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 |
|---|---|---|---|---|
| Ghs immun0electrophoresis CPT 86320 | $150.00 | $150.00 | $26.61 – $26.61 | 4 |
| Ghs inhibitor screen CPT 85335 | $257.00 | $257.00 | $11.45 – $11.45 | 4 |
| Ghs init tx 1st degree burn CPT 16000 | $181.00 | $181.00 | $39.54 – $69.33 | 28 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $944.00 | $944.00 | $207.26 – $335.55 | 28 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,173.00 | $1,173.00 | $248.98 – $374.63 | 28 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,248.00 | $1,248.00 | $284.23 – $421.52 | 28 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $570.00 | $570.00 | $123.32 – $225.85 | 28 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $589.00 | $589.00 | $120.07 – $226.72 | 28 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $664.00 | $664.00 | $138.34 – $244.04 | 28 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $667.00 | $667.00 | $160.60 – $272.44 | 28 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $667.00 | $667.00 | $156.65 – $267.77 | 28 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $856.00 | $856.00 | $174.07 – $313.32 | 28 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $835.00 | $835.00 | $167.23 – $288.76 | 28 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $835.00 | $835.00 | $177.19 – $329.38 | 28 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,083.00 | $1,083.00 | $183.56 – $330.26 | 28 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $884.00 | $884.00 | $246.95 – $356.52 | 28 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,089.00 | $1,089.00 | $271.18 – $433.48 | 28 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $998.00 | $998.00 | $286.31 – $430.38 | 28 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,112.00 | $1,112.00 | $321.85 – $499.38 | 28 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,185.00 | $1,185.00 | $316.44 – $471.93 | 28 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,213.00 | $1,213.00 | $353.15 – $523.91 | 28 |
| Ghs mbp CPT 83873 | $177.00 | $177.00 | $15.30 – $15.30 | 4 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $278.00 | $278.00 | $52.17 – $52.17 | 4 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $258.00 | $258.00 | $9.67 – $9.67 | 4 |
| Ghs ot dds rom CPT 95851 | $87.00 | $87.00 | $18.57 – $18.57 | 4 |
| Ghs ot prosthetic training/15 min CPT 97761 | $127.00 | $127.00 | $36.39 – $36.39 | 4 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $122.00 | $122.00 | $53.54 – $53.54 | 4 |
| Ghs pacing - transcutaneous CPT 92953 | $1,159.00 | $1,159.00 | $582.74 – $582.74 | 4 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $69.00 | $69.00 | $20.85 – $20.85 | 4 |
| Ghs phenylketonurid CPT 84030 | $51.00 | $51.00 | $4.89 – $4.89 | 4 |
| Ghs picc line insert < 5 CPT 36568 | $1,996.00 | $1,996.00 | $1,383.36 – $1,383.36 | 4 |
| Ghs ppd (tb intradermal) CPT 86580 | $56.00 | $56.00 | $8.58 – $8.58 | 4 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $87.00 | $87.00 | $8.59 – $8.59 | 4 |
| Ghs protein, misc fluid CPT 84160 | $42.00 | $42.00 | $4.99 – $4.99 | 4 |
| Ghs protoporphyrins fract CPT 84202 | $111.00 | $111.00 | $12.76 – $12.76 | 4 |
| Ghs quinidine CPT 80194 | $96.00 | $96.00 | $12.99 – $12.99 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $423.00 | $423.00 | $104.87 – $179.38 | 28 |
| Ghs reticulocyte count CPT 85044 | $31.00 | $31.00 | $3.83 – $3.83 | 4 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $210.00 | $210.00 | $12.37 – $12.37 | 4 |
| Ghs sedimentation rate CPT 85651 | $87.00 | $87.00 | $3.80 – $3.80 | 4 |
| Ghs sensitivity (per antimicro) CPT 87184 | $38.00 | $38.00 | $6.65 – $9.35 | 5 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $600.00 | $600.00 | $84.23 – $154.01 | 28 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $608.00 | $608.00 | $114.49 – $190.52 | 28 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $721.00 | $721.00 | $102.42 – $178.04 | 28 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $613.00 | $613.00 | $136.87 – $150.99 | 28 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $521.00 | $521.00 | $67.53 – $123.97 | 28 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $534.00 | $534.00 | $67.19 – $115.54 | 28 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $533.00 | $533.00 | $84.51 – $149.88 | 28 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $841.00 | $841.00 | $125.52 – $202.55 | 28 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $772.00 | $772.00 | $154.24 – $170.35 | 28 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $270.00 | $270.00 | $91.09 – $91.09 | 4 |
