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 |
|---|---|---|---|---|
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $382.20 | $588.00 | $34.41 – $164.48 | 5 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $283.40 | $436.00 | $17.50 – $113.46 | 5 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $681.85 | $1,049.00 | $73.52 – $548.48 | 5 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $328.25 | $505.00 | $58.29 – $240.32 | 5 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $358.15 | $551.00 | $42.19 – $240.32 | 5 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $419.90 | $646.00 | $47.74 – $240.32 | 5 |
| Ultrasound retroperitoneal limited CPT 76775 | $248.30 | $382.00 | $27.19 – $240.32 | 5 |
| Ultrasound scrotum and contents CPT 76870 | $331.50 | $510.00 | $58.57 – $240.32 | 5 |
| Ultrasound spinal canal and contents CPT 76800 | $298.35 | $459.00 | $85.22 – $240.32 | 5 |
| Ultrasound transabd ea addl gest CPT 76812 | $477.75 | $735.00 | $89.93 – $358.84 | 5 |
| Ultrasound transvaginal non obstetric CPT 76830 | $532.35 | $819.00 | $72.43 – $240.32 | 5 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,280.50 | $1,970.00 | $1,227.07 – $1,227.07 | 1 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,257.15 | $5,011.00 | $185.15 – $801.97 | 5 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,566.20 | $3,948.00 | $105.20 – $548.48 | 5 |
| Urea nitrogen CPT 84520 | $40.95 | $63.00 | $3.51 – $4.94 | 5 |
| Urea nitrogen 24 hour urine CPT 84540 | $55.90 | $86.00 | $4.95 – $9.17 | 53 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $577.20 | $888.00 | $215.26 – $548.48 | 5 |
| Urethrocystography void s&i CPT 74455 | $448.50 | $690.00 | $73.84 – $548.48 | 5 |
| Uric acid blood CPT 84550 | $40.95 | $63.00 | $4.02 – $6.10 | 8 |
| Uric acid urine CPT 84560 | $40.95 | $63.00 | $4.52 – $6.35 | 5 |
| Urinalysis microscopic only CPT 81015 | $26.00 | $40.00 | $2.71 – $3.81 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $59.80 | $92.00 | $2.82 – $4.28 | 8 |
| Urinalysis (without microscopy) CPT 81003 | $48.75 | $75.00 | $2.00 – $2.81 | 5 |
| Urine Culture Test CPT 87086 | $86.45 | $133.00 | $7.18 – $10.98 | 11 |
| Urine pregnancy test CPT 81025 | $79.30 | $122.00 | $7.66 – $10.76 | 5 |
| Urography, antegrade CPT 74425 | $333.45 | $513.00 | $318.03 – $801.97 | 5 |
| Vaccine dtap < 7 years im CPT 90700 | $142.69 | $219.53 | $26.35 – $32.22 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $432.98 | $666.13 | $76.20 – $83.98 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $362.46 | $557.63 | $65.89 – $93.19 | 6 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $416.71 | $641.10 | $65.26 – $121.72 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $466.73 | $718.05 | $92.95 – $102.89 | 5 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,500.91 | $2,309.10 | $279.05 – $388.00 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | $238.05 | $366.23 | $38.63 – $48.96 | 5 |
| Valproic acid total therapeutic drug level CPT 80164 | $84.50 | $130.00 | $12.04 – $22.34 | 52 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $78.19 | $120.30 | $2.00 – $2.00 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $117.58 | $180.90 | $9.00 – $9.00 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $128.05 | $197.00 | $12.04 – $16.93 | 6 |
| Varicella zoster antibody igg CPT 86787 | $103.35 | $159.00 | $11.46 – $17.39 | 6 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $512.39 | $788.29 | $13.20 – $32.60 | 5 |
| Venipuncture <3 yrs other vein CPT 36406 | $18.85 | $29.00 | $15.31 – $15.31 | 4 |
| Venogram ext bil s&i CPT 75822 | $1,257.75 | $1,935.00 | $54.68 – $3,216.50 | 5 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,060.15 | $1,631.00 | $49.41 – $3,618.56 | 5 |
| Ventilator each subsequent day CPT 94003 | $722.80 | $1,112.00 | $57.15 – $1,262.34 | 5 |
| Ventilator initial day CPT 94002 | $1,174.55 | $1,807.00 | $81.35 – $1,262.34 | 5 |
| Version cephalic external CPT 59412 | $1,743.30 | $2,682.00 | $90.35 – $6,614.48 | 5 |
| Very long chain fatty acids CPT 82726 | $134.55 | $207.00 | $17.57 – $24.69 | 5 |
| Vital capacity test CPT 94150 | $139.10 | $214.00 | $21.29 – $262.92 | 5 |
| Vitamin b-12 CPT 82607 | $86.45 | $133.00 | $13.41 – $18.85 | 5 |
| Vitamin D Test CPT 82306 | $187.20 | $288.00 | $26.33 – $37.00 | 6 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $510.25 | $785.00 | $159.98 – $159.98 | 4 |
