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 |
|---|---|---|---|---|
| Calculus analysis qual CPT 82355 | $98.15 | $151.00 | $10.30 – $14.48 | 5 |
| Calprotectin fecal CPT 83993 | $194.35 | $299.00 | $17.46 – $24.54 | 5 |
| Candida dna CPT 87480 | $68.25 | $105.00 | $17.83 – $25.06 | 6 |
| Carbamazepine total therapeutic drug level CPT 80156 | $114.40 | $176.00 | $12.96 – $128.13 | 6 |
| Carbon dioxide CPT 82374 | $35.10 | $54.00 | $4.34 – $6.10 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $72.15 | $111.00 | $10.96 – $15.40 | 5 |
| Carcinoembryonic ag (cea) CPT 82378 | $125.45 | $193.00 | $16.86 – $145.22 | 6 |
| Cardiolipin antibody iga CPT 86147 | $85.15 | $131.00 | $22.64 – $138.22 | 6 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,563.25 | $2,405.00 | $89.81 – $1,350.52 | 48 |
| Carotene CPT 82380 | $106.60 | $164.00 | $8.20 – $8.20 | 4 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,142.05 | $1,757.00 | $215.26 – $865.00 | 6 |
| Carpal Tunnel Release Surgery CPT 64721 | $1,190.80 | $1,832.00 | $385.89 – $459.13 | 32 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $494.00 | $760.00 | $738.14 – $738.14 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $69.55 | $107.00 | $8.09 – $11.68 | 5 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $462.15 | $711.00 | $62.94 – $62.94 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | $147.55 | $227.00 | $32.63 – $409.96 | 48 |
| Cdna analysis for variants CPT 81403 | $481.00 | $740.00 | $164.73 – $231.50 | 5 |
| Cebpa gene full sequence CPT 81218 | $485.55 | $747.00 | $215.17 – $215.17 | 4 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $61.46 | $94.56 | $1.62 – $70.70 | 6 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $21.00 | $32.31 | $2.48 – $3.14 | 5 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $61.07 | $93.96 | $4.41 – $65.05 | 6 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,182.58 | $1,819.35 | $158.00 – $158.00 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $48.12 | $74.03 | $3.30 – $3.50 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $26.25 | $40.38 | $0.45 – $18.28 | 6 |
| #celiac hla-dq2 CPT 81377 | $254.80 | $392.00 | $84.27 – $84.27 | 4 |
| Cell count body fluid CPT 89050 | $55.90 | $86.00 | $4.20 – $46.00 | 6 |
| Cell count w differential body fluid CPT 89051 | $95.55 | $147.00 | $4.98 – $54.00 | 46 |
| Cell cryopreserve/storage CPT 88240 | $78.00 | $120.00 | $11.63 – $11.63 | 4 |
| Cftr gene dup/delet variants CPT 81222 | $779.35 | $1,199.00 | $386.99 – $386.99 | 4 |
| Change cystostomy tube simple CPT 51705 | $243.75 | $375.00 | $44.11 – $510.52 | 48 |
| Change of windpipe airway 31502 CPT 31502 | $151.45 | $233.00 | $28.67 – $48.23 | 47 |
| Chest 2 vws w oblique CPT 71048 | $365.95 | $563.00 | $26.08 – $240.32 | 5 |
| Chest apical lordotic proj CPT 71047 | $287.30 | $442.00 | $24.41 – $200.05 | 5 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,462.20 | $3,788.00 | $119.08 – $1,602.00 | 6 |
| Chest CT scan (with contrast) CPT 71260 | $2,008.50 | $3,090.00 | $158.53 – $1,519.00 | 6 |
| Chest CT scan (without contrast) CPT 71250 | $1,695.20 | $2,608.00 | $71.34 – $1,427.00 | 6 |
| Chest X-ray CPT 71046 | $216.45 | $333.00 | $19.41 – $200.05 | 5 |
| Chest X-ray (single view) CPT 71045 | $184.60 | $284.00 | $14.42 – $200.05 | 5 |
| Chlamydia culture CPT 87110 | $94.90 | $146.00 | $17.43 – $17.43 | 4 |
| Chlamydia type CPT 87140 | $39.65 | $61.00 | $4.95 – $4.95 | 4 |
| Chloride CPT 82435 | $36.40 | $56.00 | $4.09 – $5.75 | 5 |
| Chloride 24 hour urine CPT 82436 | $44.20 | $68.00 | $5.11 – $24.00 | 7 |
| Cholesterol CPT 82465 | $35.10 | $54.00 | $3.87 – $5.44 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $100.75 | $155.00 | $11.91 – $91.00 | 6 |
| Cholinesterase CPT 82480 | $49.40 | $76.00 | $7.00 – $9.84 | 5 |
| Chrom analysis CPT 88273 | $81.25 | $125.00 | $30.96 – $30.96 | 4 |
| Chromatography CPT 83021 | $69.55 | $107.00 | $16.06 – $22.58 | 5 |
| Chromogenic substrate assay CPT 85130 | $220.35 | $339.00 | $10.58 – $14.86 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $562.25 | $865.00 | $111.62 – $829.51 | 6 |
| Chromosome count additional CPT 88285 | $46.15 | $71.00 | $23.94 – $33.64 | 5 |
| Chromosome karyotype study CPT 88280 | $41.60 | $64.00 | $29.77 – $41.84 | 6 |
| Chylomicron screen, bf - sendout CPT 82664 | $133.90 | $206.00 | $54.70 – $54.70 | 4 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $35.00 | $53.84 | $0.83 – $0.94 | 5 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $488.15 | $751.00 | $293.09 – $411.89 | 5 |