| Ghs st - re-eval for alt comm CPT 92597 | $557.00 | $557.00 | $64.44 – $64.44 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $714.00 | $714.00 | $164.84 – $258.81 | 28 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $413.00 | $413.00 | $123.73 – $154.24 | 28 |
| Ghs urine, porphyrins quant CPT 84120 | $133.00 | $133.00 | $13.08 – $13.08 | 4 |
| Ghs vaginal delivery only CPT 59409 | $225.00 | $225.00 | $706.07 – $706.07 | 4 |
| Gi inhouse confirmation CPT 87045 | $52.00 | $52.00 | $8.40 – $11.80 | 5 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $2,100.00 | $2,100.00 | $184.18 – $184.18 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,895.10 | $1,895.10 | $111.91 – $111.91 | 4 |
| Glucagon plasma - sendout CPT 82943 | $140.00 | $140.00 | $12.71 – $12.71 | 4 |
| Glucose 1 hr post dose CPT 82950 | $68.00 | $68.00 | $4.23 – $4.23 | 4 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $44.00 | $44.00 | $2.92 – $2.92 | 4 |
| Glucose blood quantitative CPT 82947 | $65.00 | $65.00 | $3.50 – $4.91 | 5 |
| Glucose body fluid CPT 82945 | $102.00 | $102.00 | $3.50 – $3.50 | 4 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $221.00 | $221.00 | $11.45 – $11.45 | 4 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $63.00 | $63.00 | $3.49 – $3.49 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $102.00 | $102.00 | $16.53 – $23.23 | 5 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $150.00 | $150.00 | $16.47 – $23.15 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $122.00 | $122.00 | $28.53 – $28.53 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $11.00 | $11.00 | $1.21 – $1.21 | 4 |
| Hand X-ray CPT 73130 | $702.00 | $702.00 | $24.14 – $200.05 | 5 |
| Haptoglobin quantitative CPT 83010 | $162.00 | $162.00 | $11.19 – $11.19 | 4 |
| Hba1/hba2 full gene sequence CPT 81259 | $770.00 | $770.00 | $533.69 – $533.69 | 4 |
| Hbb full gene sequence CPT 81364 | $741.00 | $741.00 | $288.71 – $288.71 | 4 |
| Hbb gene dup/del variants CPT 81363 | $731.00 | $731.00 | $180.03 – $180.03 | 4 |
| Hbot, full body chamber, 30m HCPCS G0277 | $859.00 | $859.00 | $151.81 – $151.81 | 4 |
| Hcg qualitative CPT 84703 | $57.00 | $57.00 | $6.69 – $9.40 | 5 |
| Hcg quantitative CPT 84702 | $175.00 | $175.00 | $13.39 – $18.81 | 5 |
| Head CT scan (with and without contrast) CPT 70470 | $3,282.00 | $3,282.00 | $98.54 – $98.54 | 4 |
| Head CT scan (with contrast) CPT 70460 | $2,804.00 | $2,804.00 | $82.45 – $82.45 | 4 |
| Head CT scan (without contrast) CPT 70450 | $2,165.00 | $2,165.00 | $57.46 – $293.73 | 5 |
| Helicobacter pylori antibody igm CPT 86677 | $150.00 | $150.00 | $14.99 – $14.99 | 4 |
| Hematocrit CPT 85014 | $57.00 | $57.00 | $2.11 – $2.96 | 5 |
| Hemodialysis one evaluation CPT 90935 | $2,642.00 | $2,642.00 | $63.13 – $63.13 | 4 |
| Hemoglobin CPT 85018 | $16.00 | $16.00 | $2.11 – $2.96 | 5 |
| Hemoglobin fetal qualitative CPT 83033 | $95.00 | $95.00 | $7.12 – $7.12 | 4 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $75.00 | $75.00 | $7.29 – $7.29 | 4 |
| Hemoglobin plasma CPT 83051 | $122.00 | $122.00 | $6.50 – $6.50 | 4 |
| Hemophilus influenza antibdy CPT 86684 | $207.00 | $207.00 | $14.09 – $14.09 | 4 |
| Heparin assay CPT 85520 | $238.00 | $238.00 | $11.64 – $11.64 | 4 |
| Heparin bolus from bag HCPCS J1644 | $80.63 | $80.63 | $2.00 – $2.00 | 4 |
| Heparin neutralization CPT 85525 | $91.00 | $91.00 | $10.53 – $10.53 | 4 |
| Hepatitis a antibody igm CPT 86709 | $179.00 | $179.00 | $10.02 – $10.02 | 4 |
| Hepatitis b core antibody igm CPT 86705 | $132.00 | $132.00 | $10.47 – $10.47 | 4 |
| Hepatitis b core antibody total CPT 86704 | $66.00 | $66.00 | $10.72 – $15.06 | 5 |
| Hepatitis b surface antibody CPT 86706 | $72.00 | $72.00 | $9.55 – $13.43 | 5 |
| Hepatitis c antibody CPT 86803 | $78.00 | $78.00 | $12.69 – $17.84 | 5 |
| Hereditary colon ca dsordrs CPT 81435 | $4,065.00 | $4,065.00 | $1,159.85 – $1,159.85 | 4 |
| Herpes simplex 1 ag if CPT 87274 | $66.00 | $66.00 | $10.66 – $10.66 | 4 |
| Herpes simplex 2 ag if CPT 87273 | $66.00 | $66.00 | $10.66 – $10.66 | 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.