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 |
|---|---|---|---|---|
| St evaluation swallow function CPT 92610 | $437.45 | $673.00 | $75.41 – $136.63 | 5 |
| Strep a ag ia CPT 87430 | $96.85 | $149.00 | $14.95 – $21.01 | 5 |
| Strep b dna amp probe CPT 87653 | $110.50 | $170.00 | $43.86 – $43.86 | 1 |
| Stress test pulmonary CPT 94618 | $221.00 | $340.00 | $29.88 – $231.08 | 5 |
| Stress tte complete CPT 93351 | $1,671.15 | $2,571.00 | $198.98 – $1,116.50 | 5 |
| Str markers specimen anal CPT 81265 | $843.05 | $1,297.00 | $207.31 – $207.31 | 4 |
| St treatment speech individual CPT 92507 | $326.30 | $502.00 | $67.94 – $123.44 | 5 |
| St treatment swallow dysfunction/oral CPT 92526 | $340.60 | $524.00 | $75.02 – $135.85 | 5 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $0.63 – $0.80 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $53.62 | $82.50 | $6.42 – $51.45 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $91.65 | $141.00 | $13.83 – $51.71 | 5 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $144.30 | $222.00 | $28.16 – $66.78 | 5 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $203.45 | $313.00 | $36.52 – $93.17 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $304.85 | $469.00 | $62.20 – $93.17 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $420.55 | $647.00 | $245.16 – $640.87 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $432.90 | $666.00 | $369.75 – $1,440.48 | 5 |
| Susceptibility agar dilution per agent CPT 87181 | $28.60 | $44.00 | $4.23 – $5.94 | 6 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $32.50 | $50.00 | $4.23 – $5.94 | 5 |
| Susceptibility mic per plate CPT 87186 | $81.90 | $126.00 | $7.69 – $14.27 | 50 |
| Svc venogram s&i CPT 75827 | $1,188.20 | $1,828.00 | $54.96 – $3,618.56 | 5 |
| Sweat collection by iontophoresis CPT 89230 | $126.10 | $194.00 | $2.47 – $2.47 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $49.40 | $76.00 | $3.91 – $5.50 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $131.95 | $203.00 | $15.07 – $27.95 | 48 |
| T3 (triiodothyronine) total CPT 84480 | $100.75 | $155.00 | $12.61 – $23.40 | 49 |
| T4 (thyroxine) free CPT 84439 | $101.40 | $156.00 | $8.02 – $11.28 | 6 |
| T4 (thyroxine) total CPT 84436 | $62.40 | $96.00 | $6.11 – $8.59 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.87 | $7.50 | $0.18 – $0.29 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $173.55 | $267.00 | $12.21 – $17.16 | 5 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,759.55 | $2,707.00 | $675.59 – $949.41 | 5 |
| Target gsa panel organ neop CPT 81445 | $2,072.85 | $3,189.00 | $531.83 – $531.83 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,065.71 | $1,639.56 | $148.80 – $192.00 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $131.95 | $203.00 | $88.95 – $135.00 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $205.40 | $316.00 | $55.13 – $77.48 | 6 |
| Tc-99m maa HCPCS A9540 | $143.65 | $221.00 | $31.50 – $31.50 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $188.50 | $290.00 | $59.33 – $59.33 | 1 |
| Tc-99m medronate HCPCS A9503 | $113.10 | $174.00 | $13.65 – $37.83 | 5 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $12.35 | $19.00 | $1.81 – $1.81 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $169.65 | $261.00 | $67.25 – $67.25 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $395.85 | $609.00 | $113.95 – $119.65 | 5 |
| Tc-99m sulfur colloid HCPCS A9541 | $252.85 | $389.00 | $77.24 – $280.74 | 5 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $384.80 | $592.00 | $89.53 – $112.08 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $230.75 | $355.00 | $41.79 – $63.42 | 7 |
| T cells absolute cd 4 count CPT 86361 | $181.35 | $279.00 | $23.82 – $23.82 | 4 |
| T cells total count CPT 86359 | $117.65 | $181.00 | $33.56 – $50.94 | 7 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $22,775.57 | $35,039.34 | $8,121.50 – $12,241.50 | 5 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $19.50 | $30.00 | $2.14 – $3.67 | 5 |
| Test stress cardiovascular tracing only CPT 93017 | $770.25 | $1,185.00 | $31.33 – $441.20 | 5 |
| Theophylline therapeutic drug level CPT 80198 | $103.35 | $159.00 | $12.58 – $17.68 | 5 |
