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 |
|---|---|---|---|---|
| Cystic fibrosis cftr CPT 81223 | $1,190.80 | $1,832.00 | $443.85 – $443.85 | 4 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $681.85 | $1,049.00 | $21.91 – $801.97 | 6 |
| Cystometrogram w/up 51727 CPT 51727 | $671.45 | $1,033.00 | $311.48 – $1,424.80 | 5 |
| Cytogenetics 25-99 CPT 88274 | $91.65 | $141.00 | $37.70 – $37.70 | 4 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $106.60 | $164.00 | $12.80 – $17.99 | 6 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $100.75 | $155.00 | $14.99 – $21.06 | 5 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $146.25 | $225.00 | $58.50 – $93.17 | 6 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $71.50 | $110.00 | $23.67 – $33.26 | 6 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $70.20 | $108.00 | $18.02 – $101.00 | 5 |
| Cytopath tbs c/v manual CPT 88164 | $53.30 | $82.00 | $16.18 – $60.65 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $5,203.96 | $8,006.09 | $1,560.00 – $1,860.00 | 5 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $262.47 | $403.80 | $14.00 – $14.00 | 5 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $11,319.75 | $17,415.00 | $594.00 – $762.00 | 5 |
| Dch validity tests CPT 81002 | $27.95 | $43.00 | $3.10 – $4.35 | 5 |
| Deamidated gliadin antibody iga CPT 86258 | $91.65 | $141.00 | $10.72 – $15.06 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $286.00 | $440.00 | $20.61 – $75.09 | 48 |
| Debridement bone <= 20 sq cm CPT 11044 | $776.75 | $1,195.00 | $188.68 – $3,374.74 | 48 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $222.30 | $342.00 | $52.06 – $830.64 | 48 |
| Debride skin bone at fx site CPT 11012 | $1,429.35 | $2,199.00 | $337.62 – $2,548.70 | 47 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $107.90 | $166.00 | $20.87 – $35.10 | 47 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $523.90 | $806.00 | $129.40 – $1,510.16 | 48 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $354.25 | $545.00 | $28.83 – $674.92 | 5 |
| Delivery of placenta 59414 CPT 59414 | $348.40 | $536.00 | $76.11 – $128.01 | 47 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $126.75 | $195.00 | $14.95 – $447.44 | 6 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $6,313.74 | $9,713.45 | $1,659.60 – $2,195.40 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $396.50 | $610.00 | $114.79 – $285.62 | 47 |
| Developmental screen/score/document 96110 CPT 96110 | $208.00 | $320.00 | $9.70 – $9.70 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.87 | $7.50 | $0.08 – $0.12 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $13.12 | $20.19 | $0.22 – $6.06 | 6 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $42.25 | $65.00 | $2.36 – $3.20 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $42.25 | $65.00 | $5.25 – $8.38 | 5 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $42.25 | $65.00 | $1.80 – $22.89 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $42.25 | $65.00 | $3.60 – $3.81 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $99.45 | $153.00 | $19.77 – $27.79 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $69.55 | $107.00 | $8.64 – $59.00 | 6 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $297.70 | $458.00 | $93.26 – $286.76 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | $236.60 | $364.00 | $72.73 – $226.50 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $22.70 | $34.92 | $8.55 – $19.49 | 6 |
| Dicyclomine injection HCPCS J0500 | $53.02 | $81.57 | $11.62 – $97.80 | 6 |
| Diffusing capacity CPT 94729 | $351.65 | $541.00 | $47.81 – $97.36 | 5 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.15 | $11.00 | $8.82 – $12.86 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $74.10 | $114.00 | $11.81 – $17.93 | 6 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $49.92 | $76.80 | $1.00 – $1.00 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $13.17 | $20.26 | $0.73 – $13.81 | 6 |
| Disaccharidases CPT 82657 | $21.45 | $33.00 | $19.72 – $27.71 | 5 |
| Dna antibody native/double stranded CPT 86225 | $86.45 | $133.00 | $12.22 – $62.00 | 7 |
| Dna gardnerella CPT 87510 | $68.25 | $105.00 | $17.83 – $25.06 | 6 |
| Dna probe chlamydia CPT 87490 | $87.75 | $135.00 | $20.24 – $20.24 | 4 |
| Dna probe gc CPT 87590 | $86.45 | $133.00 | $23.91 – $23.91 | 4 |
