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 |
|---|---|---|---|---|
| Warde t3 (triiodothyronine) reverse CPT 84482 | $87.75 | $135.00 | $14.02 – $19.70 | 5 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $167.70 | $258.00 | $45.24 – $63.58 | 6 |
| Warde topiramate therapeutic drug level CPT 80201 | $100.75 | $155.00 | $10.60 – $14.90 | 5 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $174.20 | $268.00 | $23.19 – $199.48 | 51 |
| Warde viscosity CPT 85810 | $69.55 | $107.00 | $10.38 – $14.59 | 5 |
| Warde vitamin a CPT 84590 | $79.95 | $123.00 | $10.33 – $14.51 | 5 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $117.65 | $181.00 | $18.88 – $35.03 | 47 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $114.40 | $176.00 | $24.99 – $35.13 | 5 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $60.45 | $93.00 | $8.80 – $12.36 | 5 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $211.90 | $326.00 | $34.25 – $256.16 | 6 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $91.65 | $141.00 | $12.61 – $17.73 | 5 |
| Warde zinc CPT 84630 | $68.90 | $106.00 | $10.13 – $14.24 | 5 |
| Wbc automated CPT 85048 | $36.40 | $56.00 | $2.26 – $2.26 | 4 |
| Western blot test CPT 84181 | $135.20 | $208.00 | $15.15 – $15.15 | 4 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $549.25 | $845.00 | $138.18 – $187.96 | 5 |
| Wound closure by adhesive HCPCS G0168 | $304.85 | $469.00 | $13.14 – $102.55 | 47 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $258.70 | $398.00 | $706.04 – $706.04 | 1 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $348.40 | $536.00 | $706.04 – $706.04 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $309.40 | $476.00 | $20.39 – $348.47 | 44 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $436.15 | $671.00 | $706.04 – $706.04 | 1 |
| Wrist X-ray CPT 73110 | $523.90 | $806.00 | $27.47 – $269.00 | 6 |
| X-ray abdomen 1 view CPT 74018 | $243.75 | $375.00 | $18.03 – $200.05 | 5 |
| X-ray abdomen 2 views CPT 74019 | $306.15 | $471.00 | $21.64 – $240.32 | 5 |
| X-ray abdomen >=3 views CPT 74021 | $371.80 | $572.00 | $25.25 – $240.32 | 5 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $406.90 | $626.00 | $29.13 – $488.00 | 6 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $245.05 | $377.00 | $16.64 – $200.05 | 5 |
| X-ray ankle 2 views (both sides) CPT 73600 | $425.75 | $655.00 | $20.53 – $214.00 | 6 |
| X-ray bone age studies CPT 77072 | $268.45 | $413.00 | $94.70 – $240.32 | 6 |
| X-ray bone survey complete CPT 77075 | $833.30 | $1,282.00 | $94.70 – $884.00 | 6 |
| X-ray bone survey infant CPT 77076 | $349.70 | $538.00 | $94.70 – $240.32 | 5 |
| X-ray cervical spine 2-3 views CPT 72040 | $365.95 | $563.00 | $24.14 – $300.00 | 6 |
| X-ray cervical spine 4-5 views CPT 72050 | $434.85 | $669.00 | $34.13 – $347.00 | 6 |
| X-ray cervical spine >= 6 views CPT 72052 | $469.95 | $723.00 | $40.24 – $240.32 | 5 |
| X-ray clavicle complete (both sides) CPT 73000 | $321.75 | $495.00 | $20.53 – $209.00 | 6 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $868.40 | $1,336.00 | $133.80 – $403.20 | 5 |
| X-ray elbow 2 views (both sides) CPT 73070 | $414.70 | $638.00 | $17.75 – $259.00 | 6 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $409.50 | $630.00 | $20.53 – $288.00 | 6 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $525.85 | $809.00 | $57.74 – $464.00 | 6 |
| X-ray exam entire spi 6/> vw CPT 72084 | $662.35 | $1,019.00 | $65.77 – $240.32 | 5 |
| X-ray exam of arm infant CPT 73092 | $161.85 | $249.00 | $19.97 – $240.32 | 5 |
| X-ray exam of eye sockets CPT 70200 | $318.50 | $490.00 | $28.86 – $240.32 | 5 |
| X-ray exam of femur 1 CPT 73551 | $229.45 | $353.00 | $17.75 – $200.05 | 5 |
| X-ray exam of jaw joint CPT 70328 | $206.05 | $317.00 | $21.64 – $200.05 | 5 |
| X-ray exam of sinuses CPT 70210 | $214.50 | $330.00 | $19.97 – $200.05 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $400.40 | $616.00 | $27.47 – $240.32 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $242.45 | $373.00 | $20.25 – $200.05 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $300.30 | $462.00 | $29.13 – $240.32 | 5 |
| X-ray femur >=2 views (both sides) CPT 73552 | $414.05 | $637.00 | $22.47 – $200.05 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $358.80 | $552.00 | $26.36 – $213.00 | 6 |
| X-ray foot 2 views (both sides) CPT 73620 | $445.90 | $686.00 | $17.75 – $200.05 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | $436.15 | $671.00 | $18.03 – $254.67 | 6 |
