Mercy Hospital Logan County
200 S Academy Rd, Guthrie, OK 73044 · 97 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are +29% above the fair benchmark (1.29×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
Mercy Hospital Logan County maintains elevated commercial insurance contracts (1.29× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 36% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.81× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 36% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (70/100 safety score) with 73% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (30.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.29× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.02× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.29× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 9.3× Medicare (16¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Mercy Hospital Logan County
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $13,730 | 0.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,080 | 1.2× |
| Total hip replacement CPT Code: 27130 | $3,416 | 0.3× |
| Total knee replacement CPT Code: 27447 | $3,167 | 0.2× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,262 | 1.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,141 | 1.1× |
| MRI, brain (no contrast) CPT Code: 70551 | $570 | 1.7× |
| Rabies immune globulin HCPCS Code: 90375 | $525 | 1.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $548 | 1.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $570 | 1.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $570 | unverified |
| Blood transfusion CPT Code: 36430 | $510 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $473 | 0.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $360 | 1.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $323 | 1.2× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $274 | 0.6× |
| CT scan, head (no contrast) CPT Code: 70450 | $294 | unverified |
| CT scan, sinuses CPT Code: 70486 | $294 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $294 | unverified |
| CT scan, pelvis CPT Code: 72192 | $294 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $240 | 1.4× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $240 | 1.4× |
| CT scan, head (with contrast) CPT Code: 70460 | $221 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $224 | 0.7× |
| X-ray, chest (single view) CPT Code: 71045 | $185 | 2.0× |
Audit a Bill or Quote at Mercy Hospital Logan County (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $6,457
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (30.6% of gross = $6,457).
Self-Pay Cash Rate ($13,730) Beats Your Bill
Mercy Hospital Logan County's published 45 CFR § 180 self-pay cash rate is $13,730 (vs. $13,730 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($21,123) is $2,036 above the denoised Fair BaseRate ($19,087) and 1.5× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (30.6% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Mercy Hospital Logan County. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-06-24·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (79 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Hospital Logan County.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.