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 |
|---|---|---|---|---|
| Herpes simplex type 1 antibody igg CPT 86695 | $73.00 | $73.00 | $11.73 – $16.49 | 5 |
| Herpes simplex type 2 antibody igg CPT 86696 | $175.00 | $175.00 | $17.21 – $24.19 | 5 |
| Heterophile antibodies screening CPT 86308 | $28.00 | $28.00 | $4.61 – $6.48 | 5 |
| Hip X-ray CPT 73502 | $453.00 | $453.00 | $30.80 – $200.05 | 5 |
| Histamine CPT 83088 | $286.00 | $286.00 | $26.27 – $26.27 | 4 |
| Histochemical stains add-on CPT 88314 | $212.00 | $212.00 | $75.32 – $75.32 | 4 |
| Hla ii typing 1 loc hr CPT 81382 | $1,042.00 | $1,042.00 | $110.01 – $110.01 | 4 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $468.00 | $468.00 | $151.12 – $151.12 | 4 |
| Hla typing a b or c CPT 86813 | $509.00 | $509.00 | $51.59 – $51.59 | 4 |
| Hla typing dr/dq CPT 86816 | $340.00 | $340.00 | $26.84 – $26.84 | 4 |
| Homocysteine CPT 83090 | $112.00 | $112.00 | $15.94 – $22.40 | 5 |
| Homogenization tissue CPT 87176 | $64.00 | $64.00 | $5.23 – $5.23 | 4 |
| Homovanillic acid (hva) CPT 83150 | $117.00 | $117.00 | $19.93 – $19.93 | 4 |
| Hpv types 16 & 18 only CPT 87625 | $141.00 | $141.00 | $36.07 – $36.07 | 4 |
| H pylori (c-13) breath CPT 83013 | $309.00 | $309.00 | $59.92 – $84.20 | 5 |
| H pylori drug admin CPT 83014 | $45.00 | $45.00 | $6.99 – $9.83 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $31.50 | $31.50 | $4.08 – $4.08 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | $242.00 | $242.00 | $41.09 – $41.09 | 4 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $242.00 | $242.00 | $187.62 – $187.62 | 4 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $189.53 | $189.53 | $20.94 – $20.94 | 4 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $189.94 | $189.94 | $0.45 – $0.45 | 4 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $229.28 | $229.28 | $12.31 – $12.31 | 4 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $129.00 | $129.00 | $15.92 – $15.92 | 4 |
| Hysterosalpingography s&i CPT 74740 | $991.00 | $991.00 | $63.01 – $63.01 | 4 |
| I131 iodide cap, rx HCPCS A9517 | $117.00 | $117.00 | $20.60 – $20.60 | 4 |
| Iaadi respiratory synctial virus CPT 87280 | $66.00 | $66.00 | $11.94 – $11.94 | 4 |
| Idh1 common variants CPT 81120 | $642.00 | $642.00 | $171.89 – $171.89 | 4 |
| Idh2 common variants CPT 81121 | $727.00 | $727.00 | $263.10 – $263.10 | 4 |
| Igh gene rearrange amp meth CPT 81261 | $668.00 | $668.00 | $176.11 – $176.11 | 4 |
| Igk rearrangeabn clonal pop CPT 81264 | $599.00 | $599.00 | $153.64 – $153.64 | 4 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $315.00 | $315.00 | $77.41 – $77.41 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $333.00 | $333.00 | $146.69 – $146.69 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $447.00 | $447.00 | $90.64 – $90.64 | 4 |
| Immune complex assay CPT 86332 | $180.00 | $180.00 | $21.68 – $21.68 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $54.00 | $54.00 | $18.51 – $26.01 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $185.00 | $185.00 | $18.51 – $18.51 | 4 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $90.00 | $90.00 | $10.66 – $10.66 | 4 |
| Immunodiffusion nes CPT 86329 | $163.00 | $163.00 | $12.50 – $12.50 | 4 |
| Immunofixation electrophoresis serum CPT 86334 | $242.00 | $242.00 | $19.87 – $27.93 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $229.00 | $229.00 | $96.93 – $96.93 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $159.00 | $159.00 | $127.41 – $127.41 | 4 |
| Immunoglobulin assay CPT 86023 | $255.00 | $255.00 | $11.08 – $11.08 | 4 |
| Impedence cardiogram CPT 93701 | $184.00 | $184.00 | $114.79 – $114.79 | 4 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $2,521.00 | $2,521.00 | $688.05 – $688.05 | 4 |
| In-111 pentetreotide HCPCS A9572 | $8,146.00 | $8,146.00 | $1,704.99 – $1,704.99 | 4 |
| Infect ag drug suscept pheno predict CPT 87900 | $576.00 | $576.00 | $115.94 – $115.94 | 4 |
| Infect ag eia influenza a or b ea CPT 87400 | $141.00 | $141.00 | $12.57 – $17.66 | 5 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $748.00 | $748.00 | $114.50 – $114.50 | 4 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $846.00 | $846.00 | $229.00 – $229.00 | 4 |
| Infect ag ia optc obs influenza CPT 87804 | $101.00 | $101.00 | $14.72 – $14.72 | 4 |
| Infect ag if influenza a CPT 87276 | $66.00 | $66.00 | $14.29 – $14.29 | 4 |
| Infect ag if influenza b CPT 87275 | $66.00 | $66.00 | $10.90 – $10.90 | 4 |
