MERCY HOSPITAL HEALDTON, INC. (Healdton, OK) prices

45 CFR § 180 compliance

B · 85

This hospital published most of what § 180 requires.

●Machine-readable file published: assessment threshold met

●Gross / standard charges: assessment threshold met

●Discounted cash price: assessment threshold met

●Payer-specific negotiated rates: assessment threshold met

○Min / max negotiated charges: below assessment threshold

●Free, public, no login required: assessment threshold met

Procedures listed

1,928

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

File last updated: 2026-06-12 (per the hospital's file)

Retrieved: 2026-11-03

Most expensive procedures (gross)

559

$28,099

AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Gross

$43,229

PX-400017792

$18,837

Dev Icd Current Plus Dr Rf 36j Gen

Gross

$28,980

561

$14,926

AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Gross

$22,962

149

$14,382

DYSEQUILIBRIUM

Gross

$22,127

639

$13,402

DIABETES WITHOUT CC/MCC

Gross

$20,619

438

$11,734

DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC

Gross

$18,052

391

$11,216

ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC

Gross

$17,255

603

$11,052

CELLULITIS WITHOUT MCC

Gross

$17,003

560

$10,720

AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

Gross

$16,492

949

$10,205

AFTERCARE WITH CC/MCC

Gross

$15,700

RX-253474

$9,794

DENOSUMAB-BNHT 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SYRINGE

Gross

$15,068

PX-600001070

$9,779

Coronary Art/Grft Angio S/I

Gross

$15,044

PX-400019489

$9,282

Dev Pm Victory Dr

Gross

$14,280

PX-600001069

$9,229

Cath Plcmt Coronary Angio,With Inj Coronary Angio,S/I

Gross

$14,199

291

$8,333

HEART FAILURE AND SHOCK WITH MCC

Gross

$12,820

375

$7,920

DIGESTIVE MALIGNANCY WITH CC

Gross

$12,185

057

$7,264

DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC

Gross

$11,176

PX-100001672

$6,055

Abd Washout in Icu/Level 3/1st 30min

Gross

$9,315

RX-190284

$5,657

DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE

Gross

$8,703

RX-253476

$5,321

DENOSUMAB-BNHT 60 MG/ML SUBCUTANEOUS SYRINGE|RX AMT DISCARD/NOT ADMIN TO PT

Gross

$8,186

RX-253466

$5,218

DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE

Gross

$8,027

RX-209792

$4,741

DALBAVANCIN 500 MG INTRAVENOUS SOLUTION

Gross

$7,294

RX-253077

$4,699

DENOSUMAB-BBDZ 60 MG/ML SUBCUTANEOUS SYRINGE

Gross

$7,229

PX-400019486

$4,368

Dev Pm Identity Adx Dr

Gross

$6,720

CASE-99285

$4,309

ED Visit Care Level 5

Gross

$6,629

PX-100001671

$4,239

Exp Lap in Icu/Level 3/1st 30min

Gross

$6,521

PX-500001261

$4,218

Bronchoscopy W/8 Procedures

Gross

$6,489

PX-400019488

$4,095

Dev Pm Identity Adx

Gross

$6,300

PX-400011618

$4,089

Cath Laser Coronary 2.0 Rx 135

Gross

$6,290

PX-400011620

$4,089

Cath Laser Coronary 1.4 Rx 135

Gross

$6,290

PX-400011619

$4,089

Cath Laser Coronary 1.7 Rx 135

Gross

$6,290

PX-400016060

$4,089

Crown Diamondback Classic 1.75

Gross

$6,290

PX-400013153

$4,089

Diamondback Athrectomy Device 2.25mm

Gross

$6,290

PX-400013152

$4,089

Diamondback Athrectomy Device 1.25mm

Gross

$6,290

PX-400011669

$3,959

Cath Laser 2.3 Otw Turbo

Gross

$6,090

PX-400012794

$3,959

Cath Laser Turbo 0.9 Otw 150cm

Gross

$6,090

PX-400012818

$3,959

Cath Laser Turbo 2.0 Otw

Gross

$6,090

PX-400011668

$3,959

Cath Laser 1.7 Otw Turbo

Gross

$6,090

PX-400012788

$3,959

Cath Laser Turbo 1.4 Otw 120cm

Gross

$6,090

PX-770000003

$3,913

3-D Radiotx Plan, Includ Dose-Volume Histograms3d

Gross

$6,020

PX-400018652

$3,875

Endopros Viabahn Hep 8x5x120

Gross

$5,962

PX-700001412

$3,778

Cta Abd Pelvis Wwo Contrast

Gross

$5,812

PX-400011692

$3,747

Cath Slvrhwk 3.0cm 7fx135cm

Gross

$5,765

PX-400012800

$3,747

Cath Periph Silverhawk Ex Sm

Gross

$5,765

PX-400013234

$3,747

Cath Silverhawk Ms-M

Gross

$5,765

536

