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 |
|---|---|---|---|---|
| Culture afb any source CPT 87116 | $122.85 | $189.00 | $9.61 – $14.58 | 6 |
| Culture anaerobic additional method definitive id each CPT 87076 | $100.75 | $155.00 | $7.19 – $10.10 | 5 |
| Culture anaerobic except blood CPT 87075 | $123.50 | $190.00 | $8.42 – $15.63 | 44 |
| Culture bact stool aero addl path ea CPT 87046 | $50.70 | $78.00 | $8.40 – $15.58 | 52 |
| Culture body fluid CPT 87070 | $125.45 | $193.00 | $7.67 – $14.22 | 41 |
| Culture fungi definitive id mold CPT 87107 | $87.10 | $134.00 | $9.18 – $12.90 | 5 |
| Culture fungi definitive id yeast CPT 87106 | $87.10 | $134.00 | $9.18 – $17.03 | 52 |
| Culture fungi other (except blood) CPT 87102 | $105.95 | $163.00 | $7.48 – $11.35 | 6 |
| Culture fungi skin/hair/nail CPT 87101 | $84.50 | $130.00 | $6.86 – $9.64 | 5 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $75.40 | $116.00 | $13.00 – $18.26 | 5 |
| Culture mycoplasma any source CPT 87109 | $172.25 | $265.00 | $13.69 – $13.69 | 4 |
| Culture screening strep group a CPT 87081 | $87.75 | $135.00 | $5.90 – $8.95 | 9 |
| Culture typing added method CPT 87158 | $57.20 | $88.00 | $6.88 – $6.88 | 4 |
| Culture typing immunologic CPT 87147 | $41.60 | $64.00 | $4.61 – $8.55 | 46 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $754.65 | $1,161.00 | $193.96 – $272.58 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $31.20 | $48.00 | $31.21 – $57.90 | 53 |
| Cv stress test/supervision only 93016 CPT 93016 | $81.90 | $126.00 | $18.72 – $40.06 | 54 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.15 | $11.00 | $0.83 – $1.27 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $105.95 | $163.00 | $11.52 – $16.19 | 5 |
| Cyclosporine 2 hour CPT 80158 | $180.70 | $278.00 | $16.06 – $29.78 | 54 |
| Cystatin c CPT 82610 | $92.30 | $142.00 | $16.47 – $23.15 | 5 |
| Cystic fibrosis cftr CPT 81223 | $1,190.80 | $1,832.00 | $443.85 – $443.85 | 4 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $514.80 | $792.00 | $21.91 – $801.97 | 5 |
| Cytogenetics 25-99 CPT 88274 | $104.65 | $161.00 | $37.70 – $37.70 | 4 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $102.70 | $158.00 | $12.80 – $17.99 | 5 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $94.90 | $146.00 | $14.99 – $21.06 | 5 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $169.00 | $260.00 | $58.50 – $93.17 | 5 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $76.70 | $118.00 | $23.67 – $33.26 | 7 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $72.80 | $112.00 | $18.02 – $18.02 | 4 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $141.70 | $218.00 | $58.65 – $66.78 | 5 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $132.60 | $204.00 | $64.87 – $66.78 | 5 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $149.50 | $230.00 | $93.17 – $144.01 | 5 |
| Cytopath smear oth prep screen & interp CPT 88161 | $87.75 | $135.00 | $51.71 – $69.38 | 5 |
| Cytopath tbs c/v manual CPT 88164 | $49.40 | $76.00 | $16.18 – $16.18 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,741.39 | $7,294.44 | $1,560.00 – $1,860.00 | 5 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $146.25 | $225.00 | $14.00 – $14.00 | 5 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,062.71 | $3,173.40 | $118.80 – $152.40 | 5 |
| D&c after delivery 59160 CPT 59160 | $119.60 | $184.00 | $2,831.42 – $2,831.42 | 4 |
| Dch validity tests CPT 81002 | $22.10 | $34.00 | $3.10 – $4.35 | 5 |
| Deamidated gliadin antibody iga CPT 86258 | $93.60 | $144.00 | $10.72 – $15.06 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $286.00 | $440.00 | $20.61 – $75.09 | 54 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,101.10 | $1,694.00 | $202.31 – $1,510.16 | 5 |
| Decalcification CPT 88311 | $73.45 | $113.00 | $17.71 – $22.93 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $323.70 | $498.00 | $28.83 – $674.92 | 5 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $147.55 | $227.00 | $14.95 – $447.44 | 5 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,656.70 | $8,702.61 | $1,659.60 – $2,195.40 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $360.10 | $554.00 | $114.79 – $285.62 | 53 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $133.25 | $205.00 | $43.90 – $409.96 | 54 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $175.50 | $270.00 | $68.03 – $409.96 | 54 |