| Infect ag if varicella zoster CPT 87290 | $116.00 | $116.00 | $11.94 – $11.94 | 4 |
| Infect ag na hpv high-risk types CPT 87624 | $97.00 | $97.00 | $31.21 – $43.86 | 5 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $286.00 | $286.00 | $85.21 – $85.21 | 4 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $221.00 | $221.00 | $45.64 – $45.64 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $173.00 | $173.00 | $10.66 – $10.66 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $100.00 | $100.00 | $11.94 – $11.94 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $66.00 | $66.00 | $12.29 – $17.28 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $66.00 | $66.00 | $10.66 – $14.98 | 29 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $226.00 | $226.00 | $12.79 – $12.79 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $57.00 | $57.00 | $9.19 – $12.91 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $75.00 | $75.00 | $21.42 – $30.10 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $225.00 | $225.00 | $10.66 – $10.66 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $161.00 | $161.00 | $10.66 – $10.66 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $83.00 | $83.00 | $10.66 – $10.66 | 4 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $383.00 | $383.00 | $31.21 – $43.86 | 5 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $128.00 | $128.00 | $31.21 – $43.86 | 5 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $155.00 | $155.00 | $33.15 – $46.59 | 5 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $155.00 | $155.00 | $31.21 – $31.21 | 4 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $155.00 | $155.00 | $31.21 – $43.86 | 5 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $128.00 | $128.00 | $31.21 – $43.86 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $200.00 | $200.00 | $45.64 – $64.14 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $275.00 | $275.00 | $126.87 – $178.29 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $395.00 | $395.00 | $126.87 – $178.29 | 5 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $242.00 | $242.00 | $31.21 – $31.21 | 4 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $193.00 | $193.00 | $87.73 – $87.73 | 1 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $220.00 | $220.00 | $68.28 – $68.28 | 4 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $587.00 | $587.00 | $38.11 – $38.11 | 4 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $459.00 | $459.00 | $38.11 – $38.11 | 4 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $294.00 | $294.00 | $38.11 – $53.55 | 5 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $332.00 | $332.00 | $75.70 – $75.70 | 4 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $439.00 | $439.00 | $126.87 – $126.87 | 4 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $299.00 | $299.00 | $113.69 – $119.37 | 28 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $391.00 | $391.00 | $155.25 – $163.01 | 28 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $224.00 | $224.00 | $67.58 – $71.20 | 28 |
| Injection during cath supravalvular aortography CPT 93567 | $2,401.00 | $2,401.00 | $32.54 – $32.54 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $1,745.00 | $1,745.00 | $146.73 – $146.73 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $488.00 | $488.00 | $36.12 – $65.09 | 28 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $237.00 | $237.00 | $33.45 – $45.92 | 28 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $218.00 | $218.00 | $41.09 – $41.09 | 4 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $218.00 | $218.00 | $187.62 – $187.62 | 4 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $149.00 | $149.00 | $63.38 – $63.38 | 4 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,519.00 | $2,519.00 | $40.32 – $40.32 | 4 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $2,471.00 | $2,471.00 | $44.94 – $44.94 | 4 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $1,596.00 | $1,596.00 | $47.90 – $47.90 | 4 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $2,445.00 | $2,445.00 | $23.35 – $23.35 | 4 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $2,081.00 | $2,081.00 | $22.59 – $22.59 | 4 |
| Ins cerv dilator (sep proc) CPT 59200 | $457.00 | $457.00 | $89.88 – $89.88 | 4 |
| Insertion catheter bladder non indwelling CPT 51701 | $267.00 | $267.00 | $38.74 – $38.74 | 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.