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 |
|---|---|---|---|---|
| Cystic fibrosis cftr CPT 81223 | $1,832.00 | $1,832.00 | $443.85 – $443.85 | 4 |
| Cystine urine quantitative CPT 82131 | $93.00 | $93.00 | $20.44 – $20.44 | 4 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $792.00 | $792.00 | $21.91 – $21.91 | 4 |
| Cytogenetics 25-99 CPT 88274 | $161.00 | $161.00 | $37.70 – $37.70 | 4 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $79.00 | $79.00 | $12.80 – $17.99 | 5 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $93.00 | $93.00 | $14.99 – $21.06 | 5 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $260.00 | $260.00 | $58.50 – $58.50 | 4 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $90.00 | $90.00 | $23.67 – $33.26 | 5 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $112.00 | $112.00 | $18.02 – $18.02 | 4 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $218.00 | $218.00 | $58.65 – $58.65 | 4 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $204.00 | $204.00 | $64.87 – $64.87 | 4 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $67.00 | $67.00 | $25.84 – $25.84 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $95.00 | $95.00 | $48.67 – $48.67 | 4 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $230.00 | $230.00 | $144.01 – $144.01 | 4 |
| Cytopath smear oth prep screen & interp CPT 88161 | $135.00 | $135.00 | $69.38 – $69.38 | 4 |
| Cytopath tbs c/v manual CPT 88164 | $76.00 | $76.00 | $16.18 – $16.18 | 4 |
| D&c after delivery 59160 CPT 59160 | $184.00 | $184.00 | $2,831.42 – $2,831.42 | 4 |
| Dch glucoscan CPT 82948 | $3.00 | $3.00 | $4.48 – $4.48 | 4 |
| Dch validity tests CPT 81002 | $34.00 | $34.00 | $3.10 – $3.10 | 4 |
| Deamidated gliadin antibody iga CPT 86258 | $63.00 | $63.00 | $10.72 – $15.06 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $440.00 | $440.00 | $39.04 – $39.04 | 4 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,694.00 | $1,694.00 | $202.31 – $202.31 | 4 |
| Decalcification CPT 88311 | $113.00 | $113.00 | $17.71 – $17.71 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $498.00 | $498.00 | $28.83 – $28.83 | 4 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $227.00 | $227.00 | $14.95 – $14.95 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $7.50 | $7.50 | $0.96 – $0.96 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $11.00 | $11.00 | $0.22 – $0.22 | 4 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $65.00 | $65.00 | $1.80 – $1.80 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $122.00 | $122.00 | $19.77 – $27.79 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $130.00 | $130.00 | $8.64 – $12.14 | 5 |
| Diab manage trn ind/group HCPCS G0109 | $75.00 | $75.00 | $13.88 – $13.88 | 4 |
| Dialysis one evaluation CPT 90945 | $1,108.00 | $1,108.00 | $75.59 – $75.59 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $23.14 | $23.14 | $8.55 – $8.55 | 4 |
| Digital analysis of eeg CPT 95957 | $666.00 | $666.00 | $250.81 – $250.81 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $11.22 | $11.22 | $8.82 – $8.82 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $73.00 | $73.00 | $11.81 – $16.60 | 5 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $22.58 | $22.58 | $0.73 – $0.73 | 4 |
| Disaccharidases CPT 82657 | $450.00 | $450.00 | $19.72 – $19.72 | 4 |
| Dna antibody native/double stranded CPT 86225 | $57.00 | $57.00 | $12.22 – $17.18 | 5 |
| Dna gardnerella CPT 87510 | $109.00 | $109.00 | $17.83 – $17.83 | 4 |
| Dna probe gc CPT 87590 | $137.00 | $137.00 | $23.91 – $23.91 | 4 |
| Dna trichomonas CPT 87660 | $116.00 | $116.00 | $17.83 – $17.83 | 4 |
| Doppler echo complete CPT 93320 | $786.00 | $786.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,071.00 | $4,071.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $967.00 | $967.00 | $109.89 – $109.89 | 4 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $503.00 | $503.00 | $114.79 – $114.79 | 4 |
| Drain blood from under nail 11740 CPT 11740 | $146.00 | $146.00 | $28.79 – $114.79 | 28 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $235.00 | $235.00 | $49.90 – $74.04 | 28 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $57.00 | $57.00 | $11.30 – $11.30 | 4 |
| Drug assay caffeine CPT 80155 | $170.00 | $170.00 | $34.31 – $34.31 | 4 |
