Mercy Hospital Kingfisher
1000 Hospital Drive, Kingfisher, OK · Mercy · · NPI 1083048417
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $96.20 | $148.00 | $26.04 – $36.60 | 5 |
| 17-hydroxypregnenolone CPT 84143 | $92.30 | $142.00 | $20.29 – $28.51 | 5 |
| 5' nucleotidase - sendout CPT 83915 | $71.50 | $110.00 | $9.92 – $13.94 | 5 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $65.65 | $101.00 | $48.55 – $63.15 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $61.75 | $95.00 | $10.68 – $15.01 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,158.00 | $3,320.00 | $143.16 – $492.80 | 5 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,906.45 | $2,933.00 | $158.53 – $492.80 | 5 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,652.95 | $2,543.00 | $70.23 – $240.32 | 5 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,694.25 | $4,145.00 | $204.04 – $801.97 | 5 |
| Abdominal MRI (without contrast) CPT 74181 | $2,451.80 | $3,772.00 | $110.75 – $548.48 | 5 |
| Abdominal paracentesis w/image guidance CPT 49083 | $444.60 | $684.00 | $87.82 – $1,853.26 | 50 |
| Abdominal Ultrasound (complete) CPT 76700 | $792.35 | $1,219.00 | $65.49 – $240.32 | 5 |
| Abdominal Ultrasound (limited) CPT 76705 | $507.00 | $780.00 | $49.68 – $240.32 | 5 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $360.10 | $554.00 | $66.14 – $180.09 | 49 |
| Acetaminophen level CPT 80143 | $146.90 | $226.00 | $16.58 – $25.16 | 8 |
| Acetone qualitative CPT 82009 | $32.50 | $50.00 | $4.02 – $7.46 | 50 |
| Acetylcholine receptor modulating antibody CPT 86043 | $89.05 | $137.00 | $10.72 – $15.06 | 5 |
| Acetylcholinesterase assay CPT 82013 | $168.35 | $259.00 | $10.93 – $10.93 | 4 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $481.24 | $740.37 | $33.00 – $37.80 | 5 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $29.90 | $46.00 | $14.71 – $27.32 | 5 |
| Acute hepatitis panel CPT 80074 | $273.00 | $420.00 | $42.37 – $78.59 | 46 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $49.22 | $75.72 | $5.00 – $5.00 | 4 |
| #acylcarnitineprfl CPT 82017 | $124.15 | $191.00 | $15.01 – $21.09 | 5 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $13.12 | $20.19 | $0.96 – $1.80 | 5 |
| Adh-sendout CPT 84588 | $144.95 | $223.00 | $30.19 – $30.19 | 4 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $163.25 | $251.16 | $18.00 – $22.20 | 5 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $338.00 | $520.00 | $63.38 – $125.05 | 5 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $338.00 | $520.00 | $63.38 – $125.05 | 5 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $338.00 | $520.00 | $295.37 – $573.68 | 5 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $253.50 | $390.00 | $295.37 – $573.68 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $166.40 | $256.00 | $63.38 – $125.05 | 5 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $166.40 | $256.00 | $63.38 – $125.05 | 5 |
| Administration immunization 1 vaccine CPT 90471 | $85.80 | $132.00 | $63.38 – $147.12 | 5 |
| Administration immunization each additional vaccine CPT 90472 | $51.35 | $79.00 | $12.70 – $25.18 | 5 |
| Administration immunization first component each vaccine CPT 90460 | $35.10 | $54.00 | $18.34 – $36.75 | 5 |
| Administration vaccine influenza virus HCPCS G0008 | $25.35 | $39.00 | $2.46 – $83.72 | 6 |
| Administration vaccine pneumococcal HCPCS G0009 | $25.35 | $39.00 | $2.46 – $83.72 | 6 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $144.30 | $222.00 | $60.46 – $126.57 | 46 |
| _afb id by dna probe rflx ast CPT 87149 | $101.40 | $156.00 | $17.83 – $17.83 | 4 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $391.95 | $603.00 | $102.61 – $190.34 | 51 |
| Albumin body fluid quantitative each specimen CPT 82042 | $40.95 | $63.00 | $6.92 – $12.84 | 43 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $393.70 | $605.70 | $49.70 – $65.82 | 5 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $54.60 | $84.00 | $5.14 – $7.23 | 5 |
| Albumin serum plasma or whole blood CPT 82040 | $31.85 | $49.00 | $4.40 – $6.68 | 6 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $113.75 | $175.00 | $16.94 – $21.59 | 3 |
| Alkaline phosphatase CPT 84075 | $33.15 | $51.00 | $4.61 – $6.99 | 6 |
| Allergen alpha lactalbumin ige CPT 86008 | $44.85 | $69.00 | $15.95 – $29.58 | 49 |
| Allergen egg white ige CPT 86003 | $55.90 | $86.00 | $4.64 – $8.61 | 49 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $338.65 | $521.00 | $148.25 – $222.50 | 5 |
