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 |
|---|---|---|---|---|
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $357.50 | $550.00 | $38.11 – $57.83 | 6 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $286.00 | $440.00 | $38.11 – $70.69 | 50 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $324.35 | $499.00 | $38.11 – $53.55 | 8 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $191.75 | $295.00 | $75.70 – $140.42 | 51 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $304.20 | $468.00 | $126.87 – $126.87 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $3,111.16 | $4,786.40 | $115.50 – $322.80 | 5 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $198.25 | $305.00 | $113.69 – $191.22 | 49 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $231.40 | $356.00 | $155.25 – $261.13 | 49 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $145.60 | $224.00 | $67.58 – $113.67 | 49 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,046.50 | $1,610.00 | $447.44 – $447.44 | 1 |
| Inj ceftolozane tazobactam HCPCS J0695 | $838.29 | $1,289.67 | $163.00 – $219.20 | 5 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $298.35 | $459.00 | $36.12 – $1,442.34 | 50 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $131.95 | $203.00 | $33.45 – $627.20 | 50 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $136.50 | $210.00 | $41.09 – $81.33 | 5 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $136.50 | $210.00 | $38.12 – $38.12 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $170.95 | $263.00 | $187.62 – $369.43 | 5 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $105.95 | $163.00 | $63.38 – $125.05 | 5 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $193.99 | $298.45 | $19.10 – $43.15 | 5 |
| Inj meropenem (wg crit care) HCPCS J2183 | $20.78 | $31.97 | $16.50 – $18.40 | 5 |
| Inj multihance HCPCS A9577 | $124.11 | $190.94 | $11.10 – $11.10 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | $143.65 | $221.00 | $38.74 – $271.86 | 5 |
| Insertion catheter bladder temporary simple CPT 51702 | $211.90 | $326.00 | $21.45 – $271.86 | 50 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $448.50 | $690.00 | $73.37 – $6,451.74 | 50 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,459.90 | $2,246.00 | $1,383.36 – $3,216.50 | 5 |
| Insitu hybridization manual CPT 88368 | $364.65 | $561.00 | $126.22 – $640.87 | 5 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $230.75 | $355.00 | $113.41 – $144.63 | 5 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $304.20 | $468.00 | $150.65 – $304.61 | 5 |
| Insulin total CPT 83525 | $75.40 | $116.00 | $10.17 – $15.43 | 6 |
| Intrinsic factor antibody CPT 86340 | $79.30 | $122.00 | $13.41 – $18.85 | 5 |
| Intro long gi tube CPT 44500 | $661.05 | $1,017.00 | $16.78 – $1,853.26 | 5 |
| Intubation endotracheal emergency procedure CPT 31500 | $776.75 | $1,195.00 | $124.95 – $211.13 | 49 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $111.12 | $170.95 | $4.20 – $5.70 | 5 |
| Iron CPT 83540 | $55.25 | $85.00 | $5.75 – $8.09 | 5 |
| Iron binding capacity CPT 83550 | $58.50 | $90.00 | $7.77 – $11.80 | 7 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $262.08 | $403.20 | $23.00 – $27.00 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $79.95 | $123.00 | $14.05 – $66.78 | 5 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $130.65 | $201.00 | $20.94 – $102.46 | 5 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $157.95 | $243.00 | $63.38 – $125.05 | 5 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $157.95 | $243.00 | $16.94 – $32.40 | 5 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $157.95 | $243.00 | $41.09 – $81.33 | 5 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $196.95 | $303.00 | $187.62 – $369.43 | 5 |
| John cunningham antibody CPT 86711 | $1,034.80 | $1,592.00 | $15.02 – $21.11 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $58.50 | $90.00 | $7.27 – $10.21 | 6 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $12.47 | $19.19 | $0.42 – $1.65 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $657.15 | $1,011.00 | $61.35 – $240.32 | 5 |
| Knee MRI (with and without contrast) CPT 73723 | $3,021.20 | $4,648.00 | $246.53 – $801.97 | 5 |
| Knee MRI (with contrast) CPT 73722 | $2,113.15 | $3,251.00 | $205.43 – $1,802.03 | 5 |
| Knee MRI (without contrast) CPT 73721 | $3,618.55 | $5,567.00 | $120.47 – $548.48 | 5 |
