2,889.37 | 47 |
| Treat thigh fracture CPT 27245 | $2,570.75 | $3,955.00 | $1,033.11 – $1,737.65 | 47 |
| Treat toe dislocation CPT 28665 | $343.85 | $529.00 | $111.61 – $187.72 | 47 |
| Treat vaginal bleeding CPT 57180 | $232.70 | $358.00 | $98.67 – $171.25 | 47 |
| Treat wrist dislocation CPT 25675 | $763.10 | $1,174.00 | $409.83 – $745.60 | 47 |
| Treponema pallidum antibody CPT 86780 | $75.40 | $116.00 | $11.78 – $16.55 | 6 |
| Trg gene rearrangement anal CPT 81342 | $358.80 | $552.00 | $179.23 – $251.88 | 6 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $38.89 | $59.83 | $3.60 – $48.60 | 6 |
| Triglycerides CPT 84478 | $95.55 | $147.00 | $5.11 – $28.00 | 6 |
| Troponin quantitative CPT 84484 | $137.15 | $211.00 | $11.09 – $111.00 | 6 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $1,023.10 | $1,574.00 | $444.29 – $2,889.37 | 47 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $406.90 | $626.00 | $67.46 – $240.32 | 5 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $333.45 | $513.00 | $44.13 – $200.05 | 5 |
| Ultrasound chest CPT 76604 | $459.55 | $707.00 | $25.25 – $240.32 | 5 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $458.25 | $705.00 | $41.33 – $429.00 | 6 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $747.50 | $1,150.00 | $23.58 – $702.00 | 6 |
| Ultrasound joint complete left CPT 76881 | $786.50 | $1,210.00 | $9.14 – $240.32 | 5 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $507.65 | $781.00 | $25.80 – $240.32 | 5 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $485.55 | $747.00 | $34.41 – $465.00 | 6 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $300.30 | $462.00 | $17.50 – $465.00 | 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.