Visits & medical services prices at Mercy Hospital Healdton, Inc.

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

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $111.15 $171 3.1×
Admn Sarscov2 Vacc 1 Dose (90480) $42.90 $66 1.1×
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$110.50–$130 $170–$200 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $261.30 $402 1.3×
Aep neurodiagnostic i&r (92653) $261.30 $402 1.3×
Aep threshold estimation mlt frequencies i&r (92652) $605.15 $931 2.9×
Airway Inhalation Treatment (94640) $89.05 $137 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $82.55 $127 5.7×
Assessment of aphasia per hr (96105) $280.15 $431 2.9×
Behavral qualit analys voice (92524)
range across 8 matching MRF lines
$179.40–$430.30 $276–$662 varies
Biofeedback training any modality (90901) $134.55 $207 3.3×
Bioimpedance Cv Analysis (93701) $119.60 $184 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $390.65 $601 1.1×
Cardiac Stress Tst,Tracing Only (93017) $770.25 $1,185 3.7×
Cardiopulmonary resuscitation (92950)
range across 5 matching MRF lines
$635.05–$774.15 $977–$1,191 varies
Cardioversion (92960)
range across 2 matching MRF lines
$447.85–$1,445.60 $689–$2,224 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,719.80 $16,492 3.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,919 $15,260 3.2×
Cbt 1st hour (94644) $89.05 $137 0.7×
Chemo Anti-Neopl Sq/Im (96401) $177.45 $273 2.6×
Chemo Hormon Antineopl Sq/Im (96402) $168.35 $259 2.4×
Chemo IV infusion addl hr (96415) $414.70 $638 6.0×
Chemo IV push addl drug (96411) $286 $440 4.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $414.70 $638 6.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $414.70 $638 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $286 $440 0.9×
Chest Wall Manipulation (94668) $93.60 $144 0.7×
Color/duplex Doppler, complete (93975) $966.55 $1,487 4.2×
Color/duplex Doppler, limited (93976) $570.70 $878 5.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $75.40 $116 2.4×
Continuous Pulse Ox (94762) $272.35 $419 2.2×
Coronary Art/Grft Angio S&I (93455) $9,778.60 $15,044 3.1×
Coronary Artery Angio S&I (93454) $9,229.35 $14,199 3.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$450.45–$767.65 $693–$1,181 varies
Cpt initial (94667) $110.50 $170 0.9×
Critical care first hour (99291)
range across 4 matching MRF lines
$589.55–$1,477.45 $907–$2,273 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$114.40–$303.55 $176–$467 varies
Dialysis One Evaluation (90945)
range across 5 matching MRF lines
$460.20–$720.20 $708–$1,108 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $822.25 $1,265 3.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $530.40 $816 5.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $622.70 $958 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$381.55–$414.70 $587–$638 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$870.35–$915.85 $1,339–$1,409 varies
Dup-scan xtr veins unilateral/limited study (93971) $625.95 $963 6.2×
Duplex up extrem art bilat (93930) $702 $1,080 3.1×
Duplex up extrem art unilat/ltd (93931) $370.50 $570 3.7×
Echo Congenital Complete (93303) $1,539.20 $2,368 2.9×
Echo Heart Xthoracic,Limited (93308) $594.10 $914 2.6×
Echo transesophageal (93312) $1,677.65 $2,581 3.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,671.15 $2,571 3.2×
Eeg 41-60 Minutes (95812) $895.05 $1,377 4.3×
EEG awake drowsy (95816) $843.70 $1,298 4.1×
EEG cerebral death evaluation (95824) $725.40 $1,116 2.0×
EEG extended monitoring 61-119 minutes (95813) $1,163.50 $1,790 5.6×
Electrical Stimulation Ea 15 Min (97032) $86.45 $133 5.9×
Electrocardiogram Tracing (93005) $177.45 $273 3.1×
Electrophysiology Evaluation (93642) $2,109.25 $3,245 1.8×