| Alpha-fetoprotein amniotic CPT 82106 | $72.15 | $111.00 | $15.12 – $15.12 | 4 |
| Alpha-fetoprotein tumor marker CPT 82105 | $77.35 | $119.00 | $14.92 – $27.67 | 49 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $25,741.05 | $39,601.62 | $182.94 – $235.82 | 5 |
| Alt/sgpt CPT 84460 | $33.15 | $51.00 | $4.71 – $7.16 | 6 |
| Aluminum - quest CPT 82108 | $91.00 | $140.00 | $22.66 – $31.85 | 5 |
| Amino acid screen, urine CPT 82128 | $76.05 | $117.00 | $12.34 – $12.34 | 4 |
| Amino acids quant 2-5 CPT 82136 | $91.65 | $141.00 | $17.44 – $24.51 | 5 |
| Aminolevulinic acid delta CPT 82135 | $110.50 | $170.00 | $14.63 – $20.56 | 5 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $202.10 | $310.93 | $12.60 – $12.60 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $8.76 | $13.47 | $1.95 – $2.40 | 5 |
| Ammonia CPT 82140 | $100.10 | $154.00 | $12.96 – $18.21 | 6 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $31.08 | $47.82 | $0.71 – $0.79 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $30.62 | $47.11 | $1.64 – $1.67 | 5 |
| Amylase CPT 82150 | $68.25 | $105.00 | $5.76 – $8.10 | 7 |
| Ana ds-dna CPT 86226 | $75.40 | $116.00 | $10.77 – $10.77 | 4 |
| Analysis gene f2 20210g>a variant CPT 81240 | $271.70 | $418.00 | $58.43 – $82.11 | 5 |
| Analysis gene f5 leiden variant CPT 81241 | $263.90 | $406.00 | $65.26 – $91.71 | 5 |
| Analysis tumor CPT 88358 | $167.05 | $257.00 | $117.01 – $117.01 | 4 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $148.20 | $228.00 | $43.86 – $43.86 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | $90.35 | $139.00 | $13.39 – $18.81 | 5 |
| Ankle X-ray CPT 73610 | $472.55 | $727.00 | $23.58 – $200.05 | 5 |
| Anora (draw only) CPT 99001 | $12.35 | $19.00 | $8.00 – $8.00 | 1 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $48.10 | $74.00 | $11.46 – $16.10 | 5 |
| Antibody elution rbc reference CPT 86860 | $187.20 | $288.00 | $6.55 – $304.61 | 5 |
| Antibody htlv/hiv confirm test CPT 86689 | $137.80 | $212.00 | $17.21 – $24.19 | 5 |
| Antibody htlv-i CPT 86687 | $61.75 | $95.00 | $8.09 – $8.09 | 4 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $305.50 | $470.00 | $16.34 – $22.96 | 5 |
| Antibody id rbc panel CPT 86870 | $198.90 | $306.00 | $23.42 – $640.87 | 5 |
| Antibody influenza virus CPT 86710 | $72.15 | $111.00 | $12.05 – $12.05 | 4 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $68.90 | $106.00 | $11.45 – $11.45 | 4 |
| Antibody screen rbc CPT 86850 | $109.85 | $169.00 | $8.69 – $93.17 | 5 |
| Antihemophilic viii/vwf comp HCPCS J7186 | $8,307.00 | $12,780.00 | $2,400.00 – $3,100.00 | 5 |
| Anti mog serum - sendout CPT 86362 | $446.55 | $687.00 | $10.72 – $10.72 | 4 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $86.45 | $133.00 | $10.72 – $15.06 | 6 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $104.00 | $160.00 | $10.72 – $15.06 | 5 |
| Antinuclear antibodies CPT 86038 | $83.85 | $129.00 | $10.75 – $15.11 | 8 |
| Antinuclear antibodies titer CPT 86039 | $66.30 | $102.00 | $9.93 – $13.95 | 6 |
| Antiphosphatidylserine antibody CPT 86148 | $82.55 | $127.00 | $14.29 – $14.29 | 4 |
| Antistreptolysin o screen CPT 86063 | $53.95 | $83.00 | $5.13 – $5.13 | 4 |
| Antistreptolysin o titer CPT 86060 | $63.05 | $97.00 | $6.49 – $9.13 | 5 |
| Antithrombin iii activity CPT 85300 | $136.50 | $210.00 | $10.54 – $14.81 | 5 |
| Apl(pml-rara) quant - sendout CPT 81315 | $324.35 | $499.00 | $184.40 – $259.14 | 5 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $113.10 | $174.00 | $20.87 – $35.10 | 49 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $2,574.00 | $3,960.00 | $69.79 – $69.79 | 4 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $534.30 | $822.00 | $13.87 – $26.68 | 34 |
| Application finger splntstatic 29130 CPT 29130 | $120.25 | $185.00 | $24.06 – $271.86 | 50 |
| Application long leg splint 29505 CPT 29505 | $236.60 | $364.00 | $50.09 – $84.25 | 49 |
| Application lower leg splint 29515 CPT 29515 | $165.10 | $254.00 | $45.86 – $332.04 | 50 |
| Application multi layer compression below knee (both sides) CPT 29581 | $190.45 | $293.00 | $22.33 – $332.04 | 50 |
| Application of long arm cast 29065 CPT 29065 | $206.05 | $317.00 | $59.10 – $99.40 | 49 |
| Application of paste boot 29580 CPT 29580 | $248.30 | $382.00 | $22.22 – $332.04 | 50 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.