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 |
|---|---|---|---|---|
| Sodium serum/plasma/whole blood CPT 84295 | $63.00 | $63.00 | $4.28 – $4.28 | 4 |
| Specific gravity body fluid CPT 84315 | $38.00 | $38.00 | $2.92 – $2.92 | 4 |
| Specimen fat stain CPT 89125 | $24.00 | $24.00 | $5.23 – $5.23 | 4 |
| Speech evaluation complex CPT 70371 | $468.00 | $468.00 | $56.90 – $56.90 | 4 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $601.00 | $601.00 | $33.19 – $762.48 | 5 |
| Split blood or products CPT 86985 | $160.00 | $160.00 | $18.72 – $18.72 | 4 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $662.00 | $662.00 | $97.72 – $97.72 | 4 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $361.00 | $361.00 | $90.88 – $90.88 | 4 |
| St evaluate speech sound production CPT 92522 | $662.00 | $662.00 | $99.10 – $99.10 | 4 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $673.00 | $673.00 | $202.75 – $202.75 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $739.00 | $739.00 | $81.03 – $81.03 | 4 |
| St evaluation swallow function CPT 92610 | $673.00 | $673.00 | $75.41 – $75.41 | 4 |
| Strep a ag ia CPT 87430 | $149.00 | $149.00 | $14.95 – $14.95 | 4 |
| Stress test pulmonary CPT 94618 | $408.00 | $408.00 | $29.88 – $231.08 | 5 |
| Stress tte complete CPT 93351 | $2,571.00 | $2,571.00 | $198.98 – $198.98 | 4 |
| Str markers specimen anal CPT 81265 | $1,297.00 | $1,297.00 | $207.31 – $207.31 | 4 |
| St treatment speech individual CPT 92507 | $502.00 | $502.00 | $67.94 – $67.94 | 4 |
| St treatment swallow dysfunction/oral CPT 92526 | $524.00 | $524.00 | $75.02 – $75.02 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $82.50 | $82.50 | $6.42 – $6.42 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $141.00 | $141.00 | $13.83 – $13.83 | 4 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $222.00 | $222.00 | $28.16 – $28.16 | 4 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $313.00 | $313.00 | $36.52 – $36.52 | 4 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $469.00 | $469.00 | $62.20 – $93.17 | 6 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $647.00 | $647.00 | $245.16 – $245.16 | 4 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $666.00 | $666.00 | $369.75 – $369.75 | 4 |
| Susceptibility agar dilution per agent CPT 87181 | $44.00 | $44.00 | $4.23 – $4.23 | 4 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $50.00 | $50.00 | $4.23 – $4.23 | 4 |
| Susceptibility mic per plate CPT 87186 | $39.00 | $39.00 | $7.69 – $10.81 | 5 |
| Svc venogram s&i CPT 75827 | $1,828.00 | $1,828.00 | $54.96 – $54.96 | 4 |
| Sweat collection by iontophoresis CPT 89230 | $194.00 | $194.00 | $2.47 – $2.47 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $76.00 | $76.00 | $3.91 – $5.50 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $93.00 | $93.00 | $15.07 – $21.18 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $67.00 | $67.00 | $12.61 – $17.73 | 5 |
| T4 (thyroxine) free CPT 84439 | $74.00 | $74.00 | $8.02 – $11.28 | 5 |
| T4 (thyroxine) total CPT 84436 | $96.00 | $96.00 | $6.11 – $6.11 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $96.00 | $96.00 | $12.21 – $17.16 | 5 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,707.00 | $2,707.00 | $675.59 – $675.59 | 4 |
| Target gsa panel organ neop CPT 81445 | $3,189.00 | $3,189.00 | $531.83 – $531.83 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $203.00 | $203.00 | $88.95 – $88.95 | 4 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $256.00 | $256.00 | $55.13 – $77.48 | 5 |
| Tc-99m medronate HCPCS A9503 | $174.00 | $174.00 | $37.83 – $37.83 | 4 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $609.00 | $609.00 | $113.95 – $113.95 | 4 |
| Tc-99m sulfur colloid HCPCS A9541 | $389.00 | $389.00 | $77.24 – $77.24 | 4 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $592.00 | $592.00 | $112.08 – $112.08 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $355.00 | $355.00 | $41.79 – $41.79 | 4 |
| T cells absolute cd 4 count CPT 86361 | $279.00 | $279.00 | $23.82 – $33.48 | 5 |
| T cells total count CPT 86359 | $181.00 | $181.00 | $33.56 – $33.56 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $35,039.34 | $35,039.34 | $8,121.50 – $8,121.50 | 4 |
| Test stress cardiovascular tracing only CPT 93017 | $1,185.00 | $1,185.00 | $31.33 – $31.33 | 4 |
