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 |
|---|---|---|---|---|
| Fluorescent antibody titer dna CPT 86256 | $124.80 | $192.00 | $10.72 – $19.88 | 54 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $360.75 | $555.00 | $64.12 – $190.54 | 5 |
| Fluoroguide needle placement CPT 77002 | $468.00 | $720.00 | $74.68 – $220.02 | 5 |
| Fluoroscopy up to 1 hour CPT 76000 | $453.05 | $697.00 | $23.30 – $548.48 | 5 |
| Folic acid CPT 82746 | $81.90 | $126.00 | $13.08 – $24.26 | 44 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $7.15 | $11.00 | $0.60 – $0.60 | 1 |
| Follow-up angiography CPT 75898 | $788.45 | $1,213.00 | $2,802.90 – $6,451.74 | 5 |
| Fondaparinux sodium HCPCS J1652 | $121.19 | $186.44 | $3.35 – $4.95 | 5 |
| Foot X-ray CPT 73630 | $354.25 | $545.00 | $21.91 – $200.05 | 5 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $193.70 | $298.00 | $61.16 – $91.47 | 5 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $208.00 | $320.00 | $52.21 – $107.48 | 5 |
| Fructosamine glycated protein CPT 82985 | $63.05 | $97.00 | $14.91 – $20.95 | 5 |
| Ftl cgen abnor four anal CPT 81511 | $200.85 | $309.00 | $191.88 – $191.88 | 1 |
| Full mouth x-ray of teeth CPT 70320 | $212.55 | $327.00 | $35.52 – $35.52 | 4 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $7.15 | $11.00 | $0.40 – $0.40 | 1 |
| Gammaglobulin iga CPT 82784 | $98.80 | $152.00 | $8.27 – $15.35 | 41 |
| Gammaglobulin ige CPT 82785 | $87.10 | $134.00 | $14.64 – $20.58 | 6 |
| Gamma glutamyltransferase CPT 82977 | $66.30 | $102.00 | $6.40 – $9.00 | 6 |
| General health panel CPT 80050 | $194.35 | $299.00 | $31.24 – $31.24 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $25.74 | $39.60 | $2.39 – $2.47 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $84.50 | $130.00 | $14.57 – $20.48 | 5 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $59.15 | $91.00 | $8.73 – $8.73 | 4 |
| Ghs antibodies (torch) igm CPT 86694 | $79.95 | $123.00 | $12.80 – $17.99 | 5 |
| Ghs bladder cath - complex-foley CPT 51703 | $330.20 | $508.00 | $139.33 – $262.92 | 5 |
| Ghs bleeding time (ivy) CPT 85002 | $71.50 | $110.00 | $4.29 – $4.29 | 4 |
| Ghs change cysto/gastrost CPT 43762 | $150.80 | $232.00 | $32.28 – $510.52 | 54 |
| Ghs chemo IV push, ea addtl CPT 96411 | $286.00 | $440.00 | $63.38 – $125.05 | 5 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $133.25 | $205.00 | $31.21 – $31.21 | 4 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $514.80 | $792.00 | $261.35 – $469.79 | 53 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $515.45 | $793.00 | $306.64 – $532.64 | 53 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $118.30 | $182.00 | $28.43 – $47.82 | 53 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $105.95 | $163.00 | $23.08 – $271.86 | 54 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $186.55 | $287.00 | $35.32 – $59.40 | 53 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $157.30 | $242.00 | $39.50 – $271.86 | 54 |
| Ghs cricothyroidotomy CPT 31605 | $585.65 | $901.00 | $283.35 – $476.59 | 53 |
| Ghs dislocation elbow closed treatment CPT 24600 | $683.80 | $1,052.00 | $339.77 – $614.20 | 53 |
| Ghs fb removal - incisional CPT 10121 | $500.50 | $770.00 | $159.11 – $1,442.85 | 53 |
| Ghs fish cytogen CPT 88271 | $266.50 | $410.00 | $19.05 – $26.78 | 5 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $126.10 | $194.00 | $45.53 – $63.99 | 5 |
| Ghs flow volume loop CPT 94375 | $275.60 | $424.00 | $33.50 – $441.20 | 5 |
| Ghs gastric intub aspiration lavage CPT 43753 | $286.00 | $440.00 | $19.11 – $441.20 | 5 |
| Ghs hgb stability-thal CPT 83068 | $82.55 | $127.00 | $8.42 – $15.63 | 54 |
| Ghs histoplasma antigen CPT 87385 | $176.80 | $272.00 | $11.79 – $16.56 | 5 |
| Ghs HIV antibody CPT 86703 | $87.75 | $135.00 | $7.91 – $17.14 | 5 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $507.65 | $781.00 | $94.41 – $94.41 | 4 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,008.80 | $1,552.00 | $396.75 – $667.31 | 53 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $310.05 | $477.00 | $96.35 – $213.04 | 53 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $385.45 | $593.00 | $98.59 – $178.39 | 53 |
| Ghs inhibitor screen CPT 85335 | $167.05 | $257.00 | $11.45 – $21.24 | 54 |
