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 |
|---|---|---|---|---|
| ER Visit (level 1, minor) CPT 99281 | $859.00 | $859.00 | $10.47 – $129.23 | 29 |
| ER Visit (level 2) CPT 99282 | $698.00 | $698.00 | $38.44 – $235.31 | 29 |
| ER Visit (level 3) CPT 99283 | $1,491.00 | $1,491.00 | $66.04 – $418.34 | 29 |
| ER Visit (level 4) CPT 99284 | $2,986.39 | $2,986.39 | $112.41 – $639.45 | 29 |
| ER Visit (level 5, high severity) CPT 99285 | $5,551.00 | $5,551.00 | $163.11 – $912.65 | 29 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $26.40 | $26.40 | $1.68 – $1.68 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $202.00 | $202.00 | $20.03 – $20.03 | 4 |
| Established Patient Office Visit (level 2) CPT 99212 | $229.00 | $229.00 | $49.44 – $49.44 | 4 |
| Established Patient Office Visit (level 3) CPT 99213 | $205.00 | $205.00 | $79.99 – $79.99 | 4 |
| Established Patient Office Visit (level 4) CPT 99214 | $263.00 | $263.00 | $113.10 – $113.10 | 4 |
| Established Patient Office Visit (level 5) CPT 99215 | $349.00 | $349.00 | $159.49 – $159.49 | 4 |
| Estradiol total CPT 82670 | $115.00 | $115.00 | $24.85 – $34.93 | 5 |
| Estrogens total-sendout CPT 82672 | $228.00 | $228.00 | $19.30 – $19.30 | 4 |
| Ethylene glycol -sendout CPT 82693 | $167.00 | $167.00 | $13.25 – $13.25 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $265.00 | $265.00 | $87.27 – $87.27 | 4 |
| Evaluation of speech fluency 92521 CPT 92521 | $673.00 | $673.00 | $118.27 – $118.27 | 4 |
| Event monitor CPT 93270 | $396.00 | $396.00 | $6.92 – $6.92 | 4 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $402.00 | $402.00 | $23.29 – $23.29 | 4 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $1,002.00 | $1,002.00 | $389.32 – $389.32 | 4 |
| Exercise tst brncspsm w/ecg CPT 94617 | $368.00 | $368.00 | $76.43 – $76.43 | 4 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,473.00 | $1,473.00 | $293.19 – $1,442.85 | 28 |
| Explore/treat finger joint CPT 26075 | $1,482.00 | $1,482.00 | $301.17 – $2,889.37 | 28 |
| Explore/treat finger joint CPT 26080 | $1,876.00 | $1,876.00 | $353.86 – $1,425.19 | 28 |
| Explore woundchest 20101 CPT 20101 | $1,520.00 | $1,520.00 | $185.51 – $487.99 | 28 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $1,796.00 | $1,796.00 | $373.32 – $1,425.19 | 28 |
| External chromosome analysis 20-25 cells CPT 88264 | $579.00 | $579.00 | $128.63 – $128.63 | 4 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $454.00 | $454.00 | $127.86 – $127.86 | 4 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $147.00 | $147.00 | $15.95 – $22.41 | 5 |
| F-18 fdg pet diag HCPCS A9552 | $1,605.00 | $1,605.00 | $257.48 – $257.48 | 4 |
| Facial bones <3 CPT 70140 | $387.00 | $387.00 | $18.86 – $18.86 | 4 |
| Factor ix CPT 85250 | $215.00 | $215.00 | $16.94 – $16.94 | 4 |
| Factor viii CPT 85240 | $98.00 | $98.00 | $15.92 – $22.38 | 5 |
| Fat/lipids feces qualitative CPT 82705 | $59.00 | $59.00 | $4.54 – $4.54 | 4 |
| Fatty acids nonesterified CPT 82725 | $122.00 | $122.00 | $16.70 – $16.70 | 4 |
| #fecal-sodium CPT 84302 | $61.00 | $61.00 | $4.32 – $4.32 | 4 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $184.00 | $184.00 | $16.58 – $16.58 | 4 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $48.88 | $48.88 | $0.85 – $0.85 | 4 |
| Fern test HCPCS Q0114 | $73.00 | $73.00 | $8.66 – $8.66 | 4 |
| Ferritin CPT 82728 | $75.00 | $75.00 | $12.12 – $17.04 | 5 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $362.00 | $362.00 | $57.69 – $57.69 | 4 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,754.00 | $1,754.00 | $675.16 – $675.16 | 4 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $643.00 | $643.00 | $61.49 – $61.49 | 4 |
| Fetal fibronectin CPT 82731 | $545.00 | $545.00 | $57.29 – $57.29 | 4 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $175.00 | $175.00 | $6.88 – $6.88 | 4 |
| Fetal hemoglobin rosette CPT 85461 | $100.00 | $100.00 | $8.33 – $8.33 | 4 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $47.00 | $47.00 | $17.18 – $17.18 | 4 |
| Fibrin degradation d dimer quantitative CPT 85379 | $56.00 | $56.00 | $9.05 – $12.73 | 5 |
| Fibrin degrade semiquant CPT 85378 | $138.00 | $138.00 | $8.65 – $8.65 | 4 |
| Fibrinogen activity CPT 85384 | $141.00 | $141.00 | $8.65 – $8.65 | 4 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $83.00 | $83.00 | $13.77 – $13.77 | 4 |
