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 |
|---|---|---|---|---|
| Calculi urinary-sendout CPT 82360 | $134.00 | $134.00 | $11.45 – $11.45 | 4 |
| Calculus analysis qual CPT 82355 | $148.00 | $148.00 | $10.30 – $10.30 | 4 |
| Calprotectin fecal CPT 83993 | $190.00 | $190.00 | $17.46 – $24.54 | 5 |
| Candida dna CPT 87480 | $109.00 | $109.00 | $17.83 – $17.83 | 4 |
| Carbamazepine total therapeutic drug level CPT 80156 | $80.00 | $80.00 | $12.96 – $18.21 | 5 |
| Carbohydrate deficient transf - sendout CPT 82373 | $96.00 | $96.00 | $16.06 – $16.06 | 4 |
| Carbon dioxide CPT 82374 | $57.00 | $57.00 | $4.34 – $4.34 | 4 |
| Carboxyhemoglobin quantitative CPT 82375 | $116.00 | $116.00 | $10.96 – $10.96 | 4 |
| Carcinoembryonic ag (cea) CPT 82378 | $204.00 | $204.00 | $16.86 – $16.86 | 4 |
| Cardiac drug stress test CPT 93024 | $656.00 | $656.00 | $96.83 – $96.83 | 4 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $2,598.00 | $2,598.00 | $184.55 – $184.55 | 4 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,917.00 | $2,917.00 | $208.15 – $208.15 | 4 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $387.00 | $387.00 | $112.12 – $112.12 | 4 |
| Cardioassist internal CPT 92970 | $1,468.00 | $1,468.00 | $162.99 – $162.99 | 4 |
| Cardiolipin antibody iga CPT 86147 | $83.00 | $83.00 | $22.64 – $31.81 | 5 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $2,224.00 | $2,224.00 | $582.74 – $582.74 | 4 |
| Carotene CPT 82380 | $161.00 | $161.00 | $8.20 – $8.20 | 4 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,578.00 | $1,578.00 | $215.26 – $487.54 | 5 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $13,117.00 | $13,117.00 | $957.20 – $957.20 | 4 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $90.00 | $90.00 | $8.09 – $8.09 | 4 |
| Cath left heart/lv gram CPT 93452 | $11,759.00 | $11,759.00 | $749.56 – $749.56 | 4 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $18,051.00 | $18,051.00 | $1,147.56 – $1,147.56 | 4 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $15,517.00 | $15,517.00 | $941.09 – $941.09 | 4 |
| Cath plc art/grft/angio right hrt CPT 93457 | $17,265.00 | $17,265.00 | $1,026.32 – $1,026.32 | 4 |
| Cath right heart w/o2 sat & card CPT 93451 | $7,005.00 | $7,005.00 | $715.41 – $715.41 | 4 |
| Cdna analysis for variants CPT 81403 | $842.00 | $842.00 | $164.73 – $164.73 | 4 |
| Cebpa gene full sequence CPT 81218 | $700.00 | $700.00 | $215.17 – $215.17 | 4 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $43.88 | $43.88 | $1.62 – $1.62 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $45.00 | $45.00 | $2.48 – $2.48 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $71.64 | $71.64 | $3.30 – $3.30 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $45.00 | $45.00 | $0.45 – $0.45 | 4 |
| #celiac hla-dq2 CPT 81377 | $418.00 | $418.00 | $84.27 – $84.27 | 4 |
| Cell count body fluid CPT 89050 | $26.00 | $26.00 | $4.20 – $4.20 | 4 |
| Cell count w differential body fluid CPT 89051 | $160.00 | $160.00 | $4.98 – $4.98 | 4 |
| Cell cryopreserve/storage CPT 88240 | $120.00 | $120.00 | $11.63 – $11.63 | 4 |
| Cell function assay w/stim CPT 86352 | $669.00 | $669.00 | $120.85 – $120.85 | 4 |
| Cell marker study CPT 88182 | $331.00 | $331.00 | $141.60 – $141.60 | 4 |
| Cerebrospinal fld flw imag CPT 78645 | $1,294.00 | $1,294.00 | $224.24 – $224.24 | 4 |
| #cf-97variants CPT 81220 | $740.00 | $740.00 | $495.09 – $495.09 | 4 |
| Cftr gene dup/delet variants CPT 81222 | $1,145.00 | $1,145.00 | $386.99 – $386.99 | 4 |
| Chemo ia infusion up to 1 hr CPT 96422 | $788.00 | $788.00 | $295.37 – $295.37 | 4 |
| Chest 2 vws w oblique CPT 71048 | $553.00 | $553.00 | $26.08 – $26.08 | 4 |
| Chest apical lordotic proj CPT 71047 | $471.00 | $471.00 | $24.41 – $24.41 | 4 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,374.00 | $3,374.00 | $119.08 – $492.80 | 5 |
| Chest CT scan (with contrast) CPT 71260 | $3,174.00 | $3,174.00 | $158.53 – $492.80 | 5 |
| Chest CT scan (without contrast) CPT 71250 | $2,492.00 | $2,492.00 | $71.34 – $293.73 | 5 |
| Chest X-ray CPT 71046 | $356.00 | $356.00 | $19.41 – $200.05 | 5 |
| Chest X-ray (single view) CPT 71045 | $261.00 | $261.00 | $14.42 – $200.05 | 5 |
| Chlamydia culture CPT 87110 | $146.00 | $146.00 | $17.43 – $17.43 | 4 |
| Chlamydia type CPT 87140 | $59.00 | $59.00 | $4.95 – $4.95 | 4 |
| Chloride CPT 82435 | $63.00 | $63.00 | $4.09 – $4.09 | 4 |