$3,743

FRACTURES OF HIP AND PELVIS WITHOUT MCC

Gross

$5,759

PX-400013233

$3,686

Cath Silverhawk Ls-Mv

Gross

$5,670

PX-400011395

$3,679

Cath Peri Slvrhwk Sx 4.3cm 136

Gross

$5,660

PX-500001259

$3,662

Bronchoscopy W/6 Procedures

Gross

$5,634

RX-182466

$3,602

FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION

Gross

$5,541

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
559	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC	$43,229	$28,099	—	—	52
PX-400017792	Dev Icd Current Plus Dr Rf 36j Gen	$28,980	$18,837	—	—	112
561	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC	$22,962	$14,926	—	—	51
149	DYSEQUILIBRIUM	$22,127	$14,382	—	—	51
639	DIABETES WITHOUT CC/MCC	$20,619	$13,402	—	—	52
438	DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC	$18,052	$11,734	—	—	51
391	ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC	$17,255	$11,216	—	—	2
603	CELLULITIS WITHOUT MCC	$17,003	$11,052	—	—	52
560	AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC	$16,492	$10,720	—	—	53
949	AFTERCARE WITH CC/MCC	$15,700	$10,205	—	—	52
RX-253474	DENOSUMAB-BNHT 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SYRINGE	$15,068	$9,794	—	—	112
PX-600001070	Coronary Art/Grft Angio S/I	$15,044	$9,779	—	—	117
PX-400019489	Dev Pm Victory Dr	$14,280	$9,282	—	—	112
PX-600001069	Cath Plcmt Coronary Angio,With Inj Coronary Angio,S/I	$14,199	$9,229	—	—	117
291	HEART FAILURE AND SHOCK WITH MCC	$12,820	$8,333	—	—	51
375	DIGESTIVE MALIGNANCY WITH CC	$12,185	$7,920	—	—	51
057	DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	$11,176	$7,264	—	—	52
PX-100001672	Abd Washout in Icu/Level 3/1st 30min	$9,315	$6,055	—	—	112
RX-190284	DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE	$8,703	$5,657	—	—	117
RX-253476	DENOSUMAB-BNHT 60 MG/ML SUBCUTANEOUS SYRINGE\|RX AMT DISCARD/NOT ADMIN TO PT	$8,186	$5,321	—	—	112
RX-253466	DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE	$8,027	$5,218	—	—	113
RX-209792	DALBAVANCIN 500 MG INTRAVENOUS SOLUTION	$7,294	$4,741	—	—	117
RX-253077	DENOSUMAB-BBDZ 60 MG/ML SUBCUTANEOUS SYRINGE	$7,229	$4,699	—	—	113
PX-400019486	Dev Pm Identity Adx Dr	$6,720	$4,368	—	—	112
CASE-99285	ED Visit Care Level 5	$6,629	$4,309	—	—	55
PX-100001671	Exp Lap in Icu/Level 3/1st 30min	$6,521	$4,239	—	—	112
PX-500001261	Bronchoscopy W/8 Procedures	$6,489	$4,218	—	—	112
PX-400019488	Dev Pm Identity Adx	$6,300	$4,095	—	—	112
PX-400011618	Cath Laser Coronary 2.0 Rx 135	$6,290	$4,089	—	—	112
PX-400011620	Cath Laser Coronary 1.4 Rx 135	$6,290	$4,089	—	—	112
PX-400011619	Cath Laser Coronary 1.7 Rx 135	$6,290	$4,089	—	—	112
PX-400016060	Crown Diamondback Classic 1.75	$6,290	$4,089	—	—	112
PX-400013153	Diamondback Athrectomy Device 2.25mm	$6,290	$4,089	—	—	112
PX-400013152	Diamondback Athrectomy Device 1.25mm	$6,290	$4,089	—	—	112
PX-400011669	Cath Laser 2.3 Otw Turbo	$6,090	$3,959	—	—	112
PX-400012794	Cath Laser Turbo 0.9 Otw 150cm	$6,090	$3,959	—	—	112
PX-400012818	Cath Laser Turbo 2.0 Otw	$6,090	$3,959	—	—	112
PX-400011668	Cath Laser 1.7 Otw Turbo	$6,090	$3,959	—	—	112
PX-400012788	Cath Laser Turbo 1.4 Otw 120cm	$6,090	$3,959	—	—	112
PX-770000003	3-D Radiotx Plan, Includ Dose-Volume Histograms3d	$6,020	$3,913	—	—	5
PX-400018652	Endopros Viabahn Hep 8x5x120	$5,962	$3,875	—	—	112
PX-700001412	Cta Abd Pelvis Wwo Contrast	$5,812	$3,778	—	—	117
PX-400011692	Cath Slvrhwk 3.0cm 7fx135cm	$5,765	$3,747	—	—	112
PX-400012800	Cath Periph Silverhawk Ex Sm	$5,765	$3,747	—	—	112
PX-400013234	Cath Silverhawk Ms-M	$5,765	$3,747	—	—	112
536	FRACTURES OF HIP AND PELVIS WITHOUT MCC	$5,759	$3,743	—	—	56
PX-400013233	Cath Silverhawk Ls-Mv	$5,670	$3,686	—	—	112
PX-400011395	Cath Peri Slvrhwk Sx 4.3cm 136	$5,660	$3,679	—	—	112
PX-500001259	Bronchoscopy W/6 Procedures	$5,634	$3,662	—	—	112
RX-182466	FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION	$5,541	$3,602	—	—	117

Showing top 50 of 1,928 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.