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 |
|---|---|---|---|---|
| MRI tmj CPT 70336 | $1,978.60 | $3,044.00 | $168.79 – $548.48 | 5 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,174.90 | $3,346.00 | $191.13 – $548.48 | 5 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,127.50 | $6,350.00 | $267.35 – $801.97 | 5 |
| MRI upper extremity w/dye CPT 73219 | $2,113.15 | $3,251.00 | $220.70 – $220.70 | 4 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,034.85 | $4,669.00 | $712.86 – $712.86 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,084.55 | $3,207.00 | $712.86 – $712.86 | 1 |
| Mthfr gene analy common variants CPT 81291 | $246.35 | $379.00 | $81.68 – $81.68 | 1 |
| Multiple sleep latency test CPT 95805 | $1,922.70 | $2,958.00 | $363.59 – $1,754.68 | 5 |
| Mumps antibody igg CPT 86735 | $79.95 | $123.00 | $11.61 – $21.53 | 54 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $4.87 | $7.50 | $0.15 – $0.17 | 5 |
| Mycoplasma antibody igm CPT 86738 | $92.30 | $142.00 | $11.78 – $16.55 | 5 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $451.75 | $695.00 | $156.02 – $219.25 | 5 |
| Myelogphy 2/> spine regions CPT 72270 | $1,310.40 | $2,016.00 | $703.56 – $703.56 | 4 |
| Myelography l-s spine CPT 72265 | $1,174.55 | $1,807.00 | $58.02 – $1,802.03 | 5 |
| Myelography neck spine CPT 72240 | $1,174.55 | $1,807.00 | $703.56 – $1,802.03 | 5 |
| Myelography thoracic spine CPT 72255 | $1,174.55 | $1,807.00 | $54.13 – $54.13 | 4 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $93.60 | $144.00 | $10.26 – $14.41 | 5 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $105.79 | $162.75 | $6.00 – $23.00 | 5 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $37.81 | $58.17 | $3.43 – $4.24 | 5 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $19.30 | $29.69 | $0.90 – $0.90 | 1 |
| Natriuretic peptide CPT 83880 | $130.65 | $201.00 | $34.92 – $64.78 | 46 |
| Natural killer cells total count CPT 86357 | $106.60 | $164.00 | $33.56 – $47.16 | 5 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,687.75 | $4,135.00 | $119.36 – $403.20 | 5 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,978.60 | $3,044.00 | $318.03 – $801.97 | 5 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,873.95 | $2,883.00 | $72.18 – $240.32 | 5 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,357.90 | $5,166.00 | $184.60 – $801.97 | 5 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,334.80 | $3,592.00 | $165.99 – $980.18 | 5 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,118.35 | $3,259.00 | $105.48 – $670.37 | 5 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,842.45 | $4,373.00 | $225.95 – $801.97 | 5 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,248.35 | $3,459.00 | $152.11 – $801.97 | 5 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,901.25 | $2,925.00 | $138.22 – $548.48 | 5 |
| New Patient Office Visit (level 2) CPT 99202 | $146.90 | $226.00 | $39.18 – $119.27 | 54 |
| New Patient Office Visit (level 3) CPT 99203 | $205.40 | $316.00 | $67.95 – $187.15 | 54 |
| New Patient Office Visit (level 4) CPT 99204 | $270.40 | $416.00 | $111.17 – $283.46 | 54 |
| New Patient Office Visit (level 5) CPT 99205 | $355.55 | $547.00 | $152.10 – $378.40 | 54 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $396.82 | $610.50 | $16.00 – $18.00 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $109.69 | $168.75 | $14.10 – $20.70 | 5 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,642.55 | $2,527.00 | $224.51 – $918.97 | 5 |
| Nm imaging bone/joint whole body CPT 78306 | $1,642.55 | $2,527.00 | $191.52 – $918.97 | 5 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,514.50 | $2,330.00 | $137.64 – $918.97 | 5 |
| Nm imaging gastric emptying study CPT 78264 | $1,457.30 | $2,242.00 | $221.18 – $918.97 | 5 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,028.95 | $1,583.00 | $227.29 – $918.97 | 5 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,517.10 | $2,334.00 | $99.85 – $1,248.14 | 5 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $856.70 | $1,318.00 | $42.72 – $536.38 | 5 |
| Npm1 gene CPT 81310 | $516.10 | $794.00 | $219.28 – $406.76 | 54 |
| Nras gene variants exon 2&3 CPT 81311 | $572.65 | $881.00 | $263.10 – $488.05 | 53 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,989.65 | $3,061.00 | $298.61 – $2,976.05 | 5 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $161.20 | $248.00 | $111.67 – $187.82 | 53 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $119.60 | $184.00 | $69.34 – $116.62 | 53 |