| Volume measurement urine timed CPT 81050 | $20.80 | $32.00 | $3.24 – $4.55 | 6 |
| Warde 1003990 aldosterone CPT 82088 | $167.70 | $258.00 | $36.25 – $50.94 | 6 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $94.90 | $146.00 | $24.73 – $34.75 | 5 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $96.20 | $148.00 | $11.47 – $16.13 | 5 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $145.60 | $224.00 | $22.46 – $31.56 | 5 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $89.70 | $138.00 | $13.79 – $19.38 | 5 |
| Warde 1015200 kappa light chain free CPT 83521 | $124.15 | $191.00 | $15.36 – $21.59 | 5 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $53.30 | $82.00 | $7.13 – $10.03 | 5 |
| Warde 3008005 oligoclonal bands CPT 83916 | $119.60 | $184.00 | $24.36 – $34.24 | 5 |
| Warde 3016000 west nile virus antibody CPT 86788 | $81.90 | $126.00 | $14.99 – $21.06 | 5 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $81.90 | $126.00 | $12.80 – $17.99 | 5 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $97.50 | $150.00 | $10.90 – $15.31 | 5 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $87.10 | $134.00 | $7.92 – $14.69 | 51 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $91.65 | $141.00 | $15.99 – $29.67 | 51 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $250.90 | $386.00 | $139.92 – $235.34 | 50 |
| Warde 3400852 arsenic CPT 82175 | $143.65 | $221.00 | $16.87 – $23.71 | 5 |
| Warde 3708165 mercury urine CPT 83825 | $71.50 | $110.00 | $14.46 – $20.33 | 5 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $159.90 | $246.00 | $16.37 – $23.00 | 5 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $91.65 | $141.00 | $10.72 – $15.06 | 7 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $87.10 | $134.00 | $7.20 – $10.13 | 5 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $208.65 | $321.00 | $34.35 – $48.28 | 6 |
| Warde aldolase CPT 82085 | $59.80 | $92.00 | $8.64 – $12.14 | 5 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $155.35 | $239.00 | $15.01 – $21.09 | 5 |
| Warde amiodarone therapeutic drug level CPT 80151 | $130.00 | $200.00 | $16.58 – $16.58 | 4 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $562.90 | $866.00 | $145.84 – $204.95 | 5 |
| Warde apolipoprotein b CPT 82172 | $80.60 | $124.00 | $18.76 – $26.36 | 5 |
| Warde bile acids CPT 82239 | $63.70 | $98.00 | $15.23 – $28.25 | 54 |
| Warde cadmium blood CPT 82300 | $79.95 | $123.00 | $21.03 – $29.55 | 5 |
| Warde calcitonin CPT 82308 | $136.50 | $210.00 | $23.83 – $44.20 | 53 |
| Warde calculus (stone) infrared CPT 82365 | $130.00 | $200.00 | $11.47 – $21.29 | 45 |
| Warde clozapine therapeutic drug level CPT 80159 | $120.25 | $185.00 | $17.92 – $25.19 | 5 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $122.20 | $188.00 | $19.53 – $36.23 | 54 |
| Warde collagen cross links c-telopeptide CPT 82523 | $108.55 | $167.00 | $16.62 – $16.62 | 4 |
| Warde complement total hemolytic CPT 86162 | $114.40 | $176.00 | $18.07 – $25.40 | 5 |
| Warde copper CPT 82525 | $85.15 | $131.00 | $11.04 – $15.51 | 5 |
| Warde cryoglobulin CPT 82595 | $59.15 | $91.00 | $5.75 – $8.09 | 5 |
| Warde erythropoietin CPT 82668 | $126.75 | $195.00 | $16.71 – $23.49 | 6 |
| Warde estrogen fractionated CPT 82671 | $123.50 | $190.00 | $28.73 – $40.38 | 5 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $130.00 | $200.00 | $10.75 – $10.75 | 4 |
| Warde folic acid rbc CPT 82747 | $111.15 | $171.00 | $15.70 – $15.70 | 4 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $68.90 | $106.00 | $8.63 – $16.01 | 54 |
| Warde gastrin CPT 82941 | $114.40 | $176.00 | $15.68 – $22.04 | 5 |
| Warde growth hormone (hgh) CPT 83003 | $87.10 | $134.00 | $14.83 – $20.84 | 5 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $139.10 | $214.00 | $11.45 – $16.09 | 5 |
| Warde hepatitis a antibody CPT 86708 | $117.65 | $181.00 | $11.02 – $15.49 | 6 |
| Warde hepatitis be antibody CPT 86707 | $66.95 | $103.00 | $10.29 – $15.62 | 6 |
| Warde hepatitis delta agent antibody CPT 86692 | $117.00 | $180.00 | $15.26 – $28.31 | 54 |
| Warde immunofixation electrophoresis urine CPT 86335 | $134.55 | $207.00 | $26.11 – $36.69 | 5 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $66.30 | $102.00 | $10.26 – $15.57 | 6 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $752.70 | $1,158.00 | $229.00 – $347.56 | 7 |
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.