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 |
|---|---|---|---|---|
| Ecg 12 lead tracing only CPT 93005 | $177.45 | $273.00 | $5.25 – $120.54 | 5 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $126.10 | $194.00 | $5.25 – $120.54 | 5 |
| Ecg external < 48 hours recording CPT 93225 | $518.70 | $798.00 | $15.25 – $271.86 | 5 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $677.95 | $1,043.00 | $29.69 – $120.54 | 5 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,541.15 | $2,371.00 | $168.33 – $1,116.50 | 5 |
| Echocardiography doppler color flow mapping CPT 93325 | $644.80 | $992.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,200.90 | $3,386.00 | $1,601.80 – $1,601.80 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $594.10 | $914.00 | $215.26 – $487.54 | 5 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,034.80 | $1,592.00 | $712.86 – $712.86 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $382.85 | $589.00 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $663.65 | $1,021.00 | $83.54 – $240.32 | 5 |
| Echo guidance radiotherapy CPT 76965 | $878.80 | $1,352.00 | $23.02 – $182.50 | 5 |
| Echo guide for amniocentesis CPT 76946 | $456.30 | $702.00 | $12.75 – $63.26 | 5 |
| Echo stress CPT 93350 | $1,407.25 | $2,165.00 | $488.27 – $1,116.50 | 5 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,677.65 | $2,581.00 | $488.27 – $1,116.50 | 5 |
| Echo transthoracic CPT 93303 | $1,539.20 | $2,368.00 | $488.27 – $1,116.50 | 5 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,380.60 | $2,124.00 | $215.26 – $487.54 | 5 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $895.05 | $1,377.00 | $295.59 – $441.20 | 5 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $725.40 | $1,116.00 | $472.51 – $472.51 | 4 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $843.70 | $1,298.00 | $332.50 – $441.20 | 5 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,163.50 | $1,790.00 | $374.59 – $441.20 | 5 |
| Egfr gene com variants CPT 81235 | $726.70 | $1,118.00 | $288.71 – $405.73 | 5 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $130.65 | $201.00 | $43.86 – $47.37 | 2 |
| Electrical stimulation/unattended 97014 CPT 97014 | $68.25 | $105.00 | $20.30 – $20.30 | 1 |
| Electrolyte panel CPT 80051 | $97.50 | $150.00 | $6.24 – $8.76 | 5 |
| Electrophysiology evaluation CPT 93641 | $2,717.00 | $4,180.00 | not published | 0 |
| Electrophysiology evaluation CPT 93642 | $2,109.25 | $3,245.00 | $1,081.08 – $2,487.82 | 5 |
| Embolization s&i CPT 75894 | $2,079.35 | $3,199.00 | $87.39 – $317.80 | 5 |
| Endo cath bile duct s&i CPT 74328 | $590.85 | $909.00 | $143.48 – $286.84 | 5 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,408.60 | $5,244.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $1,714.70 | $2,638.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $41.00 | $63.08 | $1.68 – $2.01 | 5 |
| Enzyme histochemistry CPT 88319 | $387.40 | $596.00 | $115.58 – $1,440.48 | 5 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $73.61 | $113.25 | $35.70 – $35.70 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $11.99 | $18.45 | $3.24 – $3.24 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $10.97 | $16.88 | $1.14 – $1.14 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $16.09 | $24.75 | $3.12 – $3.12 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,204.72 | $1,853.42 | $298.80 – $390.80 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $89.70 | $138.00 | $11.67 – $16.40 | 5 |
| Epstein barr nuclear antigen antibody CPT 86664 | $79.95 | $123.00 | $13.60 – $19.11 | 5 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $96.20 | $148.00 | $16.14 – $22.68 | 5 |
| Ercp biliary & pancreas CPT 74330 | $1,131.00 | $1,740.00 | $221.82 – $430.26 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $676.65 | $1,041.00 | $17.90 – $22.02 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $274.95 | $423.00 | $10.47 – $129.23 | 54 |
| ER Visit (level 2) CPT 99282 | $450.45 | $693.00 | $38.44 – $235.31 | 54 |
| ER Visit (level 3) CPT 99283 | $1,057.87 | $1,627.50 | $66.04 – $418.34 | 54 |
| ER Visit (level 4) CPT 99284 | $1,310.40 | $2,016.00 | $112.41 – $639.45 | 54 |
| ER Visit (level 5, high severity) CPT 99285 | $4,309.16 | $6,629.48 | $163.11 – $912.65 | 54 |
| Established Patient Office Visit (level 1) CPT 99211 | $131.30 | $202.00 | $7.36 – $38.05 | 54 |