| Chloride 24 hour urine CPT 82436 | $82.00 | $82.00 | $5.11 – $5.11 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $74.88 | $74.88 | $30.48 – $30.48 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $767.00 | $767.00 | $58.96 – $58.96 | 4 |
| Cholesterol CPT 82465 | $71.00 | $71.00 | $3.87 – $3.87 | 4 |
| Cholesterol (Lipid) Test CPT 80061 | $182.00 | $182.00 | $11.91 – $16.74 | 5 |
| Cholinesterase CPT 82480 | $71.00 | $71.00 | $7.00 – $7.00 | 4 |
| Chrom analysis CPT 88273 | $135.00 | $135.00 | $30.96 – $30.96 | 4 |
| Chromatography CPT 83021 | $116.00 | $116.00 | $16.06 – $16.06 | 4 |
| Chromogenic substrate assay CPT 85130 | $323.00 | $323.00 | $10.58 – $10.58 | 4 |
| Chromo high res and frag x - sendout CPT 81243 | $293.00 | $293.00 | $50.74 – $71.30 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $901.00 | $901.00 | $111.62 – $111.62 | 4 |
| Chromosome count additional CPT 88285 | $76.00 | $76.00 | $23.94 – $23.94 | 4 |
| Chromosome karyotype study CPT 88280 | $63.00 | $63.00 | $29.77 – $29.77 | 4 |
| Chronic urticaria - sendout CPT 86343 | $153.00 | $153.00 | $11.08 – $11.08 | 4 |
| Chylomicron screen, bf - sendout CPT 82664 | $227.00 | $227.00 | $54.70 – $54.70 | 4 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $60.00 | $60.00 | $1.66 – $1.66 | 4 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $586.00 | $586.00 | $594.39 – $594.39 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $868.00 | $868.00 | $293.09 – $293.09 | 4 |
| Clearance of airways CPT 31720 | $243.00 | $243.00 | $181.12 – $181.12 | 4 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $88.88 | $88.88 | $4.26 – $4.26 | 4 |
| Clot factor xii hageman CPT 85280 | $197.00 | $197.00 | $17.21 – $17.21 | 4 |
| Clot factor xiii fibrin scrn CPT 85291 | $185.00 | $185.00 | $8.10 – $8.10 | 4 |
| Clot factor xiii fibrin stab CPT 85290 | $194.00 | $194.00 | $14.53 – $14.53 | 4 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $865.00 | $865.00 | $299.58 – $349.38 | 28 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $365.00 | $365.00 | $66.96 – $91.78 | 28 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,066.00 | $1,066.00 | $325.13 – $354.69 | 28 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,316.00 | $1,316.00 | $381.50 – $1,425.19 | 28 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $50.00 | $50.00 | $92.55 – $110.96 | 28 |
| #cmvcul-virus inoculation shell CPT 87254 | $194.00 | $194.00 | $17.40 – $17.40 | 4 |
| Coagulation time activated teg CPT 85347 | $116.00 | $116.00 | $3.81 – $3.81 | 4 |
| Cold agglutinin screen (arc) CPT 86156 | $60.00 | $60.00 | $7.18 – $7.18 | 4 |
| Cold agglutinin titer CPT 86157 | $82.00 | $82.00 | $7.17 – $7.17 | 4 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $179.00 | $179.00 | $23.02 – $23.02 | 4 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $179.00 | $179.00 | $114.79 – $114.79 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | $311.00 | $311.00 | $8.09 – $9.43 | 5 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $256.00 | $256.00 | $42.14 – $42.14 | 4 |
| Compatibility test each unit immediate spin technique CPT 86920 | $197.00 | $197.00 | $14.05 – $14.05 | 4 |
| Compatibility test incubate CPT 86921 | $221.00 | $221.00 | $18.72 – $18.72 | 4 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $969.00 | $969.00 | $309.63 – $309.63 | 4 |
| Complement antigen each component c3 CPT 86160 | $153.00 | $153.00 | $10.67 – $15.00 | 5 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $940.00 | $940.00 | $184.32 – $306.03 | 28 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $973.00 | $973.00 | $195.45 – $341.61 | 28 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $384.00 | $384.00 | $12.45 – $12.45 | 4 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,604.00 | $1,604.00 | $261.28 – $430.31 | 28 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,105.00 | $1,105.00 | $190.85 – $335.07 | 28 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,364.00 | $1,364.00 | $235.31 – $407.02 | 28 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $380.00 | $380.00 | $63.82 – $109.88 | 28 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $3,466.00 | $3,466.00 | $801.97 – $801.97 | 1 |
| Concentration infection agents any type CPT 87015 | $69.00 | $69.00 | $5.94 – $5.94 | 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.