| Therapeutic procd strg endur HCPCS G0237 | $91.65 | $141.00 | $51.71 – $51.71 | 1 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $42.90 | $66.00 | $32.05 – $58.94 | 5 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $39.65 | $61.00 | $27.89 – $50.85 | 5 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $7.31 | $11.25 | $1.76 – $1.92 | 5 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $457.60 | $704.00 | $89.58 – $1,281.78 | 54 |
| Thrombectmy crnry perq mechanical CPT 92973 | $3,043.30 | $4,682.00 | $152.36 – $152.36 | 4 |
| Thrombin time CPT 85670 | $63.70 | $98.00 | $5.13 – $7.21 | 5 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $44.85 | $69.00 | $5.75 – $8.09 | 5 |
| Thyroglobulin antibody CPT 86800 | $85.15 | $131.00 | $14.15 – $19.89 | 5 |
| Thyroid mets imag whole body CPT 78018 | $1,173.25 | $1,805.00 | $204.82 – $1,248.14 | 5 |
| Thyroid (TSH) Test CPT 84443 | $128.05 | $197.00 | $14.94 – $22.68 | 9 |
| Thyroid Ultrasound CPT 76536 | $375.70 | $578.00 | $69.96 – $240.32 | 5 |
| Thyroxine binding globulin (tbg) CPT 84442 | $77.35 | $119.00 | $13.15 – $18.48 | 5 |
| Tilt table study CPT 93660 | $1,394.25 | $2,145.00 | $472.51 – $762.48 | 5 |
| Tissue culture placenta CPT 88235 | $462.80 | $712.00 | $133.69 – $187.88 | 5 |
| Tissue culture skin/biopsy CPT 88233 | $295.10 | $454.00 | $125.18 – $125.18 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | $55.90 | $86.00 | $3.80 – $5.34 | 5 |
| Tissue transglutaminase iga CPT 86364 | $93.60 | $144.00 | $10.26 – $14.41 | 5 |
| Tl-201 thallium diag per mci HCPCS A9505 | $65.00 | $100.00 | $27.56 – $34.29 | 5 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $11.50 | $17.70 | $1.97 – $2.50 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $131.30 | $202.00 | $14.35 – $20.16 | 5 |
| Toxoplasma antibody igg CPT 86777 | $85.80 | $132.00 | $12.80 – $17.99 | 5 |
| Toxoplasma antibody igm CPT 86778 | $85.80 | $132.00 | $12.82 – $18.01 | 5 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $95.55 | $147.00 | $48.23 – $92.52 | 5 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $29.25 | $45.00 | $6.00 – $6.00 | 1 |
| Transferrin CPT 84466 | $91.00 | $140.00 | $11.35 – $15.95 | 6 |
| Transfusion blood/blood component(s) CPT 36430 | $2,613.65 | $4,021.00 | $389.32 – $901.46 | 5 |
| Treat fracture of ulna CPT 25535 | $726.05 | $1,117.00 | $413.34 – $695.23 | 53 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $89.05 | $137.00 | $49.66 – $271.86 | 5 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $89.05 | $137.00 | $13.58 – $13.58 | 4 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $89.05 | $137.00 | $6.64 – $447.44 | 5 |
| Treatment of ankle fracture 27786 CPT 27786 | $540.80 | $832.00 | $266.77 – $448.70 | 53 |
| Treatment of toe fracture 28510 CPT 28510 | $239.20 | $368.00 | $108.05 – $190.77 | 53 |
| Treponema pallidum antibody CPT 86780 | $80.60 | $124.00 | $11.78 – $16.55 | 5 |
| Trg gene rearrangement anal CPT 81342 | $474.50 | $730.00 | $179.23 – $251.88 | 7 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $41.44 | $63.75 | $3.60 – $4.48 | 5 |
| Trichinella antibody CPT 86784 | $72.15 | $111.00 | $11.17 – $11.17 | 4 |
| Triglycerides CPT 84478 | $55.90 | $86.00 | $5.11 – $7.18 | 5 |
| Troponin quantitative CPT 84484 | $128.70 | $198.00 | $11.09 – $20.58 | 52 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,613.95 | $2,483.00 | $1,601.80 – $1,601.80 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $423.15 | $651.00 | $177.35 – $298.29 | 53 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $394.55 | $607.00 | $67.46 – $240.32 | 5 |
| Ultrasound breast complete CPT 76641 | $378.95 | $583.00 | $56.90 – $240.32 | 5 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $531.70 | $818.00 | $44.13 – $200.05 | 5 |
| Ultrasound chest CPT 76604 | $256.75 | $395.00 | $25.25 – $240.32 | 5 |
| Ultrasound encephalogram CPT 76506 | $230.10 | $354.00 | $68.57 – $240.32 | 5 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $219.05 | $337.00 | $41.33 – $240.32 | 5 |
| Ultrasound guidance for vascular access CPT 76937 | $195.00 | $300.00 | $20.53 – $73.94 | 5 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $585.65 | $901.00 | $23.58 – $118.88 | 5 |
| Ultrasound guide tissue ablation CPT 76940 | $546.00 | $840.00 | $47.21 – $237.21 | 5 |
| Ultrasound joint complete left CPT 76881 | $605.15 | $931.00 | $9.14 – $240.32 | 5 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $541.45 | $833.00 | $25.80 – $240.32 | 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.