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 |
|---|---|---|---|---|
| New Patient Office Visit (level 2) CPT 99202 | $151.45 | $233.00 | $39.18 – $119.27 | 50 |
| New Patient Office Visit (level 3) CPT 99203 | $224.25 | $345.00 | $67.95 – $187.15 | 50 |
| New Patient Office Visit (level 4) CPT 99204 | $270.40 | $416.00 | $111.17 – $177.46 | 34 |
| New Patient Office Visit (level 5) CPT 99205 | $349.70 | $538.00 | $152.10 – $231.77 | 34 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $356.09 | $547.83 | $16.00 – $18.00 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $98.43 | $151.43 | $14.10 – $20.70 | 5 |
| Nm imaging bone/joint whole body CPT 78306 | $1,573.00 | $2,420.00 | $191.52 – $918.97 | 5 |
| Npm1 gene CPT 81310 | $512.85 | $789.00 | $219.28 – $406.76 | 51 |
| Nras gene variants exon 2&3 CPT 81311 | $554.45 | $853.00 | $263.10 – $488.05 | 50 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $166.40 | $256.00 | $111.67 – $187.82 | 49 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $119.60 | $184.00 | $69.34 – $116.62 | 49 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $707.85 | $1,089.00 | $184.31 – $297.71 | 13 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $285.35 | $439.00 | $83.99 – $141.27 | 49 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $482.30 | $742.00 | $136.32 – $229.28 | 49 |
| Observation per hour HCPCS G0378 | $48.75 | $75.00 | $44.99 – $44.99 | 1 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $32.62 | $50.18 | $2.31 – $2.43 | 5 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $122.80 | $188.92 | $15.00 – $17.60 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $5,085.47 | $7,823.80 | $1,132.80 – $1,555.80 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.18 – $0.22 | 5 |
| Organic acids total quant ea spec CPT 83918 | $117.00 | $180.00 | $20.99 – $29.50 | 5 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $68.24 | $104.99 | $10.19 – $13.99 | 5 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $13.65 | $21.00 | $1,377.62 – $1,377.62 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $139.10 | $214.00 | $447.44 – $447.44 | 1 |
| Osmolality blood CPT 83930 | $71.50 | $110.00 | $5.88 – $8.26 | 5 |
| Osmolality urine CPT 83935 | $65.65 | $101.00 | $6.07 – $8.53 | 6 |
| Ot evaluation high complexity patient/family CPT 97167 | $598.65 | $921.00 | $89.56 – $161.91 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $541.45 | $833.00 | $89.56 – $161.91 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $566.80 | $872.00 | $89.56 – $161.91 | 5 |
| Oth resp proc, indiv HCPCS G0238 | $67.60 | $104.00 | $8.58 – $51.71 | 5 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $98.80 | $152.00 | $45.21 – $78.91 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $94.25 | $145.00 | $41.39 – $72.95 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $101.40 | $156.00 | $23.93 – $44.63 | 5 |
| Ot re-evaluation patient/family CPT 97168 | $426.40 | $656.00 | $61.51 – $109.72 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $87.10 | $134.00 | $32.02 – $55.85 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $26.00 | $40.00 | $19.38 – $34.87 | 5 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $89.05 | $137.00 | $20.28 – $36.94 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $75.40 | $116.00 | $25.94 – $46.78 | 5 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $94.25 | $145.00 | $29.72 – $52.67 | 5 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $94.25 | $145.00 | $28.72 – $51.85 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $15.09 | $23.22 | $0.65 – $0.87 | 5 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $7.44 | $11.45 | $1.98 – $5.08 | 5 |
| Parathormone (pth) intact CPT 83970 | $196.95 | $303.00 | $36.72 – $68.11 | 43 |
| Pdgfra gene CPT 81314 | $542.10 | $834.00 | $293.09 – $411.89 | 5 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $18,772.62 | $28,880.96 | $239.76 – $1,895.40 | 5 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,148.25 | $3,305.00 | $143.16 – $403.20 | 5 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,007.20 | $3,088.00 | $158.53 – $492.80 | 5 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,797.90 | $2,766.00 | $71.07 – $293.73 | 5 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,159.00 | $4,860.00 | $202.93 – $801.97 | 5 |
| Pelvic MRI (with contrast) CPT 72196 | $2,169.70 | $3,338.00 | $162.66 – $801.97 | 5 |