| Knee X-ray CPT 73564 | $539.50 | $830.00 | $30.25 – $240.32 | 5 |
| Kras gene addl variants CPT 81276 | $386.75 | $595.00 | $171.89 – $241.56 | 5 |
| Kras gene variants exon 2 CPT 81275 | $628.55 | $967.00 | $171.89 – $241.56 | 5 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $7.15 | $11.00 | $0.58 – $0.64 | 5 |
| Lactate dehydrogenase (ldh) CPT 83615 | $42.25 | $65.00 | $5.37 – $7.55 | 7 |
| Lactated ringers intravenous solution HCPCS J7120 | $42.25 | $65.00 | $2.41 – $3.22 | 5 |
| Lactic acid CPT 83605 | $177.45 | $273.00 | $10.29 – $14.46 | 6 |
| Lactoferrin fecal qualitative CPT 83630 | $81.25 | $125.00 | $17.52 – $24.63 | 5 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $544.70 | $838.00 | $128.73 – $1,535.67 | 49 |
| Lead capillary CPT 83655 | $58.50 | $90.00 | $10.77 – $15.14 | 5 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $975.00 | $1,500.00 | $157.95 – $487.54 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $17.02 | $26.18 | $2.00 – $2.50 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $112.45 | $173.00 | $11.79 – $16.56 | 7 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $58.40 | $89.85 | $1.89 – $2.68 | 5 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $30.62 | $47.11 | $20.00 – $20.00 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $80.60 | $124.00 | $13.07 – $13.07 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $61.68 | $94.90 | $8.94 – $9.24 | 5 |
| Lipase CPT 83690 | $86.45 | $133.00 | $6.13 – $9.37 | 14 |
| Lipoprotein blood high res frac & quant CPT 83701 | $70.85 | $109.00 | $30.12 – $30.12 | 4 |
| Lipoprotein blood quant CPT 83704 | $143.65 | $221.00 | $30.41 – $42.74 | 5 |
| Lipoprotein direct measurement hdl CPT 83718 | $48.75 | $75.00 | $7.28 – $7.28 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | $48.75 | $75.00 | $9.34 – $13.13 | 5 |
| Lithium therapeutic drug level CPT 80178 | $68.25 | $105.00 | $5.88 – $8.26 | 5 |
| Liver Function Test CPT 80076 | $109.20 | $168.00 | $7.27 – $10.21 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.00 | $20.00 | $1.35 – $2.06 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,507.05 | $3,857.00 | $119.64 – $403.20 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,848.60 | $2,844.00 | $318.03 – $801.97 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,556.75 | $2,395.00 | $94.70 – $240.32 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,893.15 | $4,451.00 | $184.04 – $801.97 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,499.25 | $3,845.00 | $162.10 – $980.18 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,262.00 | $3,480.00 | $105.76 – $670.37 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $356.85 | $549.00 | $24.41 – $240.32 | 5 |
| L/s ratio fetal lung CPT 83661 | $176.15 | $271.00 | $19.56 – $19.56 | 4 |
| Lung Function Test (Spirometry) CPT 94010 | $367.25 | $565.00 | $23.30 – $441.20 | 50 |
| Macroscopic exam arthropod CPT 87168 | $36.40 | $56.00 | $3.80 – $5.34 | 5 |
| Macroscopic exam parasite CPT 87169 | $36.40 | $56.00 | $3.83 – $5.39 | 5 |
| Magnesium CPT 83735 | $68.25 | $105.00 | $5.96 – $8.38 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $55.12 | $84.80 | $1.96 – $2.12 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $89.70 | $138.00 | $32.70 – $271.86 | 5 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $109.85 | $169.00 | $20.78 – $271.86 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $76.70 | $118.00 | $12.86 – $18.08 | 5 |
| Mayo aathr protein s free CPT 85306 | $135.20 | $208.00 | $13.63 – $19.15 | 5 |
| Mayo activated protein c resistance assay CPT 85307 | $89.70 | $138.00 | $13.63 – $19.15 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $215.15 | $331.00 | $34.31 – $48.21 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $83.85 | $129.00 | $13.15 – $18.48 | 5 |
| Mayo alpha 1 antitrypsin CPT 82103 | $89.05 | $137.00 | $11.95 – $16.80 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $98.80 | $152.00 | $13.41 – $18.85 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $646.75 | $995.00 | $108.19 – $152.04 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $423.80 | $652.00 | $81.53 – $114.58 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $400.40 | $616.00 | $121.86 – $121.86 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,488.50 | $2,290.00 | $1,031.80 – $1,450.00 | 5 |
| Mayo androstenedione CPT 82157 | $111.15 | $171.00 | $26.04 – $36.60 | 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.