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 |
|---|---|---|---|---|
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $656.17 | $1,009.50 | $16.16 – $58.60 | 5 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $6,549.04 | $10,075.45 | $1,932.00 – $2,548.00 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $607.18 | $934.13 | $17.90 – $22.02 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $277.55 | $427.00 | $10.47 – $129.23 | 48 |
| ER Visit (level 2) CPT 99282 | $470.60 | $724.00 | $38.44 – $235.31 | 49 |
| ER Visit (level 3) CPT 99283 | $781.95 | $1,203.00 | $66.04 – $456.62 | 49 |
| ER Visit (level 4) CPT 99284 | $1,398.67 | $2,151.80 | $112.41 – $694.08 | 49 |
| ER Visit (level 5, high severity) CPT 99285 | $3,294.21 | $5,068.02 | $163.11 – $1,090.00 | 49 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $15.40 | $23.69 | $1.68 – $2.40 | 5 |
| Established Patient Office Visit (level 1) CPT 99211 | $112.45 | $173.00 | $7.36 – $269.08 | 49 |
| Established Patient Office Visit (level 2) CPT 99212 | $157.95 | $243.00 | $29.59 – $154.00 | 49 |
| Established Patient Office Visit (level 3) CPT 99213 | $179.40 | $276.00 | $54.82 – $151.81 | 49 |
| Established Patient Office Visit (level 4) CPT 99214 | $193.70 | $298.00 | $80.63 – $216.61 | 49 |
| Established Patient Office Visit (level 5) CPT 99215 | $251.55 | $387.00 | $121.95 – $159.49 | 10 |
| Estradiol total CPT 82670 | $124.15 | $191.00 | $24.85 – $34.93 | 5 |
| Estrogens total-sendout CPT 82672 | $137.15 | $211.00 | $19.30 – $27.13 | 5 |
| Ethylene glycol -sendout CPT 82693 | $103.35 | $159.00 | $13.25 – $13.25 | 4 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $226.20 | $348.00 | $109.47 – $109.47 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $144.95 | $223.00 | $87.27 – $122.64 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $430.30 | $662.00 | $118.27 – $215.87 | 5 |
| Evaluation psychiatric diagnostic CPT 90791 | $401.70 | $618.00 | $134.31 – $362.68 | 48 |
| Event monitor CPT 93270 | $296.40 | $456.00 | $6.92 – $76.26 | 5 |
| Excision olecranon bursa CPT 24105 | $843.05 | $1,297.00 | $325.37 – $2,889.37 | 48 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,183.65 | $1,821.00 | $126.25 – $1,442.85 | 48 |
| External chromosome analysis 20-25 cells CPT 88264 | $328.25 | $505.00 | $128.63 – $195.22 | 6 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $356.85 | $549.00 | $127.86 – $194.06 | 6 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $94.25 | $145.00 | $15.95 – $48.30 | 8 |
| Facial bones <3 CPT 70140 | $216.45 | $333.00 | $18.86 – $200.05 | 5 |
| Factor ix CPT 85250 | $130.65 | $201.00 | $16.94 – $23.80 | 5 |
| Factor viii CPT 85240 | $128.05 | $197.00 | $15.92 – $22.38 | 5 |
| Family therapy without pt 50min 90846 CPT 90846 | $294.45 | $453.00 | $89.72 – $89.72 | 4 |
| Family therapy with patient 50 min 90847 CPT 90847 | $222.95 | $343.00 | $93.98 – $362.68 | 5 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $7.15 | $11.00 | $0.40 – $0.40 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $39.00 | $60.00 | $4.54 – $44.00 | 6 |
| Fatty acids nonesterified CPT 82725 | $82.55 | $127.00 | $16.70 – $23.46 | 5 |
| #fecal-sodium CPT 84302 | $40.30 | $62.00 | $4.32 – $6.08 | 5 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $117.65 | $181.00 | $16.58 – $16.58 | 4 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $215.69 | $331.83 | $0.85 – $11.78 | 6 |
| Ferritin CPT 82728 | $86.45 | $133.00 | $12.12 – $119.92 | 6 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3,231.75 | $4,971.92 | $142.80 – $193.80 | 5 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,217.45 | $1,873.00 | $675.16 – $675.16 | 4 |
| Fetal fibronectin CPT 82731 | $346.45 | $533.00 | $57.29 – $634.00 | 49 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $106.60 | $164.00 | $6.88 – $76.00 | 6 |
| Fetal hemoglobin rosette CPT 85461 | $63.05 | $97.00 | $8.33 – $11.70 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $126.10 | $194.00 | $9.05 – $70.00 | 6 |
| Fibrinogen activity CPT 85384 | $84.50 | $130.00 | $8.65 – $53.00 | 6 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $52.00 | $80.00 | $13.77 – $19.35 | 5 |
| Fibrinolytic antiplasmin CPT 85410 | $68.90 | $106.00 | $6.86 – $6.86 | 4 |
| Fibrinolytic plasminogen CPT 85415 | $72.15 | $111.00 | $15.29 – $21.49 | 5 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $79.95 | $123.00 | $5.81 – $5.81 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,554.44 | $2,391.44 | $470.40 – $604.80 | 5 |
