Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at Mercy Hospital Oklahoma City

4300 W. Memorial Road, Oklahoma City, OK · Mercy · · NPI 1184721722

Source: hospital's published price file ↗ · Published Jun 12, 2026 · Ingested Sep 8, 2026

$370.50

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$570.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$124.72 with GENERIC MEDICARE MANAGED CARE [20137] vs $505.00 with CENTRALINK CONTRACTED [320480] — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
GENERIC MEDICARE MANAGED CARE [20137] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
CROSS TIMBERS HOSPICE [20098] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
MEDICARE [20244] HB OKLC MEDICARE $124.72 ↓ -66%
QUAL CHOICE CONTRACTED [320325] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
NHC ADVANTAGE MEDICARE CONTRACTED [320282] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
ELARA CARING ASPIRE HOSPICE [20433] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB OKLC AETNA MCR $124.72 ↓ -66%
HALO HCR INC HOSPICE CONTRACTED [320432] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
HALO HCR INC HOSPICE [20432] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] HB OKLC HUMANA MCR $124.72 ↓ -66%
INDIAN HEALTH SERVICE CONTRACTED [320198] HB OKLC INDIAN HEALTH MCR $124.72 ↓ -66%
KINDFUL HOSPICE CONTRACTED [320434] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
KINDFUL HOSPICE [20434] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
CHAMPVA [20065] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
MERCY HOSPICE OKC [20252] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
TRICARE CONTRACTED [320380] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
MERCY REHAB HOSPITAL CONTRACTED [320260] HB OKLC OK REHAB $124.72 ↓ -66%
UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] HB OKLC UHC MEDICARE ADVANTAGE $124.72 ↓ -66%
LONGEVITY HEALTH PLAN [10477] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
AMERICAN HEALTH ADVANTAGE OF OK MEDICARE [20019] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
BCBS MEDICARE ADVANTAGE [20047] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] HB OKLC INDIAN HEALTH MCR $124.72 ↓ -66%
DEPT OF VETERAN AFFAIRS CONTRACTED [320106] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB OKLC MANAGED MEDICARE $124.72 ↓ -66%
MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] HB OKLC MEDICA MEDICARE EFF 031523 $127.14 ↓ -66%
MEDICA MEDICARE ADVANTAGE [20477] HB OKLC MEDICA MEDICARE EFF 031523 $127.14 ↓ -66%
CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] HB OKLC CIGNA MCR 103% $128.54 ↓ -65%
HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] HB OKLC CIGNA MCR 103% $128.54 ↓ -65%
DEVOTED HEALTH MEDICARE CONTRACTED [320500] HB OKLC DEVOTED HEALTH MCR 104% W/O SEQ $132.23 ↓ -64%
AMG SPEC HOSP EDMOND [20034] HB OKLC LTAC MCR 105% $133.50 ↓ -64%
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB OKLC WELLCARE MCR 105% $133.50 ↓ -64%
MEDICA CONTRACTED [320239] HB OKLC MEDICA EXCHANGE $160.09 ↓ -57%
AMBETTER CONTRACTED [320452] HB OKLC AMBETTER EXCHANGE MEDICARE $171.64 ↓ -54%
HOME STATE HEALTH PLAN CONTRACTED [320187] HB OKLC AMBETTER EXCHANGE MEDICARE $171.64 ↓ -54%
NOVASYS CONTRACTED [320285] HB OKLC AMBETTER EXCHANGE MEDICARE $171.64 ↓ -54%
SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB OKLC AMBETTER EXCHANGE MEDICARE $171.64 ↓ -54%
COMMUNITY CARE CONTRACTED [320080] HB OKLC COMMUNITY CARE STATE 150% MCR NO SEQ NEW 010123 $190.71 ↓ -49%
HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION $196.95 ↓ -47%
CENTIVO CONTRACTED [320505] HB OKLC CENTIVO MCR 165% $209.78 ↓ -43%
AETNA CONTRACTED [320008] HB OKLC AETNA POS HMO GATED $212.10 ↓ -43%
WEBTPA CONTRACTED [320417] HB OKLC HEART HOSPITAL EMPLOYER $212.10 ↓ -43%
AETNA CONTRACTED [320008] HB OKLC AETNA PREFERRED COX & NBD $212.10 ↓ -43%
AETNA CONTRACTED [320008] HB OKLC AETNA SIGNATURE ASA $212.10 ↓ -43%
OSMA HEALTH CONTRACTED [320292] HB OKLC OSMA $227.25 ↓ -39%
COMMUNITY CARE CONTRACTED [320080] HB OKLC COMMUNITY CARE $242.40 ↓ -35%
WORKERS COMP [20426] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA WORK COMP $277.75 ↓ -25%
KEMPTON CONTRACTED [320214] HB OKLC KEMPTON DEC 225% MCR $280.64 ↓ -24%
HEALTHSMART PREFERRED CARE CONTRACTED [320184] HB OKLC KEMPTON DEC 225% MCR $280.64 ↓ -24%
REFLECT HEALTH CONTRACTED [320492] HB OKLC ARDM ADA WW WOOD DEC $303.00 ↓ -18%
