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 |
|---|---|---|---|---|
| Organic acids total quant ea spec CPT 83918 | $203.00 | $203.00 | $20.99 – $20.99 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $117.00 | $117.00 | $13.99 – $13.99 | 4 |
| Orthopantogram CPT 70355 | $366.00 | $366.00 | $7.20 – $7.20 | 4 |
| Osmolality blood CPT 83930 | $36.00 | $36.00 | $5.88 – $8.26 | 5 |
| Osmolality urine CPT 83935 | $37.00 | $37.00 | $6.07 – $8.53 | 5 |
| Ot evaluation high complexity patient/family CPT 97167 | $899.00 | $899.00 | $89.56 – $89.56 | 4 |
| Ot evaluation low complexity patient/family CPT 97165 | $821.00 | $821.00 | $89.56 – $89.56 | 4 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $865.00 | $865.00 | $89.56 – $89.56 | 4 |
| Other immunoelectrophoresis CPT 86325 | $149.00 | $149.00 | $20.57 – $20.57 | 4 |
| Oth resp proc, group HCPCS G0239 | $83.00 | $83.00 | $10.81 – $10.81 | 4 |
| Oth resp proc, indiv HCPCS G0238 | $105.00 | $105.00 | $8.58 – $8.58 | 4 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $163.00 | $163.00 | $45.21 – $45.21 | 4 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $168.00 | $168.00 | $41.39 – $41.39 | 4 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $159.00 | $159.00 | $23.93 – $44.63 | 5 |
| Ot re-evaluation patient/family CPT 97168 | $805.00 | $805.00 | $61.51 – $61.51 | 4 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $122.00 | $122.00 | $32.02 – $55.85 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $42.00 | $42.00 | $19.38 – $19.38 | 4 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $135.00 | $135.00 | $20.28 – $20.28 | 4 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $127.00 | $127.00 | $25.94 – $46.78 | 5 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $140.00 | $140.00 | $29.72 – $52.67 | 5 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $139.00 | $139.00 | $28.72 – $51.85 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $11.00 | $11.00 | $0.87 – $0.87 | 4 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $12.75 | $12.75 | $5.08 – $5.08 | 4 |
| Parathormone (pth) intact CPT 83970 | $170.00 | $170.00 | $36.72 – $51.60 | 5 |
| Parathyroid planar imaging CPT 78070 | $1,758.00 | $1,758.00 | $193.44 – $193.44 | 4 |
| Pdgfra gene CPT 81314 | $878.00 | $878.00 | $293.09 – $293.09 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,442.00 | $3,442.00 | $143.16 – $143.16 | 4 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,956.00 | $2,956.00 | $158.53 – $158.53 | 4 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,519.00 | $2,519.00 | $71.07 – $293.73 | 5 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,850.00 | $4,850.00 | $202.93 – $202.93 | 4 |
| Pelvic MRI (with contrast) CPT 72196 | $3,952.00 | $3,952.00 | $162.66 – $162.66 | 4 |
| Pelvic MRI (without contrast) CPT 72195 | $3,558.00 | $3,558.00 | $139.08 – $139.08 | 4 |
| Pelvic Ultrasound (complete) CPT 76856 | $979.00 | $979.00 | $61.07 – $61.07 | 4 |
| Pelvic Ultrasound (limited) CPT 76857 | $459.00 | $459.00 | $21.91 – $240.32 | 5 |
| Pet CT skull-mid thgh initial CPT 78815 | $8,497.00 | $8,497.00 | $1,226.22 – $1,226.22 | 4 |
| Pet CT whole body initial CPT 78816 | $8,878.00 | $8,878.00 | $1,226.22 – $1,226.22 | 4 |
| Pet image skull-thigh CPT 78812 | $6,534.00 | $6,534.00 | $1,226.22 – $1,226.22 | 4 |
| Pet image w/ct lmtd CPT 78814 | $8,262.00 | $8,262.00 | $1,226.22 – $1,226.22 | 4 |
| Ph body fluid CPT 83986 | $79.00 | $79.00 | $3.18 – $3.18 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $151.00 | $151.00 | $13.61 – $13.61 | 4 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $11.00 | $11.00 | $0.94 – $0.94 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $166.00 | $166.00 | $11.79 – $11.79 | 4 |
| Phlebotomy therapeutic CPT 99195 | $308.00 | $308.00 | $79.55 – $79.55 | 4 |
| Phosphorus CPT 84100 | $83.00 | $83.00 | $4.22 – $5.93 | 5 |
| Phosphorus 24 hour urine CPT 84105 | $62.00 | $62.00 | $5.14 – $5.14 | 4 |
| Phys blood bank serv reactj CPT 86078 | $155.00 | $155.00 | $46.95 – $46.95 | 4 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $96.24 | $96.24 | $2.21 – $2.21 | 4 |
| Pinworm exam CPT 87172 | $44.00 | $44.00 | $3.80 – $3.80 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $91.95 | $91.95 | $2.28 – $2.28 | 4 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $242.00 | $242.00 | $50.67 – $50.67 | 4 |
