Mercy Health Love County Rural Health Clinic
301 WANDA ST, MARIETTA, OK · Mercy · · NPI 1578513792
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 |
|---|---|---|---|---|
| Lactate dehydrogenase (ldh) CPT 83615 | $46.00 | $46.00 | $2.54 – $11.34 | 2 |
| Lactic acid CPT 83605 | $53.00 | $53.00 | $4.86 – $20.07 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $77.00 | $77.00 | $5.56 – $24.91 | 2 |
| Lincomycin injection HCPCS J2010 | $73.00 | $73.00 | $6.46 – $6.73 | 2 |
| Lipase CPT 83690 | $38.00 | $38.00 | $2.89 – $12.95 | 2 |
| Lipoprotein direct measurement hdl CPT 83718 | $60.00 | $60.00 | $3.44 – $15.40 | 2 |
| Lipoprotein direct measurement ldl CPT 83721 | $80.00 | $80.00 | $4.41 – $17.93 | 2 |
| Lithium therapeutic drug level CPT 80178 | $55.00 | $55.00 | $2.78 – $12.43 | 2 |
| Liver Function Test CPT 80076 | $58.00 | $58.00 | $3.43 – $15.36 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $41.00 | $41.00 | $29.59 – $31.56 | 2 |
| Lumbar diskogram s&i CPT 72295 | $105.00 | $105.00 | $71.40 – $72.03 | 2 |
| Magnesium CPT 83735 | $38.00 | $38.00 | $2.81 – $12.59 | 2 |
| Mastoids complete CPT 70130 | $63.00 | $63.00 | $46.94 – $49.44 | 2 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $60.00 | $60.00 | $6.07 – $27.18 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $60.00 | $60.00 | $5.64 – $25.25 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $68.00 | $68.00 | $9.83 – $9.83 | 1 |
| Mayo androstenedione CPT 82157 | $79.00 | $79.00 | $12.30 – $55.02 | 2 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $69.00 | $69.00 | $6.13 – $27.44 | 2 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $120.00 | $120.00 | $9.83 – $9.83 | 1 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $84.00 | $84.00 | $9.83 – $9.83 | 1 |
| Mayo ceruloplasmin CPT 82390 | $58.00 | $58.00 | $4.51 – $20.18 | 2 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $63.00 | $63.00 | $5.93 – $26.54 | 2 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $140.00 | $140.00 | $9.83 – $9.83 | 1 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $88.00 | $88.00 | $10.61 – $47.50 | 2 |
| Mayo estriol CPT 82677 | $79.00 | $79.00 | $10.16 – $45.44 | 2 |
| Mayo estrone CPT 82679 | $113.00 | $113.00 | $10.48 – $46.90 | 2 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $131.00 | $131.00 | $10.84 – $48.50 | 2 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $78.00 | $78.00 | $3.73 – $16.70 | 2 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $63.00 | $63.00 | $11.41 – $51.06 | 2 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $68.00 | $68.00 | $7.25 – $24.33 | 2 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $47.00 | $47.00 | $6.30 – $28.17 | 2 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $97.00 | $97.00 | $8.74 – $39.11 | 2 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $49.00 | $49.00 | $6.75 – $22.52 | 2 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $142.00 | $142.00 | $5.56 – $24.91 | 2 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $84.00 | $84.00 | $9.83 – $9.83 | 1 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $70.00 | $70.00 | $6.11 – $27.35 | 2 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $88.00 | $88.00 | $7.83 – $25.74 | 2 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $40.00 | $40.00 | $9.83 – $9.83 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $83.00 | $83.00 | $9.83 – $9.83 | 1 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $50.00 | $50.00 | $14.74 – $50.00 | 2 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $96.00 | $96.00 | $7.55 – $33.78 | 2 |
| Mayo psaft prostate specific antigen free CPT 84154 | $70.00 | $70.00 | $7.72 – $34.57 | 2 |
| Mayo renin CPT 84244 | $105.00 | $105.00 | $9.24 – $41.33 | 2 |
| Mayo repu protein electrophoresis urine CPT 84166 | $26.00 | $26.00 | $7.49 – $26.00 | 2 |
| Mayo serotonin CPT 84260 | $250.00 | $250.00 | $13.01 – $58.23 | 2 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $79.00 | $79.00 | $8.13 – $36.37 | 2 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $45.00 | $45.00 | $1.79 – $8.03 | 2 |
| Mayo tgrp testosterone free CPT 84402 | $99.00 | $99.00 | $10.70 – $47.87 | 2 |
| Mayo tgrp testosterone total CPT 84403 | $119.00 | $119.00 | $10.84 – $48.51 | 2 |
| Mayo vitamin b3 (niacin) CPT 84591 | $76.00 | $76.00 | $7.17 – $17.26 | 2 |