| Observation direct referral from physician office for admission HCPCS G0379 | $444.60 | $684.00 | $1,064.75 – $1,064.75 | 1 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $643.50 | $990.00 | $184.31 – $297.71 | 13 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $287.30 | $442.00 | $83.99 – $141.27 | 53 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $471.90 | $726.00 | $136.32 – $229.28 | 53 |
| Observation per hour HCPCS G0378 | $82.55 | $127.00 | $44.99 – $44.99 | 1 |
| Obstetrics panel CPT 80055 | $228.80 | $352.00 | $42.53 – $42.53 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.18 – $0.22 | 5 |
| Organic acids total quant ea spec CPT 83918 | $131.95 | $203.00 | $20.99 – $29.50 | 5 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $76.05 | $117.00 | $10.19 – $13.99 | 5 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $536.90 | $826.00 | $984.04 – $984.04 | 1 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $13.65 | $21.00 | $1,377.62 – $1,377.62 | 1 |
| Orthopantogram CPT 70355 | $237.90 | $366.00 | $7.20 – $200.05 | 5 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $68.90 | $106.00 | $657.56 – $657.56 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $147.55 | $227.00 | $447.44 – $447.44 | 1 |
| Osmolality blood CPT 83930 | $79.30 | $122.00 | $5.88 – $8.26 | 5 |
| Osmolality urine CPT 83935 | $71.50 | $110.00 | $6.07 – $8.53 | 5 |
| Ot evaluation high complexity patient/family CPT 97167 | $584.35 | $899.00 | $89.56 – $161.91 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $533.65 | $821.00 | $89.56 – $161.91 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $562.25 | $865.00 | $89.56 – $161.91 | 5 |
| Oth resp proc, group HCPCS G0239 | $53.95 | $83.00 | $10.81 – $66.78 | 5 |
| Oth resp proc, indiv HCPCS G0238 | $68.25 | $105.00 | $8.58 – $51.71 | 5 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $105.95 | $163.00 | $45.21 – $78.91 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $109.20 | $168.00 | $41.39 – $72.95 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $103.35 | $159.00 | $23.93 – $44.63 | 5 |
| Ot re-evaluation patient/family CPT 97168 | $523.25 | $805.00 | $61.51 – $109.72 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $79.30 | $122.00 | $32.02 – $55.85 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $27.30 | $42.00 | $19.38 – $34.87 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $87.75 | $135.00 | $20.28 – $36.94 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $82.55 | $127.00 | $25.94 – $46.78 | 5 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $91.00 | $140.00 | $29.72 – $52.67 | 5 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $90.35 | $139.00 | $28.72 – $51.85 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $16.82 | $25.88 | $0.65 – $0.87 | 5 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $8.29 | $12.75 | $1.98 – $5.08 | 5 |
| Parathormone (pth) intact CPT 83970 | $195.65 | $301.00 | $36.72 – $68.11 | 46 |
| Parathyroid planar imaging CPT 78070 | $1,142.70 | $1,758.00 | $193.44 – $918.97 | 5 |
| Pdgfra gene CPT 81314 | $570.70 | $878.00 | $293.09 – $411.89 | 5 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,237.30 | $3,442.00 | $143.16 – $403.20 | 5 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,921.40 | $2,956.00 | $158.53 – $492.80 | 5 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,637.35 | $2,519.00 | $71.07 – $293.73 | 5 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,152.50 | $4,850.00 | $202.93 – $801.97 | 5 |
| Pelvic MRI (with contrast) CPT 72196 | $2,568.80 | $3,952.00 | $162.66 – $801.97 | 5 |
| Pelvic MRI (without contrast) CPT 72195 | $2,312.70 | $3,558.00 | $139.08 – $548.48 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | $636.35 | $979.00 | $61.07 – $240.32 | 5 |
| Pelvic Ultrasound (limited) CPT 76857 | $298.35 | $459.00 | $21.91 – $240.32 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $989.48 | $1,522.28 | $160.92 – $234.12 | 5 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $62.02 | $95.41 | $6.00 – $6.72 | 5 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $165.10 | $254.00 | $76.98 – $281.83 | 53 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,523.05 | $8,497.00 | $1,226.22 – $3,287.07 | 5 |
| Pet CT whole body initial CPT 78816 | $5,770.70 | $8,878.00 | $1,226.22 – $3,287.07 | 5 |
| Pet image skull-thigh CPT 78812 | $4,247.10 | $6,534.00 | $1,226.22 – $1,226.22 | 4 |
| Pet image w/ct lmtd CPT 78814 | $5,370.30 | $8,262.00 | $1,226.22 – $3,287.07 | 5 |
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.