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 |
|---|---|---|---|---|
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $33.00 | $33.00 | $4.51 – $20.18 | 2 |
| Protein total 24 hour urine CPT 84156 | $42.00 | $42.00 | $1.54 – $6.89 | 2 |
| Protein total serum plasma whole blood CPT 84155 | $42.00 | $42.00 | $1.54 – $6.89 | 2 |
| PSA (Prostate) Test CPT 84153 | $107.00 | $107.00 | $7.72 – $34.57 | 2 |
| Quest t3 uptake CPT 84479 | $49.00 | $49.00 | $2.72 – $12.15 | 2 |
| Rapid Strep Test CPT 87880 | $58.00 | $58.00 | $9.92 – $22.52 | 2 |
| Removal cerumen impacted (both sides) CPT 69210 | $95.00 | $95.00 | $66.46 – $66.98 | 2 |
| Renal cyst study s&i CPT 74470 | $34.00 | $34.00 | $34.00 – $34.00 | 2 |
| Reptilase test CPT 85635 | $56.00 | $56.00 | $4.14 – $18.51 | 2 |
| Reticulocyte automated CPT 85045 | $34.00 | $34.00 | $1.68 – $7.51 | 2 |
| Revision open av fistula without thromb CPT 36832 | $643.00 | $643.00 | $643.00 – $643.00 | 2 |
| Rheumatoid factor quantitative CPT 86431 | $47.00 | $47.00 | $2.38 – $10.66 | 2 |
| Rsv assay w/optic CPT 87807 | $66.00 | $66.00 | $5.50 – $22.52 | 2 |
| Rubella antibody igg CPT 86762 | $65.00 | $65.00 | $6.04 – $27.04 | 2 |
| Rubeola antibody igg CPT 86765 | $45.00 | $45.00 | $5.41 – $24.21 | 2 |
| Russell viper venom diluted CPT 85613 | $58.00 | $58.00 | $4.02 – $18.00 | 2 |
| Salmonella antibody CPT 86768 | $34.00 | $34.00 | $5.54 – $24.78 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $74.00 | $74.00 | $18.34 – $18.34 | 1 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $156.00 | $156.00 | $155.53 – $156.00 | 2 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $123.00 | $123.00 | $79.96 – $94.53 | 2 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $152.00 | $152.00 | $105.41 – $125.08 | 2 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $99.00 | $99.00 | $50.87 – $61.10 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $37.00 | $37.00 | $1.13 – $5.07 | 2 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $112.00 | $112.00 | $112.00 – $112.00 | 2 |
| Shoulder X-ray CPT 73030 | $66.00 | $66.00 | $25.92 – $26.03 | 2 |
| Sialography s&i CPT 70390 | $105.00 | $105.00 | $98.85 – $103.34 | 2 |
| Smear gram stain CPT 87205 | $43.00 | $43.00 | $1.79 – $7.88 | 2 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $26.00 | $26.00 | $2.52 – $11.26 | 2 |
| Smear wet mount CPT 87210 | $45.00 | $45.00 | $3.49 – $8.03 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $34.00 | $34.00 | $2.02 – $9.04 | 2 |
| Strep a ag ia CPT 87430 | $53.00 | $53.00 | $7.06 – $22.52 | 2 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $22.00 | $22.00 | $1.99 – $2.63 | 2 |
| Susceptibility mic per plate CPT 87186 | $62.00 | $62.00 | $3.63 – $16.25 | 2 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $39.00 | $39.00 | $1.85 – $8.27 | 2 |
| T3 (triiodothyronine) free CPT 84481 | $80.00 | $80.00 | $7.11 – $31.84 | 2 |
| T3 (triiodothyronine) total CPT 84480 | $79.00 | $79.00 | $5.96 – $26.65 | 2 |
| T4 (thyroxine) free CPT 84439 | $58.00 | $58.00 | $3.79 – $16.95 | 2 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $225.00 | $225.00 | $42.00 – $140.82 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $170.00 | $170.00 | $19.73 – $34.44 | 2 |
| T cells total count CPT 86359 | $96.00 | $96.00 | $15.85 – $34.44 | 2 |
| Theophylline therapeutic drug level CPT 80198 | $74.00 | $74.00 | $5.94 – $26.58 | 2 |
| Thrombin time CPT 85670 | $55.00 | $55.00 | $2.42 – $10.84 | 2 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $35.00 | $35.00 | $2.72 – $12.15 | 2 |
| Thyroglobulin antibody CPT 86800 | $66.00 | $66.00 | $6.68 – $29.89 | 2 |
| Thyroid (TSH) Test CPT 84443 | $111.00 | $111.00 | $7.06 – $31.58 | 2 |
| Transferrin CPT 84466 | $68.00 | $68.00 | $5.36 – $23.99 | 2 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $157.00 | $157.00 | $24.51 – $26.26 | 2 |
| Treponema pallidum antibody CPT 86780 | $68.00 | $68.00 | $5.56 – $24.88 | 2 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $43.00 | $43.00 | $0.90 – $1.23 | 2 |
| Triglycerides CPT 84478 | $53.00 | $53.00 | $2.41 – $10.80 | 2 |
