Mercy Hospital Watonga
500 N. Clarence Nash Boulevard, Watonga, OK · Mercy · · NPI 1497017529
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 bone survey complete CPT 77075 | $833.30 | $1,282.00 | $94.70 – $240.32 | 5 |
| X-ray bone survey infant CPT 77076 | $349.70 | $538.00 | $94.70 – $240.32 | 5 |
| X-ray cervical spine 2-3 views CPT 72040 | $193.70 | $298.00 | $24.14 – $200.05 | 5 |
| X-ray cervical spine 4-5 views CPT 72050 | $241.80 | $372.00 | $34.13 – $240.32 | 5 |
| X-ray cervical spine >= 6 views CPT 72052 | $469.95 | $723.00 | $40.24 – $240.32 | 5 |
| X-ray clavicle complete (both sides) CPT 73000 | $321.75 | $495.00 | $20.53 – $200.05 | 5 |
| X-ray elbow 2 views (both sides) CPT 73070 | $414.70 | $638.00 | $17.75 – $200.05 | 5 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $409.50 | $630.00 | $20.53 – $200.05 | 5 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $525.85 | $809.00 | $57.74 – $403.20 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $529.10 | $814.00 | $51.91 – $240.32 | 5 |
| X-ray exam entire spi 6/> vw CPT 72084 | $662.35 | $1,019.00 | $65.77 – $240.32 | 5 |
| X-ray exam of arm infant CPT 73092 | $234.00 | $360.00 | $19.97 – $240.32 | 5 |
| X-ray exam of femur 1 CPT 73551 | $174.85 | $269.00 | $17.75 – $200.05 | 5 |
| X-ray exam of jaw joint CPT 70328 | $206.05 | $317.00 | $21.64 – $200.05 | 5 |
| X-ray exam of sinuses CPT 70210 | $214.50 | $330.00 | $19.97 – $200.05 | 5 |
| X-ray exam si joints CPT 72200 | $226.20 | $348.00 | $21.08 – $240.32 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $300.30 | $462.00 | $29.13 – $240.32 | 5 |
| X-ray femur >=2 views (both sides) CPT 73552 | $414.05 | $637.00 | $22.47 – $200.05 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $174.85 | $269.00 | $26.36 – $200.05 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | $445.90 | $686.00 | $17.75 – $200.05 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | $436.15 | $671.00 | $18.03 – $200.05 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | $512.85 | $789.00 | $19.69 – $240.32 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $297.05 | $457.00 | $17.47 – $200.05 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $302.25 | $465.00 | $39.13 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $411.45 | $633.00 | $25.52 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $523.25 | $805.00 | $33.30 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $577.85 | $889.00 | $39.13 – $240.32 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $175.50 | $270.00 | $19.97 – $200.05 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | $193.70 | $298.00 | $20.25 – $200.05 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $414.05 | $637.00 | $21.91 – $200.05 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | $561.60 | $864.00 | $26.63 – $200.05 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | $222.30 | $342.00 | $26.63 – $200.05 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $302.90 | $466.00 | $19.97 – $200.05 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $288.60 | $444.00 | $33.02 – $240.32 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $357.50 | $550.00 | $26.63 – $240.32 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $274.30 | $422.00 | $25.25 – $200.05 | 5 |
| X-ray nasal bones complete > 3 views CPT 70160 | $271.70 | $418.00 | $24.69 – $200.05 | 5 |
| X-ray neck soft tissue CPT 70360 | $221.00 | $340.00 | $18.86 – $200.05 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $222.30 | $342.00 | $17.47 – $200.05 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $260.65 | $401.00 | $16.36 – $240.32 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $193.70 | $298.00 | $25.25 – $240.32 | 5 |
| X-ray ribs 2 views left CPT 71100 | $174.85 | $269.00 | $21.91 – $200.05 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $391.30 | $602.00 | $25.25 – $240.32 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $181.35 | $279.00 | $24.69 – $240.32 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $442.65 | $681.00 | $31.08 – $240.32 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $266.50 | $410.00 | $23.86 – $240.32 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $174.85 | $269.00 | $20.25 – $200.05 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $174.85 | $269.00 | $12.75 – $240.32 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $174.85 | $269.00 | $11.92 – $200.05 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $337.35 | $519.00 | $22.75 – $200.05 | 5 |
| X-ray skull < 4 views CPT 70250 | $315.90 | $486.00 | $22.75 – $240.32 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $382.20 | $588.00 | $26.08 – $240.32 | 5 |
| X-ray spine single view CPT 72020 | $301.60 | $464.00 | $13.86 – $200.05 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $215.15 | $331.00 | $25.80 – $200.05 | 5 |
| X-ray sternum > 2 views CPT 71120 | $243.75 | $375.00 | $20.25 – $200.05 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $532.35 | $819.00 | $83.01 – $403.20 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $174.85 | $269.00 | $19.41 – $240.32 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $193.70 | $298.00 | $24.14 – $240.32 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $291.85 | $449.00 | $20.53 – $200.05 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $307.45 | $473.00 | $25.25 – $200.05 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $442.00 | $680.00 | $46.07 – $240.32 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $377.00 | $580.00 | $19.97 – $200.05 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $208.00 | $320.00 | $19.14 – $200.05 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | $174.85 | $269.00 | $21.64 – $200.05 | 5 |
| Zika virus dna/rna amp probe CPT 87662 | $296.40 | $456.00 | $45.64 – $45.64 | 4 |
| Zika virus igm antibody CPT 86794 | $201.50 | $310.00 | $14.99 – $14.99 | 4 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $205.60 | $316.31 | $14.38 – $14.38 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $526.50 | $810.00 | $22.40 – $153.16 | 5 |
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.