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 |
|---|---|---|---|---|
| Aquatic exercise - group charge CPT 97150 | $68.25 | $105.00 | $15.96 – $29.07 | 5 |
| Arterial blood draw/perc 36620 CPT 36620 | $529.75 | $815.00 | $39.02 – $65.64 | 47 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $235.30 | $362.00 | $30.25 – $627.20 | 49 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $343.85 | $529.00 | $42.40 – $1,442.34 | 48 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $401.05 | $617.00 | $47.34 – $627.20 | 48 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $229.45 | $353.00 | $29.59 – $627.20 | 48 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $312.65 | $481.00 | $37.21 – $627.20 | 49 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $280.15 | $431.00 | $37.64 – $627.20 | 48 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $1,613.95 | $2,483.00 | $586.69 – $2,889.37 | 48 |
| Arthrt glenhumrl jt w/expl CPT 23107 | $1,268.80 | $1,952.00 | $574.97 – $6,361.60 | 47 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $1,573.65 | $2,421.00 | $138.09 – $2,560.42 | 48 |
| Aspirate pleura without imaging 32554 CPT 32554 | $415.35 | $639.00 | $75.12 – $1,281.78 | 48 |
| Assay of adp & amp CPT 82030 | $126.75 | $195.00 | $22.95 – $22.95 | 4 |
| Assay of breath ethanol CPT 82075 | $53.30 | $82.00 | $37.50 – $37.50 | 1 |
| Assay of feces porphyrins CPT 84126 | $165.10 | $254.00 | $34.79 – $34.79 | 4 |
| Assay of galactose CPT 82760 | $11.05 | $17.00 | $9.96 – $14.00 | 5 |
| Assay of interleukin-6 (il-6) CPT 83529 | $107.90 | $166.00 | $15.36 – $21.59 | 5 |
| Assay of leflunomide CPT 80193 | $146.90 | $226.00 | $34.31 – $34.31 | 4 |
| Assay of prostaglandin CPT 84150 | $296.40 | $456.00 | $37.15 – $52.21 | 5 |
| Assay of salicylate CPT 80179 | $104.00 | $160.00 | $16.58 – $30.76 | 50 |
| Assay of thiocyanate CPT 84430 | $59.15 | $91.00 | $10.34 – $10.34 | 4 |
| Assay of tyrosine CPT 84510 | $66.95 | $103.00 | $9.46 – $13.29 | 5 |
| Assay of urine sulfate CPT 84392 | $42.90 | $66.00 | $4.88 – $56.00 | 6 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $285.35 | $439.00 | $85.75 – $157.86 | 5 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $51.35 | $79.00 | $3.80 – $5.34 | 5 |
| Assistive tech assessment, ot CPT 97755 | $87.10 | $134.00 | $33.99 – $33.99 | 4 |
| Ast/sgot CPT 84450 | $32.50 | $50.00 | $4.61 – $24.00 | 7 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $22.46 | $34.56 | $5.50 – $6.00 | 5 |
| Autologous blood process CPT 86890 | $261.30 | $402.00 | $304.61 – $304.61 | 1 |
| Avul nail plate addl CPT 11732 | $79.30 | $122.00 | $14.42 – $28.71 | 47 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $157.30 | $242.00 | $46.22 – $409.96 | 48 |
| Azathioprine 50 mg tablet HCPCS J7500 | $4.87 | $7.50 | $0.22 – $1.19 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $27.12 | $41.73 | $2.13 – $2.41 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $157.83 | $242.82 | $20.70 – $28.40 | 5 |
| Baclofen eval charges CPT 97750 | $108.55 | $167.00 | $53.87 – $53.87 | 1 |
| Bacterial meningitis antigen CPT 86403 | $69.55 | $107.00 | $10.26 – $14.43 | 5 |
| Bacterial vaginosis pcr CPT 87801 | $231.40 | $356.00 | $62.44 – $87.75 | 5 |
| #bac vag cand-c. albicans naa CPT 87481 | $89.05 | $137.00 | $31.21 – $57.90 | 47 |
| B cells total count CPT 86355 | $118.30 | $182.00 | $33.56 – $47.16 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $117.00 | $180.00 | $22.64 – $31.81 | 5 |
| Beta-2 microglobulin CPT 82232 | $91.65 | $141.00 | $14.39 – $20.23 | 5 |
| B-hexosaminidase ea assay CPT 83080 | $156.00 | $240.00 | $15.01 – $15.01 | 4 |
| Bilateral n block inj occipital 64405 CPT 64405 | $289.90 | $446.00 | $42.72 – $627.20 | 48 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $466.05 | $717.00 | $43.53 – $627.20 | 48 |
| Bilirubin direct CPT 82248 | $36.40 | $56.00 | $4.47 – $25.00 | 6 |
| Bilirubin total CPT 82247 | $69.55 | $107.00 | $4.47 – $25.00 | 6 |
| Biotinidase - quest CPT 82261 | $16.25 | $25.00 | $15.01 – $21.09 | 5 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $440.70 | $678.00 | $65.72 – $510.52 | 5 |
| Blood Clotting (PT/INR) Test CPT 85610 | $53.30 | $82.00 | $3.82 – $36.00 | 6 |
| Blood Clotting (PTT) Test CPT 85730 | $83.20 | $128.00 | $5.35 – $68.00 | 6 |
