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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $220.35 | $339.00 | $68.85 – $115.80 | 47 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $367.90 | $566.00 | $38.11 – $53.55 | 5 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $286.00 | $440.00 | $38.11 – $70.69 | 51 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $335.40 | $516.00 | $38.11 – $53.55 | 8 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $191.75 | $295.00 | $75.70 – $140.42 | 52 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $304.20 | $468.00 | $126.87 – $126.87 | 4 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $198.25 | $305.00 | $113.69 – $191.22 | 50 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $231.40 | $356.00 | $155.25 – $261.13 | 50 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $145.60 | $224.00 | $67.58 – $113.67 | 50 |
| Initiation & management bipap/cpap initial day CPT 94660 | $903.50 | $1,390.00 | $447.44 – $447.44 | 1 |
| Inj daptomycin (xellia) HCPCS J0873 | $174.98 | $269.20 | $14.00 – $14.00 | 5 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,242.15 | $1,911.00 | $1,262.05 – $1,262.05 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $254.15 | $391.00 | $36.12 – $1,442.34 | 51 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $154.70 | $238.00 | $33.45 – $627.20 | 51 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $203.45 | $313.00 | $38.14 – $627.20 | 51 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $136.50 | $210.00 | $41.09 – $81.33 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $136.50 | $210.00 | $38.12 – $38.12 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $136.50 | $210.00 | $187.62 – $369.43 | 5 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $84.50 | $130.00 | $63.38 – $125.05 | 5 |
| Inject sacroiliac joint CPT 27096 | $791.05 | $1,217.00 | $69.52 – $322.98 | 51 |
| Inj meropenem (wg crit care) HCPCS J2183 | $20.78 | $31.97 | $16.50 – $18.40 | 5 |
| Inj multihance HCPCS A9577 | $124.11 | $190.94 | $11.10 – $11.10 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | $157.95 | $243.00 | $20.87 – $271.86 | 51 |
| Insertion catheter bladder temporary simple CPT 51702 | $214.50 | $330.00 | $21.45 – $271.86 | 51 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $381.55 | $587.00 | $73.37 – $6,451.74 | 51 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,463.15 | $2,251.00 | $81.13 – $3,216.50 | 51 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $230.75 | $355.00 | $113.41 – $144.63 | 5 |
| Insulin total CPT 83525 | $75.40 | $116.00 | $10.17 – $15.43 | 6 |
| Intrinsic factor antibody CPT 86340 | $79.30 | $122.00 | $13.41 – $18.85 | 5 |
| Intubation endotracheal emergency procedure CPT 31500 | $583.05 | $897.00 | $124.95 – $211.13 | 50 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $111.12 | $170.95 | $1.40 – $1.90 | 5 |
| Iron CPT 83540 | $52.00 | $80.00 | $5.75 – $8.09 | 5 |
| Iron binding capacity CPT 83550 | $60.45 | $93.00 | $7.77 – $10.93 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $262.08 | $403.20 | $23.00 – $27.00 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $79.95 | $123.00 | $14.05 – $66.78 | 5 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $130.65 | $201.00 | $20.94 – $102.46 | 5 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $157.95 | $243.00 | $63.38 – $125.05 | 5 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $157.95 | $243.00 | $16.94 – $32.40 | 5 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $157.95 | $243.00 | $41.09 – $81.33 | 5 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $157.95 | $243.00 | $187.62 – $369.43 | 5 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $761.15 | $1,171.00 | $93.26 – $403.20 | 5 |
| John cunningham antibody CPT 86711 | $1,034.80 | $1,592.00 | $15.02 – $21.11 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $58.50 | $90.00 | $7.27 – $10.21 | 6 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $7.66 | $11.78 | $0.42 – $1.65 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $455.00 | $700.00 | $61.35 – $240.32 | 5 |
| Knee MRI (with and without contrast) CPT 73723 | $2,592.20 | $3,988.00 | $246.53 – $801.97 | 5 |
| Knee MRI (with contrast) CPT 73722 | $2,113.15 | $3,251.00 | $205.43 – $1,802.03 | 5 |
| Knee MRI (without contrast) CPT 73721 | $1,795.30 | $2,762.00 | $120.47 – $548.48 | 5 |
| Knee X-ray CPT 73564 | $539.50 | $830.00 | $30.25 – $240.32 | 5 |
