Love County Health Center
300 Wanda St., Marietta, OK · Mercy · · NPI 1649221557
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $150.00 | $150.00 | $26.04 – $26.04 | 4 |
| 17-hydroxypregnenolone CPT 84143 | $125.00 | $125.00 | $20.29 – $20.29 | 4 |
| 3d recon without postprocess indpndt CPT 76376 | $833.00 | $833.00 | $13.03 – $13.03 | 4 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $38.00 | $38.00 | $48.55 – $48.55 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $110.00 | $110.00 | $10.68 – $10.68 | 4 |
| Abd aorta w/runoff s&i CPT 75630 | $4,749.00 | $4,749.00 | $53.83 – $53.83 | 4 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,839.00 | $3,839.00 | $143.16 – $143.16 | 4 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,275.00 | $3,275.00 | $158.53 – $158.53 | 4 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,713.00 | $2,713.00 | $70.23 – $240.32 | 5 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,856.00 | $4,856.00 | $204.04 – $204.04 | 4 |
| Abdominal MRI (without contrast) CPT 74181 | $3,424.00 | $3,424.00 | $110.75 – $110.75 | 4 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,117.00 | $1,117.00 | $65.49 – $240.32 | 5 |
| Abdominal Ultrasound (limited) CPT 76705 | $788.00 | $788.00 | $49.68 – $240.32 | 5 |
| Acetaminophen level CPT 80143 | $99.00 | $99.00 | $16.58 – $23.30 | 5 |
| Acetone qualitative CPT 82009 | $87.00 | $87.00 | $4.02 – $4.02 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | $169.00 | $169.00 | $10.72 – $10.72 | 4 |
| Acetylcholinesterase assay CPT 82013 | $249.00 | $249.00 | $10.93 – $10.93 | 4 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $399.38 | $399.38 | $33.00 – $33.00 | 4 |
| Actinotherapy uv light CPT 96900 | $171.00 | $171.00 | $20.80 – $20.80 | 4 |
| Acute hepatitis panel CPT 80074 | $196.00 | $196.00 | $42.37 – $59.54 | 5 |
| #acylcarnitineprfl CPT 82017 | $69.00 | $69.00 | $15.01 – $15.01 | 4 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $97.50 | $97.50 | $0.96 – $0.96 | 4 |
| Adh-sendout CPT 84588 | $230.00 | $230.00 | $30.19 – $30.19 | 4 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $210.75 | $210.75 | $18.00 – $18.00 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $638.00 | $638.00 | $63.38 – $63.38 | 4 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $638.00 | $638.00 | $63.38 – $63.38 | 4 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $638.00 | $638.00 | $295.37 – $295.37 | 4 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $440.00 | $440.00 | $295.37 – $295.37 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $259.00 | $259.00 | $63.38 – $63.38 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $273.00 | $273.00 | $63.38 – $63.38 | 4 |
| Administration immunization 1 vaccine CPT 90471 | $104.00 | $104.00 | $63.38 – $63.38 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $81.00 | $81.00 | $12.70 – $12.70 | 4 |
| Administration immunization first component each vaccine CPT 90460 | $53.00 | $53.00 | $18.34 – $18.34 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $93.00 | $93.00 | $15.73 – $15.73 | 1 |
| Administration vaccine influenza virus HCPCS G0008 | $80.00 | $80.00 | $2.46 – $15.73 | 5 |
| Administration vaccine pneumococcal HCPCS G0009 | $80.00 | $80.00 | $2.46 – $15.73 | 5 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $222.00 | $222.00 | $60.46 – $63.48 | 24 |
| Aep hearing status deter i&r CPT 92651 | $402.00 | $402.00 | $72.15 – $72.15 | 4 |
| Aep neurodiagnostic i&r CPT 92653 | $402.00 | $402.00 | $72.57 – $72.57 | 4 |
| Aep thrshld est mlt freq i&r CPT 92652 | $931.00 | $931.00 | $98.21 – $98.21 | 4 |
| _afb id by dna probe rflx ast CPT 87149 | $105.00 | $105.00 | $17.83 – $17.83 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $66.00 | $66.00 | $6.92 – $6.92 | 4 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $105.00 | $105.00 | $5.14 – $7.23 | 5 |
| Albumin serum plasma or whole blood CPT 82040 | $63.00 | $63.00 | $4.40 – $4.40 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $59.00 | $59.00 | $21.59 – $21.59 | 1 |
| Alkaline phosphatase CPT 84075 | $57.00 | $57.00 | $4.61 – $4.61 | 4 |
| Allergen alpha lactalbumin ige CPT 86008 | $70.00 | $70.00 | $15.95 – $15.95 | 4 |
| Allergen egg white ige CPT 86003 | $85.00 | $85.00 | $4.64 – $6.53 | 5 |
| Alpha-fetoprotein amniotic CPT 82106 | $122.00 | $122.00 | $15.12 – $15.12 | 4 |
