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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $130.00 | $200.00 | $31.21 – $177.66 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $143.65 | $221.00 | $45.64 – $84.66 | 48 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $250.90 | $386.00 | $126.87 – $235.34 | 48 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $340.60 | $524.00 | $126.87 – $178.29 | 5 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $99.45 | $153.00 | $43.86 – $43.86 | 1 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $152.10 | $234.00 | $31.21 – $57.90 | 49 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $220.35 | $339.00 | $68.85 – $115.80 | 45 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $356.20 | $548.00 | $38.11 – $57.83 | 6 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $284.70 | $438.00 | $38.11 – $70.69 | 49 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $356.85 | $549.00 | $38.11 – $221.00 | 8 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $191.10 | $294.00 | $75.70 – $140.42 | 50 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $304.20 | $468.00 | $126.87 – $126.87 | 4 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $188.50 | $290.00 | $113.69 – $191.22 | 47 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $226.20 | $348.00 | $155.25 – $261.13 | 47 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $145.60 | $224.00 | $67.58 – $113.67 | 47 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,046.50 | $1,610.00 | $447.44 – $447.44 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $19,608.78 | $30,167.35 | $4,976.70 – $6,076.80 | 5 |
| Injection epidural blood patch or clot CPT 62273 | $585.00 | $900.00 | $96.58 – $1,442.34 | 49 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $10,913.88 | $16,790.58 | $3,487.52 – $4,441.76 | 5 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,242.15 | $1,911.00 | $1,262.05 – $1,262.05 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $298.35 | $459.00 | $36.12 – $1,442.34 | 48 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $560.30 | $862.00 | $93.50 – $1,807.26 | 49 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $341.25 | $525.00 | $48.26 – $84.74 | 47 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $577.20 | $888.00 | $88.52 – $1,807.26 | 48 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $306.15 | $471.00 | $41.67 – $78.97 | 47 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $507.65 | $781.00 | $76.43 – $1,807.26 | 48 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $154.70 | $238.00 | $33.45 – $627.20 | 49 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $195.00 | $300.00 | $38.14 – $772.00 | 49 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $136.50 | $210.00 | $41.09 – $164.46 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $136.50 | $210.00 | $38.12 – $38.12 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $136.50 | $210.00 | $173.35 – $369.43 | 6 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $102.70 | $158.00 | $63.38 – $125.05 | 6 |
| Inject sacroiliac joint CPT 27096 | $791.05 | $1,217.00 | $69.52 – $738.00 | 49 |
| Inj meropenem (wg crit care) HCPCS J2183 | $20.78 | $31.97 | $16.50 – $18.40 | 5 |
| Inj multihance HCPCS A9577 | $124.11 | $190.94 | $11.10 – $11.10 | 1 |
| Insert cath pleura without image CPT 32556 | $436.15 | $671.00 | $105.69 – $3,920.94 | 48 |
| Insertion catheter bladder non indwelling CPT 51701 | $139.75 | $215.00 | $20.87 – $340.94 | 49 |
| Insertion catheter bladder temporary simple CPT 51702 | $214.50 | $330.00 | $21.45 – $271.86 | 49 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $448.50 | $690.00 | $73.37 – $6,451.74 | 48 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,360.45 | $2,093.00 | $632.07 – $3,216.50 | 6 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $1,422.85 | $2,189.00 | $290.79 – $2,802.90 | 47 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $230.75 | $355.00 | $113.41 – $144.63 | 5 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,069.25 | $1,645.00 | $218.01 – $6,451.74 | 48 |
| Insulin total CPT 83525 | $76.70 | $118.00 | $10.17 – $94.00 | 6 |
| Intrinsic factor antibody CPT 86340 | $79.30 | $122.00 | $13.41 – $18.85 | 5 |
| Intubation endotracheal emergency procedure CPT 31500 | $722.15 | $1,111.00 | $124.95 – $211.13 | 47 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $111.12 | $170.95 | $2.80 – $1,675.80 | 6 |
| Iron CPT 83540 | $60.45 | $93.00 | $5.75 – $49.04 | 6 |
