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 |
|---|---|---|---|---|
| Ph body fluid CPT 83986 | $51.35 | $79.00 | $3.18 – $4.48 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $98.15 | $151.00 | $13.61 – $19.13 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.15 | $11.00 | $0.94 – $0.94 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $107.90 | $166.00 | $11.79 – $17.89 | 7 |
| Phlebotomy therapeutic CPT 99195 | $200.20 | $308.00 | $79.55 – $271.86 | 5 |
| Phosphorus CPT 84100 | $53.95 | $83.00 | $4.22 – $6.40 | 7 |
| Phosphorus 24 hour urine CPT 84105 | $40.30 | $62.00 | $5.14 – $9.54 | 53 |
| Phys blood bank serv reactj CPT 86078 | $110.50 | $170.00 | $46.95 – $304.61 | 5 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $62.56 | $96.24 | $6.63 – $11.76 | 5 |
| Pinworm exam CPT 87172 | $28.60 | $44.00 | $3.80 – $3.80 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $59.77 | $91.95 | $2.28 – $2.70 | 5 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $406.25 | $625.00 | $72.65 – $72.65 | 1 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $157.30 | $242.00 | $50.67 – $50.67 | 4 |
| Platelet aggregation each agent teg CPT 85576 | $118.30 | $182.00 | $22.16 – $33.63 | 6 |
| Platelet automated CPT 85049 | $54.60 | $84.00 | $3.98 – $5.60 | 5 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,380.60 | $2,124.00 | $459.47 – $624.28 | 5 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,348.10 | $2,074.00 | $389.81 – $639.49 | 5 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,366.30 | $2,102.00 | $483.98 – $850.76 | 5 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,046.50 | $1,610.00 | $753.21 – $753.21 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $159.90 | $246.00 | $23.19 – $35.19 | 6 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,985.80 | $6,132.00 | $551.66 – $1,754.68 | 5 |
| Potassium 24 hour urine CPT 84133 | $50.70 | $78.00 | $4.21 – $5.91 | 5 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $42.25 | $65.00 | $1.00 – $1.60 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $40.95 | $63.00 | $4.23 – $5.95 | 5 |
| Pq biliary strict dil s&i CPT 74363 | $748.15 | $1,151.00 | $127.16 – $286.84 | 5 |
| Pq dr cath chg w cont s&i CPT 75984 | $733.20 | $1,128.00 | $48.30 – $172.88 | 5 |
| Pr application of long arm splint CPT 29105 | $225.55 | $347.00 | $35.33 – $332.04 | 54 |
| Pr application splint static short arm CPT 29125 | $183.30 | $282.00 | $37.55 – $271.86 | 54 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $39.65 | $61.00 | $10.18 – $76.56 | 54 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $303.55 | $467.00 | $29.80 – $348.47 | 54 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $131.95 | $203.00 | $70.70 – $99.88 | 36 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $189.80 | $292.00 | $102.72 – $146.43 | 13 |
| Prealbumin CPT 84134 | $101.40 | $156.00 | $12.98 – $18.24 | 6 |
| Pr ecg 12 lead report only CPT 93010 | $39.65 | $61.00 | $7.22 – $15.53 | 13 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.87 | $7.50 | $1.71 – $2.76 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.87 | $7.50 | $0.01 – $0.01 | 5 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $327.60 | $504.00 | $94.70 – $240.32 | 5 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $541.45 | $833.00 | $59.13 – $240.32 | 5 |
| Pressure max expiratory/inspiratory CPT 94799 | $113.10 | $174.00 | $262.92 – $262.92 | 1 |
| Pressure velocity wire add ves CPT 93572 | $993.85 | $1,529.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $128.05 | $197.00 | $11.24 – $304.61 | 5 |
| Pretreat rbc absorption reference CPT 86978 | $165.75 | $255.00 | $18.72 – $105.47 | 5 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $154.70 | $238.00 | $18.72 – $105.47 | 5 |
| Pretreat rbc w enzyme reference CPT 86971 | $139.75 | $215.00 | $304.61 – $304.61 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $200.85 | $309.00 | $70.15 – $3,374.74 | 54 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $337.35 | $519.00 | $151.77 – $276.86 | 13 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $239.20 | $368.00 | $111.21 – $188.61 | 36 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $180.05 | $277.00 | $70.59 – $118.73 | 53 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $189.80 | $292.00 | $101.87 – $171.34 | 53 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $133.90 | $206.00 | $67.19 – $98.91 | 36 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $75.40 | $116.00 | $42.04 – $53.82 | 36 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $464.10 | $714.00 | $159.78 – $830.64 | 54 |