| Mayo vitamin k CPT 84597 | $120.00 | $120.00 | $5.76 – $19.58 | 2 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $38.00 | $38.00 | $6.96 – $12.08 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $60.00 | $60.00 | $3.55 – $15.89 | 2 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $68.00 | $68.00 | $4.44 – $19.85 | 2 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $1.05 | $1.05 | $0.12 – $0.15 | 2 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $24.00 | $24.00 | $1.03 – $1.31 | 2 |
| Mnl appl strs jt radiography CPT 77071 | $56.00 | $56.00 | $56.00 – $56.00 | 2 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $33.00 | $33.00 | $4.58 – $6.10 | 2 |
| Mumps antibody igg CPT 86735 | $48.00 | $48.00 | $5.48 – $24.52 | 2 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $48.00 | $48.00 | $3.43 – $4.69 | 2 |
| Natriuretic peptide CPT 83880 | $83.00 | $83.00 | $16.49 – $52.44 | 2 |
| New Patient Office Visit (level 2) CPT 99202 | $126.00 | $126.00 | $87.29 – $101.57 | 2 |
| New Patient Office Visit (level 3) CPT 99203 | $175.00 | $175.00 | $123.74 – $147.12 | 2 |
| New Patient Office Visit (level 4) CPT 99204 | $225.00 | $225.00 | $189.43 – $223.89 | 2 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $131.00 | $131.00 | $121.96 – $131.00 | 2 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $95.00 | $95.00 | $84.94 – $95.00 | 2 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $245.00 | $245.00 | $245.00 – $245.00 | 2 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $157.00 | $157.00 | $155.02 – $157.00 | 2 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $193.00 | $193.00 | $193.00 – $193.00 | 2 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $42.00 | $42.00 | $0.09 – $0.12 | 2 |
| Osmolality blood CPT 83930 | $30.00 | $30.00 | $2.78 – $12.43 | 2 |
| Osmolality urine CPT 83935 | $30.00 | $30.00 | $2.86 – $12.81 | 2 |
| Other immunoelectrophoresis CPT 86325 | $26.00 | $26.00 | $9.71 – $26.00 | 2 |
| Parathormone (pth) intact CPT 83970 | $142.00 | $142.00 | $17.34 – $77.57 | 2 |
| Parathyroid autotransplantation 60512 CPT 60512 | $273.00 | $273.00 | $273.00 – $273.00 | 2 |
| Peritoneogram rs&i CPT 74190 | $31.00 | $31.00 | $31.00 – $31.00 | 2 |
| Phencyclidine (pcp) CPT 83992 | $84.00 | $84.00 | $17.61 – $27.63 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $55.00 | $55.00 | $6.43 – $21.52 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $67.00 | $67.00 | $5.56 – $24.91 | 2 |
| Phosphorus CPT 84100 | $68.00 | $68.00 | $1.99 – $8.91 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $26.00 | $26.00 | $10.46 – $26.00 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $122.00 | $122.00 | $10.95 – $36.36 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $45.00 | $45.00 | $2.00 – $8.64 | 2 |
| Pq biliary strict dil s&i CPT 74363 | $52.00 | $52.00 | $52.00 – $52.00 | 2 |
| Pq dr cath chg w cont s&i CPT 75984 | $116.00 | $116.00 | $71.00 – $94.15 | 2 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $95.00 | $95.00 | $84.54 – $95.00 | 2 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $133.00 | $133.00 | $123.97 – $133.00 | 2 |
| Prealbumin CPT 84134 | $55.00 | $55.00 | $6.13 – $27.41 | 2 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $179.00 | $179.00 | $158.29 – $158.29 | 1 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $240.00 | $240.00 | $234.77 – $240.00 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $168.00 | $168.00 | $159.91 – $168.00 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $128.00 | $128.00 | $118.38 – $128.00 | 2 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $130.00 | $130.00 | $120.89 – $130.00 | 2 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $95.00 | $95.00 | $83.88 – $95.00 | 2 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $58.00 | $58.00 | $45.65 – $54.07 | 2 |
| Pr incision & drainage abscess simple/single CPT 10060 | $180.00 | $180.00 | $153.70 – $159.80 | 2 |
| Procalcitonin CPT 84145 | $153.00 | $153.00 | $11.43 – $50.35 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $35.00 | $35.00 | $2.95 – $4.56 | 2 |
| Progesterone CPT 84144 | $101.00 | $101.00 | $8.76 – $39.21 | 2 |
| Prolactin CPT 84146 | $108.00 | $108.00 | $8.14 – $36.41 | 2 |
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.