| Iron binding capacity CPT 83550 | $65.00 | $100.00 | $7.77 – $76.94 | 6 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $262.08 | $403.20 | $23.00 – $27.00 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $79.30 | $122.00 | $14.05 – $80.00 | 6 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $130.65 | $201.00 | $20.94 – $102.46 | 5 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $157.95 | $243.00 | $63.38 – $125.05 | 5 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $157.95 | $243.00 | $16.94 – $82.00 | 6 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $157.95 | $243.00 | $41.09 – $82.00 | 6 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $181.35 | $279.00 | $187.62 – $375.00 | 6 |
| Ivp w/nephrotomography CPT 74415 | $748.15 | $1,151.00 | $106.87 – $106.87 | 4 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $761.15 | $1,171.00 | $93.26 – $636.00 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | $449.15 | $691.00 | $164.73 – $231.50 | 5 |
| John cunningham antibody CPT 86711 | $1,034.80 | $1,592.00 | $15.02 – $21.11 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $58.50 | $90.00 | $7.27 – $80.00 | 7 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $14.31 | $22.01 | $0.42 – $13.23 | 6 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $663.65 | $1,021.00 | $61.35 – $567.92 | 6 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $1,906.45 | $2,933.00 | $538.83 – $2,950.00 | 48 |
| Knee arthroscopy dx CPT 29870 | $1,222.65 | $1,881.00 | $365.88 – $2,889.37 | 47 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $1,811.55 | $2,787.00 | $473.12 – $2,889.37 | 48 |
| Knee arthroscopy/surgery CPT 29873 | $1,363.05 | $2,097.00 | $475.34 – $2,889.37 | 47 |
| Knee arthroscopy/surgery CPT 29874 | $1,422.20 | $2,188.00 | $464.78 – $2,950.00 | 48 |
| Knee arthroscopy/surgery CPT 29875 | $1,501.50 | $2,310.00 | $434.73 – $2,889.37 | 47 |
| Knee arthroscopy/surgery CPT 29879 | $1,689.35 | $2,599.00 | $572.67 – $2,889.37 | 47 |
| Knee arthroscopy/surgery CPT 29880 | $2,028.65 | $3,121.00 | $489.12 – $2,889.37 | 48 |
| Knee arthroscopy/surgery CPT 29888 | $2,914.60 | $4,484.00 | $821.73 – $6,361.60 | 48 |
| Knee MRI (with and without contrast) CPT 73723 | $4,414.80 | $6,792.00 | $246.53 – $2,064.00 | 6 |
| Knee MRI (without contrast) CPT 73721 | $3,461.90 | $5,326.00 | $120.47 – $1,726.00 | 6 |
| Knee X-ray CPT 73564 | $539.50 | $830.00 | $30.25 – $240.32 | 5 |
| Kras gene addl variants CPT 81276 | $384.80 | $592.00 | $171.89 – $241.56 | 5 |
| Kras gene variants exon 2 CPT 81275 | $664.30 | $1,022.00 | $171.89 – $241.56 | 5 |
| Lactate dehydrogenase (ldh) CPT 83615 | $46.15 | $71.00 | $5.37 – $16.00 | 6 |
| Lactated ringers intravenous solution HCPCS J7120 | $42.25 | $65.00 | $2.41 – $45.00 | 6 |
| Lactic acid CPT 83605 | $177.45 | $273.00 | $10.29 – $14.46 | 5 |
| Lactoferrin fecal qualitative CPT 83630 | $80.60 | $124.00 | $17.52 – $28.00 | 6 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $641.55 | $987.00 | $128.73 – $1,535.67 | 47 |
| Lead capillary CPT 83655 | $58.50 | $90.00 | $10.77 – $15.14 | 5 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $967.20 | $1,488.00 | $157.95 – $791.00 | 6 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $17.02 | $26.18 | $2.00 – $2.50 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $120.90 | $186.00 | $11.79 – $16.56 | 5 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $58.40 | $89.85 | $1.89 – $117.24 | 6 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $30.62 | $47.11 | $20.00 – $20.00 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $80.60 | $124.00 | $13.07 – $13.07 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $61.68 | $94.90 | $8.94 – $9.24 | 5 |
| Lipase CPT 83690 | $85.80 | $132.00 | $6.13 – $68.00 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | $70.85 | $109.00 | $30.12 – $30.12 | 4 |
| Lipoprotein direct measurement hdl CPT 83718 | $48.75 | $75.00 | $7.28 – $7.28 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | $48.75 | $75.00 | $9.34 – $73.00 | 6 |
| Lithium therapeutic drug level CPT 80178 | $72.15 | $111.00 | $5.88 – $56.00 | 6 |
| Liver Function Test CPT 80076 | $95.55 | $147.00 | $7.27 – $77.00 | 6 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.62 | $20.96 | $1.35 – $17.61 | 6 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,507.05 | $3,857.00 | $119.64 – $1,470.00 | 6 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,113.15 | $3,251.00 | $318.03 – $1,415.00 | 6 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,825.85 | $2,809.00 | $94.70 – $1,374.00 | 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.