| Pr incision & drainage abscess simple/single CPT 10060 | $245.05 | $377.00 | $92.21 – $409.96 | 54 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $373.75 | $575.00 | $107.04 – $622.66 | 54 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $286.65 | $441.00 | $93.64 – $830.64 | 54 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $180.70 | $278.00 | $10.47 – $79.41 | 54 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,925.00 | $4,500.00 | $486.28 – $486.28 | 4 |
| Procalcitonin CPT 84145 | $153.40 | $236.00 | $24.21 – $44.91 | 50 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $11.28 | $17.35 | $2.95 – $4.13 | 5 |
| Progesterone CPT 84144 | $98.15 | $151.00 | $18.55 – $26.08 | 5 |
| Prolactin CPT 84146 | $118.95 | $183.00 | $17.24 – $31.98 | 50 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $48.75 | $75.00 | $13.51 – $45.09 | 4 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $105.30 | $162.00 | $11.00 – $11.00 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $63.76 | $98.10 | $4.07 – $10.07 | 5 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $43.00 | $66.15 | $3.42 – $6.21 | 5 |
| Protein c activity CPT 85303 | $146.90 | $226.00 | $12.31 – $17.30 | 5 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $103.35 | $159.00 | $9.55 – $13.43 | 5 |
| Protein s total CPT 85305 | $148.20 | $228.00 | $10.33 – $14.51 | 5 |
| Protein total 24 hour urine CPT 84156 | $46.15 | $71.00 | $3.26 – $4.59 | 5 |
| Protein total body fluid CPT 84157 | $53.95 | $83.00 | $3.56 – $6.60 | 44 |
| Protein total serum plasma whole blood CPT 84155 | $32.50 | $50.00 | $3.26 – $4.95 | 6 |
| Prothrombin complex kcentra HCPCS J7168 | $7,568.60 | $11,644.00 | $1,310.00 – $1,310.00 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $37.05 | $57.00 | $3.50 – $3.50 | 4 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $130.00 | $200.00 | $62.87 – $207.58 | 50 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $202.15 | $311.00 | $38.98 – $271.86 | 54 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $473.20 | $728.00 | $152.94 – $830.64 | 54 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $315.25 | $485.00 | $50.72 – $409.96 | 54 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $331.50 | $510.00 | $52.27 – $409.96 | 54 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $270.40 | $416.00 | $41.02 – $409.96 | 54 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $327.60 | $504.00 | $53.57 – $409.96 | 54 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $575.90 | $886.00 | $134.19 – $3,216.50 | 54 |
| PSA (Prostate) Test CPT 84153 | $119.60 | $184.00 | $16.36 – $24.83 | 9 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $86.45 | $133.00 | $23.77 – $23.77 | 1 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $27.95 | $43.00 | $5.81 – $5.81 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $104.00 | $160.00 | $30.41 – $30.41 | 1 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $82.55 | $127.00 | $23.02 – $23.02 | 1 |
| Pt application of modality traction mechanical CPT 97012 | $93.60 | $144.00 | $23.19 – $23.19 | 1 |
| Pt evaluation high complexity patient/family CPT 97163 | $412.10 | $634.00 | $88.72 – $158.37 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $362.05 | $557.00 | $88.72 – $158.37 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $390.65 | $601.00 | $88.72 – $158.37 | 5 |
| Pt re-evaluation patient/family CPT 97164 | $351.65 | $541.00 | $61.23 – $108.19 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $63.05 | $97.00 | $25.94 – $46.78 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $79.30 | $122.00 | $26.44 – $47.19 | 5 |
| Pt wheelchair management each 15 minutes CPT 97542 | $71.50 | $110.00 | $27.99 – $50.51 | 5 |
| Pulse ox continuous overnight monitoring CPT 94762 | $272.35 | $419.00 | $21.08 – $262.92 | 5 |
| Pulse ox multiple CPT 94761 | $157.30 | $242.00 | $3.31 – $6.53 | 5 |
| Pulse ox single CPT 94760 | $61.75 | $95.00 | $6.02 – $6.02 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $76.05 | $117.00 | $12.49 – $271.86 | 54 |
| Pyruvate CPT 84210 | $70.20 | $108.00 | $12.88 – $18.10 | 5 |
| Quest t3 uptake CPT 84479 | $65.00 | $100.00 | $5.75 – $8.09 | 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.