Supplies, drugs & other prices at Mercy Hospital Healdton, Inc.

Healdton, OK · every code in this section with a posted price and a Medicare benchmark.

35 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,969.20 $4,568 3.9×
2d tte w or w/o fol w/con,co (C8923) $1,450.80 $2,232 1.9×
2d tte w or w/o fol w/con,fu (C8924) $1,034.80 $1,592 3.1×
Adm tocilizu covid-19 1st (M0249) $483.60 $744 1.1×
Adm tocilizu covid-19 2nd (M0250) $483.60 $744 1.1×
Admin hepatitis b vaccine (G0010) $60.45 $93 1.3×
Admin influenza virus vac (G0008) $52 $80 1.2×
Admin pneumococcal vaccine (G0009) $52 $80 1.2×
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) $55.90 $86 1.8×
Catheterize for urine spec (P9612) $58.50 $90 6.3×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $518.05 $797 3.0×
Cyp2d6 gen com&slct rar vrnt (0070U) $887.90 $1,366 1.3×
Diab manage trn per indiv (G0108) $95.55 $147 1.7×
Diab manage trn ind/group (G0109) $48.75 $75 3.0×
Direct refer hospital observ (G0379) $444.60 $684 0.8×
Ekg tracing for initial prev (G0404) $120.90 $186 4.3×
Hbot, full body chamber, 30m (G0277) $558.35 $859 4.2×
Ig paraprotein qual bld/ur (0077U) $204.10 $314 4.7×
Initial preventive exam (G0402) $144.30 $222 1.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $315.25 $485 2.6×
Liver dis 10 assays w/nash (0003M) $447.85 $689 0.9×
Mra w/o fol w/cont, abd (C8902) $2,802.80 $4,312 8.4×
Mri w/o fol w/cont, breast, (C8908) $3,034.85 $4,669 9.0×
Mri w/o fol w/cont, brst, un (C8905) $2,084.55 $3,207 6.2×
Oth resp proc, group (G0239) $53.95 $83 1.5×
Oth resp proc, indiv (G0238) $68.25 $105 2.5×
Pathogen test for platelets (P9100) $55.90 $86 1.0×
Psa screening (G0103) $101.40 $156 5.3×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $570.70 $878 0.8×
Therapeutic procd strg endur (G0237) $91.65 $141 3.3×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $364.65 $561 0.8×
Tte w or w/o contr, cont ecg (C8930) $1,613.95 $2,483 2.1×
Tte w or w/o fol w/con,stres (C8928) $1,924 $2,960 2.6×
Tte w or wo fol wcon,doppler (C8929) $2,200.90 $3,386 2.9×
Unsched dialysis esrd pt hos (G0257) $1,280.50 $1,970 1.9×