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 |
|---|---|---|---|---|
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $143.65 | $221.00 | $11.45 – $16.09 | 5 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $40.95 | $63.00 | $3.49 – $4.90 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $115.05 | $177.00 | $16.53 – $23.23 | 5 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $100.75 | $155.00 | $16.47 – $23.15 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $79.30 | $122.00 | $28.53 – $222.50 | 5 |
| Great toe with reduction 28495 CPT 28495 | $424.45 | $653.00 | $140.87 – $236.94 | 53 |
| G-tube reposition CPT 43761 | $378.30 | $582.00 | $83.77 – $140.89 | 53 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.15 | $11.00 | $0.98 – $1.21 | 5 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $20.80 | $32.00 | $7.00 – $7.00 | 1 |
| Hand X-ray CPT 73130 | $456.30 | $702.00 | $24.14 – $200.05 | 5 |
| Haptoglobin quantitative CPT 83010 | $105.30 | $162.00 | $11.19 – $15.73 | 5 |
| Hba1/hba2 full gene sequence CPT 81259 | $500.50 | $770.00 | $533.69 – $533.69 | 4 |
| Hbb full gene sequence CPT 81364 | $481.65 | $741.00 | $288.71 – $405.73 | 5 |
| Hbb gene dup/del variants CPT 81363 | $475.15 | $731.00 | $180.03 – $180.03 | 4 |
| Hbot, full body chamber, 30m HCPCS G0277 | $558.35 | $859.00 | $151.81 – $246.03 | 5 |
| Hcg qualitative CPT 84703 | $115.05 | $177.00 | $6.69 – $9.40 | 5 |
| Hcg quantitative CPT 84702 | $113.75 | $175.00 | $13.39 – $24.83 | 45 |
| Head CT scan (with and without contrast) CPT 70470 | $2,133.30 | $3,282.00 | $98.54 – $492.80 | 5 |
| Head CT scan (with contrast) CPT 70460 | $1,822.60 | $2,804.00 | $82.45 – $492.80 | 5 |
| Head CT scan (without contrast) CPT 70450 | $1,407.25 | $2,165.00 | $57.46 – $293.73 | 5 |
| Helicobacter pylori antibody igm CPT 86677 | $97.50 | $150.00 | $14.99 – $14.99 | 4 |
| Hematocrit CPT 85014 | $37.05 | $57.00 | $2.11 – $2.96 | 5 |
| Hemodialysis one evaluation CPT 90935 | $1,717.30 | $2,642.00 | $63.13 – $1,402.36 | 5 |
| Hemoglobin CPT 85018 | $36.40 | $56.00 | $2.11 – $2.96 | 5 |
| Hemoglobin fetal qualitative CPT 83033 | $61.75 | $95.00 | $7.12 – $7.12 | 4 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $48.75 | $75.00 | $7.29 – $10.25 | 5 |
| Hemoglobin plasma CPT 83051 | $79.30 | $122.00 | $6.50 – $9.14 | 5 |
| Hemophilus influenza antibdy CPT 86684 | $134.55 | $207.00 | $14.09 – $19.80 | 5 |
| Heparin assay CPT 85520 | $154.70 | $238.00 | $11.64 – $16.36 | 5 |
| Heparin bolus from bag HCPCS J1644 | $52.41 | $80.63 | $1.00 – $1.35 | 5 |
| Heparin neutralization CPT 85525 | $59.15 | $91.00 | $10.53 – $14.80 | 5 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $7.15 | $11.00 | $0.02 – $0.02 | 1 |
| Hepatitis a antibody igm CPT 86709 | $116.35 | $179.00 | $10.02 – $18.58 | 52 |
| Hepatitis b core antibody igm CPT 86705 | $85.80 | $132.00 | $10.47 – $15.89 | 6 |
| Hepatitis b core antibody total CPT 86704 | $94.90 | $146.00 | $10.72 – $16.27 | 7 |
| Hepatitis b surface antibody CPT 86706 | $96.85 | $149.00 | $9.55 – $13.43 | 5 |
| Hepatitis c antibody CPT 86803 | $117.00 | $180.00 | $12.69 – $19.26 | 7 |
| Hereditary colon ca dsordrs CPT 81435 | $2,642.25 | $4,065.00 | $1,159.85 – $1,629.94 | 5 |
| Herpes simplex type 1 antibody igg CPT 86695 | $73.45 | $113.00 | $11.73 – $17.81 | 6 |
| Herpes simplex type 2 antibody igg CPT 86696 | $94.25 | $145.00 | $17.21 – $26.12 | 6 |
| Heterophile antibodies screening CPT 86308 | $68.90 | $106.00 | $4.61 – $6.48 | 5 |
| Hip X-ray CPT 73502 | $294.45 | $453.00 | $30.80 – $200.05 | 5 |
| Histamine CPT 83088 | $185.90 | $286.00 | $26.27 – $36.91 | 5 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $304.20 | $468.00 | $151.12 – $280.34 | 54 |
| Hla typing a b or c CPT 86813 | $330.85 | $509.00 | $51.59 – $72.50 | 5 |
| Hla typing dr/dq CPT 86816 | $221.00 | $340.00 | $26.84 – $26.84 | 4 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $46.66 | $71.78 | $8.10 – $8.10 | 1 |
| Homocysteine CPT 83090 | $133.90 | $206.00 | $15.94 – $22.40 | 5 |
| Homogenization tissue CPT 87176 | $41.60 | $64.00 | $5.23 – $7.35 | 6 |
| Homovanillic acid (hva) CPT 83150 | $76.05 | $117.00 | $19.93 – $28.01 | 5 |
| Hpv types 16 & 18 only CPT 87625 | $91.65 | $141.00 | $36.07 – $66.91 | 53 |
| H pylori (c-13) breath CPT 83013 | $200.85 | $309.00 | $59.92 – $84.20 | 5 |
