Mercy Hospital Healdton
3462 Hospital Road, Healdton, OK · Mercy · · NPI 1578710406
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 |
|---|---|---|---|---|
| Lithium therapeutic drug level CPT 80178 | $71.50 | $110.00 | $5.88 – $8.26 | 5 |
| Liver Function Test CPT 80076 | $146.25 | $225.00 | $7.27 – $10.21 | 5 |
| Liver/spleen imag static only CPT 78215 | $770.25 | $1,185.00 | $132.92 – $918.97 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.00 | $20.00 | $1.35 – $2.06 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,533.05 | $3,897.00 | $119.64 – $403.20 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,406.95 | $3,703.00 | $318.03 – $801.97 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,963.00 | $3,020.00 | $94.70 – $240.32 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,537.95 | $5,443.00 | $184.04 – $801.97 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,620.15 | $4,031.00 | $162.10 – $980.18 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,601.95 | $4,003.00 | $105.76 – $670.37 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $336.05 | $517.00 | $24.41 – $240.32 | 5 |
| L/s ratio fetal lung CPT 83661 | $179.40 | $276.00 | $19.56 – $19.56 | 4 |
| Lumbar diskogram s&i CPT 72295 | $2,235.35 | $3,439.00 | $1,738.97 – $4,488.80 | 5 |
| Lung function test (mbc/mvv) CPT 94200 | $132.60 | $204.00 | $12.62 – $120.54 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | $252.85 | $389.00 | $23.30 – $441.20 | 54 |
| Lung perfusion imaging CPT 78580 | $941.20 | $1,448.00 | $152.08 – $918.97 | 5 |
| Lymphatics/lymph node imaging CPT 78195 | $1,505.40 | $2,316.00 | $223.96 – $1,248.14 | 5 |
| Macroscopic exam arthropod CPT 87168 | $34.45 | $53.00 | $3.80 – $5.34 | 5 |
| Macroscopic exam parasite CPT 87169 | $34.45 | $53.00 | $3.83 – $5.39 | 5 |
| Magnesium CPT 83735 | $73.45 | $113.00 | $5.96 – $11.06 | 47 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $61.42 | $94.50 | $0.98 – $1.06 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $93.60 | $144.00 | $32.70 – $271.86 | 5 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $110.50 | $170.00 | $20.78 – $271.86 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $85.15 | $131.00 | $12.86 – $18.08 | 5 |
| Mayo aathr protein s free CPT 85306 | $139.10 | $214.00 | $13.63 – $19.15 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $220.35 | $339.00 | $34.31 – $48.21 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $86.45 | $133.00 | $13.15 – $18.48 | 5 |
| Mayo alpha 1 antitrypsin CPT 82103 | $98.80 | $152.00 | $11.95 – $16.80 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $114.40 | $176.00 | $13.41 – $18.85 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $594.10 | $914.00 | $108.19 – $152.04 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $453.70 | $698.00 | $81.53 – $114.58 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $414.70 | $638.00 | $121.86 – $121.86 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,539.20 | $2,368.00 | $1,031.80 – $1,450.00 | 5 |
| Mayo androstenedione CPT 82157 | $116.35 | $179.00 | $26.04 – $36.60 | 5 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $89.05 | $137.00 | $12.99 – $18.25 | 5 |
| Mayo antithrombin iii antigen CPT 85301 | $104.00 | $160.00 | $9.62 – $13.51 | 5 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $91.00 | $140.00 | $13.39 – $18.81 | 5 |
| Mayo avwpr vw factor activity CPT 85397 | $103.35 | $159.00 | $27.45 – $38.58 | 5 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $182.00 | $280.00 | $43.86 – $47.37 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $45.50 | $70.00 | $9.05 – $12.73 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $450.45 | $693.00 | $128.83 – $181.05 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $338.65 | $521.00 | $190.90 – $268.28 | 5 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $96.85 | $149.00 | $11.47 – $16.13 | 5 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $79.95 | $123.00 | $11.73 – $16.49 | 5 |
| Mayo brcmg brucella antibody igm CPT 86622 | $83.85 | $129.00 | $7.94 – $7.94 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $152.10 | $234.00 | $12.10 – $17.00 | 5 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $91.65 | $141.00 | $23.82 – $33.48 | 5 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $289.25 | $445.00 | $108.71 – $152.78 | 5 |
