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 |
|---|---|---|---|---|
| Radiation handling CPT 77790 | $393.25 | $605.00 | $14.95 – $33.84 | 5 |
| Radiation physics consult CPT 77336 | $507.65 | $781.00 | $118.23 – $308.97 | 5 |
| Radiation therapy dose plan CPT 77300 | $401.70 | $618.00 | $28.02 – $308.97 | 5 |
| Radiation treatment aid(s) CPT 77332 | $620.10 | $954.00 | $13.03 – $308.97 | 5 |
| Radiation treatment aid(s) CPT 77333 | $761.15 | $1,171.00 | $81.62 – $308.97 | 5 |
| Radiation treatment aid(s) CPT 77334 | $1,179.75 | $1,815.00 | $54.68 – $860.72 | 5 |
| Radiology port images(s) CPT 77417 | $227.50 | $350.00 | $1.04 – $12.47 | 5 |
| Radiotherapy dose plan imrt CPT 77301 | $5,755.75 | $8,855.00 | $1,189.65 – $3,181.75 | 5 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,708.85 | $2,629.00 | $204.01 – $1,248.14 | 5 |
| Rapid Strep Test CPT 87880 | $83.20 | $128.00 | $14.70 – $20.66 | 5 |
| Rbc count only automated CPT 85041 | $19.50 | $30.00 | $2.69 – $3.78 | 5 |
| Rbc deglycerolized each unit HCPCS P9039 | $785.20 | $1,208.00 | $244.66 – $391.25 | 5 |
| Rbc serum pretx incubj drugs CPT 86975 | $73.45 | $113.00 | $798.70 – $798.70 | 1 |
| Red blood cells each unit HCPCS P9021 | $396.50 | $610.00 | $93.35 – $188.21 | 5 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $656.50 | $1,010.00 | $225.26 – $309.26 | 5 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $425.75 | $655.00 | $136.54 – $231.14 | 5 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $616.20 | $948.00 | $169.40 – $331.76 | 5 |
| Red blood cells washed each unit HCPCS P9022 | $540.15 | $831.00 | $159.69 – $460.73 | 5 |
| Rem/biv cast full arm/leg CPT 29705 | $144.95 | $223.00 | $37.98 – $571.50 | 54 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,888.50 | $2,905.39 | $635.00 – $855.00 | 5 |
| Removal cerclage without anes CPT 59899 | $302.25 | $465.00 | $413.10 – $413.10 | 1 |
| Removal cerumen impacted (both sides) CPT 69210 | $117.65 | $181.00 | $25.63 – $120.54 | 50 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $247.00 | $380.00 | $23.64 – $348.47 | 5 |
| Removal foreign body foot subcutaneous right CPT 28190 | $505.70 | $778.00 | $118.44 – $1,446.94 | 54 |
| Removal sutr or stapl no anes CPT 15853 | $139.10 | $214.00 | $9.70 – $20.21 | 53 |
| Renal function panel CPT 80069 | $155.35 | $239.00 | $7.72 – $11.72 | 6 |
| Repair extns tendon finger without grft ea CPT 26418 | $1,276.60 | $1,964.00 | $564.66 – $1,425.19 | 53 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $1,021.15 | $1,571.00 | $363.40 – $1,319.10 | 53 |
| Reptilase test CPT 85635 | $68.25 | $105.00 | $8.76 – $8.76 | 4 |
| Resuscitation cardiopulmonary CPT 92950 | $774.15 | $1,191.00 | $162.03 – $441.20 | 54 |
| Resuscitation delivery/birthing room CPT 99465 | $576.55 | $887.00 | $134.98 – $134.98 | 4 |
| Reticulocyte automated CPT 85045 | $52.00 | $80.00 | $3.55 – $4.99 | 6 |
| Rheumatoid factor qualitative CPT 86430 | $65.00 | $100.00 | $5.46 – $10.13 | 52 |
| Rheumatoid factor quantitative CPT 86431 | $55.90 | $86.00 | $5.04 – $7.09 | 7 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $331.50 | $510.00 | $130.98 – $220.31 | 53 |
| Rsv assay w/optic CPT 87807 | $98.80 | $152.00 | $11.65 – $16.38 | 5 |
| Rubella antibody igg CPT 86762 | $79.30 | $122.00 | $12.80 – $17.99 | 5 |
| Rubeola antibody igg CPT 86765 | $79.30 | $122.00 | $11.46 – $17.39 | 6 |
| Russell viper venom diluted CPT 85613 | $62.40 | $96.00 | $8.52 – $11.98 | 5 |
| Sarscov coronavirus ag ia CPT 87426 | $71.50 | $110.00 | $31.43 – $44.16 | 5 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $125.45 | $193.00 | $62.52 – $87.86 | 5 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $215.80 | $332.00 | $132.57 – $222.98 | 53 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $113.10 | $174.00 | $63.97 – $107.60 | 53 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $134.55 | $207.00 | $92.98 – $156.39 | 53 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $75.40 | $116.00 | $34.91 – $58.72 | 53 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $966.55 | $1,487.00 | $223.84 – $487.54 | 5 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $570.70 | $878.00 | $94.70 – $213.62 | 5 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $822.25 | $1,265.00 | $152.64 – $487.54 | 5 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $530.40 | $816.00 | $99.81 – $213.62 | 5 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $562.90 | $866.00 | $105.36 – $105.36 | 4 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $625.95 | $963.00 | $94.70 – $213.62 | 5 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $622.70 | $958.00 | $202.67 – $487.54 | 5 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $414.70 | $638.00 | $105.04 – $213.62 | 5 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $370.50 | $570.00 | $104.56 – $213.62 | 5 |
