Mercy Hospital Oklahoma City
4300 W. Memorial Road, Oklahoma City, OK · Mercy · · NPI 1184721722
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 | $131.30 | $202.00 | $23.84 – $69.53 | 60 |
| 17-hydroxypregnenolone CPT 84143 | $185.25 | $285.00 | $18.57 – $50.35 | 60 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $3,615.30 | $5,562.00 | $687.89 – $1,630.91 | 51 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $2,029.30 | $3,122.00 | $724.83 – $1,630.91 | 46 |
| 2nd order venous cath CPT 36012 | $3,962.04 | $6,095.44 | $149.39 – $3,274.96 | 53 |
| 3-d radiotherapy plan CPT 77295 | $33,184.45 | $51,053.00 | $214.21 – $2,879.62 | 57 |
| 3d recon without postprocess indpndt CPT 76376 | $629.85 | $969.00 | $13.03 – $60.29 | 8 |
| 5' nucleotidase - sendout CPT 83915 | $119.60 | $184.00 | $9.08 – $24.63 | 60 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $98.15 | $151.00 | $11.83 – $77.18 | 13 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $5,224.24 | $8,037.30 | $41.63 – $2,942.75 | 58 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $63.05 | $97.00 | $9.78 – $26.51 | 60 |
| Abd aorta w/runoff s&i CPT 75630 | $5,073.25 | $7,805.00 | $53.83 – $6,569.00 | 61 |
| Abd/low ext cath 1st CPT 36245 | $21,703.72 | $33,390.34 | $200.96 – $1,999.04 | 56 |
| Abd/low ext cath 2nd CPT 36246 | $34,761.04 | $53,478.53 | $214.54 – $38,138.17 | 53 |
| Abd/low ext cath 3rd CPT 36247 | $33,588.48 | $51,674.59 | $150.44 – $24,017.18 | 56 |
| Abd/low ext cath addl CPT 36248 | $33,588.48 | $51,674.59 | $40.66 – $24,017.18 | 56 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,188.55 | $3,367.00 | $143.16 – $684.43 | 61 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,871.35 | $2,879.00 | $145.69 – $551.47 | 61 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,575.60 | $2,424.00 | $70.23 – $455.88 | 61 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,923.05 | $4,497.00 | $204.04 – $1,973.61 | 60 |
| Abdominal MRI (with contrast) CPT 74182 | $2,960.10 | $4,554.00 | $191.82 – $1,066.26 | 60 |
| Abdominal MRI (without contrast) CPT 74181 | $2,073.50 | $3,190.00 | $110.75 – $899.50 | 60 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,591.20 | $2,448.00 | $48.18 – $1,886.94 | 53 |
| Abdominal Ultrasound (complete) CPT 76700 | $756.60 | $1,164.00 | $56.00 – $222.38 | 60 |
| Abdominal Ultrasound (limited) CPT 76705 | $901.55 | $1,387.00 | $20.00 – $222.38 | 60 |
| Abl1 gene CPT 81170 | $741.65 | $1,141.00 | $244.20 – $662.19 | 59 |
| Ablate arrhythmia add on CPT 93655 | $14,482.00 | $22,280.00 | $198.89 – $264.19 | 5 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $9,717.50 | $14,950.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $8,631.35 | $13,279.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $9,183.20 | $14,128.00 | $435.41 – $16,226.86 | 55 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $5,160.92 | $7,939.87 | $172.61 – $6,897.67 | 55 |
| Ablation cryo adrenal tumor CPT 60699 | $7,861.11 | $12,094.02 | $157.53 – $3,436.08 | 56 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $9,456.20 | $14,548.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $9,553.21 | $14,697.24 | $320.00 – $4,062.56 | 55 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,433.66 | $6,821.02 | $10.12 – $845.74 | 53 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $47.25 | $72.69 | $5.00 – $13.95 | 8 |
| Acetaminophen level CPT 80143 | $265.20 | $408.00 | $15.17 – $41.14 | 59 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $137.80 | $212.00 | $21.62 – $64.11 | 8 |
| Acetone qualitative CPT 82009 | $50.70 | $78.00 | $3.67 – $9.98 | 60 |
| Acetylcholine receptor modulating antibody CPT 86043 | $184.60 | $284.00 | $9.81 – $26.60 | 59 |
| Acetylcholinesterase assay CPT 82013 | $427.05 | $657.00 | $10.00 – $27.13 | 56 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $232.95 | $358.38 | $28.80 – $80.35 | 8 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $159.90 | $246.00 | $93.93 – $211.35 | 44 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $222.95 | $343.00 | $164.12 – $369.27 | 44 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $712.40 | $1,096.00 | $116.83 – $276.98 | 55 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $150.80 | $232.00 | $11.13 – $26.38 | 53 |
| Actinotherapy uv light CPT 96900 | $160.55 | $247.00 | $20.80 – $77.71 | 55 |
| Acute hepatitis panel CPT 80074 | $247.00 | $380.00 | $38.78 – $105.13 | 59 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $91.86 | $141.33 | $2.00 – $20.00 | 7 |
