CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$415 - $710
from 2 insurers ยท median $563
Typical for a hospital with this service line
Mercy Health (MO) ยท Healdton, OK
30
In-network payers
190
Disclosed rate categories
22
Beds
Mercy Hospital Healdton is a 22-bed voluntary non-profit - private hospital in Healdton, OK, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 190 disclosed rate categories.
CCN (Medicare provider number)
371310
NPI
1578710406
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
22
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Mercy Hospital Healdton most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$415 - $710
from 2 insurers ยท median $563
Typical for a hospital with this service line
Mammography
CPT 77067
$332 - $398
from 2 insurers ยท median $365
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$4,170 - $5,104
from 2 insurers ยท median $4,637
Hospital reports pet scan services to CMS
CT imaging
CPT 70450
$155 - $281
from 3 insurers ยท median $274
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$961 - $6,682
from 2 insurers ยท median $3,821
Typical for a hospital with this service line
CT imaging
CPT 74176
$207 - $754
from 2 insurers ยท median $480
Typical for a hospital with this service line
CT imaging
CPT 71275
$400 - $781
from 2 insurers ยท median $590
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$303 - $617
from 2 insurers ยท median $460
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$74 - $200
from 2 insurers ยท median $137
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$1,800 - $13,550
from 2 insurers ยท median $7,675
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$13,550
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70553
$503 - $1,033
from 3 insurers ยท median $792
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,800 - $9,267
from 2 insurers ยท median $5,533
Typical for a hospital with this service line
Gynecology
CPT 58571
$15,130
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$580 - $4,154
from 3 insurers ยท median $790
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,800 - $13,550
from 2 insurers ยท median $7,675
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$503 - $1,642
from 3 insurers ยท median $775
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$380 - $1,673
from 3 insurers ยท median $550
Typical for a hospital with this service line
Gynecology
CPT 58662
$1,800 - $15,130
from 2 insurers ยท median $8,465
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$1,870 - $24,081
from 2 insurers ยท median $12,976
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$642 - $1,621
from 2 insurers ยท median $1,132
Hospital reports nuclear medicine services to CMS
Medicine & Surgery
CPT 29881
$1,800 - $9,690
from 2 insurers ยท median $5,745
Typical for a hospital with this service line
Ear, nose and throat
CPT 30520
$865 - $11,602
from 2 insurers ยท median $6,233
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$6,316
negotiated rate
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 269% | 5 | 15 |
| Insurer B* | 14 | 101% | 5 | 5 |
| Insurer C* | 12 | 54% | 1 | 6 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercy Hospital Healdton.
3462 Hospital Road, Healdton, OK 73438
(580) 229-0701
About Mercy Hospital Healdton's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital Healdton range from $503 to $1,033 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $792. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital Healdton range from $415 to $710 across 2 insurers. Aetna's rate is $415. The median at nearby comparable hospitals is $663. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Hospital Healdton range from $580 to $4,154 across 3 insurers. Blue Cross Blue Shield's rate is $4,154. The median at nearby comparable hospitals is $768. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital Healdton range from $332 to $398 across 2 insurers. Aetna's rate is $332. The median at nearby comparable hospitals is $270. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Hospital Healdton has 22 beds. Facility type: Critical Access Hospital.
Mercy Hospital Healdton is located at 3462 Hospital Road, Healdton, OK 73438. Its main phone number is (580) 229-0701.
Mercy Hospital Healdton's CMS Certification Number (CCN), also called its Medicare provider number, is 371310.
The National Provider Identifier (NPI) on file for Mercy Hospital Healdton is 1578710406.
Mercy Hospital Healdton is affiliated with Mercy Health (MO).
Mercy Hospital Healdton lists 30 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
190 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers