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 |
|---|---|---|---|---|
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $569.40 | $876.00 | $114.79 – $271.86 | 5 |
| Collection of venous blood by venipuncture CPT 36415 | $12.35 | $19.00 | $8.09 – $11.46 | 6 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $118.95 | $183.00 | $42.14 – $304.61 | 5 |
| Compatibility test each unit immediate spin technique CPT 86920 | $118.95 | $183.00 | $14.05 – $304.61 | 6 |
| Compatibility test incubate CPT 86921 | $109.85 | $169.00 | $18.72 – $304.61 | 5 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $664.30 | $1,022.00 | $309.63 – $1,424.80 | 5 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $792.35 | $1,219.00 | $327.46 – $1,424.80 | 5 |
| Complement antigen each component c3 CPT 86160 | $96.85 | $149.00 | $10.67 – $95.00 | 6 |
| Complex cystometrogram 51726 CPT 51726 | $1,049.75 | $1,615.00 | $417.60 – $510.52 | 2 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $232.05 | $357.00 | $12.45 – $441.20 | 6 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $763.75 | $1,175.00 | $218.25 – $367.09 | 48 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,006.85 | $1,549.00 | $145.67 – $439.46 | 48 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,004.25 | $1,545.00 | $235.31 – $1,212.50 | 48 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $386.75 | $595.00 | $96.49 – $162.29 | 47 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $287.30 | $442.00 | $63.82 – $109.88 | 47 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,027.35 | $3,119.00 | $801.97 – $801.97 | 1 |
| Concentration infection agents any type CPT 87015 | $49.40 | $76.00 | $5.94 – $40.00 | 44 |
| Condylomata destruction 56420 CPT 56420 | $403.65 | $621.00 | $92.23 – $413.10 | 48 |
| Consult comp w/report rfrd material CPT 88325 | $179.40 | $276.00 | $137.97 – $304.61 | 5 |
| Contrast baths charges CPT 97034 | $58.50 | $90.00 | $22.51 – $22.51 | 1 |
| Contrast x-ray of hip CPT 73525 | $672.75 | $1,035.00 | $84.12 – $801.97 | 5 |
| Control nosebleed pack+caut 30905 CPT 30905 | $592.15 | $911.00 | $92.62 – $155.78 | 47 |
| Control of nosebleed ant comp 30903 CPT 30903 | $412.75 | $635.00 | $65.68 – $114.79 | 47 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $237.25 | $365.00 | $46.86 – $175.50 | 48 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $339.95 | $523.00 | $134.98 – $227.02 | 47 |
| Coombs direct CPT 86880 | $72.80 | $112.00 | $4.79 – $105.47 | 6 |
| Coombs indirect titer reference CPT 86886 | $103.35 | $159.00 | $4.61 – $304.61 | 5 |
| Cortisol acth stimulation test - sendout CPT 80400 | $199.55 | $307.00 | $29.02 – $40.78 | 5 |
| Cortisol total am CPT 82533 | $113.10 | $174.00 | $14.50 – $124.77 | 7 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $466.24 | $717.29 | $20.16 – $33.43 | 5 |
| Co-treatment - group 15 mins, st CPT 92508 | $79.30 | $122.00 | $21.37 – $38.45 | 5 |
| Counseling smoke cess interm >10mins CPT 99407 | $57.85 | $89.00 | $21.01 – $76.56 | 48 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $42.90 | $66.00 | $37.45 – $70.58 | 5 |
| #covid19rsv-rsv CPT 87634 | $158.60 | $244.00 | $62.44 – $62.44 | 4 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $66.30 | $102.00 | $11.59 – $11.59 | 4 |
| C-peptide CPT 84681 | $124.15 | $191.00 | $18.51 – $26.01 | 5 |
| C-reactive protein CPT 86140 | $62.40 | $96.00 | $4.61 – $51.00 | 6 |
| C-reactive protein high sensitivity CPT 86141 | $93.60 | $144.00 | $11.52 – $51.00 | 6 |
| C-reactive protein, quantitative CPT 86406 | $89.70 | $138.00 | $9.46 – $17.56 | 49 |
| Creatine kinase CPT 82550 | $56.55 | $87.00 | $5.79 – $30.85 | 6 |
| Creatine kinase isoenzymes CPT 82552 | $72.15 | $111.00 | $11.91 – $16.74 | 5 |
| Creatine kinase mb CPT 82553 | $105.95 | $163.00 | $10.27 – $109.00 | 50 |
| Creatine - sendout CPT 82540 | $48.10 | $74.00 | $4.13 – $5.80 | 5 |
| Creatinine CPT 82565 | $36.40 | $56.00 | $4.55 – $24.00 | 6 |
| Creatinine 24 hour urine CPT 82570 | $53.30 | $82.00 | $4.61 – $41.32 | 6 |
| Creatinine clearance urine CPT 82575 | $91.65 | $141.00 | $8.41 – $76.00 | 6 |
| #creutz-prot.,western blot CPT 84182 | $189.80 | $292.00 | $25.98 – $36.51 | 5 |
| Crisis psychotherapy 90839 CPT 90839 | $226.85 | $349.00 | $126.60 – $212.93 | 43 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $97.50 | $150.00 | $60.94 – $102.50 | 43 |
| Critical care 30-74 minutes CPT 99291 | $1,456.65 | $2,241.00 | $189.36 – $750.36 | 47 |
| Critical care each additional 30 minutes CPT 99292 | $642.85 | $989.00 | $95.26 – $160.23 | 47 |
