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 |
|---|---|---|---|---|
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $77.00 | $77.00 | $80.09 – $80.09 | 4 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $228.00 | $228.00 | $47.22 – $47.22 | 4 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $391.00 | $391.00 | $88.11 – $88.11 | 4 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $226.00 | $226.00 | $101.95 – $101.95 | 4 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $282.00 | $282.00 | $85.60 – $85.60 | 4 |
| Consult comp w/report rfrd material CPT 88325 | $304.00 | $304.00 | $137.97 – $137.97 | 4 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,551.00 | $4,551.00 | $49.96 – $49.96 | 4 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,803.00 | $4,803.00 | $56.88 – $56.88 | 4 |
| Contrast x-ray gallbladder CPT 74290 | $487.00 | $487.00 | $58.29 – $58.29 | 4 |
| Contrast x-ray of hip CPT 73525 | $1,472.00 | $1,472.00 | $84.12 – $84.12 | 4 |
| Contrast x-ray of knee joint CPT 73580 | $1,321.00 | $1,321.00 | $66.90 – $66.90 | 4 |
| Control of nosebleed ant comp 30903 CPT 30903 | $503.00 | $503.00 | $65.68 – $114.79 | 28 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $294.00 | $294.00 | $46.86 – $133.79 | 28 |
| Coombs direct CPT 86880 | $112.00 | $112.00 | $4.79 – $4.79 | 4 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $144.00 | $144.00 | $5.09 – $5.09 | 4 |
| Coombs indirect titer reference CPT 86886 | $156.00 | $156.00 | $4.61 – $4.61 | 4 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $16,527.00 | $16,527.00 | $2,864.26 – $2,864.26 | 4 |
| Coronary angio/lv gram/lt heart CPT 93458 | $15,260.00 | $15,260.00 | $870.51 – $870.51 | 4 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $16,492.00 | $16,492.00 | $1,040.16 – $1,040.16 | 4 |
| Coronary art/grft angio s&i CPT 93455 | $15,044.00 | $15,044.00 | $842.66 – $842.66 | 4 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $14,199.00 | $14,199.00 | $755.78 – $755.78 | 4 |
| Cortisol acth stimulation test - sendout CPT 80400 | $179.00 | $179.00 | $29.02 – $29.02 | 4 |
| Cortisol total am CPT 82533 | $122.00 | $122.00 | $14.50 – $20.38 | 5 |
| Co-treatment - group 15 mins, st CPT 92508 | $210.00 | $210.00 | $21.37 – $21.37 | 4 |
| Counseling smoke cess interm >10mins CPT 99407 | $83.00 | $83.00 | $21.01 – $24.37 | 28 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $66.00 | $66.00 | $37.45 – $37.45 | 4 |
| #covid19rsv-rsv CPT 87634 | $217.00 | $217.00 | $62.44 – $62.44 | 4 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $103.00 | $103.00 | $11.59 – $11.59 | 4 |
| C-peptide CPT 84681 | $182.00 | $182.00 | $18.51 – $18.51 | 4 |
| Crbrospnl fld flw imag cistern CPT 78630 | $2,169.00 | $2,169.00 | $479.34 – $479.34 | 4 |
| C-reactive protein CPT 86140 | $38.00 | $38.00 | $4.61 – $6.48 | 5 |
| C-reactive protein high sensitivity CPT 86141 | $53.00 | $53.00 | $11.52 – $16.19 | 5 |
| C-reactive protein, quantitative CPT 86406 | $130.00 | $130.00 | $9.46 – $9.46 | 4 |
| Creatine kinase CPT 82550 | $36.00 | $36.00 | $5.79 – $8.14 | 5 |
| Creatine kinase isoenzymes CPT 82552 | $112.00 | $112.00 | $11.91 – $11.91 | 4 |
| Creatine kinase mb CPT 82553 | $176.00 | $176.00 | $10.27 – $10.27 | 4 |
| Creatinine CPT 82565 | $62.00 | $62.00 | $4.55 – $4.55 | 4 |
| Creatinine 24 hour urine CPT 82570 | $84.00 | $84.00 | $4.61 – $6.48 | 5 |
| Creatinine clearance urine CPT 82575 | $145.00 | $145.00 | $8.41 – $8.41 | 4 |
| #creutz-prot.,western blot CPT 84182 | $302.00 | $302.00 | $25.98 – $36.51 | 5 |
| Critical care 30-74 minutes CPT 99291 | $2,273.00 | $2,273.00 | $189.36 – $750.36 | 28 |
| Critical care each additional 30 minutes CPT 99292 | $761.00 | $761.00 | $95.26 – $106.50 | 28 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $74.00 | $74.00 | $12.58 – $12.58 | 4 |
| Cryoprecipitate each unit HCPCS P9012 | $252.00 | $252.00 | $39.75 – $39.75 | 4 |
| Cryptosporidium antigen CPT 87272 | $70.00 | $70.00 | $10.66 – $10.66 | 4 |
| Crystal identification light microscopy CPT 89060 | $89.00 | $89.00 | $6.52 – $6.52 | 4 |
| CT 3d report other modality w/workstation CPT 76377 | $833.00 | $833.00 | $33.83 – $33.83 | 4 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,656.00 | $3,656.00 | $142.90 – $142.90 | 4 |
| Cta neck without &/or w/contrast CPT 70498 | $3,466.00 | $3,466.00 | $143.14 – $403.20 | 5 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,949.00 | $4,949.00 | $239.84 – $801.97 | 5 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,372.00 | $3,372.00 | $143.19 – $403.20 | 5 |