| Blood Count (CBC) Test CPT 85025 | $67.60 | $104.00 | $6.91 – $65.00 | 6 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $58.50 | $90.00 | $5.75 – $53.00 | 6 |
| Blood Culture Test CPT 87040 | $117.00 | $180.00 | $9.18 – $75.00 | 6 |
| Blood draw capillary 36416 CPT 36416 | $109.85 | $169.00 | $2.67 – $6.28 | 5 |
| Blood gases ph venous CPT 82800 | $48.75 | $75.00 | $9.78 – $13.75 | 5 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $53.95 | $83.00 | $14.16 – $19.90 | 5 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $36.40 | $56.00 | $3.76 – $37.00 | 7 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $36.40 | $56.00 | $3.90 – $5.48 | 5 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $36.40 | $56.00 | $4.73 – $4.73 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $37.05 | $57.00 | $3.38 – $21.00 | 6 |
| Blood typing abo CPT 86900 | $85.15 | $131.00 | $2.66 – $237.88 | 6 |
| Blood typing ag donor ea ag CPT 86902 | $196.95 | $303.00 | $5.65 – $640.87 | 5 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $196.95 | $303.00 | $3.41 – $640.87 | 5 |
| Blood typing rh (d) CPT 86901 | $66.95 | $103.00 | $2.66 – $66.78 | 6 |
| Blood typing rh phenotype complete reference CPT 86906 | $109.85 | $169.00 | $6.89 – $66.78 | 5 |
| Bone Density Scan (DEXA) CPT 77080 | $419.25 | $645.00 | $35.33 – $248.00 | 49 |
| Bone/joint imaging ltd area CPT 78300 | $965.25 | $1,485.00 | $148.22 – $918.97 | 6 |
| Bone marrow;aspiration only 38220 CPT 38220 | $271.70 | $418.00 | $52.59 – $3,374.74 | 48 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $323.05 | $497.00 | $54.86 – $3,374.74 | 49 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $182.65 | $281.00 | $556.82 – $556.82 | 1 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $84.50 | $130.00 | $556.82 – $556.82 | 1 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $130.65 | $201.00 | $15.15 – $168.00 | 46 |
| Borrelia miyamotoi amp prb CPT 87478 | $149.50 | $230.00 | $43.86 – $43.86 | 1 |
| Brace afo lg left 6607 HCPCS L1930 | $40.95 | $63.00 | $634.29 – $634.29 | 1 |
| Brace knee extender plus 22-30in HCPCS L1832 | $181.35 | $279.00 | $1,222.60 – $1,222.60 | 1 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $14.95 | $23.00 | $492.05 – $492.05 | 1 |
| Brace wrist classic lft sm HCPCS L3908 | $22.75 | $35.00 | $117.90 – $117.90 | 1 |
| Braf gene CPT 81210 | $377.00 | $580.00 | $156.02 – $219.25 | 6 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,113.15 | $3,251.00 | $224.84 – $801.97 | 5 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,496.65 | $3,841.00 | $147.94 – $801.97 | 5 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,252.25 | $3,465.00 | $137.94 – $1,309.00 | 6 |
| Brain MRI (with and without contrast) CPT 70553 | $2,609.10 | $4,014.00 | $183.49 – $2,598.00 | 6 |
| Brain MRI (with contrast) CPT 70552 | $2,419.95 | $3,723.00 | $162.10 – $980.18 | 5 |
| Brain MRI (without contrast) CPT 70551 | $2,162.55 | $3,327.00 | $110.20 – $1,730.00 | 6 |
| Breast punct aspir cyst, bil CPT 19000 | $206.05 | $317.00 | $34.52 – $1,446.94 | 48 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $672.10 | $1,034.00 | $150.61 – $3,283.28 | 47 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $1,102.40 | $1,696.00 | $159.73 – $3,283.28 | 47 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $710.45 | $1,093.00 | $133.33 – $1,535.67 | 47 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $7.15 | $11.00 | $0.58 – $0.58 | 5 |
| Bundled special stain group 1 microorganisms CPT 88312 | $414.70 | $638.00 | $90.35 – $132.00 | 7 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $12.91 | $19.86 | $1.00 – $1.00 | 5 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $17.13 | $26.35 | $3.99 – $3.99 | 4 |
| Buprenorphine oral 1mg HCPCS J0571 | $42.35 | $65.16 | $0.40 – $0.68 | 5 |
| C1 esterase inhibitor func - sendout CPT 86161 | $211.90 | $326.00 | $10.67 – $15.00 | 5 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,340.00 | $3,600.00 | $1,044.63 – $1,044.63 | 4 |
| Calcium 24 hour urine CPT 82340 | $62.40 | $96.00 | $5.36 – $47.00 | 6 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $22.97 | $35.34 | $7.50 – $7.50 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $21.87 | $33.65 | $2.00 – $2.00 | 5 |
| Calcium ionized CPT 82330 | $81.90 | $126.00 | $12.17 – $82.00 | 6 |
| Calcium total CPT 82310 | $36.40 | $56.00 | $4.59 – $24.00 | 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.