| Crystal identification light microscopy CPT 89060 | $58.50 | $90.00 | $6.52 – $58.00 | 50 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,643.55 | $4,067.00 | $142.90 – $1,300.00 | 6 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,538.60 | $5,444.00 | $143.14 – $403.20 | 5 |
| Cta neck without &/or w/contrast CPT 70498 | $2,049.45 | $3,153.00 | $143.14 – $403.20 | 5 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,175.90 | $4,886.00 | $239.84 – $801.97 | 5 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,899.30 | $2,922.00 | $143.19 – $403.20 | 5 |
| CT Angiogram of the Head CPT 70496 | $2,059.85 | $3,169.00 | $143.14 – $1,752.00 | 6 |
| CT guidance for needle placement CPT 77012 | $1,950.00 | $3,000.00 | $58.85 – $1,902.00 | 6 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,262.65 | $3,481.00 | $97.15 – $403.20 | 5 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,398.50 | $3,690.00 | $71.62 – $1,222.00 | 6 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,829.75 | $2,815.00 | $119.64 – $1,018.00 | 6 |
| CT neck soft tissue w/contrast CPT 70491 | $1,756.30 | $2,702.00 | $103.53 – $1,574.00 | 6 |
| CT neck soft tissue without contrast CPT 70490 | $1,327.95 | $2,043.00 | $78.01 – $240.32 | 5 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,167.10 | $3,334.00 | $158.53 – $1,597.00 | 6 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,323.75 | $3,575.00 | $130.75 – $403.20 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,241.85 | $3,449.00 | $110.20 – $1,242.00 | 6 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,683.50 | $2,590.00 | $85.48 – $1,187.00 | 6 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,138.50 | $3,290.00 | $212.92 – $801.97 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,862.25 | $2,865.00 | $188.51 – $801.97 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,599.00 | $2,460.00 | $88.54 – $548.48 | 5 |
| CT thoracic spine w/contrast CPT 72129 | $1,878.50 | $2,890.00 | $158.53 – $1,290.00 | 6 |
| CT thoracic spine without contrast CPT 72128 | $1,816.75 | $2,795.00 | $71.90 – $1,136.00 | 6 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $447.20 | $688.00 | $75.21 – $240.32 | 5 |
| CT t-spine w /wo contrast CPT 72130 | $2,306.85 | $3,549.00 | $120.20 – $403.20 | 5 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,619.80 | $2,492.00 | $126.31 – $801.97 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,621.10 | $2,494.00 | $85.22 – $240.32 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,875.25 | $2,885.00 | $143.16 – $403.20 | 5 |
| Culture aerobic additional method definitive id each CPT 87077 | $46.80 | $72.00 | $7.19 – $61.81 | 6 |
| Culture afb any source CPT 87116 | $113.75 | $175.00 | $9.61 – $106.00 | 7 |
| Culture anaerobic additional method definitive id each CPT 87076 | $92.30 | $142.00 | $7.19 – $56.00 | 7 |
| Culture anaerobic except blood CPT 87075 | $117.00 | $180.00 | $8.42 – $93.00 | 43 |
| Culture bact stool aero addl path ea CPT 87046 | $59.15 | $91.00 | $8.40 – $23.00 | 49 |
| Culture body fluid CPT 87070 | $122.85 | $189.00 | $7.67 – $74.00 | 6 |
| Culture fungi definitive id mold CPT 87107 | $81.25 | $125.00 | $9.18 – $12.90 | 5 |
| Culture fungi definitive id yeast CPT 87106 | $81.25 | $125.00 | $9.18 – $17.03 | 47 |
| Culture fungi other (except blood) CPT 87102 | $109.20 | $168.00 | $7.48 – $83.00 | 7 |
| Culture fungi skin/hair/nail CPT 87101 | $75.40 | $116.00 | $6.86 – $75.00 | 6 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $73.45 | $113.00 | $13.00 – $18.26 | 5 |
| Culture mycoplasma any source CPT 87109 | $153.40 | $236.00 | $13.69 – $13.69 | 4 |
| Culture screening strep group a CPT 87081 | $82.55 | $127.00 | $5.90 – $57.00 | 10 |
| Culture typing immunologic CPT 87147 | $46.15 | $71.00 | $4.61 – $51.00 | 6 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $754.65 | $1,161.00 | $193.96 – $272.58 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $32.50 | $50.00 | $31.21 – $57.90 | 48 |
| Culture urine each isolate CPT 87088 | $58.50 | $90.00 | $7.20 – $13.35 | 48 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $68.90 | $106.00 | $12.74 – $12.74 | 4 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.15 | $11.00 | $0.83 – $1.27 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $105.95 | $163.00 | $11.52 – $152.00 | 7 |
| Cyclosporine 2 hour CPT 80158 | $160.55 | $247.00 | $16.06 – $29.78 | 50 |
| Cystatin c CPT 82610 | $91.65 | $141.00 | $16.47 – $23.15 | 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.