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 |
|---|---|---|---|---|
| Prothrombin time substitution plasma fractions each CPT 85611 | $57.00 | $57.00 | $3.50 – $3.50 | 4 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $200.00 | $200.00 | $62.87 – $66.01 | 24 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $265.00 | $265.00 | $38.98 – $69.55 | 28 |
| Pr removal intrauterine device CPT 58301 | $232.00 | $232.00 | $54.44 – $96.28 | 28 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $618.00 | $618.00 | $152.94 – $261.67 | 28 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $413.00 | $413.00 | $50.72 – $96.99 | 28 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $435.00 | $435.00 | $52.27 – $101.31 | 28 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $416.00 | $416.00 | $41.02 – $81.33 | 28 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $427.00 | $427.00 | $53.57 – $98.87 | 28 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $886.00 | $886.00 | $134.19 – $1,383.36 | 28 |
| PSA (Prostate) Test CPT 84153 | $184.00 | $184.00 | $16.36 – $22.99 | 5 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $133.00 | $133.00 | $23.77 – $23.77 | 1 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $43.00 | $43.00 | $5.81 – $5.81 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $160.00 | $160.00 | $30.41 – $30.41 | 1 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $127.00 | $127.00 | $23.02 – $23.02 | 1 |
| Pt application of modality traction mechanical CPT 97012 | $144.00 | $144.00 | $23.19 – $23.19 | 1 |
| Pt evaluation high complexity patient/family CPT 97163 | $634.00 | $634.00 | $88.72 – $158.37 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $557.00 | $557.00 | $88.72 – $158.37 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $601.00 | $601.00 | $88.72 – $158.37 | 5 |
| Pt re-evaluation patient/family CPT 97164 | $541.00 | $541.00 | $61.23 – $108.19 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $97.00 | $97.00 | $25.94 – $46.78 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $122.00 | $122.00 | $26.44 – $47.19 | 5 |
| Pt wheelchair management each 15 minutes CPT 97542 | $110.00 | $110.00 | $27.99 – $27.99 | 4 |
| Pulse ox continuous overnight monitoring CPT 94762 | $503.00 | $503.00 | $21.08 – $21.08 | 4 |
| Pulse ox multiple CPT 94761 | $290.00 | $290.00 | $3.31 – $3.31 | 4 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $117.00 | $117.00 | $23.81 – $23.81 | 4 |
| Pyruvate CPT 84210 | $108.00 | $108.00 | $12.88 – $12.88 | 4 |
| Quest t3 uptake CPT 84479 | $100.00 | $100.00 | $5.75 – $5.75 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,629.00 | $2,629.00 | $204.01 – $204.01 | 4 |
| Rapid Strep Test CPT 87880 | $128.00 | $128.00 | $14.70 – $20.66 | 5 |
| Rbc count only automated CPT 85041 | $30.00 | $30.00 | $2.69 – $2.69 | 4 |
| Rbc irradiated each unit HCPCS P9038 | $755.00 | $755.00 | $97.88 – $97.88 | 4 |
| Red blood cells each unit HCPCS P9021 | $610.00 | $610.00 | $93.35 – $93.35 | 4 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $1,010.00 | $1,010.00 | $225.26 – $225.26 | 4 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $655.00 | $655.00 | $136.54 – $136.54 | 4 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $948.00 | $948.00 | $169.40 – $169.40 | 4 |
| Red blood cells washed each unit HCPCS P9022 | $831.00 | $831.00 | $159.69 – $159.69 | 4 |
| Removal cerumen impacted (both sides) CPT 69210 | $153.00 | $153.00 | $25.63 – $26.91 | 24 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $380.00 | $380.00 | $23.64 – $23.64 | 4 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $379.00 | $379.00 | $105.50 – $162.34 | 28 |
| Removal foreign body foot subcutaneous right CPT 28190 | $778.00 | $778.00 | $118.44 – $206.84 | 28 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $232.00 | $232.00 | $63.38 – $80.05 | 28 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $600.00 | $600.00 | $151.44 – $1,442.85 | 28 |
| Remove vaginal foreign body 57415 CPT 57415 | $657.00 | $657.00 | $144.62 – $2,831.42 | 28 |
| Renal function panel CPT 80069 | $48.00 | $48.00 | $7.72 – $10.85 | 5 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,067.00 | $1,067.00 | $201.73 – $366.79 | 28 |
| Reptilase test CPT 85635 | $105.00 | $105.00 | $8.76 – $8.76 | 4 |
| #resp virpnl dfa-adenovirus CPT 87260 | $66.00 | $66.00 | $12.84 – $12.84 | 4 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $66.00 | $66.00 | $14.61 – $14.61 | 4 |