| Screening prostate cancer PSA HCPCS G0103 | $101.40 | $156.00 | $17.18 – $17.18 | 4 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $180.70 | $278.00 | $48.03 – $48.03 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $48.75 | $75.00 | $2.40 – $4.46 | 46 |
| Semen analysis presence/motility CPT 89321 | $113.10 | $174.00 | $15.06 – $16.27 | 2 |
| Set radiation therapy field CPT 77280 | $678.60 | $1,044.00 | $193.26 – $308.97 | 5 |
| Set radiation therapy field CPT 77285 | $810.55 | $1,247.00 | $320.42 – $860.72 | 5 |
| Set radiation therapy field CPT 77290 | $1,112.80 | $1,712.00 | $304.84 – $860.72 | 5 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $142.35 | $219.00 | $48.99 – $119.31 | 53 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,705.30 | $4,162.00 | $247.64 – $801.97 | 5 |
| Shoulder MRI (with contrast) CPT 73222 | $2,271.75 | $3,495.00 | $204.87 – $1,802.03 | 5 |
| Shoulder MRI (without contrast) CPT 73221 | $3,623.10 | $5,574.00 | $120.75 – $548.48 | 5 |
| Shoulder X-ray CPT 73030 | $482.30 | $742.00 | $21.64 – $200.05 | 5 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $315.90 | $486.00 | $49.41 – $240.32 | 5 |
| Sialography s&i CPT 70390 | $452.40 | $696.00 | $81.62 – $548.48 | 5 |
| Sickling rbc CPT 85660 | $75.40 | $116.00 | $4.90 – $6.89 | 5 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $4.87 | $7.50 | $0.28 – $0.28 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,299.05 | $3,537.00 | $107.98 – $492.80 | 5 |
| Sinus CT scan (with contrast) CPT 70487 | $1,844.70 | $2,838.00 | $86.04 – $492.80 | 5 |
| Sinus CT scan (without contrast) CPT 70486 | $1,301.95 | $2,003.00 | $76.07 – $293.73 | 5 |
| Sinus/juglr venogram s&i CPT 75860 | $1,928.55 | $2,967.00 | $2,802.90 – $7,258.21 | 5 |
| Sleep Study (Polysomnography) CPT 95810 | $3,783.00 | $5,820.00 | $527.77 – $1,754.68 | 5 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $57.20 | $88.00 | $4.79 – $7.28 | 6 |
| Smear gram stain CPT 87205 | $66.30 | $102.00 | $3.80 – $5.76 | 10 |
| Smear nasal eosinophil CPT 89190 | $49.40 | $76.00 | $5.15 – $5.15 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $79.30 | $122.00 | $5.33 – $7.49 | 5 |
| Smear wet mount CPT 87210 | $66.95 | $103.00 | $5.18 – $7.28 | 5 |
| Snrpn/ube3a gene CPT 81331 | $380.90 | $586.00 | $45.43 – $63.84 | 5 |
| Sodium 24 hour urine CPT 84300 | $46.15 | $71.00 | $4.50 – $6.33 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $42.25 | $65.00 | $2.50 – $2.72 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $42.25 | $65.00 | $1.25 – $1.69 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $42.25 | $65.00 | $0.63 – $0.87 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $40.95 | $63.00 | $4.28 – $6.01 | 5 |
| Special physics consult CPT 77370 | $777.40 | $1,196.00 | $118.23 – $308.97 | 5 |
| Special radiation dosimetry CPT 77331 | $397.80 | $612.00 | $16.08 – $308.97 | 5 |
| Special radiation treatment CPT 77470 | $1,862.25 | $2,865.00 | $29.94 – $1,270.15 | 5 |
| Special teletx port plan CPT 77321 | $890.50 | $1,370.00 | $37.19 – $860.72 | 5 |
| Specific gravity body fluid CPT 84315 | $24.70 | $38.00 | $2.92 – $2.92 | 4 |
| Speech evaluation complex CPT 70371 | $304.20 | $468.00 | $56.90 – $56.90 | 4 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $390.65 | $601.00 | $33.19 – $762.48 | 5 |
| Split blood or products CPT 86985 | $104.00 | $160.00 | $18.72 – $304.61 | 5 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $430.30 | $662.00 | $97.72 – $177.28 | 5 |
| Staph a dna amp probe CPT 87640 | $109.20 | $168.00 | $34.42 – $43.86 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $234.65 | $361.00 | $90.88 – $166.24 | 5 |
| St evaluate speech sound production CPT 92522 | $430.30 | $662.00 | $99.10 – $181.27 | 5 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $437.45 | $673.00 | $202.75 – $367.05 | 5 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $480.35 | $739.00 | $81.03 – $146.56 | 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.