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 |
|---|---|---|---|---|
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $417.95 | $643.00 | $211.54 – $385.03 | 53 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $274.95 | $423.00 | $92.55 – $155.66 | 53 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $665.60 | $1,024.00 | $268.06 – $450.86 | 53 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $631.15 | $971.00 | $294.70 – $495.68 | 53 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $430.30 | $662.00 | $255.35 – $429.50 | 53 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $650.65 | $1,001.00 | $289.60 – $487.10 | 53 |
| #cmvcul-virus inoculation shell CPT 87254 | $126.10 | $194.00 | $17.40 – $24.45 | 5 |
| Cmv pcr-sendout CPT 87496 | $215.80 | $332.00 | $43.86 – $43.86 | 1 |
| Coagulation time activated teg CPT 85347 | $75.40 | $116.00 | $3.81 – $5.35 | 6 |
| Cold agglutinin titer CPT 86157 | $53.30 | $82.00 | $7.17 – $10.08 | 5 |
| Collar cerv ascend 172 reg HCPCS L0172 | $24.70 | $38.00 | $283.43 – $283.43 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $116.35 | $179.00 | $23.02 – $271.86 | 5 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $116.35 | $179.00 | $114.79 – $271.86 | 5 |
| Collection of venous blood by venipuncture CPT 36415 | $13.00 | $20.00 | $8.09 – $9.43 | 5 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $166.40 | $256.00 | $42.14 – $304.61 | 5 |
| Compatibility test each unit immediate spin technique CPT 86920 | $128.05 | $197.00 | $14.05 – $304.61 | 5 |
| Compatibility test incubate CPT 86921 | $143.65 | $221.00 | $18.72 – $304.61 | 5 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $629.85 | $969.00 | $309.63 – $1,424.80 | 5 |
| Complement antigen each component c3 CPT 86160 | $99.45 | $153.00 | $10.67 – $15.00 | 5 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $249.60 | $384.00 | $12.45 – $441.20 | 5 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $718.25 | $1,105.00 | $190.85 – $830.64 | 54 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $163.15 | $251.00 | $1,430.94 – $1,430.94 | 1 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,252.90 | $3,466.00 | $801.97 – $801.97 | 1 |
| Concentration infection agents any type CPT 87015 | $44.85 | $69.00 | $5.94 – $11.02 | 46 |
| Condylomata destruction 56420 CPT 56420 | $407.55 | $627.00 | $92.23 – $413.10 | 54 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $148.20 | $228.00 | $47.22 – $62.15 | 5 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $254.15 | $391.00 | $88.11 – $304.61 | 5 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $183.30 | $282.00 | $66.78 – $85.60 | 5 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,958.15 | $4,551.00 | $49.96 – $7,258.21 | 5 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,121.95 | $4,803.00 | $56.88 – $12,791.27 | 5 |
| Contrast x-ray gallbladder CPT 74290 | $316.55 | $487.00 | $58.29 – $58.29 | 4 |
| Contrast x-ray of hip CPT 73525 | $956.80 | $1,472.00 | $84.12 – $801.97 | 5 |
| Contrast x-ray of knee joint CPT 73580 | $858.65 | $1,321.00 | $66.90 – $801.97 | 5 |
| Control nosebleed pack+caut 30905 CPT 30905 | $541.45 | $833.00 | $92.62 – $155.78 | 53 |
| Control of nosebleed ant comp 30903 CPT 30903 | $384.15 | $591.00 | $65.68 – $114.79 | 53 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $225.55 | $347.00 | $46.86 – $133.79 | 53 |
| Coombs direct CPT 86880 | $72.80 | $112.00 | $4.79 – $105.47 | 5 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $93.60 | $144.00 | $5.09 – $304.61 | 5 |
| Coombs indirect titer reference CPT 86886 | $101.40 | $156.00 | $4.61 – $304.61 | 5 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $10,742.55 | $16,527.00 | $2,864.26 – $6,624.30 | 5 |
| Coronary angio/lv gram/lt heart CPT 93458 | $9,919.00 | $15,260.00 | $870.51 – $6,624.30 | 5 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $10,719.80 | $16,492.00 | $1,040.16 – $6,624.30 | 5 |
| Coronary art/grft angio s&i CPT 93455 | $9,778.60 | $15,044.00 | $842.66 – $6,624.30 | 5 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $9,229.35 | $14,199.00 | $755.78 – $6,624.30 | 5 |
| Cortisol total am CPT 82533 | $126.10 | $194.00 | $14.50 – $22.01 | 6 |
| Co-treatment - group 15 mins, st CPT 92508 | $136.50 | $210.00 | $21.37 – $38.45 | 5 |
| Counseling smoke cess interm >10mins CPT 99407 | $53.95 | $83.00 | $21.01 – $76.56 | 54 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $42.90 | $66.00 | $37.45 – $70.58 | 5 |
| #covid19rsv-rsv CPT 87634 | $141.05 | $217.00 | $62.44 – $62.44 | 4 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $65.00 | $100.00 | $11.59 – $11.59 | 4 |
