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 |
|---|---|---|---|---|
| Bronchial challenge CPT 94070 | $845.00 | $1,300.00 | $54.43 – $762.48 | 5 |
| Bundled special stain group 1 microorganisms CPT 88312 | $154.05 | $237.00 | $93.17 – $95.65 | 5 |
| Bundled special stain group 2 CPT 88313 | $136.50 | $210.00 | $69.91 – $237.88 | 5 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $12.19 | $18.75 | $1.00 – $1.00 | 5 |
| C1 esterase inhibitor func - sendout CPT 86161 | $211.90 | $326.00 | $10.67 – $15.00 | 5 |
| Calcium 24 hour urine CPT 82340 | $55.25 | $85.00 | $5.36 – $7.54 | 6 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $25.60 | $39.38 | $7.50 – $7.50 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $24.37 | $37.50 | $2.00 – $2.00 | 5 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $96.28 | $148.13 | $9.00 – $11.00 | 5 |
| Calcium ionized CPT 82330 | $108.55 | $167.00 | $12.17 – $17.10 | 6 |
| Calcium total CPT 82310 | $53.95 | $83.00 | $4.59 – $6.45 | 5 |
| Calculi urinary-sendout CPT 82360 | $87.10 | $134.00 | $11.45 – $17.37 | 6 |
| Calprotectin fecal CPT 83993 | $195.65 | $301.00 | $17.46 – $24.54 | 5 |
| Candida dna CPT 87480 | $70.85 | $109.00 | $17.83 – $25.06 | 6 |
| Carbamazepine total therapeutic drug level CPT 80156 | $115.05 | $177.00 | $12.96 – $18.21 | 5 |
| Carbon dioxide CPT 82374 | $37.05 | $57.00 | $4.34 – $6.10 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $75.40 | $116.00 | $10.96 – $15.40 | 5 |
| Carcinoembryonic ag (cea) CPT 82378 | $132.60 | $204.00 | $16.86 – $23.70 | 5 |
| Cardiac drug stress test CPT 93024 | $426.40 | $656.00 | $96.83 – $96.83 | 4 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,688.70 | $2,598.00 | $184.55 – $184.55 | 4 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,896.05 | $2,917.00 | $208.15 – $2,976.05 | 5 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $251.55 | $387.00 | $112.12 – $263.40 | 5 |
| Cardioassist internal CPT 92970 | $954.20 | $1,468.00 | $162.99 – $162.99 | 4 |
| Cardiolipin antibody iga CPT 86147 | $84.50 | $130.00 | $22.64 – $31.81 | 5 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,445.60 | $2,224.00 | $89.81 – $1,350.52 | 54 |
| Carotene CPT 82380 | $104.65 | $161.00 | $8.20 – $8.20 | 4 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,025.70 | $1,578.00 | $215.26 – $487.54 | 5 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $8,526.05 | $13,117.00 | $957.20 – $6,624.30 | 5 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $58.50 | $90.00 | $8.09 – $11.68 | 5 |
| Cath left heart/lv gram CPT 93452 | $7,643.35 | $11,759.00 | $749.56 – $6,624.30 | 5 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $11,733.15 | $18,051.00 | $1,147.56 – $6,624.30 | 5 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $10,086.05 | $15,517.00 | $941.09 – $6,624.30 | 5 |
| Cath plc art/grft/angio right hrt CPT 93457 | $11,222.25 | $17,265.00 | $1,026.32 – $6,624.30 | 5 |
| Cath right heart w/o2 sat & card CPT 93451 | $4,553.25 | $7,005.00 | $715.41 – $6,624.30 | 5 |
| Cauterization chemical granulation tissue CPT 17250 | $139.10 | $214.00 | $32.63 – $409.96 | 54 |
| Cdna analysis for variants CPT 81403 | $547.30 | $842.00 | $164.73 – $231.50 | 5 |
| Cebpa gene full sequence CPT 81218 | $455.00 | $700.00 | $215.17 – $215.17 | 4 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $28.52 | $43.88 | $1.62 – $2.10 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $27.79 | $42.75 | $2.48 – $3.14 | 5 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $34.08 | $52.43 | $4.41 – $4.45 | 5 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $25.35 | $39.00 | $3.30 – $3.50 | 5 |
| Ceftazidime and avibactam HCPCS J0714 | $2,126.15 | $3,271.00 | $402.92 – $519.56 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $21.94 | $33.75 | $0.90 – $1.06 | 5 |
| #celiac hla-dq2 CPT 81377 | $271.70 | $418.00 | $84.27 – $84.27 | 4 |
| Cell count w differential body fluid CPT 89051 | $104.00 | $160.00 | $4.98 – $9.24 | 49 |
| Cell cryopreserve/storage CPT 88240 | $78.00 | $120.00 | $11.63 – $11.63 | 4 |
| Cell marker study CPT 88182 | $215.15 | $331.00 | $93.17 – $141.60 | 5 |
| Cftr gene dup/delet variants CPT 81222 | $744.25 | $1,145.00 | $386.99 – $386.99 | 4 |
| Change cystostomy tube simple CPT 51705 | $200.85 | $309.00 | $44.11 – $510.52 | 54 |
| Chest 2 vws w oblique CPT 71048 | $359.45 | $553.00 | $26.08 – $240.32 | 5 |
