Visits & medical services prices at Mercy Hospital Logan County, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $42.90 $66 1.1×
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$119.60–$140.40 $184–$216 varies
Airway Inhalation Treatment (94640)
range across 8 matching MRF lines
$128.70–$137.80 $198–$212 varies
Analyze neurostim complex (95972) $507 $780 5.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $83.20 $128 5.8×
Assessment of aphasia per hr (96105) $285.35 $439 2.9×
Behavral qualit analys voice (92524)
range across 8 matching MRF lines
$179.40–$430.30 $276–$662 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$101.40–$573.95 $156–$883 varies
Cardiopulmonary resuscitation (92950)
range across 5 matching MRF lines
$570.70–$670.80 $878–$1,032 varies
Cardioversion (92960)
range across 3 matching MRF lines
$437.45–$1,563.25 $673–$2,405 varies
Cbt 1st hour (94644) $128.70 $198 1.0×
Chemo Anti-Neopl Sq/Im (96401) $166.40 $256 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $166.40 $256 2.4×
Chemo IV infusion addl hr (96415) $338 $520 4.9×
Chemo IV push addl drug (96411) $253.50 $390 3.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $338 $520 4.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $338 $520 1.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $253.50 $390 0.8×
Chest Wall Manipulation (94668) $100.75 $155 0.8×
Color/duplex Doppler, complete (93975) $973.05 $1,497 4.2×
Color/duplex Doppler, limited (93976) $698.10 $1,074 6.9×
Continuous Pulse Ox (94762) $352.30 $542 2.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$495.95–$1,046.50 $763–$1,610 varies
Cpt initial (94667) $127.40 $196 1.0×
Critical care first hour (99291)
range across 4 matching MRF lines
$554.45–$1,456.65 $853–$2,241 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines
$111.80–$286 $172–$440 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,103.05 $1,697 4.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$638.30–$639.60 $982–$984 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$952.25–$967.20 $1,465–$1,488 varies
Dup-scan xtr veins unilateral/limited study (93971) $623.35 $959 6.2×
Duplex up extrem art bilat (93930) $995.80 $1,532 4.3×
Duplex up extrem art unilat/ltd (93931) $677.95 $1,043 6.7×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$147.55–$898.95 $227–$1,383 varies
EEG awake and asleep (95819) $906.10 $1,394 4.4×
Electrical Stimulation Ea 15 Min (97032) $94.90 $146 6.5×
Electrocardiogram Tracing (93005) $168.35 $259 3.0×
Emergency Dept Visit Level 2 (99282)
range across 4 matching MRF lines
$118.95–$470.60 $183–$724 varies
Emergency Dept Visit Level 3 (99283)
range across 4 matching MRF lines
$200.85–$781.95 $309–$1,203 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$295.10–$1,398.67 $454–$2,151.80 varies
Er level 1 (99281)
range across 4 matching MRF lines
$84.50–$277.55 $130–$427 varies
Er level v (99285)
range across 4 matching MRF lines
$501.80–$3,294.21 $772–$5,068.02 varies
Evaluate pt use of inhaler (94664) $126.75 $195 0.6×
Evaluate Speech Production (92522)
range across 8 matching MRF lines
$179.40–$430.30 $276–$662 varies
Evaluate Swallowing Function (92610)
range across 7 matching MRF lines
$179.40–$430.30 $276–$662 varies
Evaluation of speech fluency (92521)
range across 8 matching MRF lines
$179.40–$430.30 $276–$662 varies
Extracranial Bilat Study (93880) $1,142.05 $1,757 5.0×
Extracranial Uni/Ltd Study (93882) $586.30 $902 5.8×
Group Therapeutic Procedures (97150)
range across 12 matching MRF lines
$36.40–$68.25 $56–$105 varies
Holter monitor recording (93225) $626.60 $964 4.9×
Immunization administration (90471) $85.80 $132 1.2×
Iontophoresis 15 min (97033) $128.70 $198 6.8×
Irrig Drug Delivery Device (96523) $130.65 $201 2.3×
IV infusion hydration each additional hour (96361) $136.50 $210 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $136.50 $210 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $157.95 $243 2.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $157.95 $243 3.5×
IV push initial (96374) $136.50 $210 0.7×
Mechanical chest wall oscillation per session (94669) $148.85 $229 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.15 $51 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41.60 $64 1.1×
Motion Fluoroscopy/Swallow (92611)
range across 4 matching MRF lines
$222.30–$329.55 $342–$507 varies
Multiple Sleep Latency Test (95805) $2,147.60 $3,304 2.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$258.05–$258.70 $397–$398 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$347.10–$348.40 $534–$536 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$82.55–$309.40 $127–$476 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $436.15 $671 1.1×