| X-ray hand 2 views (both sides) CPT 73120 | $386.75 | $595.00 | $19.69 – $240.32 | 6 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $297.05 | $457.00 | $17.47 – $200.05 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $387.40 | $596.00 | $39.13 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $421.20 | $648.00 | $25.52 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $523.25 | $805.00 | $33.30 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $577.85 | $889.00 | $39.13 – $240.32 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $175.50 | $270.00 | $19.97 – $200.05 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | $381.55 | $587.00 | $20.25 – $236.00 | 6 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $414.05 | $637.00 | $21.91 – $244.00 | 6 |
| X-ray knee 3 views (both sides) CPT 73562 | $475.80 | $732.00 | $26.63 – $303.50 | 6 |
| X-ray knee ap standing bilateral CPT 73565 | $222.30 | $342.00 | $26.63 – $200.05 | 6 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $188.50 | $290.00 | $8.08 – $200.05 | 6 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $345.15 | $531.00 | $24.97 – $240.32 | 6 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $516.10 | $794.00 | $33.02 – $240.32 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $619.45 | $953.00 | $39.13 – $240.32 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $357.50 | $550.00 | $26.63 – $240.32 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $274.30 | $422.00 | $25.25 – $200.05 | 6 |
| X-ray nasal bones complete > 3 views CPT 70160 | $271.70 | $418.00 | $24.69 – $200.05 | 5 |
| X-ray neck soft tissue CPT 70360 | $221.00 | $340.00 | $18.86 – $224.00 | 6 |
| X-ray nose to rectum for foreign body child CPT 76010 | $222.30 | $342.00 | $17.47 – $200.05 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $260.65 | $401.00 | $16.36 – $244.00 | 6 |
| X-ray pelvis complete > 3 views CPT 72190 | $295.10 | $454.00 | $25.25 – $240.32 | 5 |
| X-ray ribs 2 views left CPT 71100 | $208.00 | $320.00 | $21.91 – $248.00 | 6 |
| X-ray ribs 3 views bilateral CPT 71110 | $391.30 | $602.00 | $25.25 – $240.32 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $243.75 | $375.00 | $24.69 – $240.32 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $442.65 | $681.00 | $31.08 – $240.32 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $266.50 | $410.00 | $23.86 – $240.32 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $268.45 | $413.00 | $20.25 – $200.05 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $243.75 | $375.00 | $12.75 – $240.32 | 5 |
| X-ray sella turcica CPT 70240 | $117.65 | $181.00 | $19.97 – $19.97 | 4 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $292.50 | $450.00 | $11.92 – $200.05 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $337.35 | $519.00 | $22.75 – $394.00 | 6 |
| X-ray skull < 4 views CPT 70250 | $294.45 | $453.00 | $22.75 – $262.00 | 6 |
| X-ray skull > 4 views complete CPT 70260 | $382.20 | $588.00 | $26.08 – $240.32 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $491.40 | $756.00 | $69.96 – $462.00 | 6 |
| X-ray spine single view CPT 72020 | $301.60 | $464.00 | $13.86 – $246.00 | 6 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $226.20 | $348.00 | $25.80 – $200.05 | 5 |
| X-ray sternum > 2 views CPT 71120 | $243.75 | $375.00 | $20.25 – $200.05 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $540.80 | $832.00 | $83.01 – $498.00 | 6 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $308.75 | $475.00 | $34.69 – $200.05 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $341.25 | $525.00 | $19.41 – $253.00 | 6 |
| X-ray thoracic spine 3 views CPT 72072 | $384.80 | $592.00 | $24.14 – $335.00 | 6 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $317.20 | $488.00 | $20.53 – $224.00 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $307.45 | $473.00 | $25.25 – $200.05 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $442.00 | $680.00 | $46.07 – $240.32 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $525.85 | $809.00 | $19.97 – $272.00 | 6 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $319.15 | $491.00 | $19.14 – $200.05 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $606.45 | $933.00 | $80.79 – $403.20 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $711.10 | $1,094.00 | $70.79 – $420.00 | 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.