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 |
|---|---|---|---|---|
| X-ray ankle 2 views (both sides) CPT 73600 | $34.00 | $34.00 | $25.64 – $28.28 | 2 |
| X-ray bone age studies CPT 77072 | $29.00 | $29.00 | $17.36 – $17.92 | 2 |
| X-ray bone length studies CPT 77073 | $43.00 | $43.00 | $28.28 – $33.52 | 2 |
| X-ray bone survey complete CPT 77075 | $111.00 | $111.00 | $74.54 – $79.56 | 2 |
| X-ray bone survey infant CPT 77076 | $112.00 | $112.00 | $75.33 – $81.45 | 2 |
| X-ray cervical spine 2-3 views CPT 72040 | $41.00 | $41.00 | $28.74 – $29.59 | 2 |
| X-ray cervical spine 4-5 views CPT 72050 | $96.00 | $96.00 | $39.10 – $40.62 | 2 |
| X-ray cervical spine >= 6 views CPT 72052 | $67.00 | $67.00 | $48.91 – $49.92 | 2 |
| X-ray clavicle complete (both sides) CPT 73000 | $50.00 | $50.00 | $25.24 – $25.45 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $66.00 | $66.00 | $22.08 – $25.45 | 2 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $58.00 | $58.00 | $24.45 – $29.69 | 2 |
| X-ray exam of arm infant CPT 73092 | $33.00 | $33.00 | $24.45 – $25.92 | 2 |
| X-ray exam of eye sockets CPT 70200 | $49.00 | $49.00 | $35.89 – $37.21 | 2 |
| X-ray exam of jaw joint CPT 70328 | $37.00 | $37.00 | $26.83 – $28.28 | 2 |
| X-ray exam of jaw joint CPT 70332 | $88.00 | $88.00 | $59.95 – $64.98 | 2 |
| X-ray exam of mastoids CPT 70120 | $41.00 | $41.00 | $30.37 – $32.51 | 2 |
| X-ray exam of middle ear CPT 70134 | $61.00 | $61.00 | $42.99 – $45.21 | 2 |
| X-ray exam of penis CPT 74445 | $66.00 | $66.00 | $66.00 – $66.00 | 2 |
| X-ray exam of perineum CPT 74775 | $38.00 | $38.00 | $38.00 – $38.00 | 2 |
| X-ray exam of salivary gland CPT 70380 | $43.00 | $43.00 | $30.37 – $35.33 | 2 |
| X-ray exam of sinuses CPT 70210 | $36.00 | $36.00 | $24.45 – $27.80 | 2 |
| X-ray exam of tear duct CPT 70170 | $22.00 | $22.00 | $22.00 – $22.00 | 2 |
| X-ray exam of teeth CPT 70300 | $20.00 | $20.00 | $9.07 – $11.81 | 2 |
| X-ray exam of teeth CPT 70310 | $43.00 | $43.00 | $34.72 – $37.21 | 2 |
| X-ray exam si joints CPT 72200 | $35.00 | $35.00 | $25.64 – $25.92 | 2 |
| X-ray exam thorac spine4/>vw CPT 72074 | $75.00 | $75.00 | $33.92 – $37.21 | 2 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $34.00 | $34.00 | $34.00 – $34.00 | 2 |
| X-ray facial bones complete > 3 views CPT 70150 | $48.00 | $48.00 | $35.89 – $37.21 | 2 |
| X-ray fallopian tube CPT 74742 | $38.00 | $38.00 | $38.00 – $38.00 | 2 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $54.00 | $54.00 | $31.56 – $32.51 | 2 |
| X-ray foot 2 views (both sides) CPT 73620 | $32.00 | $32.00 | $22.09 – $24.04 | 2 |
| X-ray forearm 2 views (both sides) CPT 73090 | $69.00 | $69.00 | $22.48 – $23.10 | 2 |
| X-ray hand 2 views (both sides) CPT 73120 | $33.00 | $33.00 | $23.56 – $24.06 | 2 |
| X-ray head for orthodontia CPT 70350 | $27.00 | $27.00 | $9.08 – $12.74 | 2 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $52.00 | $52.00 | $22.09 – $24.98 | 2 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $222.00 | $222.00 | $44.46 – $53.25 | 2 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $282.00 | $282.00 | $57.96 – $65.66 | 2 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $43.00 | $43.00 | $24.45 – $26.87 | 2 |
| X-ray humerus >= 2 views left CPT 73060 | $45.00 | $45.00 | $25.24 – $27.33 | 2 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $36.00 | $36.00 | $27.62 – $29.69 | 2 |
| X-ray knee 3 views (both sides) CPT 73562 | $210.00 | $210.00 | $32.74 – $34.87 | 2 |
