Amikacin 4 mg/ml intravitreal injection - cnr at Mercy Hospital Oklahoma City
4300 W. Memorial Road, Oklahoma City, OK · Mercy · · NPI 1184721722
$62.56
Cash price 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.
?
What you pay up front if you don't use insurance.
$96.24
Gross charge 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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.70 with AETNA MEDICAID CONTRACTED [320009] vs $78.41 with CENTRALINK CONTRACTED [320480] — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 ?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 ?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 |
|---|---|---|---|
| AETNA MEDICAID CONTRACTED [320009] | HB OKLC OK MEDICAID (SOONERCARE) | $2.70 | ↓ -96% |
| HUMANA MEDICAID CONTRACTED [320486] | HB OKLC OK MEDICAID (SOONERCARE) | $2.70 | ↓ -96% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB OKLC OK MEDICAID (SOONERCARE) | $2.70 | ↓ -96% |
| MEDICAID [20240] | HB OKLC OK MEDICAID (SOONERCARE) | $2.70 | ↓ -96% |
| HEALTH CHOICE CONTRACTED [320166] | HB OKLC HEALTHCHOICE/OSEEGIB TIER 1 | $3.50 | ↓ -94% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA SIGNATURE ASA | $4.00 | ↓ -94% |
| GLOBALHEALTH CONTRACTED [320144] | HB OKLC GLOBALHEALTH | $5.10 | ↓ -92% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA PREFERRED COX & NBD | $5.70 | ↓ -91% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA POS HMO GATED | $5.70 | ↓ -91% |
| MEDICAID [20240] | HB OKLC ARK MEDICAID | $6.50 | ↓ -90% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA PPO NON-GATED | $6.65 | ↓ -89% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB OKLC CIGNA NBD | $8.09 | ↓ -87% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB OKLC CIGNA | $8.70 | ↓ -86% |
| WORKERS COMP [20426] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA WORK COMP | $19.60 | ↓ -69% |
| MEDICA CONTRACTED [320239] | HB OKLC MEDICA EXCHANGE | $24.86 | ↓ -60% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | $30.58 | ↓ -51% |
| OSMA HEALTH CONTRACTED [320292] | HB OKLC OSMA | $31.36 | ↓ -50% |
| WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $32.93 | ↓ -47% |
| HEALTHSMART ACCEL CONTRACTED [320183] | HB OKLC HEALTHSMART ACCEL | $39.21 | ↓ -37% |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB OKLC HEALTHSMART PPO | $43.13 | ↓ -31% |
| HEALTHLINK CONTRACTED [320179] | HB OKLC ADA ARDM SAPAUGH DEC | $47.05 | ↓ -25% |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM LACLEDE CHAIN DEC | $47.05 | ↓ -25% |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $47.05 | ↓ -25% |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM BUCHHEIT DEC | $47.05 | ↓ -25% |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $47.05 | ↓ -25% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $47.05 | ↓ -25% |
| EBMS CONTRACTED [320493] | HB OKLC ADA ARDM CRADER DISTRIBUTING DEC | $47.05 | ↓ -25% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $47.05 | ↓ -25% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL | $47.05 | ↓ -25% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $47.05 | ↓ -25% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $47.05 | ↓ -25% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, OKLC TALL TREE DEC | $47.05 | ↓ -25% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $47.05 | ↓ -25% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM DEC TOWN AND COUNTRY | $47.05 | ↓ -25% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM EASTER SEALS DEC | $47.05 | ↓ -25% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SAPAUGH DEC | $47.05 | ↓ -25% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SCHAEFER / QCG DEC | $47.05 | ↓ -25% |
| QUIK TRIP CONTRACTED [320447] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $47.05 | ↓ -25% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $47.05 | ↓ -25% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC | $47.05 | ↓ -25% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $47.05 | ↓ -25% |
| IMAGINE 360 CONTRACTED [320494] | HB OKLC ADA ARDM ROBINSON CONSTRUCTION DEC | $47.05 | ↓ -25% |
| REFLECT HEALTH CONTRACTED [320492] | HB OKLC ARDM ADA WW WOOD DEC | $47.05 | ↓ -25% |
| YUZU HEALTH CONTRACTED [320521] | HB ADA ARDM OKLC LEVEL HEALTH DEC - NEW 01.01.26 | $47.05 | ↓ -25% |
| FIRST HEALTH CONTRACTED [320128] | HB OKLC AETNA - FIRST HEALTH | $47.36 | ↓ -24% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $50.97 | ↓ -19% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CLAYCO DEC | $50.97 | ↓ -19% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL | $50.97 | ↓ -19% |
| AUXIANT CONTRACTED [320462] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $50.97 | ↓ -19% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $50.97 | ↓ -19% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB OKLC PHCS SAVILITY | $50.97 | ↓ -19% |
| TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $50.97 | ↓ -19% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $50.97 | ↓ -19% |
| POINT C CONTRACTED [320238] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $50.97 | ↓ -19% |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $50.97 | ↓ -19% |
| HEALTHSCOPE CONTRACTED [320182] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $50.97 | ↓ -19% |
| HEALTHLINK CONTRACTED [320179] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $50.97 | ↓ -19% |
| HUMANA CONTRACTED [320193] | HB OKLC HUMANA CHOICECARE | $54.10 | ↓ -14% |
| COMMUNITY CARE CONTRACTED [320080] | HB OKLC CCL&H | $54.89 | ↓ -12% |
| MULTIPLAN CONTRACTED [320270] | HB OKLC PHCS PRIMARY | $54.89 | ↓ -12% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB OKLC PHCS PRIMARY | $54.89 | ↓ -12% |
| COMMUNITY CARE CONTRACTED [320080] | HB OKLC COMMUNITY CARE | $54.89 | ↓ -12% |
| PREFERRED COMMUNITY CHOICE CONTRACTED [320311] | HB OKLC PREFERRED COMMUNITY CHOICE | $59.59 | ↓ -5% |
| MULTIPLAN CONTRACTED [320270] | HB OKLC PHCS COMPLEMENTARY | $70.57 | ↑ +13% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB OKLC PHCS COMPLEMENTARY | $70.57 | ↑ +13% |
| CENTRALINK CONTRACTED [320480] | HB OKLC CENTRALINK WORK COMP SURGICAL BUNDLES NEW 100123 | $78.41 | ↑ +25% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE TRADITIONAL | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE CROSS PREFERRED | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE CROSS ADVANTAGE PPO | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE CHOICE | not published by hospital | — |
| MC ANTHEM [20455] | HB OKLC BLUE CHOICE | not published by hospital | — |
| MC GENERIC ANTHEM [20456] | HB OKLC BLUE CHOICE | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE LINCS | not published by hospital | — |
Visitor-reported prices
Comments
Amikacin 4 mg/ml intravitreal injection - cnr at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Ardmore | Northwest Ardmore | $69.71 | $2.70 – $8.70 |
| Mercy Hospital Logan County | Guthrie | $50.97 | $2.70 – $3.80 |
| Mercy Hospital Tishomingo | Tishomingo | $69.71 | $5.40 – $7.60 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $36.30 | $8.63 – $8.63 |
| Ascension St. John Owasso (Owasso Medical Facility, Inc.) | Owasso | $36.30 | $7.21 – $7.21 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $36.30 | $1.51 – $9.29 |
| Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) | Nowata | $36.30 | $1.51 – $1.62 |
| Ascension St. John Sapulpa (St. John Sapulpa, Inc.) | Sapulpa | $36.30 | $6.81 – $6.81 |