| Trim nondyst nails CPT 11719 | $29.00 | $29.00 | $17.91 – $19.22 | 2 |
| Troponin quantitative CPT 84484 | $38.00 | $38.00 | $5.24 – $18.50 | 2 |
| Ua w/micro/comp poc CPT 81000 | $42.00 | $42.00 | $2.41 – $5.96 | 2 |
| Urea nitrogen CPT 84520 | $45.00 | $45.00 | $1.66 – $7.43 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $23.00 | $23.00 | $23.00 – $23.00 | 2 |
| Urethrocystography void s&i CPT 74455 | $88.00 | $88.00 | $86.63 – $88.00 | 2 |
| Uric acid blood CPT 84550 | $45.00 | $45.00 | $1.90 – $8.49 | 2 |
| Urinalysis microscopic only CPT 81015 | $20.00 | $20.00 | $1.83 – $5.41 | 2 |
| Urinalysis (with microscopy) CPT 81001 | $37.00 | $37.00 | $1.90 – $5.96 | 2 |
| Urinalysis (without microscopy) CPT 81003 | $42.00 | $42.00 | $1.35 – $3.92 | 2 |
| Urine Culture Test CPT 87086 | $66.00 | $66.00 | $3.39 – $13.15 | 2 |
| Urine pregnancy test CPT 81025 | $53.00 | $53.00 | $5.17 – $11.88 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $0.01 | $0.01 | $0.01 – $0.01 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $167.00 | $167.00 | $75.49 – $102.95 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $0.01 | $0.01 | $0.01 – $0.01 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $93.00 | $93.00 | $5.69 – $25.45 | 2 |
| Varicella zoster antibody igg CPT 86787 | $65.00 | $65.00 | $5.41 – $24.21 | 2 |
| Vitamin b-12 CPT 82607 | $93.00 | $93.00 | $6.33 – $28.33 | 2 |
| Vitamin D Test CPT 82306 | $97.00 | $97.00 | $12.43 – $55.64 | 2 |
| Warde 1003990 aldosterone CPT 82088 | $144.00 | $144.00 | $17.11 – $76.58 | 2 |
| Warde 3016000 west nile virus antibody CPT 86788 | $79.00 | $79.00 | $7.08 – $31.66 | 2 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $100.00 | $100.00 | $6.04 – $27.04 | 2 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $49.00 | $49.00 | $3.74 – $16.73 | 2 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $58.00 | $58.00 | $7.55 – $33.78 | 2 |
| Warde 3400852 arsenic CPT 82175 | $71.00 | $71.00 | $7.97 – $35.65 | 2 |
| Warde 3708165 mercury urine CPT 83825 | $64.00 | $64.00 | $6.83 – $30.55 | 2 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $146.00 | $146.00 | $16.22 – $72.58 | 2 |
| Warde aldolase CPT 82085 | $44.00 | $44.00 | $4.08 – $18.25 | 2 |
| Warde cadmium blood CPT 82300 | $61.00 | $61.00 | $9.93 – $43.50 | 2 |
| Warde calcitonin CPT 82308 | $100.00 | $100.00 | $11.25 – $50.35 | 2 |
| Warde complement total hemolytic CPT 86162 | $93.00 | $93.00 | $8.53 – $38.20 | 2 |
| Warde copper CPT 82525 | $68.00 | $68.00 | $5.21 – $23.32 | 2 |
| Warde cryoglobulin CPT 82595 | $44.00 | $44.00 | $2.72 – $12.15 | 2 |
| Warde estrogen fractionated CPT 82671 | $100.00 | $100.00 | $13.57 – $14.15 | 2 |
| Warde folic acid rbc CPT 82747 | $83.00 | $83.00 | $7.41 – $32.55 | 2 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $311.00 | $311.00 | $108.13 – $311.00 | 2 |
| Warde sex hormone binding globulin CPT 84270 | $160.00 | $160.00 | $9.13 – $40.84 | 2 |
| Warde vitamin a CPT 84590 | $68.00 | $68.00 | $4.88 – $17.26 | 2 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $85.00 | $85.00 | $8.92 – $26.22 | 2 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $96.00 | $96.00 | $11.80 – $26.22 | 2 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $45.00 | $45.00 | $4.15 – $16.43 | 2 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $142.00 | $142.00 | $16.17 – $72.35 | 2 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $66.00 | $66.00 | $5.96 – $26.65 | 2 |
| Warde zinc CPT 84630 | $23.00 | $23.00 | $4.78 – $21.40 | 2 |
| Wrist X-ray CPT 73110 | $61.00 | $61.00 | $33.14 – $35.33 | 2 |
| Xm archive tissue molec anal CPT 88363 | $29.00 | $29.00 | $14.30 – $29.00 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $386.00 | $386.00 | $356.19 – $386.00 | 2 |
| X-ray abdomen 1 view CPT 74018 | $136.00 | $136.00 | $32.58 – $32.58 | 1 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $99.00 | $99.00 | $35.89 – $37.69 | 2 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $45.00 | $45.00 | $24.06 – $32.98 | 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.