| Chest apical lordotic proj CPT 71047 | $306.15 | $471.00 | $24.41 – $200.05 | 5 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,193.10 | $3,374.00 | $119.08 – $492.80 | 5 |
| Chest CT scan (with contrast) CPT 71260 | $2,063.10 | $3,174.00 | $158.53 – $492.80 | 5 |
| Chest CT scan (without contrast) CPT 71250 | $1,619.80 | $2,492.00 | $71.34 – $293.73 | 5 |
| Chest X-ray CPT 71046 | $233.35 | $359.00 | $19.41 – $200.05 | 5 |
| Chest X-ray (single view) CPT 71045 | $171.60 | $264.00 | $14.42 – $200.05 | 5 |
| Chlamydia culture CPT 87110 | $94.90 | $146.00 | $17.43 – $17.43 | 4 |
| Chlamydia type CPT 87140 | $38.35 | $59.00 | $4.95 – $4.95 | 4 |
| Chloride CPT 82435 | $40.95 | $63.00 | $4.09 – $5.75 | 5 |
| Chloride 24 hour urine CPT 82436 | $53.30 | $82.00 | $5.11 – $7.19 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $32.28 | $49.66 | $25.99 – $30.48 | 5 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $498.55 | $767.00 | $58.96 – $123.64 | 5 |
| Cholesterol CPT 82465 | $46.15 | $71.00 | $3.87 – $5.44 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $118.30 | $182.00 | $11.91 – $22.09 | 45 |
| Cholinesterase CPT 82480 | $46.15 | $71.00 | $7.00 – $9.84 | 5 |
| Chrom analysis CPT 88273 | $87.75 | $135.00 | $30.96 – $30.96 | 4 |
| Chromatography CPT 83021 | $75.40 | $116.00 | $16.06 – $22.58 | 5 |
| Chromogenic substrate assay CPT 85130 | $209.95 | $323.00 | $10.58 – $14.86 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $585.65 | $901.00 | $111.62 – $156.86 | 5 |
| Chromosome count additional CPT 88285 | $49.40 | $76.00 | $23.94 – $33.64 | 5 |
| Chromosome karyotype study CPT 88280 | $40.95 | $63.00 | $29.77 – $41.84 | 5 |
| Chylomicron screen, bf - sendout CPT 82664 | $147.55 | $227.00 | $54.70 – $54.70 | 4 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $39.00 | $60.00 | $1.66 – $1.88 | 5 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $380.90 | $586.00 | $594.39 – $594.39 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $564.20 | $868.00 | $293.09 – $411.89 | 5 |
| Clearance of airways CPT 31720 | $160.55 | $247.00 | $181.12 – $447.44 | 5 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $70.69 | $108.75 | $2.13 – $2.31 | 5 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $376.35 | $579.00 | $102.54 – $172.47 | 53 |
| Clot factor xii hageman CPT 85280 | $128.05 | $197.00 | $17.21 – $24.19 | 5 |
| Clot factor xiii fibrin scrn CPT 85291 | $120.25 | $185.00 | $8.10 – $8.10 | 4 |
| Clot factor xiii fibrin stab CPT 85290 | $126.10 | $194.00 | $14.53 – $20.43 | 5 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $662.35 | $1,019.00 | $299.58 – $559.68 | 53 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $425.75 | $655.00 | $201.38 – $373.38 | 53 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $391.30 | $602.00 | $169.94 – $317.18 | 53 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $507.65 | $781.00 | $283.30 – $485.33 | 53 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $278.20 | $428.00 | $66.96 – $504.02 | 54 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $271.05 | $417.00 | $119.82 – $201.53 | 53 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $271.70 | $418.00 | $132.58 – $223.00 | 53 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $701.35 | $1,079.00 | $303.61 – $518.99 | 53 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,190.15 | $1,831.00 | $500.25 – $3,285.64 | 54 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,022.45 | $1,573.00 | $464.37 – $1,425.19 | 53 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $692.90 | $1,066.00 | $325.13 – $546.86 | 53 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $507.00 | $780.00 | $270.60 – $457.05 | 53 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $566.80 | $872.00 | $283.01 – $476.01 | 53 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $551.85 | $849.00 | $206.44 – $347.23 | 53 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $367.90 | $566.00 | $189.66 – $318.99 | 53 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $525.85 | $809.00 | $335.64 – $607.27 | 53 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $525.85 | $809.00 | $281.87 – $474.09 | 53 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $408.85 | $629.00 | $181.47 – $311.57 | 53 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $421.20 | $648.00 | $233.81 – $393.26 | 53 |
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.