Complx repair sal addl 5 cm/> 13122 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

$13,130.56

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.

$20,200.86

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.

$65.78 with BLUE CROSS AND BLUE SHIELD [20053] vs $13,814.58 with KEMPTON CONTRACTED [320214] — 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
BLUE CROSS AND BLUE SHIELD [20053] HB OKLC BCBS OF OK NATIVEBLUE MCR 103% $65.78 ↓ -99%
WORKERS COMP [20426] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA WORK COMP $195.39 ↓ -99%
MEDICAID [20240] HB OKLC ARK MEDICAID $250.00 ↓ -98%
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB OKLC AETNA MCR $358.70 ↓ -97%
LONGEVITY HEALTH PLAN [10477] HB OKLC MANAGED MEDICARE $502.04 ↓ -96%
SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB OKLC AMBETTER EXCHANGE MEDICARE $747.30 ↓ -94%
AMBETTER CONTRACTED [320452] HB OKLC AMBETTER EXCHANGE MEDICARE $747.30 ↓ -94%
NOVASYS CONTRACTED [320285] HB OKLC AMBETTER EXCHANGE MEDICARE $747.30 ↓ -94%
HOME STATE HEALTH PLAN CONTRACTED [320187] HB OKLC AMBETTER EXCHANGE MEDICARE $747.30 ↓ -94%
MEDICA CONTRACTED [320239] HB OKLC MEDICA EXCHANGE $789.65 ↓ -94%
WEBTPA CONTRACTED [320417] HB OKLC HEART HOSPITAL EMPLOYER $1,046.22 ↓ -92%
OSMA HEALTH CONTRACTED [320292] HB OKLC OSMA $1,120.95 ↓ -91%
CIGNA HEALTHCARE CONTRACTED [320071] HB OKLC CIGNA NBD $1,295.32 ↓ -90%
HUMANA MEDICAID CONTRACTED [320486] HB OKLC OK MEDICAID (SOONERCARE) $1,442.85 ↓ -89%
AETNA MEDICAID CONTRACTED [320009] HB OKLC OK MEDICAID (SOONERCARE) $1,442.85 ↓ -89%
OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB OKLC OK MEDICAID (SOONERCARE) $1,442.85 ↓ -89%
MEDICAID [20240] HB OKLC OK MEDICAID (SOONERCARE) $1,442.85 ↓ -89%
CIGNA HEALTHCARE CONTRACTED [320071] HB OKLC CIGNA $1,462.22 ↓ -89%
HEALTHLINK CONTRACTED [320179] HB OKLC ADA ARDM SAPAUGH DEC $1,494.60 ↓ -89%
AITHER HEALTH CONTRACTED [320449] HB OKLC ADA ARDM LACLEDE CHAIN DEC $1,494.60 ↓ -89%
AITHER HEALTH CONTRACTED [320449] HB OKLC ADA ARDM WOODARD DEC NEW 040124 $1,494.60 ↓ -89%
REFLECT HEALTH CONTRACTED [320492] HB OKLC ARDM ADA WW WOOD DEC $1,494.60 ↓ -89%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL $1,494.60 ↓ -89%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP $1,494.60 ↓ -89%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS $1,494.60 ↓ -89%
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC $1,494.60 ↓ -89%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, OKLC TALL TREE DEC $1,494.60 ↓ -89%
AUXIANT CONTRACTED [320462] HB OKLC ADA ARDM BUCHHEIT DEC $1,494.60 ↓ -89%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM CITY OF JACKSON DEC $1,494.60 ↓ -89%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM DEC TOWN AND COUNTRY $1,494.60 ↓ -89%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM EASTER SEALS DEC $1,494.60 ↓ -89%
AUXIANT CONTRACTED [320462] HB OKLC ADA ARDM CITY OF JACKSON DEC $1,494.60 ↓ -89%
YUZU HEALTH CONTRACTED [320521] HB ADA ARDM OKLC LEVEL HEALTH DEC - NEW 01.01.26 $1,494.60 ↓ -89%
BENEFIT MANAGEMENT CONTRACTED [320052] HB ARDM, OKLC HEALTHCARE HIGHWAYS $1,494.60 ↓ -89%
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS $1,494.60 ↓ -89%
QUIK TRIP CONTRACTED [320447] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP $1,494.60 ↓ -89%
EBMS CONTRACTED [320493] HB OKLC ADA ARDM CRADER DISTRIBUTING DEC $1,494.60 ↓ -89%
IMAGINE 360 CONTRACTED [320494] HB OKLC ADA ARDM ROBINSON CONSTRUCTION DEC $1,494.60 ↓ -89%
HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] HB ARDM, OKLC HEALTHCARE HIGHWAYS $1,494.60 ↓ -89%
EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB OKLC ADA ARDM WOODARD DEC NEW 040124 $1,494.60 ↓ -89%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM SCHAEFER / QCG DEC $1,494.60 ↓ -89%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM SAPAUGH DEC $1,494.60 ↓ -89%
FIRST HEALTH CONTRACTED [320128] HB OKLC AETNA - FIRST HEALTH $1,504.56 ↓ -89%
AETNA CONTRACTED [320008] HB OKLC AETNA PREFERRED COX & NBD $1,504.56 ↓ -89%
AETNA CONTRACTED [320008] HB OKLC AETNA POS HMO GATED $1,554.38 ↓ -88%
UNITED MEDICAL RESOURCES CONTRACTED [320454] HB OKLC UHC $1,619.15 ↓ -88%
AUXIANT CONTRACTED [320462] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $1,619.15 ↓ -88%
BENEFIT MANAGEMENT CONTRACTED [320052] HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL $1,619.15 ↓ -88%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB OKLC PHCS SAVILITY $1,619.15 ↓ -88%
FEDERAL MEDICAL CENTER CONTRACTED [320127] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $1,619.15 ↓ -88%
HEALTHSMART PREFERRED CARE CONTRACTED [320184] HB OKLC HEALTHSMART PPO $1,619.15 ↓ -88%
HEALTHLINK CONTRACTED [320179] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $1,619.15 ↓ -88%
HEALTHSCOPE CONTRACTED [320182] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $1,619.15 ↓ -88%
HEALTHSMART ACCEL CONTRACTED [320183] HB OKLC HEALTHSMART ACCEL $1,619.15 ↓ -88%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM CLAYCO DEC $1,619.15 ↓ -88%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $1,619.15 ↓ -88%
OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] HB OKLC UHC $1,619.15 ↓ -88%
POINT C CONTRACTED [320238] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $1,619.15 ↓ -88%
PREFERRED HEALTH PLAN CONTRACTED [320522] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $1,619.15 ↓ -88%
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $1,619.15 ↓ -88%
UNITED HEALTHCARE CONTRACTED [320396] HB OKLC UHC $1,619.15 ↓ -88%
UNITED HEALTHCARE CONTRACTED [320396] HB OKLC UHC EXCHANGE $1,619.15 ↓ -88%
UNITED MEDICAL RESOURCES CONTRACTED [320454] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $1,619.15 ↓ -88%
GLOBALHEALTH CONTRACTED [320144] HB OKLC GLOBALHEALTH $1,644.06 ↓ -87%
HUMANA CONTRACTED [320193] HB OKLC HUMANA CHOICECARE $1,718.79 ↓ -87%
AETNA CONTRACTED [320008] HB OKLC AETNA PPO NON-GATED $1,718.79 ↓ -87%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB OKLC PHCS PRIMARY $1,743.70 ↓ -87%
COMMUNITY CARE CONTRACTED [320080] HB OKLC COMMUNITY CARE $1,743.70 ↓ -87%
COMMUNITY CARE CONTRACTED [320080] HB OKLC CCL&H $1,743.70 ↓ -87%
MULTIPLAN CONTRACTED [320270] HB OKLC PHCS PRIMARY $1,743.70 ↓ -87%
AETNA CONTRACTED [320008] HB OKLC AETNA SIGNATURE ASA $1,766.12 ↓ -87%
PREFERRED COMMUNITY CHOICE CONTRACTED [320311] HB OKLC PREFERRED COMMUNITY CHOICE $1,893.16 ↓ -86%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB OKLC PHCS COMPLEMENTARY $2,241.90 ↓ -83%
MULTIPLAN CONTRACTED [320270] HB OKLC PHCS COMPLEMENTARY $2,241.90 ↓ -83%
MERCY REHAB HOSPITAL CONTRACTED [320260] HB OKLC OK REHAB $2,491.00 ↓ -81%
CENTRALINK CONTRACTED [320480] HB OKLC CENTRALINK WORK COMP SURGICAL BUNDLES NEW 100123 $2,491.00 ↓ -81%
TRICARE [20380] HB OKLC MANAGED MEDICARE $5,826.74 ↓ -56%
BCBS MEDICARE ADVANTAGE [20047] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
DEPT OF VETERAN AFFAIRS CONTRACTED [320106] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
AMERICAN HEALTH ADVANTAGE OF OK MEDICARE [20019] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