| Kras gene addl variants CPT 81276 | $386.75 | $595.00 | $171.89 – $241.56 | 5 |
| Kras gene variants exon 2 CPT 81275 | $628.55 | $967.00 | $171.89 – $241.56 | 5 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $7.15 | $11.00 | $0.58 – $0.64 | 5 |
| Lactate dehydrogenase (ldh) CPT 83615 | $43.55 | $67.00 | $5.37 – $7.55 | 5 |
| Lactated ringers intravenous solution HCPCS J7120 | $42.25 | $65.00 | $2.41 – $3.22 | 5 |
| Lactic acid CPT 83605 | $177.45 | $273.00 | $10.29 – $14.46 | 6 |
| Lactoferrin fecal qualitative CPT 83630 | $81.25 | $125.00 | $17.52 – $24.63 | 5 |
| Lead capillary CPT 83655 | $58.50 | $90.00 | $10.77 – $15.14 | 5 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $856.70 | $1,318.00 | $157.95 – $487.54 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $17.02 | $26.18 | $2.00 – $2.50 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $117.00 | $180.00 | $11.79 – $16.56 | 7 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $58.40 | $89.85 | $1.89 – $2.68 | 5 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $30.62 | $47.11 | $20.00 – $20.00 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $80.60 | $124.00 | $13.07 – $13.07 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $61.68 | $94.90 | $8.94 – $9.24 | 5 |
| Lipase CPT 83690 | $81.25 | $125.00 | $6.13 – $8.61 | 5 |
| Lipoprotein blood high res frac & quant CPT 83701 | $70.85 | $109.00 | $30.12 – $30.12 | 4 |
| Lipoprotein direct measurement hdl CPT 83718 | $48.75 | $75.00 | $7.28 – $7.28 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | $48.75 | $75.00 | $9.34 – $13.13 | 5 |
| Lithium therapeutic drug level CPT 80178 | $68.25 | $105.00 | $5.88 – $8.26 | 5 |
| Liver Function Test CPT 80076 | $94.90 | $146.00 | $7.27 – $10.21 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.62 | $20.96 | $1.35 – $2.06 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,507.05 | $3,857.00 | $119.64 – $403.20 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,844.70 | $2,838.00 | $318.03 – $801.97 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,444.30 | $2,222.00 | $94.70 – $240.32 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,889.25 | $4,445.00 | $184.04 – $801.97 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,499.25 | $3,845.00 | $162.10 – $980.18 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,756.95 | $2,703.00 | $105.76 – $670.37 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $193.70 | $298.00 | $24.41 – $240.32 | 5 |
| L/s ratio fetal lung CPT 83661 | $176.15 | $271.00 | $19.56 – $19.56 | 4 |
| Lung Function Test (Spirometry) CPT 94010 | $267.80 | $412.00 | $23.30 – $441.20 | 51 |
| Macroscopic exam arthropod CPT 87168 | $36.40 | $56.00 | $3.80 – $5.34 | 5 |
| Macroscopic exam parasite CPT 87169 | $36.40 | $56.00 | $3.83 – $5.39 | 5 |
| Magnesium CPT 83735 | $63.05 | $97.00 | $5.96 – $8.38 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $22.75 | $35.00 | $1.96 – $2.12 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $94.25 | $145.00 | $32.70 – $271.86 | 5 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $119.60 | $184.00 | $20.78 – $271.86 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $76.70 | $118.00 | $12.86 – $18.08 | 5 |
| Mayo aathr protein s free CPT 85306 | $133.90 | $206.00 | $13.63 – $19.15 | 5 |
| Mayo activated protein c resistance assay CPT 85307 | $89.70 | $138.00 | $13.63 – $19.15 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $215.15 | $331.00 | $34.31 – $48.21 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $83.85 | $129.00 | $13.15 – $18.48 | 5 |
| Mayo alpha 1 antitrypsin CPT 82103 | $91.65 | $141.00 | $11.95 – $16.80 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $102.70 | $158.00 | $13.41 – $18.85 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $646.75 | $995.00 | $108.19 – $152.04 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $423.80 | $652.00 | $81.53 – $114.58 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $400.40 | $616.00 | $121.86 – $121.86 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,488.50 | $2,290.00 | $1,031.80 – $1,450.00 | 5 |
| Mayo androstenedione CPT 82157 | $111.15 | $171.00 | $26.04 – $36.60 | 5 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $86.45 | $133.00 | $12.99 – $18.25 | 5 |
| Mayo antithrombin iii antigen CPT 85301 | $104.00 | $160.00 | $9.62 – $13.51 | 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.