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 |
|---|---|---|---|---|
| Warde sex hormone binding globulin CPT 84270 | $130.00 | $130.00 | $19.33 – $19.33 | 4 |
| Warde somatomedin CPT 84305 | $224.00 | $224.00 | $18.91 – $18.91 | 4 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $82.00 | $82.00 | $4.89 – $4.89 | 4 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $155.00 | $155.00 | $14.02 – $14.02 | 4 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $420.00 | $420.00 | $45.24 – $45.24 | 4 |
| Warde topiramate therapeutic drug level CPT 80201 | $175.00 | $175.00 | $10.60 – $10.60 | 4 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $293.00 | $293.00 | $23.19 – $23.19 | 4 |
| Warde viscosity CPT 85810 | $112.00 | $112.00 | $10.38 – $10.38 | 4 |
| Warde vitamin a CPT 84590 | $64.00 | $64.00 | $10.33 – $14.51 | 5 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $117.00 | $117.00 | $18.88 – $26.54 | 5 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $154.00 | $154.00 | $24.99 – $35.13 | 5 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $95.00 | $95.00 | $8.80 – $8.80 | 4 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $159.00 | $159.00 | $34.25 – $48.13 | 5 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $78.00 | $78.00 | $12.61 – $17.73 | 5 |
| Warde zinc CPT 84630 | $107.00 | $107.00 | $10.13 – $10.13 | 4 |
| Wbc automated CPT 85048 | $50.00 | $50.00 | $2.26 – $2.26 | 4 |
| Western blot test CPT 84181 | $226.00 | $226.00 | $15.15 – $15.15 | 4 |
| Whole blood for transfusion HCPCS P9010 | $595.00 | $595.00 | $92.98 – $92.98 | 4 |
| Wrist X-ray CPT 73110 | $681.00 | $681.00 | $27.47 – $200.05 | 5 |
| Xm archive tissue molec anal CPT 88363 | $67.00 | $67.00 | $20.37 – $20.37 | 4 |
| X-ray abdomen 1 view CPT 74018 | $330.00 | $330.00 | $18.03 – $200.05 | 5 |
| X-ray abdomen 2 views CPT 74019 | $438.00 | $438.00 | $21.64 – $21.64 | 4 |
| X-ray abdomen >=3 views CPT 74021 | $591.00 | $591.00 | $25.25 – $25.25 | 4 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $564.00 | $564.00 | $29.13 – $29.13 | 4 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $202.00 | $202.00 | $16.64 – $16.64 | 4 |
| X-ray ankle 2 views (both sides) CPT 73600 | $586.00 | $586.00 | $20.53 – $20.53 | 4 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,447.00 | $1,447.00 | $87.73 – $87.73 | 4 |
| X-ray bone age studies CPT 77072 | $237.00 | $237.00 | $94.70 – $94.70 | 4 |
| X-ray bone survey complete CPT 77075 | $1,372.00 | $1,372.00 | $94.70 – $94.70 | 4 |
| X-ray bone survey infant CPT 77076 | $490.00 | $490.00 | $94.70 – $94.70 | 4 |
| X-ray cervical spine 2-3 views CPT 72040 | $442.00 | $442.00 | $24.14 – $200.05 | 5 |
| X-ray cervical spine 4-5 views CPT 72050 | $491.00 | $491.00 | $34.13 – $240.32 | 5 |
| X-ray cervical spine >= 6 views CPT 72052 | $685.00 | $685.00 | $40.24 – $40.24 | 4 |
| X-ray clavicle complete (both sides) CPT 73000 | $579.00 | $579.00 | $20.53 – $200.05 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,026.00 | $1,026.00 | $87.45 – $87.45 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,409.00 | $1,409.00 | $133.80 – $133.80 | 4 |
| X-ray elbow 2 views (both sides) CPT 73070 | $555.00 | $555.00 | $17.75 – $17.75 | 4 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $707.00 | $707.00 | $20.53 – $200.05 | 5 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $876.00 | $876.00 | $57.74 – $57.74 | 4 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $939.00 | $939.00 | $51.91 – $51.91 | 4 |
| X-ray exam entire spi 6/> vw CPT 72084 | $1,066.00 | $1,066.00 | $65.77 – $65.77 | 4 |
| X-ray exam of arm infant CPT 73092 | $439.00 | $439.00 | $19.97 – $19.97 | 4 |
| X-ray exam of eye sockets CPT 70200 | $520.00 | $520.00 | $28.86 – $28.86 | 4 |
| X-ray exam of femur 1 CPT 73551 | $372.00 | $372.00 | $17.75 – $17.75 | 4 |
| X-ray exam of jaw joint CPT 70328 | $278.00 | $278.00 | $21.64 – $21.64 | 4 |
| X-ray exam of jaw joint CPT 70332 | $1,257.00 | $1,257.00 | $47.74 – $47.74 | 4 |
| X-ray facial bones complete > 3 views CPT 70150 | $410.00 | $410.00 | $29.13 – $240.32 | 5 |
| X-ray femur >=2 views (both sides) CPT 73552 | $633.00 | $633.00 | $22.47 – $200.05 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $520.00 | $520.00 | $26.36 – $200.05 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | $559.00 | $559.00 | $17.75 – $17.75 | 4 |