| Finasteride, 5 mg HCPCS S0138 | $4.87 | $7.50 | $0.14 – $0.14 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $239.20 | $368.00 | $43.57 – $996.66 | 48 |
| Fixation of knee joint CPT 27570 | $512.85 | $789.00 | $136.79 – $3,285.64 | 48 |
| Flecainide (tambocor)-sendout CPT 80181 | $128.05 | $197.00 | $16.58 – $23.30 | 5 |
| Flow cytometry marker each additional CPT 88185 | $77.35 | $119.00 | $19.72 – $62.00 | 6 |
| Flow cytometry one marker technical component CPT 88184 | $203.45 | $313.00 | $62.00 – $640.87 | 6 |
| #flow interp 9 - 15 markers CPT 88188 | $202.15 | $311.00 | $54.19 – $70.19 | 5 |
| Flt3 gene CPT 81245 | $392.60 | $604.00 | $147.22 – $206.89 | 5 |
| Flt3 gene analysis CPT 81246 | $461.50 | $710.00 | $73.83 – $103.75 | 5 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $81.81 | $125.86 | $2.39 – $4.80 | 5 |
| Fluorescent antibody titer dna CPT 86256 | $141.70 | $218.00 | $10.72 – $19.88 | 49 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $497.25 | $765.00 | $64.12 – $466.00 | 6 |
| Fluoroguide needle placement CPT 77002 | $431.60 | $664.00 | $74.68 – $283.00 | 6 |
| Fluoroscopy up to 1 hour CPT 76000 | $448.50 | $690.00 | $23.30 – $548.48 | 6 |
| Folic acid CPT 82746 | $83.85 | $129.00 | $13.08 – $112.53 | 6 |
| Foot X-ray CPT 73630 | $499.85 | $769.00 | $21.91 – $259.00 | 6 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $530.63 | $816.35 | $3.30 – $802.56 | 2 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $235.30 | $362.00 | $52.21 – $107.48 | 5 |
| Fructosamine glycated protein CPT 82985 | $55.90 | $86.00 | $14.91 – $20.95 | 5 |
| Ftl cgen abnor four anal CPT 81511 | $200.85 | $309.00 | $191.88 – $191.88 | 1 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $7.15 | $11.00 | $0.40 – $0.40 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $393.70 | $605.70 | $36.00 – $4,148.40 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $621.01 | $955.40 | $182.70 – $182.70 | 1 |
| Gammaglobulin iga CPT 82784 | $98.80 | $152.00 | $8.27 – $71.17 | 6 |
| Gammaglobulin ige CPT 82785 | $94.90 | $146.00 | $14.64 – $109.60 | 8 |
| Gamma glutamyltransferase CPT 82977 | $61.75 | $95.00 | $6.40 – $29.00 | 6 |
| Gastric emptying imag study CPT 78265 | $1,105.00 | $1,700.00 | $261.73 – $918.97 | 5 |
| Gastric emptying imag study CPT 78266 | $1,463.15 | $2,251.00 | $300.02 – $1,248.14 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $30.76 | $47.32 | $2.39 – $14.56 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $74.10 | $114.00 | $14.57 – $20.48 | 5 |
| Ghs abscess perianal iandd CPT 46050 | $458.25 | $705.00 | $96.34 – $201.35 | 10 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $55.90 | $86.00 | $8.73 – $8.73 | 4 |
| Ghs antibodies (torch) igm CPT 86694 | $81.90 | $126.00 | $12.80 – $17.99 | 5 |
| Ghs bladder cath - complex-foley CPT 51703 | $354.25 | $545.00 | $63.72 – $262.92 | 48 |
| Ghs bleeding time (ivy) CPT 85002 | $68.25 | $105.00 | $4.29 – $4.29 | 4 |
| Ghs change cysto/gastrost CPT 43762 | $370.50 | $570.00 | $32.28 – $510.52 | 48 |
| Ghs chemo IV push, ea addtl CPT 96411 | $253.50 | $390.00 | $63.38 – $125.05 | 5 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $115.05 | $177.00 | $31.21 – $31.21 | 4 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $625.30 | $962.00 | $261.35 – $469.79 | 47 |
| Ghs closed reduction ankle dislocation CPT 27840 | $906.75 | $1,395.00 | $347.09 – $691.80 | 47 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,094.60 | $1,684.00 | $422.57 – $1,425.19 | 47 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,270.75 | $1,955.00 | $457.20 – $1,425.19 | 47 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $589.55 | $907.00 | $290.19 – $488.09 | 47 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,119.95 | $1,723.00 | $446.43 – $1,425.19 | 47 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,029.60 | $1,584.00 | $439.50 – $1,425.19 | 47 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $807.95 | $1,243.00 | $456.65 – $800.55 | 47 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $544.70 | $838.00 | $306.64 – $532.64 | 47 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $105.95 | $163.00 | $23.08 – $271.86 | 49 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $206.05 | $317.00 | $35.32 – $59.40 | 47 |
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.