| Ghs init tx 1st degree burn CPT 16000 | $152.10 | $234.00 | $39.54 – $409.96 | 54 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $613.60 | $944.00 | $207.26 – $348.60 | 53 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $449.15 | $691.00 | $151.86 – $355.35 | 53 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $406.90 | $626.00 | $123.32 – $830.64 | 54 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $449.80 | $692.00 | $120.07 – $830.64 | 54 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $507.00 | $780.00 | $138.34 – $830.64 | 54 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $510.25 | $785.00 | $160.60 – $830.64 | 54 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $510.25 | $785.00 | $156.65 – $830.64 | 54 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $598.65 | $921.00 | $174.07 – $313.32 | 53 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $638.30 | $982.00 | $167.23 – $830.64 | 54 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $638.30 | $982.00 | $177.19 – $1,510.16 | 54 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $830.70 | $1,278.00 | $183.56 – $330.26 | 53 |
| Ghs low level laser therapy CPT 97039 | $50.70 | $78.00 | $15.45 – $15.45 | 1 |
| Ghs mbp CPT 83873 | $115.05 | $177.00 | $15.30 – $21.50 | 5 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $180.70 | $278.00 | $52.17 – $97.16 | 5 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $115.05 | $177.00 | $66.84 – $116.77 | 54 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $167.70 | $258.00 | $9.67 – $19.14 | 5 |
| Ghs ot dds rom CPT 95851 | $56.55 | $87.00 | $18.57 – $40.46 | 5 |
| Ghs ot prosthetic training/15 min CPT 97761 | $82.55 | $127.00 | $36.39 – $64.33 | 5 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $79.30 | $122.00 | $53.54 – $95.13 | 5 |
| Ghs pacing - transcutaneous CPT 92953 | $753.35 | $1,159.00 | $582.74 – $1,350.52 | 5 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $44.85 | $69.00 | $20.85 – $20.85 | 4 |
| Ghs phenylketonurid CPT 84030 | $33.15 | $51.00 | $4.89 – $6.88 | 5 |
| Ghs picc line insert < 5 CPT 36568 | $1,297.40 | $1,996.00 | $1,383.36 – $3,216.50 | 5 |
| Ghs plngl fx pm cl CPT 26725 | $595.40 | $916.00 | $292.67 – $492.26 | 53 |
| Ghs ppd (tb intradermal) CPT 86580 | $36.40 | $56.00 | $8.58 – $51.71 | 5 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $56.55 | $87.00 | $8.59 – $8.59 | 4 |
| Ghs protoporphyrins fract CPT 84202 | $72.15 | $111.00 | $12.76 – $12.76 | 4 |
| Ghs quinidine CPT 80194 | $62.40 | $96.00 | $12.99 – $12.99 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $324.35 | $499.00 | $104.87 – $179.38 | 53 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $136.50 | $210.00 | $12.37 – $17.39 | 5 |
| Ghs sedimentation rate CPT 85651 | $56.55 | $87.00 | $3.80 – $5.34 | 5 |
| Ghs sensitivity (per antimicro) CPT 87184 | $76.05 | $117.00 | $6.65 – $9.35 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $506.35 | $779.00 | $84.23 – $154.01 | 53 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $595.40 | $916.00 | $102.42 – $178.04 | 53 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $397.80 | $612.00 | $67.53 – $123.97 | 53 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $408.85 | $629.00 | $67.19 – $409.96 | 54 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $529.75 | $815.00 | $84.51 – $149.88 | 53 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $175.50 | $270.00 | $91.09 – $91.09 | 4 |
| Ghs st - re-eval for alt comm CPT 92597 | $362.05 | $557.00 | $64.44 – $115.35 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $464.10 | $714.00 | $164.84 – $1,510.16 | 54 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $338.65 | $521.00 | $272.28 – $457.96 | 53 |
| Ghs urine, porphyrins quant CPT 84120 | $86.45 | $133.00 | $13.08 – $18.39 | 5 |
| Ghs vaginal delivery only CPT 59409 | $146.25 | $225.00 | $706.07 – $706.07 | 4 |
| Gi inhouse confirmation CPT 87045 | $141.70 | $218.00 | $8.40 – $11.80 | 7 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,365.00 | $2,100.00 | $181.45 – $184.18 | 5 |
| Glucagon plasma - sendout CPT 82943 | $91.00 | $140.00 | $12.71 – $12.71 | 4 |
| Glucose 1 hr post dose CPT 82950 | $44.20 | $68.00 | $4.23 – $5.94 | 5 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $28.60 | $44.00 | $2.92 – $2.92 | 4 |
| Glucose blood quantitative CPT 82947 | $42.25 | $65.00 | $3.50 – $4.91 | 5 |
| Glucose body fluid CPT 82945 | $66.30 | $102.00 | $3.50 – $6.48 | 45 |
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.