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 |
|---|---|---|---|---|
| Ghs corneal fb with slit lamp bilat CPT 65222 | $171.60 | $264.00 | $39.50 – $271.86 | 48 |
| Ghs dislocation elbow closed treatment CPT 24600 | $819.00 | $1,260.00 | $339.77 – $614.20 | 47 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $113.10 | $174.00 | $28.10 – $571.50 | 48 |
| Ghs excision ingrown nail CPT 11765 | $240.50 | $370.00 | $82.36 – $830.64 | 48 |
| Ghs fb removal foot - deep - left CPT 28192 | $862.55 | $1,327.00 | $273.14 – $1,442.85 | 47 |
| Ghs fb removal - incisional CPT 10121 | $548.60 | $844.00 | $159.11 – $1,442.85 | 47 |
| Ghs fb removal - non-incisional CPT 20520 | $421.85 | $649.00 | $130.46 – $3,374.74 | 48 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $58.50 | $90.00 | $6.21 – $11.52 | 49 |
| Ghs fish cytogen CPT 88271 | $308.75 | $475.00 | $19.05 – $26.78 | 5 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $109.20 | $168.00 | $45.53 – $63.99 | 5 |
| Ghs gastric intub aspiration lavage CPT 43753 | $304.20 | $468.00 | $19.11 – $441.20 | 48 |
| Ghs hgb stability-thal CPT 83068 | $79.95 | $123.00 | $8.42 – $15.63 | 50 |
| Ghs histoplasma antigen CPT 87385 | $169.00 | $260.00 | $11.79 – $16.56 | 5 |
| Ghs HIV antibody CPT 86703 | $89.70 | $138.00 | $7.91 – $105.00 | 6 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $549.25 | $845.00 | $186.22 – $1,824.23 | 47 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,020.50 | $1,570.00 | $396.75 – $667.31 | 48 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $655.20 | $1,008.00 | $155.26 – $1,446.94 | 48 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $343.85 | $529.00 | $96.35 – $213.04 | 47 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $391.30 | $602.00 | $98.59 – $178.39 | 47 |
| Ghs inhibitor screen CPT 85335 | $158.60 | $244.00 | $11.45 – $21.24 | 50 |
| Ghs init tx 1st degree burn CPT 16000 | $180.05 | $277.00 | $39.54 – $409.96 | 48 |
| Ghs inj tendon origin/insertion CPT 20551 | $137.80 | $212.00 | $31.38 – $627.20 | 48 |
| Ghs insertion of needle - bone CPT 36680 | $261.95 | $403.00 | $52.69 – $91.01 | 47 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $783.25 | $1,205.00 | $207.26 – $348.60 | 47 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $510.90 | $786.00 | $120.77 – $203.13 | 47 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $528.45 | $813.00 | $151.86 – $355.35 | 47 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $432.25 | $665.00 | $123.32 – $830.64 | 48 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $453.70 | $698.00 | $120.07 – $830.64 | 48 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $464.10 | $714.00 | $138.34 – $2,318.00 | 49 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $509.60 | $784.00 | $160.60 – $830.64 | 48 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $524.55 | $807.00 | $156.65 – $830.64 | 48 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $637.00 | $980.00 | $174.07 – $313.32 | 47 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $592.80 | $912.00 | $167.23 – $830.64 | 48 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $664.95 | $1,023.00 | $177.19 – $1,510.16 | 48 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $830.70 | $1,278.00 | $183.56 – $330.26 | 47 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $573.95 | $883.00 | $246.95 – $415.35 | 47 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $885.30 | $1,362.00 | $271.18 – $456.11 | 47 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $811.20 | $1,248.00 | $286.31 – $481.57 | 47 |
| Ghs mbp CPT 83873 | $114.40 | $176.00 | $15.30 – $147.00 | 6 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $176.15 | $271.00 | $20.17 – $97.16 | 48 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $110.50 | $170.00 | $73.98 – $130.40 | 47 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $118.30 | $182.00 | $66.84 – $116.77 | 48 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $189.15 | $291.00 | $9.67 – $19.14 | 48 |
| Ghs nailbed repair/nail removal CPT 11760 | $444.60 | $684.00 | $96.33 – $1,510.16 | 48 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $529.75 | $815.00 | $20.65 – $1,807.26 | 48 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $469.30 | $722.00 | $71.83 – $1,807.26 | 48 |
| Ghs nerve block suprascapular CPT 64418 | $591.50 | $910.00 | $45.69 – $1,442.34 | 48 |
| Ghs ot dds rom CPT 95851 | $66.95 | $103.00 | $18.57 – $40.46 | 5 |