Emergency Dept Visit Level 2 (99282)
range across 4 matching MRF lines
$116.35–$450.45 $179–$693 varies
Emergency Dept Visit Level 3 (99283)
range across 4 matching MRF lines
$188.50–$1,057.87 $290–$1,627.50 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$289.90–$1,310.40 $446–$2,016 varies
Endomyocardial Biopsy (93505) $3,415.10 $5,254 1.1×
Er level 1 (99281)
range across 4 matching MRF lines
$83.85–$274.95 $129–$423 varies
Er level v (99285)
range across 4 matching MRF lines
$432.90–$4,309.16 $666–$6,629.48 varies
Ergonovine provocation test (93024) $426.40 $656 1.0×
Evaluate pt use of inhaler (94664) $147.55 $227 0.7×
Evaluate Speech Production (92522)
range across 8 matching MRF lines
$179.40–$430.30 $276–$662 varies
Evaluate Swallowing Function (92610)
range across 8 matching MRF lines
$186.55–$437.45 $287–$673 varies
Evaluation of speech fluency (92521)
range across 8 matching MRF lines
$186.55–$437.45 $287–$673 varies
Exercise test for bronchospasm (94617) $239.20 $368 1.9×
External Ecg Scanning Analysis Report (93226) $677.95 $1,043 11.9×
Extracranial Bilat Study (93880) $1,025.70 $1,578 4.5×
Extracranial Uni/Ltd Study (93882) $562.90 $866 5.6×
Group Therapeutic Procedures (97150)
range across 7 matching MRF lines
$46.15–$79.30 $71–$122 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $11,733.15 $18,051 3.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,717.30 $2,642 2.6×
Holter monitor recording (93225) $518.70 $798 4.1×
Immunization administration (90471)
range across 3 matching MRF lines
$60.45–$67.60 $93–$104 varies
Insert/Place Heart Catheter (93503) $2,626 $4,040 1.7×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$2,901.60 $4,464 0.4×
Intra-atrial recording (93602)
unusually low: confirm this is the full procedure
$2,901.60 $4,464 0.4×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$2,901.60 $4,464 0.4×
Iontophoresis 15 min (97033) $104 $160 5.5×
Irrig Drug Delivery Device (96523) $132.60 $204 2.3×
IV infusion hydration each additional hour (96361) $157.30 $242 3.5×
IV infusion hydration initial 31 min-1 hour (96360) $157.30 $242 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $186.55 $287 2.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $186.55 $287 4.1×
IV push initial (96374) $141.70 $218 0.7×
L Hrt Art/Grft Angio (93459) $10,742.55 $16,527 3.4×
Lung Function Test (Mbc/Mvv) (94200) $132.60 $204 2.3×
Lwr Xtr Vasc Stdy Bilat (93924) $454.35 $699 2.2×
Mechanical chest wall oscillation per session (94669) $147.55 $227 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $39.65 $61 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42.90 $66 1.2×
Methacholine challenge (94070) $845 $1,300 2.4×
Motion Fluoroscopy/Swallow (92611)
range across 8 matching MRF lines
$229.45–$480.35 $353–$739 varies
Multiple Sleep Latency Test (95805) $1,922.70 $2,958 2.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $302.25 $465 0.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $382.85 $589 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $297.05 $457 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $382.85 $589 1.0×
Neuromuscular Reeducation (97112) $91 $140 2.8×
Newborn resuscitation (99465) $576.55 $887 0.9×
Oral Function Therapy (92526)
range across 8 matching MRF lines
$139.75–$340.60 $215–$524 varies
Oral Speech Device Eval (92597)
range across 5 matching MRF lines
$289.90–$362.05 $446–$557 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $105.95 $163 2.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $109.20 $168 2.4×
Ot eval high complexity (97167)
range across 16 matching MRF lines
$154.05–$584.35 $237–$899 varies
Ot Eval Low Complex (97165)
range across 16 matching MRF lines
$104–$533.65 $160–$821 varies
Ot Eval Moderate Complexity (97166)