| Established Patient Office Visit (level 2) CPT 99212 | $148.85 | $229.00 | $29.59 – $94.11 | 54 |
| Established Patient Office Visit (level 3) CPT 99213 | $137.15 | $211.00 | $54.82 – $151.81 | 54 |
| Established Patient Office Visit (level 4) CPT 99214 | $185.25 | $285.00 | $80.63 – $216.61 | 54 |
| Established Patient Office Visit (level 5) CPT 99215 | $259.35 | $399.00 | $119.63 – $307.70 | 54 |
| Estradiol total CPT 82670 | $137.15 | $211.00 | $24.85 – $34.93 | 5 |
| Estrogens total-sendout CPT 82672 | $148.20 | $228.00 | $19.30 – $27.13 | 5 |
| Ethylene glycol -sendout CPT 82693 | $108.55 | $167.00 | $13.25 – $13.25 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $172.25 | $265.00 | $87.27 – $122.64 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $437.45 | $673.00 | $118.27 – $215.87 | 5 |
| Event monitor CPT 93270 | $257.40 | $396.00 | $6.92 – $76.26 | 5 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $261.30 | $402.00 | $23.29 – $71.18 | 5 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $651.30 | $1,002.00 | $389.32 – $389.32 | 4 |
| Exercise tst brncspsm w/ecg CPT 94617 | $239.20 | $368.00 | $76.43 – $231.08 | 5 |
| External chromosome analysis 20-25 cells CPT 88264 | $376.35 | $579.00 | $128.63 – $195.22 | 5 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $57.85 | $89.00 | $51.71 – $51.71 | 1 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $295.10 | $454.00 | $127.86 – $194.06 | 5 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $101.40 | $156.00 | $15.95 – $24.21 | 7 |
| F-18 fdg pet diag HCPCS A9552 | $1,043.25 | $1,605.00 | $257.48 – $400.00 | 5 |
| Facial bones <3 CPT 70140 | $251.55 | $387.00 | $18.86 – $200.05 | 5 |
| Factor ix CPT 85250 | $139.75 | $215.00 | $16.94 – $23.80 | 5 |
| Factor viii CPT 85240 | $138.45 | $213.00 | $15.92 – $22.38 | 5 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $7.15 | $11.00 | $0.40 – $0.40 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $38.35 | $59.00 | $4.54 – $6.38 | 5 |
| Fatty acids nonesterified CPT 82725 | $79.30 | $122.00 | $16.70 – $23.46 | 5 |
| #fecal-sodium CPT 84302 | $39.65 | $61.00 | $4.32 – $6.08 | 5 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $119.60 | $184.00 | $16.58 – $16.58 | 4 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $13.00 | $20.00 | $0.85 – $1.44 | 5 |
| Ferritin CPT 82728 | $92.30 | $142.00 | $12.12 – $22.49 | 45 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3,601.50 | $5,540.77 | $142.80 – $193.80 | 5 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $235.30 | $362.00 | $57.69 – $240.32 | 5 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,140.10 | $1,754.00 | $675.16 – $675.16 | 4 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $417.95 | $643.00 | $61.49 – $413.10 | 5 |
| Fetal fibronectin CPT 82731 | $354.25 | $545.00 | $57.29 – $106.28 | 52 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $113.75 | $175.00 | $6.88 – $9.66 | 5 |
| Fetal hemoglobin rosette CPT 85461 | $65.00 | $100.00 | $8.33 – $11.70 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $137.80 | $212.00 | $9.05 – $13.74 | 8 |
| Fibrin degrade semiquant CPT 85378 | $89.70 | $138.00 | $8.65 – $8.65 | 4 |
| Fibrinogen activity CPT 85384 | $91.65 | $141.00 | $8.65 – $12.15 | 5 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $53.95 | $83.00 | $13.77 – $19.35 | 5 |
| Fibrinolytic antiplasmin CPT 85410 | $69.55 | $107.00 | $6.86 – $6.86 | 4 |
| Fibrinolytic plasminogen CPT 85415 | $75.40 | $116.00 | $15.29 – $21.49 | 5 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $86.45 | $133.00 | $5.81 – $5.81 | 4 |
| Finasteride, 5 mg HCPCS S0138 | $4.87 | $7.50 | $0.14 – $0.14 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $202.80 | $312.00 | $43.57 – $87.58 | 53 |
| Flecainide (tambocor)-sendout CPT 80181 | $130.00 | $200.00 | $16.58 – $23.30 | 5 |
| Flow cytometry marker each additional CPT 88185 | $100.10 | $154.00 | $19.72 – $25.73 | 5 |
| Flow cytometry one marker technical component CPT 88184 | $229.45 | $353.00 | $64.93 – $640.87 | 5 |
| #flow interp 9 - 15 markers CPT 88188 | $189.15 | $291.00 | $54.19 – $70.19 | 5 |
| Flt3 gene CPT 81245 | $421.20 | $648.00 | $147.22 – $206.89 | 5 |
| Flt3 gene analysis CPT 81246 | $460.85 | $709.00 | $73.83 – $103.75 | 5 |
| Fluidotherapy charges pt CPT 97022 | $101.40 | $156.00 | $14.72 – $24.80 | 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.