Neuromuscular Reeducation (97112) $94.25 $145 2.9×
Newborn resuscitation (99465) $491.40 $756 0.8×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $590.85 $909 1.6×
Oral Function Therapy (92526)
range across 4 matching MRF lines
$139.75–$226.20 $215–$348 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $98.80 $152 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $94.25 $145 2.0×
Ot Contrast Bath Ea 15 Min (97034) $58.50 $90 4.2×
Ot eval high complexity (97167)
range across 16 matching MRF lines
$168.35–$598.65 $259–$921 varies
Ot Eval Low Complex (97165)
range across 16 matching MRF lines
$111.15–$541.45 $171–$833 varies
Ot Eval Moderate Complexity (97166)
range across 16 matching MRF lines
$136.50–$566.80 $210–$872 varies
Ot manual therapy 15 min (97140) $96.85 $149 3.5×
Ot paraffin bath (97018) $71.50 $110 11.9×
Ot Prosthetic Training, Each 15 Min (97761) $80.60 $124 2.0×
Ot Re-Eval Est Plan Care (97168)
range across 16 matching MRF lines
$104–$426.40 $160–$656 varies
Ot rom hand (95852) $56.55 $87 2.6×
Phlebotomy therapeutic (99195) $143.65 $221 1.1×
Physical Performance Test (97750) $108.55 $167 3.2×
Plethysmography (94726) $434.85 $669 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,107.35 $6,319 5.0×
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines
$2,590.25–$6,637.80 $3,985–$10,212 varies
Psych diag eval w/med srvcs (90792)
range across 18 matching MRF lines
$154.05–$410.80 $237–$632 varies
Psychiatric diagnostic evaluation (90791)
range across 18 matching MRF lines
$141.70–$401.70 $218–$618 varies
Psytx Crisis Initial 60 Min (90839) $226.85 $349 1.3×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $87.10 $134 2.3×
Pt Eval High Complex (97163)
range across 10 matching MRF lines
$168.35–$426.40 $259–$656 varies
Pt eval low complex 20 min (97161)
range across 10 matching MRF lines
$111.80–$369.20 $172–$568 varies
Pt Eval Mod Complex (97162)
range across 10 matching MRF lines
$136.50–$394.55 $210–$607 varies
Pt gait training 15 min (97116) $83.20 $128 2.9×
Pt mechanical traction (97012) $98.80 $152 6.9×
Pt Re-Eval Est Plan Care (97164)
range across 10 matching MRF lines
$104.65–$297.70 $161–$458 varies
Pulmonary service/procedure (94799)
range across 4 matching MRF lines
$101.40–$195.65 $156–$301 varies
Pulmonary Stress Testing (94618) $321.75 $495 2.5×
Remote 30 Day Ecg Rev/Report (93270) $296.40 $456 8.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 6 matching MRF lines
$81.25–$236.60 $125–$364 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $66.95 $103 2.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $226.20 $348 1.9×
Self Care Mngment Training (97535) $94.25 $145 2.9×
Sensory Integration Ea 15 Min (97533) $75.40 $116 1.2×
Sleep study unattended (95806) $715.65 $1,101 3.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $505.70 $778 2.4×
Speech sound lang comprehen (92523)
range across 8 matching MRF lines
$179.40–$430.30 $276–$662 varies
Spirometry (94010)
range across 3 matching MRF lines
$52.65–$384.15 $81–$591 varies
Standardized Cognitive Performance Testing (96125) $263.25 $405 2.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $89.05 $137 4.0×
Ther Ivntj Ea Addl 15 Min (97130) $26 $40 1.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $75.40 $116 2.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 6 matching MRF lines
$111.15–$216.45 $171–$333 varies
Ther/Proph/Diag Inj Sc/Im (96372) $102.70 $158 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $181.35 $279 0.9×
Therapeutic Activities (97530) $89.70 $138 2.6×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$44.85–$57.85 $69–$89 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$26.65–$37.70 $41–$58 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$321.10–$1,825.85 $494–$2,809 varies
Tte W/O Doppler Complete (93307) $1,318.85 $2,029 5.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 18 matching MRF lines
$136.50–$681.20 $210–$1,048 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 4 matching MRF lines
$46.15–$79.30 $71–$122 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $136.50 $210 3.0×
Vasopneumatic device (97016) $71.50 $110 5.9×
Vent Mgmt Inpat Init Day (94002) $1,164.15 $1,791 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $956.15 $1,471 1.6×
Vital capacity, total (94150) $136.50 $210 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $48.75 $75 1.6×

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.