| X-ray forearm 2 views (both sides) CPT 73090 | $662.00 | $662.00 | $18.03 – $200.05 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | $438.00 | $438.00 | $19.69 – $19.69 | 4 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $590.00 | $590.00 | $17.47 – $200.05 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $553.00 | $553.00 | $39.13 – $39.13 | 4 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $539.00 | $539.00 | $25.52 – $25.52 | 4 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $685.00 | $685.00 | $33.30 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $691.00 | $691.00 | $39.13 – $39.13 | 4 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $276.00 | $276.00 | $19.97 – $19.97 | 4 |
| X-ray humerus >= 2 views left CPT 73060 | $600.00 | $600.00 | $20.25 – $200.05 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $597.00 | $597.00 | $21.91 – $200.05 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | $726.00 | $726.00 | $26.63 – $200.05 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | $343.00 | $343.00 | $26.63 – $26.63 | 4 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $506.00 | $506.00 | $19.97 – $19.97 | 4 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $778.00 | $778.00 | $33.02 – $240.32 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $861.00 | $861.00 | $39.13 – $39.13 | 4 |
| X-ray mandible complete > 4 views CPT 70110 | $568.00 | $568.00 | $26.63 – $26.63 | 4 |
| X-ray nasal bones complete > 3 views CPT 70160 | $321.00 | $321.00 | $24.69 – $24.69 | 4 |
| X-ray neck soft tissue CPT 70360 | $359.00 | $359.00 | $18.86 – $200.05 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $345.00 | $345.00 | $17.47 – $17.47 | 4 |
| X-ray pelvis 1-2 views CPT 72170 | $365.00 | $365.00 | $16.36 – $240.32 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $411.00 | $411.00 | $25.25 – $25.25 | 4 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $869.00 | $869.00 | $318.03 – $318.03 | 4 |
| X-ray ribs 2 views left CPT 71100 | $412.00 | $412.00 | $21.91 – $200.05 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $634.00 | $634.00 | $25.25 – $25.25 | 4 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $438.00 | $438.00 | $24.69 – $24.69 | 4 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $608.00 | $608.00 | $31.08 – $31.08 | 4 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $471.00 | $471.00 | $23.86 – $23.86 | 4 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $397.00 | $397.00 | $20.25 – $200.05 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $607.00 | $607.00 | $12.75 – $12.75 | 4 |
| X-ray sella turcica CPT 70240 | $194.00 | $194.00 | $19.97 – $19.97 | 4 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $320.00 | $320.00 | $11.92 – $11.92 | 4 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $508.00 | $508.00 | $22.75 – $200.05 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $581.00 | $581.00 | $29.41 – $29.41 | 4 |
| X-ray skull < 4 views CPT 70250 | $292.00 | $292.00 | $22.75 – $22.75 | 4 |
| X-ray skull > 4 views complete CPT 70260 | $440.00 | $440.00 | $26.08 – $26.08 | 4 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $876.00 | $876.00 | $51.63 – $51.63 | 4 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,150.00 | $1,150.00 | $69.96 – $69.96 | 4 |
| X-ray spine single view CPT 72020 | $329.00 | $329.00 | $13.86 – $13.86 | 4 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $332.00 | $332.00 | $25.80 – $25.80 | 4 |
| X-ray sternum > 2 views CPT 71120 | $412.00 | $412.00 | $20.25 – $20.25 | 4 |
| X-ray surgical specimen CPT 76098 | $685.00 | $685.00 | $23.02 – $23.02 | 4 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $458.00 | $458.00 | $83.01 – $83.01 | 4 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $371.00 | $371.00 | $34.69 – $34.69 | 4 |
| X-ray thoracic spine 2 views CPT 72070 | $435.00 | $435.00 | $19.41 – $240.32 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $532.00 | $532.00 | $24.14 – $240.32 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $414.00 | $414.00 | $20.53 – $20.53 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $491.00 | $491.00 | $25.25 – $25.25 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $539.00 | $539.00 | $46.07 – $46.07 | 4 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $513.00 | $513.00 | $19.97 – $200.05 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $522.00 | $522.00 | $19.14 – $19.14 | 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.