| #acylcarnitineprfl CPT 82017 | $158.60 | $244.00 | $13.73 – $37.24 | 59 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,129.70 | $1,738.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $13.12 | $20.19 | $0.96 – $3.77 | 8 |
| Adh-sendout CPT 84588 | $152.75 | $235.00 | $27.63 – $74.92 | 56 |
| Adj gastric band via subq port CPT 43999 | $13,772.39 | $21,188.29 | $123.56 – $3,992.20 | 56 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $347.76 | $535.01 | $5.20 – $2,247.58 | 7 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $292.50 | $450.00 | $30.71 – $149.79 | 56 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $292.50 | $450.00 | $63.18 – $149.79 | 56 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $292.50 | $450.00 | $141.73 – $687.19 | 56 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $252.20 | $388.00 | $109.26 – $687.19 | 56 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $174.20 | $268.00 | $34.87 – $149.79 | 56 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $189.15 | $291.00 | $63.18 – $149.79 | 56 |
| Administration immunization 1 vaccine CPT 90471 | $179.40 | $276.00 | $63.18 – $149.79 | 55 |
| Administration immunization each additional component CPT 90461 | $15.60 | $24.00 | $8.24 – $18.54 | 44 |
| Administration immunization each additional vaccine CPT 90472 | $87.10 | $134.00 | $12.70 – $22.96 | 5 |
| Administration immunization first component each vaccine CPT 90460 | $36.40 | $56.00 | $18.34 – $47.96 | 53 |
| Administration vaccine hepatitis b HCPCS G0010 | $82.55 | $127.00 | $41.09 – $97.42 | 51 |
| Administration vaccine influenza virus HCPCS G0008 | $43.55 | $67.00 | $2.46 – $97.42 | 55 |
| Administration vaccine pneumococcal HCPCS G0009 | $98.80 | $152.00 | $2.46 – $97.42 | 55 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $24,287.07 | $37,364.72 | $39.29 – $11,106.99 | 58 |
| Aep hearing status deter i&r CPT 92651 | $999.05 | $1,537.00 | $72.15 – $449.22 | 55 |
| Aep neurodiagnostic i&r CPT 92653 | $789.10 | $1,214.00 | $72.57 – $449.22 | 55 |
| Aep thrshld est mlt freq i&r CPT 92652 | $774.80 | $1,192.00 | $98.21 – $449.22 | 55 |
| _afb id by dna probe rflx ast CPT 87149 | $115.70 | $178.00 | $16.32 – $44.26 | 56 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $510.25 | $785.00 | $70.73 – $254.63 | 60 |
| Albumin body fluid quantitative each specimen CPT 82042 | $15.60 | $24.00 | $6.34 – $17.17 | 59 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $204.73 | $314.97 | $49.41 – $117.16 | 57 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $204.51 | $314.63 | $49.41 – $117.16 | 57 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $720.70 | $1,108.77 | $10.41 – $97.41 | 52 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $79.95 | $123.00 | $4.71 – $12.76 | 59 |
| Albumin serum plasma or whole blood CPT 82040 | $17.55 | $27.00 | $4.03 – $10.93 | 59 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $336.70 | $518.00 | $14.06 – $38.12 | 54 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $108,691.47 | $167,217.64 | $2,272.03 – $77,080.33 | 58 |
| Alkaline phosphatase CPT 84075 | $85.15 | $131.00 | $4.21 – $11.43 | 59 |
| Allergen alpha lactalbumin ige CPT 86008 | $76.05 | $117.00 | $14.60 – $39.58 | 58 |
| Allergen egg white ige CPT 86003 | $57.85 | $89.00 | $4.25 – $16.41 | 60 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $91.00 | $140.00 | $6.49 – $17.59 | 53 |
| Allgrft implnt knee w/scope CPT 29867 | $31,958.38 | $49,166.74 | $0.33 – $26,710.31 | 56 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $523.25 | $805.00 | $115.47 – $334.63 | 52 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $432.25 | $665.00 | $118.37 – $334.63 | 56 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,534.00 | $2,360.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $370.50 | $570.00 | $124.72 – $334.63 | 45 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,149.29 | $3,306.60 | $4.79 – $1,353.15 | 58 |
| Alpha-fetoprotein amniotic CPT 82106 | $109.20 | $168.00 | $13.84 – $37.52 | 56 |
| Alpha-fetoprotein tumor marker CPT 82105 | $223.60 | $344.00 | $13.65 – $37.02 | 59 |
| Alprostadil for injection HCPCS J0270 | $740.80 | $1,139.69 | $4,796.00 – $4,796.00 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $28,658.38 | $44,089.81 | $71.26 – $500.58 | 58 |
| Alt/sgpt CPT 84460 | $14.30 | $22.00 | $4.31 – $11.70 | 59 |
| Aluminum - quest CPT 82108 | $109.20 | $168.00 | $12.47 – $56.24 | 60 |
| Amantadine (symmetrel)-sendout CPT 80375 | $175.50 | $270.00 | $0.01 – $28.28 | 3 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $62.56 | $96.24 | $2.70 – $8.09 | 8 |
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.