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 |
|---|---|---|---|---|
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $113.75 | $175.00 | $63.97 – $107.60 | 49 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $144.30 | $222.00 | $92.98 – $156.39 | 49 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $78.00 | $120.00 | $34.91 – $58.72 | 49 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $976.95 | $1,503.00 | $223.84 – $487.54 | 5 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $704.60 | $1,084.00 | $94.70 – $213.62 | 5 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $586.30 | $902.00 | $105.36 – $105.36 | 4 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $629.85 | $969.00 | $94.70 – $213.62 | 5 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,110.85 | $1,709.00 | $202.67 – $487.54 | 5 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $650.00 | $1,000.00 | $105.04 – $213.62 | 5 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $614.90 | $946.00 | $104.56 – $213.62 | 5 |
| Screening Mammogram CPT 77067 | $256.10 | $394.00 | $76.90 – $230.40 | 6 |
| Screening prostate cancer PSA HCPCS G0103 | $96.20 | $148.00 | $17.18 – $17.18 | 4 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $194.35 | $299.00 | $48.03 – $48.03 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $41.60 | $64.00 | $2.40 – $4.46 | 43 |
| Semen analysis presence/motility CPT 89321 | $120.90 | $186.00 | $15.06 – $16.27 | 2 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,825.55 | $4,347.00 | $247.64 – $801.97 | 5 |
| Shoulder MRI (without contrast) CPT 73221 | $2,250.95 | $3,463.00 | $120.75 – $548.48 | 5 |
| Shoulder X-ray CPT 73030 | $568.75 | $875.00 | $21.64 – $200.05 | 5 |
| Sickling rbc CPT 85660 | $72.15 | $111.00 | $4.90 – $6.89 | 5 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $4.87 | $7.50 | $0.28 – $0.28 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,081.95 | $3,203.00 | $107.98 – $492.80 | 5 |
| Sinus CT scan (with contrast) CPT 70487 | $1,938.95 | $2,983.00 | $86.04 – $492.80 | 5 |
| Sinus CT scan (without contrast) CPT 70486 | $1,287.65 | $1,981.00 | $76.07 – $293.73 | 5 |
| Skin Biopsy CPT 11102 | $283.40 | $436.00 | $28.49 – $830.64 | 50 |
| Sleep Study (Polysomnography) CPT 95810 | $3,745.30 | $5,762.00 | $527.77 – $1,754.68 | 5 |
| Sleep study unattended CPT 95806 | $862.55 | $1,327.00 | $81.63 – $441.20 | 5 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $58.50 | $90.00 | $4.79 – $7.28 | 6 |
| Smear gram stain CPT 87205 | $57.85 | $89.00 | $3.80 – $5.34 | 5 |
| Smear nasal eosinophil CPT 89190 | $45.50 | $70.00 | $5.15 – $5.15 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $69.55 | $107.00 | $5.33 – $7.49 | 5 |
| Smear wet mount CPT 87210 | $62.40 | $96.00 | $5.18 – $7.28 | 5 |
| Snrpn/ube3a gene CPT 81331 | $380.90 | $586.00 | $45.43 – $63.84 | 5 |
| Sodium 24 hour urine CPT 84300 | $44.20 | $68.00 | $4.50 – $6.33 | 6 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $42.25 | $65.00 | $2.50 – $2.72 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $42.25 | $65.00 | $0.63 – $0.87 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $42.25 | $65.00 | $8.00 – $19.00 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $33.15 | $51.00 | $4.28 – $6.01 | 5 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $12.60 | $19.39 | $3.27 – $3.27 | 1 |
| Specific gravity body fluid CPT 84315 | $26.00 | $40.00 | $2.92 – $2.92 | 4 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $711.75 | $1,095.00 | $33.19 – $762.48 | 5 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $34.45 | $53.00 | $171.17 – $171.17 | 1 |
| Split blood or products CPT 86985 | $92.30 | $142.00 | $18.72 – $304.61 | 5 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $430.30 | $662.00 | $97.72 – $177.28 | 5 |
| Staph a dna amp probe CPT 87640 | $111.15 | $171.00 | $43.86 – $43.86 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $263.25 | $405.00 | $90.88 – $166.24 | 5 |
| St evaluate speech sound production CPT 92522 | $430.30 | $662.00 | $99.10 – $181.27 | 5 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $430.30 | $662.00 | $202.75 – $367.05 | 5 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $616.20 | $948.00 | $81.03 – $146.56 | 5 |
| St evaluation swallow function CPT 92610 | $430.30 | $662.00 | $75.41 – $136.63 | 5 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $179.40 | $276.00 | $24.58 – $24.58 | 4 |