| Platelet aggregation each agent teg CPT 85576 | $182.00 | $182.00 | $22.16 – $22.16 | 4 |
| Platelet automated CPT 85049 | $84.00 | $84.00 | $3.98 – $3.98 | 4 |
| Platelets each unit HCPCS P9019 | $419.00 | $419.00 | $39.69 – $39.69 | 4 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $2,124.00 | $2,124.00 | $459.47 – $459.47 | 4 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,074.00 | $2,074.00 | $389.81 – $389.81 | 4 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,102.00 | $2,102.00 | $483.98 – $483.98 | 4 |
| #pnh-flow cytometry interp CPT 88187 | $235.00 | $235.00 | $31.60 – $31.60 | 4 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $246.00 | $246.00 | $23.19 – $32.59 | 5 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $6,132.00 | $6,132.00 | $551.66 – $551.66 | 4 |
| Potassium 24 hour urine CPT 84133 | $78.00 | $78.00 | $4.21 – $4.21 | 4 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $65.00 | $65.00 | $0.50 – $0.50 | 4 |
| Potassium serum/plasma/whole blood CPT 84132 | $63.00 | $63.00 | $4.23 – $5.95 | 5 |
| Pq biliary strict dil s&i CPT 74363 | $1,151.00 | $1,151.00 | $127.16 – $127.16 | 4 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,128.00 | $1,128.00 | $48.30 – $48.30 | 4 |
| Pr application of long arm splint CPT 29105 | $294.00 | $294.00 | $35.33 – $72.86 | 28 |
| Pr application splint static short arm CPT 29125 | $240.00 | $240.00 | $37.55 – $58.41 | 28 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $61.00 | $61.00 | $10.18 – $12.99 | 28 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $440.00 | $440.00 | $86.61 – $86.61 | 4 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $203.00 | $203.00 | $70.70 – $76.64 | 28 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $292.00 | $292.00 | $100.77 – $108.25 | 28 |
| Prealbumin CPT 84134 | $50.00 | $50.00 | $12.98 – $18.24 | 5 |
| Pr ecg 12 lead report only CPT 93010 | $61.00 | $61.00 | $7.22 – $8.31 | 28 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $7.50 | $7.50 | $1.71 – $1.71 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | $7.50 | $7.50 | $0.05 – $0.05 | 4 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $504.00 | $504.00 | $94.70 – $94.70 | 4 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $833.00 | $833.00 | $59.13 – $59.13 | 4 |
| Pressure velocity wire add ves CPT 93572 | $1,529.00 | $1,529.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $197.00 | $197.00 | $11.24 – $11.24 | 4 |
| Pretreat rbc absorption reference CPT 86978 | $259.00 | $259.00 | $18.72 – $18.72 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $238.00 | $238.00 | $18.72 – $18.72 | 4 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $519.00 | $519.00 | $148.89 – $156.32 | 28 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $357.00 | $357.00 | $111.21 – $116.76 | 28 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $277.00 | $277.00 | $70.59 – $74.12 | 28 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $292.00 | $292.00 | $101.87 – $106.96 | 28 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $206.00 | $206.00 | $67.19 – $70.54 | 28 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $116.00 | $116.00 | $42.04 – $44.14 | 28 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $714.00 | $714.00 | $159.78 – $187.22 | 28 |
| Pr incision & drainage abscess simple/single CPT 10060 | $377.00 | $377.00 | $92.21 – $110.19 | 28 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $441.00 | $441.00 | $93.64 – $131.24 | 28 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $278.00 | $278.00 | $42.71 – $42.71 | 4 |
| Procalcitonin CPT 84145 | $28.00 | $28.00 | $24.21 – $34.03 | 5 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $54.39 | $54.39 | $2.95 – $2.95 | 4 |
| Progesterone CPT 84144 | $86.00 | $86.00 | $18.55 – $26.08 | 5 |
| Prolactin CPT 84146 | $107.00 | $107.00 | $17.24 – $24.23 | 5 |
| Protein c activity CPT 85303 | $226.00 | $226.00 | $12.31 – $12.31 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $44.00 | $44.00 | $9.55 – $13.43 | 5 |
| Protein s total CPT 85305 | $228.00 | $228.00 | $10.33 – $10.33 | 4 |
| Protein total 24 hour urine CPT 84156 | $30.00 | $30.00 | $3.26 – $4.59 | 5 |
| Protein total body fluid CPT 84157 | $83.00 | $83.00 | $3.56 – $3.56 | 4 |
| Protein total serum plasma whole blood CPT 84155 | $20.00 | $20.00 | $3.26 – $4.59 | 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.