| Destruction 2-14 lesions 17003 CPT 17003 | $146.25 | $225.00 | $1.61 – $5.69 | 53 |
| Destruction benign lesions < 14 lesions CPT 17110 | $193.70 | $298.00 | $56.82 – $409.96 | 54 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $259.35 | $399.00 | $76.86 – $830.64 | 54 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.87 | $7.50 | $0.16 – $0.24 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $14.62 | $22.50 | $0.22 – $0.28 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $42.25 | $65.00 | $2.36 – $3.20 | 5 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $42.25 | $65.00 | $1.80 – $2.32 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $109.20 | $168.00 | $19.77 – $27.79 | 6 |
| Diabetes (HbA1c) Test CPT 83036 | $84.50 | $130.00 | $8.64 – $13.11 | 7 |
| Diab manage trn ind/group HCPCS G0109 | $48.75 | $75.00 | $13.88 – $26.55 | 5 |
| Dialysis one evaluation CPT 90945 | $720.20 | $1,108.00 | $75.59 – $852.60 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $15.04 | $23.14 | $8.55 – $10.55 | 5 |
| Dicyclomine injection HCPCS J0500 | $59.08 | $90.90 | $11.62 – $14.90 | 5 |
| Digital analysis of eeg CPT 95957 | $432.90 | $666.00 | $250.81 – $250.81 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.29 | $11.22 | $8.82 – $12.86 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $80.60 | $124.00 | $11.81 – $17.93 | 7 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $7.15 | $11.00 | $1.00 – $1.00 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.15 | $11.00 | $0.73 – $0.86 | 5 |
| Disaccharidases CPT 82657 | $21.45 | $33.00 | $19.72 – $27.71 | 5 |
| Dna antibody native/double stranded CPT 86225 | $104.00 | $160.00 | $12.22 – $17.18 | 6 |
| Dna gardnerella CPT 87510 | $70.85 | $109.00 | $17.83 – $25.06 | 6 |
| Dna probe gc CPT 87590 | $89.05 | $137.00 | $23.91 – $23.91 | 4 |
| Dna trichomonas CPT 87660 | $75.40 | $116.00 | $17.83 – $25.06 | 6 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $109.69 | $168.75 | $7.39 – $9.77 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $69.47 | $106.88 | $9.90 – $9.90 | 1 |
| Doppler echo complete CPT 93320 | $510.90 | $786.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,646.15 | $4,071.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $628.55 | $967.00 | $109.89 – $441.20 | 5 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $326.95 | $503.00 | $114.79 – $271.86 | 5 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $78.00 | $120.00 | $11.00 – $11.00 | 1 |
| Drainage external ear complex 69005 CPT 69005 | $410.80 | $632.00 | $134.98 – $227.02 | 53 |
| Drainage external ear simple 69000 CPT 69000 | $341.90 | $526.00 | $107.77 – $1,446.94 | 54 |
| Drainage mouth roof lesion CPT 42000 | $360.75 | $555.00 | $91.06 – $153.15 | 53 |
| Drain blood from under nail 11740 CPT 11740 | $79.30 | $122.00 | $28.79 – $271.86 | 54 |
| Drain finger abscess;simple 26010 CPT 26010 | $440.05 | $677.00 | $132.01 – $409.96 | 54 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $291.20 | $448.00 | $94.65 – $409.96 | 54 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $180.05 | $277.00 | $49.90 – $409.96 | 54 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $364.00 | $560.00 | $113.73 – $830.64 | 54 |
| Drng of eyelid abscess 67700 CPT 67700 | $382.20 | $588.00 | $94.69 – $239.98 | 53 |
| Drng of finger abscess comp 26011 CPT 26011 | $731.25 | $1,125.00 | $166.59 – $1,442.85 | 53 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $51.82 | $79.73 | $3.40 – $8.94 | 5 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $37.05 | $57.00 | $11.30 – $222.50 | 5 |
| Drug assay caffeine CPT 80155 | $110.50 | $170.00 | $34.31 – $34.31 | 4 |
| Drug assay posaconazole CPT 80187 | $143.65 | $221.00 | $24.11 – $24.11 | 4 |
| Drug assay voriconazole CPT 80285 | $102.70 | $158.00 | $24.11 – $24.11 | 4 |
| Drug test prsmv instrmnt CPT 80306 | $98.80 | $152.00 | $15.25 – $28.28 | 54 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $236.60 | $364.00 | $55.27 – $83.89 | 6 |
| Drvvt confirm - quest CPT 85597 | $111.80 | $172.00 | $15.99 – $15.99 | 4 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $454.35 | $699.00 | $134.78 – $441.20 | 5 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $702.00 | $1,080.00 | $167.40 – $487.54 | 5 |
| Ear irrigation 69209 CPT 69209 | $111.80 | $172.00 | $14.96 – $120.54 | 50 |
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.