| Clearance of airways CPT 31720 | $167.05 | $257.00 | $181.12 – $447.44 | 5 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $63.43 | $97.59 | $2.13 – $2.31 | 5 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $689.65 | $1,061.00 | $298.95 – $505.08 | 47 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,043.25 | $1,605.00 | $430.97 – $1,425.19 | 47 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $313.95 | $483.00 | $102.54 – $172.47 | 47 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,205.75 | $1,855.00 | $511.64 – $1,425.19 | 47 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $441.35 | $679.00 | $127.39 – $214.27 | 47 |
| Clos txnose fx without stablz 21315 CPT 21315 | $433.55 | $667.00 | $50.04 – $1,319.10 | 47 |
| Clot factor xii hageman CPT 85280 | $131.95 | $203.00 | $17.21 – $24.19 | 5 |
| Clot factor xiii fibrin scrn CPT 85291 | $116.35 | $179.00 | $8.10 – $8.10 | 4 |
| Clozapine, 25 mg HCPCS S0136 | $4.87 | $7.50 | $3.16 – $3.16 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $716.95 | $1,103.00 | $299.58 – $559.68 | 47 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $674.70 | $1,038.00 | $289.90 – $487.59 | 47 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $585.65 | $901.00 | $316.05 – $545.80 | 47 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $479.05 | $737.00 | $201.38 – $373.38 | 47 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $395.20 | $608.00 | $169.94 – $317.18 | 47 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $304.20 | $468.00 | $66.96 – $504.02 | 49 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $316.55 | $487.00 | $119.82 – $201.53 | 47 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $288.60 | $444.00 | $132.58 – $223.00 | 47 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $692.90 | $1,066.00 | $303.61 – $518.99 | 47 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,287.65 | $1,981.00 | $334.50 – $3,285.64 | 49 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,025.70 | $1,578.00 | $464.37 – $1,425.19 | 47 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $689.65 | $1,061.00 | $316.03 – $531.55 | 47 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $693.55 | $1,067.00 | $325.13 – $546.86 | 47 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $553.80 | $852.00 | $270.60 – $457.05 | 47 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $581.10 | $894.00 | $283.01 – $476.01 | 47 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $434.85 | $669.00 | $189.66 – $318.99 | 47 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $649.35 | $999.00 | $335.64 – $607.27 | 47 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $410.80 | $632.00 | $181.47 – $311.57 | 47 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $486.20 | $748.00 | $233.81 – $393.26 | 47 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $789.10 | $1,214.00 | $401.26 – $1,425.19 | 47 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $510.90 | $786.00 | $211.54 – $385.03 | 47 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $877.50 | $1,350.00 | $378.87 – $1,425.19 | 47 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $919.75 | $1,415.00 | $466.37 – $1,425.19 | 47 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $917.80 | $1,412.00 | $381.50 – $1,425.19 | 47 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $237.25 | $365.00 | $28.34 – $119.80 | 47 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $330.20 | $508.00 | $92.55 – $155.66 | 47 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,026.35 | $1,579.00 | $296.50 – $1,425.19 | 48 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $570.05 | $877.00 | $264.31 – $444.56 | 47 |
| #cmvcul-virus inoculation shell CPT 87254 | $128.70 | $198.00 | $17.40 – $24.45 | 5 |
| Cmv pcr-sendout CPT 87496 | $240.50 | $370.00 | $43.86 – $372.29 | 2 |
| Co2 monitor per day CPT 94681 | $590.85 | $909.00 | $40.60 – $762.48 | 5 |
| Cold agglutinin screen (arc) CPT 86156 | $44.85 | $69.00 | $7.18 – $10.09 | 5 |
| Cold agglutinin titer CPT 86157 | $54.60 | $84.00 | $7.17 – $10.08 | 5 |
| Collar cerv ascend 172 reg HCPCS L0172 | $26.65 | $41.00 | $283.43 – $283.43 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $102.70 | $158.00 | $23.02 – $271.86 | 5 |
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.