| Drug assay posaconazole CPT 80187 | $221.00 | $221.00 | $24.11 – $24.11 | 4 |
| Drug assay voriconazole CPT 80285 | $158.00 | $158.00 | $24.11 – $24.11 | 4 |
| Drug of abuse screen urine CPT 80305 | $90.00 | $90.00 | $11.21 – $11.21 | 4 |
| Drug test prsmv instrmnt CPT 80306 | $152.00 | $152.00 | $15.25 – $21.43 | 5 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $364.00 | $364.00 | $55.27 – $77.68 | 5 |
| Drvvt confirm - quest CPT 85597 | $172.00 | $172.00 | $15.99 – $15.99 | 4 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $699.00 | $699.00 | $134.78 – $134.78 | 4 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,080.00 | $1,080.00 | $167.40 – $487.54 | 5 |
| Ear irrigation 69209 CPT 69209 | $95.00 | $95.00 | $14.96 – $15.71 | 24 |
| Ecg 12 lead tracing only CPT 93005 | $348.00 | $348.00 | $5.25 – $120.54 | 5 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $194.00 | $194.00 | $5.25 – $5.25 | 4 |
| Ecg external < 48 hours recording CPT 93225 | $798.00 | $798.00 | $15.25 – $15.25 | 4 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,043.00 | $1,043.00 | $29.69 – $29.69 | 4 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,371.00 | $2,371.00 | $168.33 – $1,116.50 | 5 |
| Echocardiography doppler color flow mapping CPT 93325 | $992.00 | $992.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $914.00 | $914.00 | $215.26 – $215.26 | 4 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $589.00 | $589.00 | not published | 0 |
| Echo guidance radiotherapy CPT 76965 | $1,352.00 | $1,352.00 | $23.02 – $23.02 | 4 |
| Echo guide for amniocentesis CPT 76946 | $702.00 | $702.00 | $12.75 – $12.75 | 4 |
| Echo stress CPT 93350 | $2,165.00 | $2,165.00 | $488.27 – $488.27 | 4 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,581.00 | $2,581.00 | $488.27 – $488.27 | 4 |
| Echo transthoracic CPT 93303 | $2,368.00 | $2,368.00 | $488.27 – $488.27 | 4 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $2,124.00 | $2,124.00 | $215.26 – $215.26 | 4 |
| E coli 0157 ag ia CPT 87335 | $118.00 | $118.00 | $11.26 – $11.26 | 4 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,377.00 | $1,377.00 | $295.59 – $295.59 | 4 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,116.00 | $1,116.00 | $472.51 – $472.51 | 4 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,298.00 | $1,298.00 | $332.50 – $332.50 | 4 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,790.00 | $1,790.00 | $374.59 – $374.59 | 4 |
| E equine encephalitis igg CPT 86652 | $34.00 | $34.00 | $11.73 – $11.73 | 4 |
| Egfr gene com variants CPT 81235 | $1,118.00 | $1,118.00 | $288.71 – $288.71 | 4 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $193.00 | $193.00 | $43.86 – $43.86 | 1 |
| Electrical stimulation/unattended 97014 CPT 97014 | $105.00 | $105.00 | $20.30 – $20.30 | 1 |
| Electrolyte panel CPT 80051 | $150.00 | $150.00 | $6.24 – $6.24 | 4 |
| Electron microscopy diagnostic CPT 88348 | $560.00 | $560.00 | $408.36 – $408.36 | 4 |
| Electrophysiology evaluation CPT 93641 | $4,180.00 | $4,180.00 | not published | 0 |
| Electrophysiology evaluation CPT 93642 | $3,245.00 | $3,245.00 | $1,081.08 – $1,081.08 | 4 |
| Embolization s&i CPT 75894 | $3,199.00 | $3,199.00 | $87.39 – $87.39 | 4 |
| Encephalitis, california igg/igm CPT 86651 | $34.00 | $34.00 | $11.73 – $11.73 | 4 |
| Encephalitis, st louis igg/igm CPT 86653 | $34.00 | $34.00 | $11.73 – $11.73 | 4 |
| Encephalitis, western equine igg/igm CPT 86654 | $34.00 | $34.00 | $11.73 – $11.73 | 4 |
| Endo cath bile duct s&i CPT 74328 | $909.00 | $909.00 | $143.48 – $143.48 | 4 |
| Endoluminl ivus oct c 1st CPT 92978 | $5,244.00 | $5,244.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $2,638.00 | $2,638.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $52.58 | $52.58 | $1.68 – $1.68 | 4 |
| Enzyme histochemistry CPT 88319 | $596.00 | $596.00 | $115.58 – $115.58 | 4 |
| Epstein barr early antigen antibody CPT 86663 | $138.00 | $138.00 | $11.67 – $11.67 | 4 |
| Epstein barr nuclear antigen antibody CPT 86664 | $89.00 | $89.00 | $13.60 – $19.11 | 5 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $89.00 | $89.00 | $16.14 – $22.68 | 5 |
| Ercp biliary & pancreas CPT 74330 | $1,740.00 | $1,740.00 | $221.82 – $221.82 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $300.00 | $300.00 | $22.02 – $22.02 | 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.