| Ghs ot prosthetic training/15 min CPT 97761 | $80.60 | $124.00 | $36.39 – $64.33 | 5 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $75.40 | $116.00 | $53.54 – $95.13 | 5 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $300.95 | $463.00 | $48.63 – $85.02 | 47 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $271.70 | $418.00 | $42.85 – $78.97 | 47 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $41.60 | $64.00 | $20.85 – $20.85 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | $385.45 | $593.00 | $117.67 – $197.92 | 47 |
| Ghs phenylketonurid CPT 84030 | $32.50 | $50.00 | $4.89 – $12.00 | 6 |
| Ghs picc line insert < 5 CPT 36568 | $1,160.25 | $1,785.00 | $80.08 – $3,216.50 | 48 |
| Ghs plngl fx pm cl CPT 26725 | $642.20 | $988.00 | $292.67 – $492.26 | 47 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $6,637.80 | $10,212.00 | $823.89 – $1,754.68 | 5 |
| Ghs ppd (tb intradermal) CPT 86580 | $49.40 | $76.00 | $8.58 – $51.71 | 5 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $53.95 | $83.00 | $8.59 – $8.59 | 4 |
| Ghs protoporphyrins fract CPT 84202 | $70.20 | $108.00 | $12.76 – $12.76 | 4 |
| Ghs quinidine CPT 80194 | $63.70 | $98.00 | $12.99 – $12.99 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $378.30 | $582.00 | $104.87 – $179.38 | 47 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $136.50 | $210.00 | $12.37 – $118.00 | 6 |
| Ghs sedimentation rate CPT 85651 | $49.40 | $76.00 | $3.80 – $25.00 | 6 |
| Ghs sensitivity (per antimicro) CPT 87184 | $63.05 | $97.00 | $6.65 – $68.00 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $541.45 | $833.00 | $84.23 – $154.01 | 47 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $787.15 | $1,211.00 | $114.49 – $192.57 | 47 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $642.85 | $989.00 | $102.42 – $178.04 | 47 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $888.55 | $1,367.00 | $136.87 – $241.87 | 47 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $487.50 | $750.00 | $67.53 – $123.97 | 47 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $462.15 | $711.00 | $67.19 – $1,233.30 | 49 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $600.60 | $924.00 | $84.51 – $149.88 | 47 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $711.75 | $1,095.00 | $125.52 – $211.12 | 47 |
| Ghs sleep study unattended CPT 95800 | $505.70 | $778.00 | $116.07 – $441.20 | 5 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $216.45 | $333.00 | $91.09 – $91.09 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $72.80 | $112.00 | $14.54 – $294.50 | 48 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $546.00 | $840.00 | $164.84 – $1,510.16 | 48 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $859.30 | $1,322.00 | $261.73 – $1,319.10 | 47 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $457.60 | $704.00 | $272.28 – $457.96 | 47 |
| Ghs urine, porphyrins quant CPT 84120 | $85.15 | $131.00 | $13.08 – $18.39 | 5 |
| Ghs vaginal delivery only CPT 59409 | $1,892.80 | $2,912.00 | $670.75 – $1,128.17 | 47 |
| Gi inhouse confirmation CPT 87045 | $102.70 | $158.00 | $8.40 – $93.00 | 8 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,224.86 | $1,884.40 | $181.45 – $184.18 | 5 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,105.35 | $1,700.54 | $111.91 – $167.40 | 5 |
| Glucagon plasma - sendout CPT 82943 | $89.05 | $137.00 | $12.71 – $12.71 | 4 |
| Glucose 1 hr post dose CPT 82950 | $41.60 | $64.00 | $4.23 – $5.94 | 5 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $24.70 | $38.00 | $2.92 – $2.92 | 4 |
| Glucose blood quantitative CPT 82947 | $34.45 | $53.00 | $3.50 – $19.00 | 6 |
| Glucose body fluid CPT 82945 | $72.80 | $112.00 | $3.50 – $44.00 | 42 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $137.15 | $211.00 | $11.45 – $98.57 | 6 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $34.45 | $53.00 | $3.49 – $30.02 | 6 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $7.15 | $11.00 | $0.46 – $0.58 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $101.40 | $156.00 | $16.53 – $142.00 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $99.45 | $153.00 | $16.47 – $142.00 | 6 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $79.30 | $122.00 | $28.53 – $222.50 | 5 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $155.35 | $239.00 | $222.50 – $222.50 | 1 |
| Great toe with reduction 28495 CPT 28495 | $374.40 | $576.00 | $140.87 – $236.94 | 47 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.15 | $11.00 | $0.98 – $17.63 | 6 |
| Hand X-ray CPT 73130 | $468.00 | $720.00 | $24.14 – $233.00 | 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.