| X-ray knee ap standing bilateral CPT 73565 | $155.00 | $155.00 | $43.21 – $47.94 | 2 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $33.00 | $33.00 | $24.45 – $25.92 | 2 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $46.00 | $46.00 | $31.16 – $38.62 | 2 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $100.00 | $100.00 | $39.04 – $43.80 | 2 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $69.00 | $69.00 | $48.91 – $60.27 | 2 |
| X-ray male genital tract CPT 74440 | $87.00 | $87.00 | $81.64 – $82.86 | 2 |
| X-ray mandible complete > 4 views CPT 70110 | $45.00 | $45.00 | $32.73 – $33.44 | 2 |
| X-ray mandible ltd <4 views CPT 70100 | $40.00 | $40.00 | $30.37 – $31.56 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $39.00 | $39.00 | $30.37 – $31.56 | 2 |
| X-ray neck soft tissue CPT 70360 | $34.00 | $34.00 | $23.66 – $25.92 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $32.00 | $32.00 | $21.70 – $22.63 | 2 |
| X-ray of mammary ducts CPT 77054 | $85.00 | $85.00 | $56.40 – $72.50 | 2 |
| X-ray optic foramina CPT 70190 | $41.00 | $41.00 | $29.97 – $32.03 | 2 |
| X-ray pelvis 1-2 views CPT 72170 | $157.00 | $157.00 | $31.78 – $42.79 | 2 |
| X-ray pelvis complete > 3 views CPT 72190 | $74.00 | $74.00 | $30.77 – $35.80 | 2 |
| X-ray ribs 2 views left CPT 71100 | $75.00 | $75.00 | $26.83 – $28.74 | 2 |
| X-ray ribs 3 views bilateral CPT 71110 | $46.00 | $46.00 | $31.16 – $31.56 | 2 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $66.00 | $66.00 | $30.15 – $30.37 | 2 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $59.00 | $59.00 | $38.66 – $41.92 | 2 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $55.00 | $55.00 | $29.18 – $31.10 | 2 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $40.00 | $40.00 | $24.85 – $25.45 | 2 |
| X-ray scapula complete (both sides) CPT 73010 | $45.00 | $45.00 | $20.51 – $27.80 | 2 |
| X-ray sella turcica CPT 70240 | $36.00 | $36.00 | $26.03 – $26.87 | 2 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $29.00 | $29.00 | $14.99 – $19.80 | 2 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $90.00 | $90.00 | $28.01 – $32.98 | 2 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $66.00 | $66.00 | $36.68 – $38.15 | 2 |
| X-ray skull < 4 views CPT 70250 | $43.00 | $43.00 | $28.00 – $31.10 | 2 |
| X-ray skull > 4 views complete CPT 70260 | $78.00 | $78.00 | $32.73 – $37.21 | 2 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $105.00 | $105.00 | $73.76 – $79.56 | 2 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $113.00 | $113.00 | $88.74 – $105.91 | 2 |
| X-ray spine single view CPT 72020 | $28.00 | $28.00 | $17.75 – $18.86 | 2 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $43.00 | $43.00 | $31.56 – $32.51 | 2 |
| X-ray sternum > 2 views CPT 71120 | $41.00 | $41.00 | $24.85 – $25.45 | 2 |
| X-ray surgical specimen CPT 76098 | $24.00 | $24.00 | $11.33 – $24.00 | 2 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $54.00 | $54.00 | $43.38 – $47.09 | 2 |
| X-ray thoracic spine 2 views CPT 72070 | $39.00 | $39.00 | $23.68 – $30.15 | 2 |
| X-ray thoracic spine 3 views CPT 72072 | $63.00 | $63.00 | $29.58 – $31.10 | 2 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $65.00 | $65.00 | $25.64 – $25.92 | 2 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $63.00 | $63.00 | $24.85 – $26.87 | 2 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $50.00 | $50.00 | $23.66 – $28.28 | 2 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $120.00 | $120.00 | $88.36 – $103.09 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | $36.00 | $36.00 | $26.83 – $27.33 | 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.