| Theophylline therapeutic drug level CPT 80198 | $159.00 | $159.00 | $12.58 – $12.58 | 4 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $66.00 | $66.00 | $32.05 – $32.05 | 4 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $61.00 | $61.00 | $27.89 – $27.89 | 4 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $45.00 | $45.00 | $3.52 – $3.52 | 4 |
| Thrombectmy crnry perq mechanical CPT 92973 | $4,682.00 | $4,682.00 | $152.36 – $152.36 | 4 |
| Thrombin time CPT 85670 | $32.00 | $32.00 | $5.13 – $7.21 | 5 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $69.00 | $69.00 | $5.75 – $5.75 | 4 |
| Thyroglobulin antibody CPT 86800 | $45.00 | $45.00 | $14.15 – $19.89 | 5 |
| Thyroid mets imag whole body CPT 78018 | $1,805.00 | $1,805.00 | $204.82 – $204.82 | 4 |
| Thyroid (TSH) Test CPT 84443 | $92.00 | $92.00 | $14.94 – $21.00 | 5 |
| Thyroid Ultrasound CPT 76536 | $578.00 | $578.00 | $69.96 – $240.32 | 5 |
| Thyroxine binding globulin (tbg) CPT 84442 | $119.00 | $119.00 | $13.15 – $13.15 | 4 |
| Tilt table study CPT 93660 | $2,145.00 | $2,145.00 | $472.51 – $472.51 | 4 |
| Tissue culture placenta CPT 88235 | $712.00 | $712.00 | $133.69 – $133.69 | 4 |
| Tissue culture skin/biopsy CPT 88233 | $454.00 | $454.00 | $125.18 – $125.18 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | $86.00 | $86.00 | $3.80 – $3.80 | 4 |
| Tissue transglutaminase iga CPT 86364 | $144.00 | $144.00 | $10.26 – $10.26 | 4 |
| Tl-201 thallium diag per mci HCPCS A9505 | $100.00 | $100.00 | $27.56 – $27.56 | 4 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $14.85 | $14.85 | $1.97 – $1.97 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | $202.00 | $202.00 | $14.35 – $14.35 | 4 |
| Toxoplasma antibody igg CPT 86777 | $132.00 | $132.00 | $12.80 – $12.80 | 4 |
| Toxoplasma antibody igm CPT 86778 | $132.00 | $132.00 | $12.82 – $12.82 | 4 |
| Tpmt gene com vrnts CPT 81335 | $457.00 | $457.00 | $155.49 – $155.49 | 4 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $147.00 | $147.00 | $48.23 – $48.23 | 4 |
| Transferrin CPT 84466 | $44.00 | $44.00 | $11.35 – $15.95 | 5 |
| Transfusion blood/blood component(s) CPT 36430 | $1,439.00 | $1,439.00 | $389.32 – $389.32 | 4 |
| Treat hand dislocation CPT 26675 | $2,393.00 | $2,393.00 | $381.75 – $1,425.19 | 28 |
| Treat hip dislocation CPT 27252 | $2,175.00 | $2,175.00 | $661.39 – $1,425.19 | 28 |
| Treat hip dislocation CPT 27257 | $1,674.00 | $1,674.00 | $304.46 – $1,425.19 | 28 |
| Treat knee fracture(s) CPT 27538 | $1,229.00 | $1,229.00 | $410.12 – $431.04 | 28 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $137.00 | $137.00 | $49.66 – $49.66 | 4 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $137.00 | $137.00 | $13.58 – $13.58 | 4 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $137.00 | $137.00 | $6.64 – $447.44 | 5 |
| Treponema pallidum antibody CPT 86780 | $124.00 | $124.00 | $11.78 – $16.55 | 5 |
| Trg gene rearrangement anal CPT 81342 | $730.00 | $730.00 | $179.23 – $179.23 | 4 |
| Trichinella antibody CPT 86784 | $111.00 | $111.00 | $11.17 – $11.17 | 4 |
| Trichomonas assay w/optic CPT 87808 | $65.00 | $65.00 | $13.60 – $13.60 | 4 |
| Triglycerides CPT 84478 | $86.00 | $86.00 | $5.11 – $5.11 | 4 |
| Troponin quantitative CPT 84484 | $71.00 | $71.00 | $11.09 – $15.59 | 5 |
| Ua w/micro/comp poc CPT 81000 | $26.00 | $26.00 | $3.58 – $3.58 | 4 |
| Ultrasound chest CPT 76604 | $395.00 | $395.00 | $25.25 – $25.25 | 4 |
| Ultrasound encephalogram CPT 76506 | $354.00 | $354.00 | $68.57 – $68.57 | 4 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $337.00 | $337.00 | $41.33 – $41.33 | 4 |
| Ultrasound guidance for vascular access CPT 76937 | $300.00 | $300.00 | $20.53 – $20.53 | 4 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $901.00 | $901.00 | $23.58 – $23.58 | 4 |
| Ultrasound guide tissue ablation CPT 76940 | $840.00 | $840.00 | $47.21 – $47.21 | 4 |
| Ultrasound joint complete left CPT 76881 | $931.00 | $931.00 | $9.14 – $9.14 | 4 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $833.00 | $833.00 | $25.80 – $240.32 | 5 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $588.00 | $588.00 | $34.41 – $34.41 | 4 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $436.00 | $436.00 | $17.50 – $17.50 | 4 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,049.00 | $1,049.00 | $73.52 – $73.52 | 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.