| Strapping of elbow or wrist 29260 CPT 29260 | $137.15 | $211.00 | $25.41 – $120.54 | 5 |
| Strapping of knee CPT 29530 | $186.55 | $287.00 | $25.71 – $25.71 | 4 |
| Strep a ag ia CPT 87430 | $96.85 | $149.00 | $14.95 – $21.01 | 5 |
| Strep b dna amp probe CPT 87653 | $102.70 | $158.00 | $43.86 – $43.86 | 1 |
| Stress test pulmonary CPT 94618 | $329.55 | $507.00 | $29.88 – $231.08 | 5 |
| Str markers specimen anal CPT 81265 | $815.10 | $1,254.00 | $207.31 – $207.31 | 4 |
| St treatment speech individual CPT 92507 | $681.20 | $1,048.00 | $67.94 – $123.44 | 5 |
| St treatment swallow dysfunction/oral CPT 92526 | $340.60 | $524.00 | $75.02 – $135.85 | 5 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $0.63 – $0.80 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $48.12 | $74.03 | $6.42 – $51.45 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $80.60 | $124.00 | $13.83 – $51.71 | 5 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $128.70 | $198.00 | $28.16 – $66.78 | 5 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $202.15 | $311.00 | $36.52 – $93.17 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $301.60 | $464.00 | $62.20 – $93.17 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $385.45 | $593.00 | $245.16 – $640.87 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $385.45 | $593.00 | $369.75 – $1,440.48 | 5 |
| Susceptibility agar dilution per agent CPT 87181 | $31.85 | $49.00 | $4.23 – $5.94 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $33.15 | $51.00 | $4.23 – $5.94 | 6 |
| Susceptibility mic per plate CPT 87186 | $66.30 | $102.00 | $7.69 – $10.81 | 5 |
| Sweat collection by iontophoresis CPT 89230 | $116.35 | $179.00 | $2.47 – $2.47 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $52.65 | $81.00 | $3.91 – $5.50 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $111.15 | $171.00 | $15.07 – $27.95 | 45 |
| T3 (triiodothyronine) total CPT 84480 | $79.95 | $123.00 | $12.61 – $23.40 | 46 |
| T4 (thyroxine) free CPT 84439 | $87.75 | $135.00 | $8.02 – $11.28 | 5 |
| T4 (thyroxine) total CPT 84436 | $54.60 | $84.00 | $6.11 – $8.59 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.87 | $7.50 | $0.18 – $0.29 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $169.65 | $261.00 | $12.21 – $17.16 | 5 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,643.85 | $2,529.00 | $675.59 – $949.41 | 5 |
| Target gsa panel organ neop CPT 81445 | $2,342.60 | $3,604.00 | $531.83 – $531.83 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $132.60 | $204.00 | $88.95 – $135.00 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $193.70 | $298.00 | $55.13 – $77.48 | 6 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $215.15 | $331.00 | $41.79 – $63.42 | 7 |
| T cells absolute cd 4 count CPT 86361 | $168.35 | $259.00 | $23.82 – $23.82 | 4 |
| T cells total count CPT 86359 | $113.10 | $174.00 | $33.56 – $50.94 | 7 |
| Telavancin injection HCPCS J3095 | $2,944.48 | $4,529.97 | $555.00 – $555.00 | 4 |
| Temozolomide HCPCS J8700 | $145.27 | $223.50 | $5.40 – $5.40 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $24,997.58 | $38,457.81 | $8,121.50 – $12,241.50 | 5 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $86.18 | $132.59 | $2.14 – $3.67 | 5 |
| Test for porphobilinogen CPT 84106 | $42.25 | $65.00 | $5.18 – $5.18 | 4 |
| Test stress cardiovascular tracing only CPT 93017 | $1,063.40 | $1,636.00 | $31.33 – $441.20 | 5 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $14,944.83 | $22,992.05 | $3,813.60 – $4,578.00 | 5 |
| Theophylline therapeutic drug level CPT 80198 | $100.10 | $154.00 | $12.58 – $17.68 | 5 |
| Therapeutic procd strg endur HCPCS G0237 | $67.60 | $104.00 | $51.71 – $51.71 | 1 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $41.60 | $64.00 | $32.05 – $58.94 | 5 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $33.15 | $51.00 | $27.89 – $50.85 | 5 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $26.25 | $40.38 | $3.52 – $3.84 | 5 |
| Thrombin time CPT 85670 | $63.05 | $97.00 | $5.13 – $7.21 | 5 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $44.85 | $69.00 | $5.75 – $8.09 | 5 |
| Thyroglobulin antibody CPT 86800 | $85.15 | $131.00 | $14.15 – $19.89 | 5 |
| Thyroid (TSH) Test CPT 84443 | $93.60 | $144.00 | $14.94 – $21.00 | 5 |
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.