| Dna trichomonas CPT 87660 | $71.50 | $110.00 | $17.83 – $25.06 | 6 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $98.43 | $151.43 | $7.39 – $9.77 | 5 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $105.69 | $162.60 | $11.00 – $11.00 | 1 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $390.65 | $601.00 | $105.65 – $177.71 | 47 |
| Drainage external ear complex 69005 CPT 69005 | $468.65 | $721.00 | $134.98 – $227.02 | 47 |
| Drainage external ear simple 69000 CPT 69000 | $392.60 | $604.00 | $107.77 – $2,250.00 | 49 |
| Drainage of nose lesion sept 30020 CPT 30020 | $289.90 | $446.00 | $102.49 – $230.54 | 47 |
| Drain blood from under nail 11740 CPT 11740 | $96.20 | $148.00 | $28.79 – $271.86 | 48 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $393.25 | $605.00 | $78.32 – $1,442.34 | 48 |
| Drain finger abscess;simple 26010 CPT 26010 | $489.45 | $753.00 | $132.01 – $409.96 | 48 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $294.45 | $453.00 | $94.65 – $409.96 | 48 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $260.65 | $401.00 | $49.90 – $409.96 | 48 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $331.50 | $510.00 | $113.73 – $830.64 | 48 |
| Drng of finger abscess comp 26011 CPT 26011 | $802.10 | $1,234.00 | $166.59 – $1,442.85 | 47 |
| Drng of scrotum abscess 55100 CPT 55100 | $559.65 | $861.00 | $151.36 – $1,442.85 | 47 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $46.50 | $71.54 | $3.40 – $13.81 | 6 |
| Drug assay caffeine CPT 80155 | $105.30 | $162.00 | $34.31 – $34.31 | 4 |
| Drug assay posaconazole CPT 80187 | $130.00 | $200.00 | $24.11 – $24.11 | 4 |
| Drug assay voriconazole CPT 80285 | $102.70 | $158.00 | $24.11 – $24.11 | 4 |
| Drug of abuse screen urine CPT 80305 | $79.95 | $123.00 | $11.21 – $15.75 | 5 |
| Drug test prsmv instrmnt CPT 80306 | $72.80 | $112.00 | $15.25 – $28.28 | 46 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $250.90 | $386.00 | $55.27 – $77.68 | 5 |
| Drvvt confirm - quest CPT 85597 | $98.80 | $152.00 | $15.99 – $15.99 | 4 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $995.80 | $1,532.00 | $167.40 – $487.54 | 5 |
| Dx bronchoscope/brush 31623 CPT 31623 | $518.05 | $797.00 | $113.08 – $1,535.67 | 47 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $586.30 | $902.00 | $114.55 – $1,535.67 | 48 |
| Dx bronchoscope/wash 31622 CPT 31622 | $564.85 | $869.00 | $113.42 – $3,636.90 | 48 |
| Ear irrigation 69209 CPT 69209 | $144.95 | $223.00 | $14.96 – $120.54 | 44 |
| Ecg 12 lead tracing only CPT 93005 | $168.35 | $259.00 | $5.25 – $184.37 | 6 |
| Ecg external < 48 hours recording CPT 93225 | $626.60 | $964.00 | $15.25 – $271.86 | 5 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,825.85 | $2,809.00 | $168.33 – $1,785.00 | 49 |
| Echocardiography doppler color flow mapping CPT 93325 | $676.00 | $1,040.00 | $484.60 – $484.60 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $898.95 | $1,383.00 | $90.78 – $487.54 | 48 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,318.85 | $2,029.00 | $215.26 – $762.00 | 6 |
| E coli 0157 ag ia CPT 87335 | $76.70 | $118.00 | $11.26 – $11.26 | 4 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $68.25 | $105.00 | $25.50 – $50.58 | 5 |
| Eeg recording awake and asleep CPT 95819 | $906.10 | $1,394.00 | $382.46 – $594.00 | 6 |
| Egfr gene com variants CPT 81235 | $644.15 | $991.00 | $288.71 – $405.73 | 5 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $133.90 | $206.00 | $43.86 – $47.37 | 2 |
| Elbow arthroscopy CPT 29830 | $1,222.65 | $1,881.00 | $402.18 – $2,889.37 | 47 |
| Electrical stimulation/unattended 97014 CPT 97014 | $65.00 | $100.00 | $20.30 – $76.00 | 2 |
| Electrolyte panel CPT 80051 | $85.15 | $131.00 | $6.24 – $8.76 | 5 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $46.11 | $70.94 | $1.68 – $129.00 | 6 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $62.40 | $96.00 | $10.66 – $19.77 | 50 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $358.15 | $551.00 | $41.67 – $1,030.88 | 48 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $66.06 | $101.63 | $35.70 – $35.70 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $10.76 | $16.56 | $3.24 – $3.24 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $3,126.82 | $4,810.50 | $67.00 – $90.60 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $91.65 | $141.00 | $11.67 – $112.00 | 6 |
| Epstein barr nuclear antigen antibody CPT 86664 | $76.05 | $117.00 | $13.60 – $110.00 | 6 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $89.70 | $138.00 | $16.14 – $120.73 | 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.