| CT Angiogram of the Head CPT 70496 | $3,303.00 | $3,303.00 | $143.14 – $403.20 | 5 |
| CT angio pelvis CPT 72191 | $3,104.00 | $3,104.00 | $158.53 – $158.53 | 4 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,115.00 | $2,115.00 | $142.90 – $142.90 | 4 |
| CT bone density axial CPT 77078 | $592.00 | $592.00 | $70.12 – $70.12 | 4 |
| CT guidance for needle placement CPT 77012 | $2,580.00 | $2,580.00 | $58.85 – $58.85 | 4 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,531.00 | $1,531.00 | $47.46 – $47.46 | 4 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $338.00 | $338.00 | $62.71 – $62.71 | 4 |
| CT limited or localized follow-up study CPT 76380 | $1,141.00 | $1,141.00 | $70.12 – $70.12 | 4 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $3,857.00 | $3,857.00 | $97.15 – $97.15 | 4 |
| CT lower extremity without contrast (both sides) CPT 73700 | $4,050.00 | $4,050.00 | $71.62 – $240.32 | 5 |
| CT lwr extremity w/o&w/dye CPT 73702 | $4,482.00 | $4,482.00 | $119.64 – $403.20 | 5 |
| CT neck soft tissue w/contrast CPT 70491 | $2,427.00 | $2,427.00 | $103.53 – $403.20 | 5 |
| CT neck soft tissue without contrast CPT 70490 | $1,913.00 | $1,913.00 | $78.01 – $78.01 | 4 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,324.00 | $3,324.00 | $158.53 – $158.53 | 4 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,472.00 | $2,472.00 | $130.75 – $130.75 | 4 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,204.00 | $2,204.00 | $110.20 – $110.20 | 4 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,410.00 | $1,410.00 | $85.48 – $85.48 | 4 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,075.00 | $5,075.00 | $212.92 – $801.97 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,153.00 | $4,153.00 | $188.51 – $801.97 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,507.00 | $3,507.00 | $88.54 – $548.48 | 5 |
| CT thoracic spine w/contrast CPT 72129 | $3,236.00 | $3,236.00 | $158.53 – $158.53 | 4 |
| CT thoracic spine without contrast CPT 72128 | $2,793.00 | $2,793.00 | $71.90 – $71.90 | 4 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $3,852.00 | $3,852.00 | $126.31 – $801.97 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | $3,842.00 | $3,842.00 | $85.22 – $240.32 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,758.00 | $3,758.00 | $143.16 – $143.16 | 4 |
| Culture aerobic additional method definitive id each CPT 87077 | $29.00 | $29.00 | $7.19 – $10.10 | 5 |
| Culture afb any source CPT 87116 | $189.00 | $189.00 | $9.61 – $9.61 | 4 |
| Culture anaerobic additional method definitive id each CPT 87076 | $155.00 | $155.00 | $7.19 – $7.19 | 4 |
| Culture anaerobic except blood CPT 87075 | $190.00 | $190.00 | $8.42 – $8.42 | 4 |
| Culture bact stool aero addl path ea CPT 87046 | $52.00 | $52.00 | $8.40 – $11.80 | 5 |
| Culture body fluid CPT 87070 | $193.00 | $193.00 | $7.67 – $10.78 | 5 |
| Culture fungi definitive id mold CPT 87107 | $134.00 | $134.00 | $9.18 – $9.18 | 4 |
| Culture fungi definitive id yeast CPT 87106 | $134.00 | $134.00 | $9.18 – $9.18 | 4 |
| Culture fungi other (except blood) CPT 87102 | $163.00 | $163.00 | $7.48 – $7.48 | 4 |
| Culture fungi skin/hair/nail CPT 87101 | $130.00 | $130.00 | $6.86 – $6.86 | 4 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $116.00 | $116.00 | $13.00 – $13.00 | 4 |
| Culture mycoplasma any source CPT 87109 | $265.00 | $265.00 | $13.69 – $13.69 | 4 |
| Culture quantitative aerobic other source CPT 87071 | $112.00 | $112.00 | $8.80 – $8.80 | 4 |
| Culture screening strep group a CPT 87081 | $135.00 | $135.00 | $5.90 – $8.29 | 5 |
| Culture typing added method CPT 87158 | $88.00 | $88.00 | $6.88 – $6.88 | 4 |
| Culture typing immunologic CPT 87147 | $64.00 | $64.00 | $4.61 – $6.48 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $1,161.00 | $1,161.00 | $193.96 – $193.96 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $48.00 | $48.00 | $31.21 – $31.21 | 4 |
| Culture urine each isolate CPT 87088 | $102.00 | $102.00 | $7.20 – $7.20 | 4 |
| Cv stress test/supervision only 93016 CPT 93016 | $126.00 | $126.00 | $18.72 – $20.73 | 28 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $11.00 | $11.00 | $1.27 – $1.27 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $71.00 | $71.00 | $11.52 – $16.19 | 5 |
| Cyclosporine 2 hour CPT 80158 | $278.00 | $278.00 | $16.06 – $16.06 | 4 |
| Cystatin c CPT 82610 | $56.00 | $56.00 | $16.47 – $23.15 | 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.