| Mayo ceruloplasmin CPT 82390 | $75.40 | $116.00 | $9.55 – $17.72 | 51 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $173.55 | $267.00 | $12.56 – $17.65 | 5 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $100.75 | $155.00 | $11.46 – $16.10 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $58.50 | $90.00 | $10.51 – $10.51 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $66.95 | $103.00 | $11.28 – $11.28 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $355.55 | $547.00 | $103.62 – $103.62 | 4 |
| Mayo chromium CPT 82495 | $75.40 | $116.00 | $18.04 – $33.46 | 54 |
| Mayo coccidioides antibody CPT 86635 | $66.30 | $102.00 | $10.20 – $14.34 | 5 |
| Mayo cocou cortisone urine CPT 82542 | $239.85 | $369.00 | $21.43 – $30.11 | 5 |
| Mayo cortisol free CPT 82530 | $99.45 | $153.00 | $14.86 – $22.56 | 6 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $71.50 | $110.00 | $37.47 – $52.66 | 5 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $73.45 | $113.00 | $10.78 – $15.15 | 5 |
| Mayo cyanide CPT 82600 | $85.80 | $132.00 | $17.26 – $17.26 | 4 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $489.45 | $753.00 | $304.61 – $486.88 | 5 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $82.55 | $127.00 | $11.79 – $16.56 | 5 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $119.60 | $184.00 | $22.48 – $41.70 | 53 |
| Mayo dihydrotestosterone CPT 82642 | $101.40 | $156.00 | $36.60 – $36.60 | 1 |
| Mayo efpo chloride stool CPT 82438 | $44.20 | $68.00 | $4.45 – $6.25 | 5 |
| Mayo estriol CPT 82677 | $86.45 | $133.00 | $21.51 – $30.23 | 5 |
| Mayo estrone CPT 82679 | $100.75 | $155.00 | $22.19 – $31.19 | 5 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $69.55 | $107.00 | $14.53 – $20.43 | 5 |
| Mayo everolimus therapeutic drug level CPT 80169 | $221.00 | $340.00 | $12.21 – $17.16 | 5 |
| Mayo factor ii CPT 85210 | $94.90 | $146.00 | $11.55 – $11.55 | 4 |
| Mayo factor v CPT 85220 | $119.60 | $184.00 | $9.09 – $39.26 | 9 |
| Mayo factor vii CPT 85230 | $124.80 | $192.00 | $15.92 – $22.38 | 5 |
| Mayo factor viii vw factor antigen CPT 85246 | $163.80 | $252.00 | $20.40 – $28.68 | 5 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $160.55 | $247.00 | $20.40 – $28.68 | 5 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $171.60 | $264.00 | $20.40 – $28.68 | 5 |
| Mayo factor x CPT 85260 | $131.95 | $203.00 | $15.92 – $15.92 | 4 |
| Mayo factor xi CPT 85270 | $131.95 | $203.00 | $15.92 – $22.38 | 5 |
| Mayo fat/lipids feces quantitative CPT 82710 | $106.60 | $164.00 | $14.94 – $14.94 | 4 |
| Mayo fbl culture fungi blood CPT 87103 | $90.35 | $139.00 | $18.20 – $25.58 | 5 |
| Mayo ffspg allergen clam igg CPT 86001 | $27.95 | $43.00 | $9.78 – $9.78 | 1 |
| Mayo fibrinogen antigen CPT 85385 | $103.35 | $159.00 | $12.86 – $12.86 | 4 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $73.45 | $113.00 | $19.28 – $27.09 | 5 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $126.10 | $194.00 | $31.21 – $57.90 | 54 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $48.75 | $75.00 | $12.27 – $17.24 | 5 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $133.90 | $206.00 | $22.96 – $32.26 | 5 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $71.50 | $110.00 | $7.91 – $12.00 | 6 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $100.75 | $155.00 | $16.90 – $18.25 | 2 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $98.15 | $151.00 | $24.17 – $33.96 | 5 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $270.40 | $416.00 | $15.36 – $21.59 | 5 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $113.10 | $174.00 | $13.33 – $18.74 | 6 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $141.05 | $217.00 | $18.51 – $26.01 | 5 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $157.95 | $243.00 | $18.51 – $26.01 | 5 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $65.65 | $101.00 | $14.29 – $20.09 | 6 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $161.20 | $248.00 | $10.66 – $14.98 | 5 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $165.75 | $255.00 | $34.42 – $57.90 | 49 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $133.25 | $205.00 | $31.21 – $43.86 | 5 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $336.05 | $517.00 | $38.11 – $53.55 | 5 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $244.40 | $376.00 | $64.21 – $97.46 | 9 |
| Mayo infliximab therapeutic drug level CPT 80230 | $174.20 | $268.00 | $34.31 – $34.31 | 4 |
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.