Hospital Ardmore, OK

Mercy Hospital Healdton Inc

Mercy Hospital Healdton Inc in Healdton, OK publishes cash prices for 37 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

3462 Hospital Road Healdton OK 73438 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast $2,724.15 $4,191.00 35%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont $1,407.25 $2,165.00 35%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont $1,921.40 $2,956.00 35%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi $3,955.90 $6,086.00 35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt $2,571.40 $3,956.00 35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt $2,571.40 $3,956.00 35%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Extr Lwr Jt W/WO Cont Bi $4,329.00 $6,660.00 35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Rt $2,780.05 $4,277.00 35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Lt $2,780.05 $4,277.00 35%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cont $2,237.30 $3,442.00 35%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont $3,462.55 $5,327.00 35%
MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont $2,601.95 $4,003.00 35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks Or> $327.60 $504.00 35%
Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs $3,783.00 $5,820.00 35%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB $532.35 $819.00 35%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete $726.05 $1,117.00 35%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views $505.70 $778.00 35%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total $117.00 $180.00 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $118.30 $182.00 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel $118.30 $182.00 35%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $71.50 $110.00 35%
Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff $50.70 $78.00 35%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $161.20 $248.00 35%
Kidney function blood test panel CPT 80069 Renal Function Panel $155.35 $239.00 35%
Liver function blood test panel CPT 80076 Hepatic Function Panel $146.25 $225.00 35%
Obstetric blood test panel CPT 80055 Obstetric Panel $228.80 $352.00 35%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free $105.30 $162.00 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic $101.40 $156.00 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive $119.60 $184.00 35%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time $84.50 $130.00 35%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $50.70 $78.00 35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn $15.60 $24.00 35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone $128.05 $197.00 35%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro $59.80 $92.00 35%
Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated $44.20 $68.00 35%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro $48.75 $75.00 35%
Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro $48.75 $75.00 35%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated $48.75 $75.00 35%
Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated $22.10 $34.00 35%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro $22.10 $34.00 35%
Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated $22.10 $34.00 35%
Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto $22.10 $34.00 35%

Surgery and procedures

ProcedureCash price List priceOff list
Colonoscopy, diagnostic CPT 45378 GI Colonoscopy $705.25 $1,085.00 35%
Left heart catheterization, diagnostic one side CPT 93452 Lt Heart Cath Including Inj Lt Ventriculography, S/I $7,643.35 $11,759.00 35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforminal Epi/Lumb/Sacral Sngl Level $1,151.80 $1,772.00 35%
Upper endoscopy (EGD), diagnostic CPT 43235 GI Upper Endoscopy Complex $1,140.75 $1,755.00 35%

Doctor visits and therapy

ProcedureCash price List priceOff list
New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt $177.45 $273.00 35%
New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Pf $205.40 $316.00 35%
New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt $225.55 $347.00 35%
New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Pf $270.40 $416.00 35%
New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt $295.10 $454.00 35%
New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Pf $355.55 $547.00 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m $82.55 $127.00 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m $82.55 $127.00 35%

Source file: https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/263173902_mercy-hospital-healdton_standardcharges.zip