| Fibrinolytic antiplasmin CPT 85410 | $107.00 | $107.00 | $6.86 – $6.86 | 4 |
| Fibrinolytic plasminogen CPT 85415 | $116.00 | $116.00 | $15.29 – $15.29 | 4 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $133.00 | $133.00 | $5.81 – $5.81 | 4 |
| Fine needle asp without image guide 10021 CPT 10021 | $392.00 | $392.00 | $43.57 – $87.58 | 28 |
| Flecainide (tambocor)-sendout CPT 80181 | $200.00 | $200.00 | $16.58 – $16.58 | 4 |
| Flow cytometry marker each additional CPT 88185 | $154.00 | $154.00 | $19.72 – $19.72 | 4 |
| Flow cytometry one marker technical component CPT 88184 | $353.00 | $353.00 | $64.93 – $64.93 | 4 |
| #flow interp 9 - 15 markers CPT 88188 | $291.00 | $291.00 | $54.19 – $54.19 | 4 |
| Flt3 gene CPT 81245 | $648.00 | $648.00 | $147.22 – $147.22 | 4 |
| Flt3 gene analysis CPT 81246 | $709.00 | $709.00 | $73.83 – $73.83 | 4 |
| Fluidotherapy charges pt CPT 97022 | $156.00 | $156.00 | $14.72 – $14.72 | 4 |
| Fluorescent antibody titer dna CPT 86256 | $192.00 | $192.00 | $10.72 – $10.72 | 4 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $555.00 | $555.00 | $64.12 – $64.12 | 4 |
| Fluoroguide needle placement CPT 77002 | $720.00 | $720.00 | $74.68 – $74.68 | 4 |
| Fluoroscopy up to 1 hour CPT 76000 | $697.00 | $697.00 | $23.30 – $23.30 | 4 |
| Folic acid CPT 82746 | $81.00 | $81.00 | $13.08 – $18.38 | 5 |
| Follow-up angiography CPT 75898 | $1,213.00 | $1,213.00 | $2,802.90 – $2,802.90 | 4 |
| Foot X-ray CPT 73630 | $545.00 | $545.00 | $21.91 – $200.05 | 5 |
| _fragile x methylation-sendout CPT 81244 | $335.00 | $335.00 | $39.93 – $39.93 | 4 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $298.00 | $298.00 | $61.16 – $61.16 | 4 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $320.00 | $320.00 | $52.21 – $52.21 | 4 |
| Fructosamine glycated protein CPT 82985 | $97.00 | $97.00 | $14.91 – $14.91 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $22.00 | $22.00 | $18.74 – $18.74 | 4 |
| Galactose transferase test CPT 82776 | $12.00 | $12.00 | $10.44 – $10.44 | 4 |
| Gammaglobulin iga CPT 82784 | $152.00 | $152.00 | $8.27 – $11.63 | 5 |
| Gammaglobulin ige CPT 82785 | $68.00 | $68.00 | $14.64 – $20.58 | 5 |
| Gamma glutamyltransferase CPT 82977 | $30.00 | $30.00 | $6.40 – $9.00 | 5 |
| General health panel CPT 80050 | $299.00 | $299.00 | $31.24 – $31.24 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $39.60 | $39.60 | $2.47 – $2.47 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $130.00 | $130.00 | $14.57 – $14.57 | 4 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $91.00 | $91.00 | $8.73 – $8.73 | 4 |
| Ghs antibodies (torch) igm CPT 86694 | $123.00 | $123.00 | $12.80 – $12.80 | 4 |
| Ghs bladder cath - complex-foley CPT 51703 | $508.00 | $508.00 | $139.33 – $139.33 | 4 |
| Ghs bleeding time (ivy) CPT 85002 | $110.00 | $110.00 | $4.29 – $4.29 | 4 |
| Ghs chemo IV push, ea addtl CPT 96411 | $440.00 | $440.00 | $63.38 – $63.38 | 4 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $205.00 | $205.00 | $31.21 – $31.21 | 4 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $673.00 | $673.00 | $261.35 – $293.26 | 28 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $139.00 | $139.00 | $23.08 – $25.20 | 28 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $244.00 | $244.00 | $35.32 – $52.73 | 28 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $242.00 | $242.00 | $39.50 – $114.79 | 28 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $477.00 | $477.00 | $92.74 – $228.85 | 28 |
| Ghs fb removal - incisional CPT 10121 | $770.00 | $770.00 | $159.11 – $1,442.85 | 28 |
| Ghs fish cytogen CPT 88271 | $410.00 | $410.00 | $19.05 – $19.05 | 4 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $194.00 | $194.00 | $45.53 – $45.53 | 4 |
| Ghs flow volume loop CPT 94375 | $424.00 | $424.00 | $33.50 – $33.50 | 4 |
| Ghs gastric intub aspiration lavage CPT 43753 | $440.00 | $440.00 | $19.11 – $19.11 | 4 |
| Ghs hgb stability-thal CPT 83068 | $127.00 | $127.00 | $8.42 – $8.42 | 4 |
| Ghs histoplasma antigen CPT 87385 | $272.00 | $272.00 | $11.79 – $11.79 | 4 |
| Ghs HIV antibody CPT 86703 | $135.00 | $135.00 | $7.91 – $7.91 | 4 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $781.00 | $781.00 | $94.41 – $94.41 | 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.