range across 16 matching MRF lines
$132.60–$562.25 $204–$865 varies
Ot manual therapy 15 min (97140) $103.35 $159 3.7×
Ot paraffin bath (97018) $44.20 $68 7.4×
Ot Prosthetic Training, Each 15 Min (97761) $82.55 $127 2.0×
Ot Re-Eval Est Plan Care (97168)
range across 16 matching MRF lines
$93.60–$523.25 $144–$805 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $251.55 $387 2.0×
Phlebotomy therapeutic (99195) $200.20 $308 1.6×
Physical Performance Test (97750) $85.15 $131 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,985.80 $6,132 4.8×
Pt Eval High Complex (97163)
range across 10 matching MRF lines
$154.05–$412.10 $237–$634 varies
Pt eval low complex 20 min (97161)
range across 10 matching MRF lines
$104–$362.05 $160–$557 varies
Pt Eval Mod Complex (97162)
range across 10 matching MRF lines
$132.60–$390.65 $204–$601 varies
Pt gait training 15 min (97116) $63.05 $97 2.2×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$89.05–$93.60 $137–$144 varies
Pt Re-Eval Est Plan Care (97164)
range across 10 matching MRF lines
$93.60–$351.65 $144–$541 varies
Pulmonary service/procedure (94799) $113.10 $174 0.9×
Pulmonary Stress Testing (94618) $221 $340 1.7×
R Hrt Art/Grft Angio (93457) $11,222.25 $17,265 3.6×
R hrt coronary artery angio (93456) $10,086.05 $15,517 3.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,526.05 $13,117 2.7×
Remote 30 Day Ecg Rev/Report (93270) $257.40 $396 7.2×
Respiratory flow volume loop (94375) $275.60 $424 1.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $126.10 $194 2.2×
Right Heart Cath (93451) $4,553.25 $7,005 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 5 matching MRF lines
$132.60–$247 $204–$380 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $56.55 $87 2.2×
Self Care Mngment Training (97535) $90.35 $139 2.8×
Sensory Integration Ea 15 Min (97533) $79.30 $122 1.3×
Speech sound lang comprehen (92523)
range across 8 matching MRF lines
$186.55–$437.45 $287–$673 varies
Spirometry (94010)
range across 3 matching MRF lines
$48.75–$252.85 $75–$389 varies
Standardized Cognitive Performance Testing (96125) $234.65 $361 2.3×
Stress Tte Only (93350) $1,407.25 $2,165 2.7×
Temp transcutaneous pacing (92953) $753.35 $1,159 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $87.75 $135 3.9×
Ther Ivntj Ea Addl 15 Min (97130) $27.30 $42 1.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $79.30 $122 2.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 4 matching MRF lines
$111.15–$175.50 $171–$270 varies
Ther/Proph/Diag Inj Sc/Im (96372) $96.85 $149 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $186.55 $287 0.9×
Therapeutic Activities (97530) $79.30 $122 2.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,394.25 $2,145 3.9×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$42.90–$53.95 $66–$83 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$26.65–$39.65 $41–$61 varies
Tte w/doppler, complete (93306) $1,541.15 $2,371 2.9×
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$1,246.05–$1,380.60 $1,917–$2,124 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 8 matching MRF lines
$125.45–$326.30 $193–$502 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 8 matching MRF lines
$60.45–$136.50 $93–$210 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $141.70 $218 3.1×
Upr/L Xtremity Art 2 Levels (93922) $326.95 $503 2.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $628.55 $967 3.0×
Vent Mgmt Inpat Init Day (94002) $1,174.55 $1,807 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $722.80 $1,112 1.2×
Vital capacity, total (94150) $139.10 $214 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $71.50 $110 2.3×
Whirlpool Therapy (97022) $101.40 $156 6.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.