| C-peptide CPT 84681 | $118.30 | $182.00 | $18.51 – $26.01 | 5 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,409.85 | $2,169.00 | $479.34 – $1,248.14 | 5 |
| C-reactive protein CPT 86140 | $50.70 | $78.00 | $4.61 – $8.55 | 45 |
| C-reactive protein high sensitivity CPT 86141 | $100.75 | $155.00 | $11.52 – $16.19 | 5 |
| C-reactive protein, quantitative CPT 86406 | $84.50 | $130.00 | $9.46 – $17.56 | 54 |
| Creatine kinase CPT 82550 | $76.05 | $117.00 | $5.79 – $8.14 | 5 |
| Creatine kinase isoenzymes CPT 82552 | $72.80 | $112.00 | $11.91 – $16.74 | 5 |
| Creatine kinase mb CPT 82553 | $114.40 | $176.00 | $10.27 – $19.06 | 53 |
| Creatinine CPT 82565 | $40.30 | $62.00 | $4.55 – $6.40 | 5 |
| Creatinine 24 hour urine CPT 82570 | $54.60 | $84.00 | $4.61 – $6.48 | 5 |
| Creatinine clearance urine CPT 82575 | $94.25 | $145.00 | $8.41 – $11.83 | 5 |
| #creutz-prot.,western blot CPT 84182 | $178.10 | $274.00 | $25.98 – $36.51 | 5 |
| Critical care 30-74 minutes CPT 99291 | $1,477.45 | $2,273.00 | $189.36 – $750.36 | 53 |
| Critical care each additional 30 minutes CPT 99292 | $494.65 | $761.00 | $95.26 – $160.23 | 53 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $48.10 | $74.00 | $12.58 – $12.58 | 4 |
| Cryoprecipitate each unit HCPCS P9012 | $163.80 | $252.00 | $39.75 – $89.94 | 5 |
| Crystal identification light microscopy CPT 89060 | $57.85 | $89.00 | $6.52 – $12.09 | 53 |
| CT 3d report other modality w/workstation CPT 76377 | $541.45 | $833.00 | $33.83 – $146.34 | 5 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,376.40 | $3,656.00 | $142.90 – $403.20 | 5 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,090.75 | $4,755.00 | $143.14 – $403.20 | 5 |
| Cta neck without &/or w/contrast CPT 70498 | $2,252.90 | $3,466.00 | $143.14 – $403.20 | 5 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,777.80 | $5,812.00 | $239.84 – $801.97 | 5 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,191.80 | $3,372.00 | $143.19 – $403.20 | 5 |
| CT Angiogram of the Head CPT 70496 | $2,146.95 | $3,303.00 | $143.14 – $403.20 | 5 |
| CT angio pelvis CPT 72191 | $2,017.60 | $3,104.00 | $158.53 – $403.20 | 5 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,374.75 | $2,115.00 | $142.90 – $403.20 | 5 |
| CT bone density axial CPT 77078 | $384.80 | $592.00 | $70.12 – $200.05 | 5 |
| CT guidance for needle placement CPT 77012 | $1,677.00 | $2,580.00 | $58.85 – $229.18 | 5 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $995.15 | $1,531.00 | $47.46 – $208.62 | 5 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $219.70 | $338.00 | $62.71 – $62.71 | 4 |
| CT limited or localized follow-up study CPT 76380 | $741.65 | $1,141.00 | $70.12 – $200.05 | 5 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,507.05 | $3,857.00 | $97.15 – $403.20 | 5 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,632.50 | $4,050.00 | $71.62 – $240.32 | 5 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,913.30 | $4,482.00 | $119.64 – $403.20 | 5 |
| CT neck soft tissue w/contrast CPT 70491 | $1,577.55 | $2,427.00 | $103.53 – $403.20 | 5 |
| CT neck soft tissue without contrast CPT 70490 | $1,243.45 | $1,913.00 | $78.01 – $240.32 | 5 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,160.60 | $3,324.00 | $158.53 – $403.20 | 5 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,606.80 | $2,472.00 | $130.75 – $403.20 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,432.60 | $2,204.00 | $110.20 – $403.20 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $916.50 | $1,410.00 | $85.48 – $240.32 | 5 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,328.00 | $5,120.00 | $212.92 – $801.97 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,724.15 | $4,191.00 | $188.51 – $801.97 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,300.35 | $3,539.00 | $88.54 – $548.48 | 5 |
| CT thoracic spine w/contrast CPT 72129 | $2,103.40 | $3,236.00 | $158.53 – $403.20 | 5 |
| CT thoracic spine without contrast CPT 72128 | $1,815.45 | $2,793.00 | $71.90 – $240.32 | 5 |
| CT t-spine w /wo contrast CPT 72130 | $2,202.20 | $3,388.00 | $120.20 – $403.20 | 5 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,651.65 | $2,541.00 | $126.31 – $801.97 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,497.30 | $3,842.00 | $85.22 – $240.32 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,442.70 | $3,758.00 | $143.16 – $403.20 | 5 |
| Culture aerobic additional method definitive id each CPT 87077 | $69.55 | $107.00 | $7.19 – $13.33 | 48 |
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.