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 |
|---|---|---|---|---|
| Insertion catheter bladder temporary simple CPT 51702 | $299.00 | $299.00 | $53.48 – $53.48 | 4 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,365.00 | $2,365.00 | $1,383.36 – $1,383.36 | 4 |
| Insert swan-ganz cath CPT 93503 | $4,040.00 | $4,040.00 | $1,383.36 – $1,383.36 | 4 |
| Insitu hybridization manual CPT 88368 | $485.00 | $485.00 | $126.22 – $126.22 | 4 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $372.00 | $372.00 | $113.41 – $113.41 | 4 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $432.00 | $432.00 | $150.65 – $150.65 | 4 |
| Insulin total CPT 83525 | $47.00 | $47.00 | $10.17 – $14.29 | 5 |
| Intra-atrial pacing CPT 93610 | $4,464.00 | $4,464.00 | $6,757.32 – $6,757.32 | 4 |
| Intra-atrial recording CPT 93602 | $4,464.00 | $4,464.00 | $6,757.32 – $6,757.32 | 4 |
| Intraventricular pacing CPT 93612 | $4,464.00 | $4,464.00 | $6,757.32 – $6,757.32 | 4 |
| Intrinsic factor antibody CPT 86340 | $132.00 | $132.00 | $13.41 – $13.41 | 4 |
| Intubation endotracheal emergency procedure CPT 31500 | $880.00 | $880.00 | $124.95 – $131.80 | 28 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $103.05 | $103.05 | $4.20 – $5.70 | 5 |
| Iron CPT 83540 | $95.00 | $95.00 | $5.75 – $8.09 | 5 |
| Iron binding capacity CPT 83550 | $48.00 | $48.00 | $7.77 – $10.93 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $487.13 | $487.13 | $23.00 – $23.00 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | $141.00 | $141.00 | $14.05 – $14.05 | 4 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $204.00 | $204.00 | $20.94 – $20.94 | 4 |
| Ivc venogram s&i CPT 75825 | $3,341.00 | $3,341.00 | $51.35 – $51.35 | 4 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $287.00 | $287.00 | $63.38 – $63.38 | 4 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $287.00 | $287.00 | $16.94 – $16.94 | 4 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $287.00 | $287.00 | $41.09 – $41.09 | 4 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $287.00 | $287.00 | $187.62 – $187.62 | 4 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,128.00 | $1,128.00 | $93.26 – $93.26 | 4 |
| John cunningham antibody CPT 86711 | $1,592.00 | $1,592.00 | $15.02 – $15.02 | 4 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $96.00 | $96.00 | $7.27 – $7.27 | 4 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $13.13 | $13.13 | $1.65 – $1.65 | 4 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,017.00 | $1,017.00 | $61.35 – $240.32 | 5 |
| Knee MRI (with and without contrast) CPT 73723 | $6,660.00 | $6,660.00 | $246.53 – $246.53 | 4 |
| Knee MRI (without contrast) CPT 73721 | $6,086.00 | $6,086.00 | $120.47 – $120.47 | 4 |
| Knee X-ray CPT 73564 | $855.00 | $855.00 | $30.25 – $240.32 | 5 |
| Kras gene addl variants CPT 81276 | $576.00 | $576.00 | $171.89 – $171.89 | 4 |
| Kras gene variants exon 2 CPT 81275 | $992.00 | $992.00 | $171.89 – $171.89 | 4 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $11.00 | $11.00 | $0.58 – $0.58 | 4 |
| Lactate dehydrogenase (ldh) CPT 83615 | $76.00 | $76.00 | $5.37 – $7.55 | 5 |
| Lactated ringers intravenous solution HCPCS J7120 | $65.00 | $65.00 | $2.41 – $2.41 | 4 |
| Lactic acid CPT 83605 | $282.00 | $282.00 | $10.29 – $14.46 | 5 |
| Lactoferrin fecal qualitative CPT 83630 | $83.00 | $83.00 | $17.52 – $17.52 | 4 |
| Lead capillary CPT 83655 | $67.00 | $67.00 | $10.77 – $15.14 | 5 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,409.00 | $1,409.00 | $157.95 – $487.54 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $29.18 | $29.18 | $2.50 – $2.50 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $75.00 | $75.00 | $11.79 – $16.56 | 5 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $100.13 | $100.13 | $1.89 – $1.89 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $129.00 | $129.00 | $13.07 – $13.07 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $141.75 | $141.75 | $8.94 – $8.94 | 4 |
| Lipase CPT 83690 | $128.00 | $128.00 | $6.13 – $8.61 | 5 |
| Lipoprotein blood high res frac & quant CPT 83701 | $109.00 | $109.00 | $30.12 – $30.12 | 4 |
| Lipoprotein direct measurement hdl CPT 83718 | $74.00 | $74.00 | $7.28 – $7.28 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | $33.00 | $33.00 | $9.34 – $13.13 | 5 |
| Lithium therapeutic drug level CPT 80178 | $36.00 | $36.00 | $5.88 – $8.26 | 5 |
| Liver Function Test CPT 80076 | $34.00 | $34.00 | $7.27 – $10.21 | 5 |