IMAGINE 360 CONTRACTED [320494] HB OKLC ADA ARDM ROBINSON CONSTRUCTION DEC $303.00 ↓ -18%
AUXIANT CONTRACTED [320462] HB OKLC ADA ARDM CITY OF JACKSON DEC $303.00 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM SCHAEFER / QCG DEC $303.00 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM SAPAUGH DEC $303.00 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM EASTER SEALS DEC $303.00 ↓ -18%
QUIK TRIP CONTRACTED [320447] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP $303.00 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM DEC TOWN AND COUNTRY $303.00 ↓ -18%
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS $303.00 ↓ -18%
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC $303.00 ↓ -18%
EBMS CONTRACTED [320493] HB OKLC ADA ARDM CRADER DISTRIBUTING DEC $303.00 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM CITY OF JACKSON DEC $303.00 ↓ -18%
EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB OKLC ADA ARDM WOODARD DEC NEW 040124 $303.00 ↓ -18%
BENEFIT MANAGEMENT CONTRACTED [320052] HB ARDM, OKLC HEALTHCARE HIGHWAYS $303.00 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, OKLC TALL TREE DEC $303.00 ↓ -18%
AITHER HEALTH CONTRACTED [320449] HB OKLC ADA ARDM WOODARD DEC NEW 040124 $303.00 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS $303.00 ↓ -18%
HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] HB ARDM, OKLC HEALTHCARE HIGHWAYS $303.00 ↓ -18%
YUZU HEALTH CONTRACTED [320521] HB ADA ARDM OKLC LEVEL HEALTH DEC - NEW 01.01.26 $303.00 ↓ -18%
HEALTHLINK CONTRACTED [320179] HB OKLC ADA ARDM SAPAUGH DEC $303.00 ↓ -18%
AITHER HEALTH CONTRACTED [320449] HB OKLC ADA ARDM LACLEDE CHAIN DEC $303.00 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP $303.00 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL $303.00 ↓ -18%
AUXIANT CONTRACTED [320462] HB OKLC ADA ARDM BUCHHEIT DEC $303.00 ↓ -18%
FIRST HEALTH CONTRACTED [320128] HB OKLC AETNA - FIRST HEALTH $305.02 ↓ -18%
HEALTHSMART ACCEL CONTRACTED [320183] HB OKLC HEALTHSMART ACCEL $328.25 ↓ -11%
AUXIANT CONTRACTED [320462] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $328.25 ↓ -11%
BENEFIT MANAGEMENT CONTRACTED [320052] HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL $328.25 ↓ -11%
FEDERAL MEDICAL CENTER CONTRACTED [320127] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $328.25 ↓ -11%
HEALTHLINK CONTRACTED [320179] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $328.25 ↓ -11%
HEALTHSCOPE CONTRACTED [320182] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $328.25 ↓ -11%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM CLAYCO DEC $328.25 ↓ -11%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $328.25 ↓ -11%
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] HB OKLC UHC $328.25 ↓ -11%
POINT C CONTRACTED [320238] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $328.25 ↓ -11%
PREFERRED HEALTH PLAN CONTRACTED [320522] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $328.25 ↓ -11%
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $328.25 ↓ -11%
UNITED HEALTHCARE CONTRACTED [320396] HB OKLC UHC $328.25 ↓ -11%
UNITED HEALTHCARE CONTRACTED [320396] HB OKLC UHC EXCHANGE $328.25 ↓ -11%
UNITED MEDICAL RESOURCES CONTRACTED [320454] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $328.25 ↓ -11%
UNITED MEDICAL RESOURCES CONTRACTED [320454] HB OKLC UHC $328.25 ↓ -11%
HEALTHSMART PREFERRED CARE CONTRACTED [320184] HB OKLC HEALTHSMART PPO $328.25 ↓ -11%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB OKLC PHCS SAVILITY $328.25 ↓ -11%
CIGNA HEALTHCARE CONTRACTED [320071] HB OKLC CIGNA NBD $334.63 ↓ -10%
HUMANA CONTRACTED [320193] HB OKLC HUMANA CHOICECARE $348.45 ↓ -6%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB OKLC PHCS PRIMARY $353.50 ↓ -5%
MULTIPLAN CONTRACTED [320270] HB OKLC PHCS PRIMARY $353.50 ↓ -5%
COMMUNITY CARE CONTRACTED [320080] HB OKLC CCL&H $353.50 ↓ -5%
GLOBALHEALTH CONTRACTED [320144] HB OKLC GLOBALHEALTH $358.55 ↓ -3%
CIGNA HEALTHCARE CONTRACTED [320071] HB OKLC CIGNA $359.82 ↓ -3%
PREFERRED COMMUNITY CHOICE CONTRACTED [320311] HB OKLC PREFERRED COMMUNITY CHOICE $383.80 ↑ +4%
MULTIPLAN CONTRACTED [320270] HB OKLC PHCS COMPLEMENTARY $454.50 ↑ +23%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB OKLC PHCS COMPLEMENTARY $454.50 ↑ +23%
CENTRALINK CONTRACTED [320480] HB OKLC CENTRALINK WORK COMP SURGICAL BUNDLES NEW 100123 $505.00 ↑ +36%

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