| Alpha-fetoprotein tumor marker CPT 82105 | $92.00 | $92.00 | $14.92 – $20.96 | 5 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $36,081.48 | $36,081.48 | $9,147.00 – $9,147.00 | 4 |
| Alt/sgpt CPT 84460 | $22.00 | $22.00 | $4.71 – $6.63 | 5 |
| Aluminum - quest CPT 82108 | $158.00 | $158.00 | $22.66 – $22.66 | 4 |
| Amino acid screen, urine CPT 82128 | $146.00 | $146.00 | $12.34 – $12.34 | 4 |
| Aminolevulinic acid delta CPT 82135 | $172.00 | $172.00 | $14.63 – $20.56 | 5 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $346.50 | $346.50 | $30.24 – $30.24 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $15.01 | $15.01 | $1.95 – $1.95 | 4 |
| Ammonia CPT 82140 | $164.00 | $164.00 | $12.96 – $18.21 | 5 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $53.29 | $53.29 | $1.42 – $1.42 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $29.67 | $29.67 | $3.28 – $3.28 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $706.00 | $706.00 | $328.74 – $328.74 | 1 |
| Amylase CPT 82150 | $128.00 | $128.00 | $5.76 – $8.10 | 5 |
| Ana ds-dna CPT 86226 | $125.00 | $125.00 | $10.77 – $10.77 | 4 |
| Anal/urinary muscle study CPT 51784 | $424.00 | $424.00 | $139.33 – $139.33 | 4 |
| Analysis gene f2 20210g>a variant CPT 81240 | $468.00 | $468.00 | $58.43 – $58.43 | 4 |
| Analysis gene f5 leiden variant CPT 81241 | $432.00 | $432.00 | $65.26 – $65.26 | 4 |
| Analysis tumor CPT 88358 | $159.00 | $159.00 | $117.01 – $117.01 | 4 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $172.00 | $172.00 | $43.86 – $43.86 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | $158.00 | $158.00 | $13.39 – $13.39 | 4 |
| An fluoro guide for cvp CPT 77001 | $714.00 | $714.00 | $67.46 – $67.46 | 4 |
| Ankle X-ray CPT 73610 | $597.00 | $597.00 | $23.58 – $200.05 | 5 |
| Anoscopy remove fb 46608 CPT 46608 | $550.00 | $550.00 | $74.89 – $244.91 | 28 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $76.00 | $76.00 | $11.46 – $16.10 | 5 |
| Antibody elution rbc reference CPT 86860 | $336.00 | $336.00 | $6.55 – $6.55 | 4 |
| Antibody htlv/hiv confirm test CPT 86689 | $218.00 | $218.00 | $17.21 – $17.21 | 4 |
| Antibody htlv-i CPT 86687 | $100.00 | $100.00 | $8.09 – $8.09 | 4 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $480.00 | $480.00 | $16.34 – $16.34 | 4 |
| Antibody id rbc panel CPT 86870 | $327.00 | $327.00 | $23.42 – $23.42 | 4 |
| Antibody influenza virus CPT 86710 | $120.00 | $120.00 | $12.05 – $12.05 | 4 |
| Antibody screen rbc CPT 86850 | $184.00 | $184.00 | $8.69 – $8.69 | 4 |
| Anti mog serum - sendout CPT 86362 | $687.00 | $687.00 | $10.72 – $10.72 | 4 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $66.00 | $66.00 | $10.72 – $15.06 | 5 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $138.00 | $138.00 | $10.72 – $10.72 | 4 |
| Antinuclear antibodies CPT 86038 | $145.00 | $145.00 | $10.75 – $15.11 | 5 |
| Antinuclear antibodies titer CPT 86039 | $46.00 | $46.00 | $9.93 – $13.95 | 5 |
| Antiphosphatidylserine antibody CPT 86148 | $129.00 | $129.00 | $14.29 – $14.29 | 4 |
| Antistreptolysin o titer CPT 86060 | $102.00 | $102.00 | $6.49 – $6.49 | 4 |
| Antithrombin iii activity CPT 85300 | $144.00 | $144.00 | $10.54 – $10.54 | 4 |
| Apheresis plasma CPT 36514 | $3,960.00 | $3,960.00 | $1,459.80 – $1,459.80 | 4 |
| Apheresis platelets CPT 36513 | $2,678.00 | $2,678.00 | $389.32 – $389.32 | 4 |
| Apheresis rbc CPT 36512 | $4,088.00 | $4,088.00 | $1,459.80 – $1,459.80 | 4 |
| Apheresis wbc CPT 36511 | $4,088.00 | $4,088.00 | $1,459.80 – $1,459.80 | 4 |
| Apl(pml-rara) quant - sendout CPT 81315 | $534.00 | $534.00 | $184.40 – $184.40 | 4 |
| Application finger splntstatic 29130 CPT 29130 | $371.00 | $371.00 | $24.06 – $37.03 | 28 |
| Application long leg splint 29505 CPT 29505 | $291.00 | $291.00 | $50.09 – $78.42 | 28 |
| Application lower leg splint 29515 CPT 29515 | $255.00 | $255.00 | $45.86 – $63.58 | 28 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $68.00 | $68.00 | $9.42 – $9.42 | 1 |
| Apply hand/wrist cast 29085 CPT 29085 | $315.00 | $315.00 | $58.25 – $84.49 | 28 |
| #aptt mix-1:1 incubated CPT 87532 | $115.00 | $115.00 | $31.21 – $31.21 | 4 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $397.00 | $397.00 | $33.56 – $33.56 | 4 |
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.