INDIAN HEALTH SERVICE CONTRACTED [320198] HB OKLC INDIAN HEALTH MCR $6,139.67 ↓ -53%
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
GENERIC MEDICARE MANAGED CARE [20137] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] HB OKLC HUMANA MCR $6,139.67 ↓ -53%
HALO HCR INC HOSPICE [20432] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
HALO HCR INC HOSPICE CONTRACTED [320432] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
ELARA CARING ASPIRE HOSPICE [20433] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
MEDICARE [20244] HB OKLC MEDICARE $6,139.67 ↓ -53%
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
NHC ADVANTAGE MEDICARE CONTRACTED [320282] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
CROSS TIMBERS HOSPICE [20098] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
QUAL CHOICE CONTRACTED [320325] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
TRICARE CONTRACTED [320380] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
CHAMPVA [20065] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] HB OKLC UHC MEDICARE ADVANTAGE $6,139.67 ↓ -53%
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] HB OKLC INDIAN HEALTH MCR $6,139.67 ↓ -53%
KINDFUL HOSPICE [20434] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
KINDFUL HOSPICE CONTRACTED [320434] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
MERCY HOSPICE OKC [20252] HB OKLC MANAGED MEDICARE $6,139.67 ↓ -53%
MEDICA MEDICARE ADVANTAGE [20477] HB OKLC MEDICA MEDICARE EFF 031523 $6,258.59 ↓ -52%
MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] HB OKLC MEDICA MEDICARE EFF 031523 $6,258.59 ↓ -52%
GLOBALHEALTH MEDICARE ADVANTAGE [20145] HB OKLC MANAGED MEDICARE $6,264.84 ↓ -52%
GLOBALHEALTH CONTRACTED [320145] HB OKLC GLOBAL HEALTH MCR 102% $6,264.84 ↓ -52%
CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] HB OKLC CIGNA MCR 103% $6,327.43 ↓ -52%
HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] HB OKLC CIGNA MCR 103% $6,327.43 ↓ -52%
DEVOTED HEALTH MEDICARE CONTRACTED [320500] HB OKLC DEVOTED HEALTH MCR 104% W/O SEQ $6,508.93 ↓ -50%
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB OKLC WELLCARE MCR 105% $6,571.52 ↓ -50%
AMG SPEC HOSP EDMOND [20034] HB OKLC LTAC MCR 105% $6,571.52 ↓ -50%
BLUE CROSS AND BLUE SHIELD [20053] HB OKLC BLUE CROSS ADVANTAGE PPO $6,783.99 ↓ -48%
MC ANTHEM [20455] HB OKLC BLUE CHOICE $6,783.99 ↓ -48%
MC GENERIC ANTHEM [20456] HB OKLC BLUE CHOICE $6,783.99 ↓ -48%
BLUE CROSS AND BLUE SHIELD [20053] HB OKLC BLUE CHOICE $6,783.99 ↓ -48%
BLUE CROSS AND BLUE SHIELD [20053] HB OKLC BLUE CROSS PREFERRED $6,783.99 ↓ -48%
HEALTH CHOICE CONTRACTED [320166] HB OKLC HEALTHCHOICE/OSEEGIB TIER 1 $7,200.43 ↓ -45%
COMMUNITY CARE CONTRACTED [320080] HB OKLC COMMUNITY CARE STATE 150% MCR NO SEQ NEW 010123 $9,387.88 ↓ -29%
CENTIVO CONTRACTED [320505] HB OKLC CENTIVO MCR 165% $10,326.67 ↓ -21%
HEALTHSMART PREFERRED CARE CONTRACTED [320184] HB OKLC KEMPTON DEC 225% MCR $13,814.58 ↑ +5%
KEMPTON CONTRACTED [320214] HB OKLC KEMPTON DEC 225% MCR $13,814.58 ↑ +5%
HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION not published by hospital

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Complx repair sal addl 5 cm/> 13122 at other Oklahoma hospitals

Hospital City Cash price Negotiated range
Love County Health Center Marietta $380.00 $63.82 – $109.88
Mercy Hospital Kingfisher Kingfisher $287.30 $63.82 – $109.88
Mercy Hospital Logan County Guthrie $287.30 $63.82 – $109.88

All Oklahoma hospitals for this procedure →