| Liver/spleen imag static only CPT 78215 | $1,185.00 | $1,185.00 | $132.92 – $132.92 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $150.40 | $150.40 | $1.35 – $1.35 | 4 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,897.00 | $3,897.00 | $119.64 – $119.64 | 4 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,703.00 | $3,703.00 | $318.03 – $318.03 | 4 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $3,020.00 | $3,020.00 | $94.70 – $240.32 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $5,443.00 | $5,443.00 | $184.04 – $184.04 | 4 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,031.00 | $4,031.00 | $162.10 – $162.10 | 4 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,003.00 | $4,003.00 | $105.76 – $105.76 | 4 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $517.00 | $517.00 | $24.41 – $240.32 | 5 |
| L/s ratio fetal lung CPT 83661 | $276.00 | $276.00 | $19.56 – $19.56 | 4 |
| Lumbar diskogram s&i CPT 72295 | $3,439.00 | $3,439.00 | $1,738.97 – $1,738.97 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | $204.00 | $204.00 | $12.62 – $12.62 | 4 |
| Lung Function Test (Spirometry) CPT 94010 | $389.00 | $389.00 | $23.30 – $441.20 | 29 |
| Lung perfusion imaging CPT 78580 | $1,448.00 | $1,448.00 | $152.08 – $152.08 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | $2,316.00 | $2,316.00 | $223.96 – $223.96 | 4 |
| Macroscopic exam arthropod CPT 87168 | $53.00 | $53.00 | $3.80 – $3.80 | 4 |
| Macroscopic exam parasite CPT 87169 | $53.00 | $53.00 | $3.83 – $3.83 | 4 |
| Magnesium CPT 83735 | $113.00 | $113.00 | $5.96 – $8.38 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $94.50 | $94.50 | $1.96 – $1.96 | 4 |
| Manipulate wrist w/anesthes CPT 25259 | $2,341.00 | $2,341.00 | $382.93 – $415.30 | 28 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $144.00 | $144.00 | $32.70 – $32.70 | 4 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $170.00 | $170.00 | $20.78 – $20.78 | 4 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $131.00 | $131.00 | $12.86 – $12.86 | 4 |
| Mayo aathr protein s free CPT 85306 | $214.00 | $214.00 | $13.63 – $19.15 | 5 |
| Mayo activated protein c resistance assay CPT 85307 | $84.00 | $84.00 | $13.63 – $13.63 | 4 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $339.00 | $339.00 | $34.31 – $34.31 | 4 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $133.00 | $133.00 | $13.15 – $13.15 | 4 |
| Mayo alpha 1 antitrypsin CPT 82103 | $152.00 | $152.00 | $11.95 – $16.80 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $176.00 | $176.00 | $13.41 – $13.41 | 4 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $914.00 | $914.00 | $108.19 – $108.19 | 4 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $698.00 | $698.00 | $81.53 – $81.53 | 4 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $638.00 | $638.00 | $121.86 – $121.86 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,368.00 | $2,368.00 | $1,031.80 – $1,031.80 | 4 |
| Mayo androstenedione CPT 82157 | $179.00 | $179.00 | $26.04 – $26.04 | 4 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $137.00 | $137.00 | $12.99 – $18.25 | 5 |
| Mayo antithrombin iii antigen CPT 85301 | $160.00 | $160.00 | $9.62 – $9.62 | 4 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $140.00 | $140.00 | $13.39 – $18.81 | 5 |
| Mayo avwpr vw factor activity CPT 85397 | $159.00 | $159.00 | $27.45 – $27.45 | 4 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $193.00 | $193.00 | $43.86 – $43.86 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $70.00 | $70.00 | $9.05 – $9.05 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $693.00 | $693.00 | $128.83 – $128.83 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $521.00 | $521.00 | $190.90 – $190.90 | 4 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $149.00 | $149.00 | $11.47 – $11.47 | 4 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $123.00 | $123.00 | $11.73 – $11.73 | 4 |
| Mayo brcmg brucella antibody igm CPT 86622 | $129.00 | $129.00 | $7.94 – $7.94 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $234.00 | $234.00 | $12.10 – $12.10 | 4 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $139.00 | $139.00 | $15.01 – $15.01 | 4 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $141.00 | $141.00 | $23.82 – $23.82 | 4 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $445.00 | $445.00 | $108.71 – $108.71 | 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.