| Resuscitation cardiopulmonary CPT 92950 | $1,191.00 | $1,191.00 | $277.31 – $277.31 | 4 |
| Resuscitation delivery/birthing room CPT 99465 | $887.00 | $887.00 | $134.98 – $134.98 | 4 |
| Reticulated platelet assay CPT 85055 | $71.00 | $71.00 | $31.79 – $31.79 | 4 |
| Reticulocyte automated CPT 85045 | $80.00 | $80.00 | $3.55 – $3.55 | 4 |
| Reticulocyte direct measurement automated CPT 85046 | $31.00 | $31.00 | $4.95 – $6.96 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $100.00 | $100.00 | $5.46 – $5.46 | 4 |
| Rheumatoid factor quantitative CPT 86431 | $31.00 | $31.00 | $5.04 – $7.09 | 5 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $510.00 | $510.00 | $130.98 – $190.02 | 28 |
| Rsv assay w/optic CPT 87807 | $152.00 | $152.00 | $11.65 – $16.38 | 5 |
| Rubella antibody igg CPT 86762 | $122.00 | $122.00 | $12.80 – $12.80 | 4 |
| Rubeola antibody igg CPT 86765 | $122.00 | $122.00 | $11.46 – $16.10 | 5 |
| Russell viper venom diluted CPT 85613 | $96.00 | $96.00 | $8.52 – $11.98 | 5 |
| Sarscov coronavirus ag ia CPT 87426 | $110.00 | $110.00 | $31.43 – $44.16 | 5 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $193.00 | $193.00 | $62.52 – $62.52 | 4 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $332.00 | $332.00 | $132.57 – $139.19 | 28 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $174.00 | $174.00 | $63.97 – $67.17 | 28 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $207.00 | $207.00 | $92.98 – $97.62 | 28 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $116.00 | $116.00 | $34.91 – $36.66 | 28 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,487.00 | $1,487.00 | $223.84 – $223.84 | 4 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $878.00 | $878.00 | $94.70 – $213.62 | 5 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,265.00 | $1,265.00 | $152.64 – $152.64 | 4 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $866.00 | $866.00 | $105.36 – $105.36 | 4 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $963.00 | $963.00 | $94.70 – $213.62 | 5 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $958.00 | $958.00 | $202.67 – $487.54 | 5 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $638.00 | $638.00 | $105.04 – $213.62 | 5 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $570.00 | $570.00 | $104.56 – $213.62 | 5 |
| Screening prostate cancer PSA HCPCS G0103 | $156.00 | $156.00 | $17.18 – $17.18 | 4 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $278.00 | $278.00 | $48.03 – $48.03 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $19.00 | $19.00 | $2.40 – $3.38 | 5 |
| Set radiation therapy field CPT 77280 | $1,044.00 | $1,044.00 | $193.26 – $193.26 | 4 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,162.00 | $4,162.00 | $247.64 – $247.64 | 4 |
| Shoulder MRI (with contrast) CPT 73222 | $3,495.00 | $3,495.00 | $204.87 – $204.87 | 4 |
| Shoulder MRI (without contrast) CPT 73221 | $5,574.00 | $5,574.00 | $120.75 – $120.75 | 4 |
| Shoulder X-ray CPT 73030 | $742.00 | $742.00 | $21.64 – $200.05 | 5 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $486.00 | $486.00 | $49.41 – $49.41 | 4 |
| Sialography s&i CPT 70390 | $696.00 | $696.00 | $81.62 – $81.62 | 4 |
| Sickling rbc CPT 85660 | $116.00 | $116.00 | $4.90 – $4.90 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,537.00 | $3,537.00 | $107.98 – $107.98 | 4 |
| Sinus CT scan (with contrast) CPT 70487 | $2,838.00 | $2,838.00 | $86.04 – $86.04 | 4 |
| Sinus CT scan (without contrast) CPT 70486 | $2,003.00 | $2,003.00 | $76.07 – $293.73 | 5 |
| Sinus/juglr venogram s&i CPT 75860 | $2,967.00 | $2,967.00 | $2,802.90 – $2,802.90 | 4 |
| Sleep Study (Polysomnography) CPT 95810 | $5,820.00 | $5,820.00 | $527.77 – $527.77 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $88.00 | $88.00 | $4.79 – $4.79 | 4 |
| Smear gram stain CPT 87205 | $102.00 | $102.00 | $3.80 – $5.34 | 5 |
| Smear nasal eosinophil CPT 89190 | $76.00 | $76.00 | $5.15 – $5.15 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $122.00 | $122.00 | $5.33 – $5.33 | 4 |
| Smear wet mount CPT 87210 | $103.00 | $103.00 | $5.18 – $7.28 | 5 |
| Snrpn/ube3a gene CPT 81331 | $586.00 | $586.00 | $45.43 – $45.43 | 4 |
| Sodium 24 hour urine CPT 84300 | $71.00 | $71.00 | $4.50 – $6.33 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $65.00 | $65.00 | $2.50 – $2.50 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $65.00 | $65.00 | $1.25 – $1.25 | 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.