| H pylori drug admin CPT 83014 | $29.25 | $45.00 | $6.99 – $9.83 | 5 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $4,197.37 | $6,457.50 | $1,575.00 – $1,575.00 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $20.47 | $31.50 | $4.08 – $5.32 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | $157.30 | $242.00 | $41.09 – $81.33 | 5 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $157.30 | $242.00 | $187.62 – $369.43 | 5 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $98.04 | $150.83 | $20.94 – $27.45 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $73.32 | $112.80 | $0.27 – $0.36 | 5 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $74.52 | $114.64 | $12.31 – $18.81 | 5 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $83.85 | $129.00 | $15.92 – $15.92 | 4 |
| Hysterosalpingography s&i CPT 74740 | $644.15 | $991.00 | $63.01 – $548.48 | 5 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $166.40 | $256.00 | $111.55 – $111.55 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $76.05 | $117.00 | $20.60 – $29.85 | 5 |
| Idh1 common variants CPT 81120 | $417.30 | $642.00 | $99.52 – $321.57 | 9 |
| Idh2 common variants CPT 81121 | $472.55 | $727.00 | $263.10 – $263.10 | 4 |
| Igh gene rearrange amp meth CPT 81261 | $434.20 | $668.00 | $176.11 – $247.49 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | $657.80 | $1,012.00 | $288.92 – $485.96 | 48 |
| Igk rearrangeabn clonal pop CPT 81264 | $389.35 | $599.00 | $153.64 – $215.91 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $204.75 | $315.00 | $77.41 – $107.55 | 5 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $216.45 | $333.00 | $146.69 – $640.87 | 5 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $290.55 | $447.00 | $90.64 – $304.61 | 5 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $37.05 | $57.00 | $231.04 – $231.04 | 1 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $65.65 | $101.00 | $110.57 – $110.57 | 1 |
| Immobilizer shldr sling med HCPCS L3660 | $26.00 | $40.00 | $202.25 – $202.25 | 1 |
| Immune complex assay CPT 86332 | $117.00 | $180.00 | $21.68 – $21.68 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $125.45 | $193.00 | $18.51 – $34.34 | 49 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $120.25 | $185.00 | $18.51 – $26.01 | 5 |
| Immunodiffusion nes CPT 86329 | $105.95 | $163.00 | $12.50 – $17.56 | 5 |
| Immunofixation electrophoresis serum CPT 86334 | $157.30 | $242.00 | $19.87 – $27.93 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $148.85 | $229.00 | $96.93 – $121.80 | 5 |
| Immunoglobulin assay CPT 86023 | $165.75 | $255.00 | $11.08 – $15.58 | 5 |
| Impedence cardiogram CPT 93701 | $119.60 | $184.00 | $114.79 – $114.79 | 4 |
| Implnt spinl canal catheter 62350 CPT 62350 | $3,625.05 | $5,577.00 | $355.66 – $355.66 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $2,623.40 | $4,036.00 | $918.47 – $1,367.96 | 5 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,638.65 | $2,521.00 | $688.05 – $1,031.01 | 5 |
| In-111 pentetreotide HCPCS A9572 | $5,294.90 | $8,146.00 | $1,704.99 – $2,481.17 | 5 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $280.15 | $431.00 | $106.37 – $3,374.74 | 54 |
| Infect ag drug suscept pheno predict CPT 87900 | $374.40 | $576.00 | $115.94 – $215.08 | 54 |
| Infect ag eia influenza a or b ea CPT 87400 | $91.65 | $141.00 | $12.57 – $17.66 | 5 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $89.70 | $138.00 | $40.96 – $40.96 | 1 |
| Infect ag ia optc obs influenza CPT 87804 | $72.80 | $112.00 | $14.72 – $20.69 | 5 |
| Infect ag if varicella zoster CPT 87290 | $75.40 | $116.00 | $11.94 – $11.94 | 4 |
| Infect ag na hpv high-risk types CPT 87624 | $117.65 | $181.00 | $31.21 – $43.86 | 5 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $185.90 | $286.00 | $85.21 – $119.75 | 5 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $143.65 | $221.00 | $45.64 – $45.64 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $112.45 | $173.00 | $10.66 – $14.98 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $65.00 | $100.00 | $11.94 – $11.94 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $69.55 | $107.00 | $12.29 – $17.28 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $73.45 | $113.00 | $10.66 – $14.98 | 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.