| Pelvic MRI (without contrast) CPT 72195 | $1,934.40 | $2,976.00 | $139.08 – $548.48 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | $588.90 | $906.00 | $61.07 – $240.32 | 5 |
| Pelvic Ultrasound (limited) CPT 76857 | $420.55 | $647.00 | $21.91 – $240.32 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $887.89 | $1,365.99 | $160.92 – $234.12 | 5 |
| Ph body fluid CPT 83986 | $50.70 | $78.00 | $3.18 – $4.48 | 5 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $56.74 | $87.30 | $30.76 – $30.76 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $85.15 | $131.00 | $13.61 – $19.13 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $100.75 | $155.00 | $11.79 – $17.89 | 7 |
| Phlebotomy therapeutic CPT 99195 | $144.30 | $222.00 | $79.55 – $271.86 | 5 |
| Phosphorus CPT 84100 | $40.95 | $63.00 | $4.22 – $6.40 | 8 |
| Phosphorus 24 hour urine CPT 84105 | $40.30 | $62.00 | $5.14 – $9.54 | 50 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $56.13 | $86.36 | $2.21 – $3.92 | 5 |
| Pinworm exam CPT 87172 | $29.90 | $46.00 | $3.80 – $3.80 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $53.63 | $82.51 | $2.28 – $2.70 | 5 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $160.55 | $247.00 | $50.67 – $50.67 | 4 |
| Platelet aggregation each agent teg CPT 85576 | $118.95 | $183.00 | $22.16 – $33.63 | 6 |
| Platelet automated CPT 85049 | $57.85 | $89.00 | $3.98 – $5.60 | 5 |
| Platelet pheresis each unit HCPCS P9034 | $1,162.85 | $1,789.00 | $360.70 – $360.70 | 4 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,521.00 | $2,340.00 | $468.14 – $877.99 | 5 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $274.95 | $423.00 | $71.17 – $180.33 | 5 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,201.20 | $1,848.00 | $392.45 – $392.45 | 4 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,424.80 | $2,192.00 | $459.47 – $624.28 | 5 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,354.60 | $2,084.00 | $389.81 – $639.49 | 5 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,322.10 | $2,034.00 | $483.98 – $850.76 | 5 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,046.50 | $1,610.00 | $753.21 – $753.21 | 1 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $490.75 | $755.00 | $47.46 – $762.48 | 5 |
| #pnh-flow cytometry interp CPT 88187 | $137.15 | $211.00 | $31.60 – $31.60 | 4 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $161.20 | $248.00 | $23.19 – $35.19 | 6 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,026.75 | $6,195.00 | $551.66 – $1,754.68 | 5 |
| Potassium 24 hour urine CPT 84133 | $52.00 | $80.00 | $4.21 – $5.91 | 6 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $42.25 | $65.00 | $1.00 – $1.60 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $37.05 | $57.00 | $4.23 – $5.95 | 5 |
| Pr application of long arm splint CPT 29105 | $208.65 | $321.00 | $35.33 – $332.04 | 50 |
| Pr application splint static short arm CPT 29125 | $154.70 | $238.00 | $37.55 – $271.86 | 50 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $37.70 | $58.00 | $10.18 – $76.56 | 50 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $286.00 | $440.00 | $29.80 – $348.47 | 50 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $133.25 | $205.00 | $70.70 – $99.88 | 34 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $191.75 | $295.00 | $102.72 – $146.43 | 13 |
| Prealbumin CPT 84134 | $100.10 | $154.00 | $12.98 – $18.24 | 5 |
| Pr ecg 12 lead report only CPT 93010 | $40.30 | $62.00 | $7.22 – $15.53 | 13 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.87 | $7.50 | $1.71 – $2.76 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.87 | $7.50 | $0.05 – $0.05 | 5 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $566.80 | $872.00 | $94.70 – $240.32 | 5 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $486.85 | $749.00 | $59.13 – $240.32 | 5 |
| Pressure max expiratory/inspiratory CPT 94799 | $182.65 | $281.00 | $262.92 – $262.92 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $113.75 | $175.00 | $11.24 – $304.61 | 5 |
| Pretreat rbc absorption reference CPT 86978 | $160.55 | $247.00 | $18.72 – $105.47 | 5 |
| Pretreat rbc density gradient separation reference CPT 86972 | $150.80 | $232.00 | $304.61 – $304.61 | 1 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $153.40 | $236.00 | $18.72 – $105.47 | 5 |
| Pretreat rbc w enzyme reference CPT 86971 | $113.75 | $175.00 | $304.61 – $304.61 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $182.65 | $281.00 | $70.15 – $3,374.74 | 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.