Oth resp proc, indiv at Mercy Hospital Oklahoma City
4300 W. Memorial Road, Oklahoma City, OK · Mercy · · NPI 1184721722
$107.90
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.
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What you pay up front if you don't use insurance.
$166.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$8.58 with AETNA MEDICAID CONTRACTED [320009] vs $200.00 with OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] — 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 →
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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 ?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) | $8.58 | ↓ -92% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB OKLC OK MEDICAID (SOONERCARE) | $8.58 | ↓ -92% |
| MEDICAID [20240] | HB OKLC OK MEDICAID (SOONERCARE) | $8.58 | ↓ -92% |
| HUMANA MEDICAID CONTRACTED [320486] | HB OKLC OK MEDICAID (SOONERCARE) | $8.58 | ↓ -92% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BCBS OF OK NATIVEBLUE MCR 103% | $10.26 | ↓ -90% |
| TRICARE [20380] | HB OKLC MANAGED MEDICARE | $25.38 | ↓ -76% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB OKLC INDIAN HEALTH MCR | $26.74 | ↓ -75% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| BCBS MEDICARE ADVANTAGE [20047] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| KINDFUL HOSPICE [20434] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| MERCY HOSPICE OKC [20252] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| LONGEVITY HEALTH PLAN [10477] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| MERCY REHAB HOSPITAL CONTRACTED [320260] | HB OKLC OK REHAB | $26.74 | ↓ -75% |
| CHAMPVA [20065] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB OKLC AETNA MCR | $26.74 | ↓ -75% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB OKLC UHC MEDICARE ADVANTAGE | $26.74 | ↓ -75% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| HALO HCR INC HOSPICE [20432] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| TRICARE CONTRACTED [320380] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| QUAL CHOICE CONTRACTED [320325] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB OKLC HUMANA MCR | $26.74 | ↓ -75% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB OKLC INDIAN HEALTH MCR | $26.74 | ↓ -75% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| MEDICARE [20244] | HB OKLC MEDICARE | $26.74 | ↓ -75% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| AMERICAN HEALTH ADVANTAGE OF OK MEDICARE [20019] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| GENERIC MEDICARE MANAGED CARE [20137] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| CROSS TIMBERS HOSPICE [20098] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB OKLC MANAGED MEDICARE | $26.74 | ↓ -75% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB OKLC MEDICA MEDICARE EFF 031523 | $27.26 | ↓ -75% |
| MEDICA MEDICARE ADVANTAGE [20477] | HB OKLC MEDICA MEDICARE EFF 031523 | $27.26 | ↓ -75% |
| GLOBALHEALTH MEDICARE ADVANTAGE [20145] | HB OKLC MANAGED MEDICARE | $27.29 | ↓ -75% |
| GLOBALHEALTH CONTRACTED [320145] | HB OKLC GLOBAL HEALTH MCR 102% | $27.29 | ↓ -75% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB OKLC CIGNA MCR 103% | $27.56 | ↓ -74% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB OKLC CIGNA MCR 103% | $27.56 | ↓ -74% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB OKLC DEVOTED HEALTH MCR 104% W/O SEQ | $28.35 | ↓ -74% |
| AMG SPEC HOSP EDMOND [20034] | HB OKLC LTAC MCR 105% | $28.62 | ↓ -73% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB OKLC WELLCARE MCR 105% | $28.62 | ↓ -73% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE CROSS PREFERRED | $29.55 | ↓ -73% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE CHOICE | $29.55 | ↓ -73% |
| MC GENERIC ANTHEM [20456] | HB OKLC BLUE CHOICE | $29.55 | ↓ -73% |
| MC ANTHEM [20455] | HB OKLC BLUE CHOICE | $29.55 | ↓ -73% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE CROSS ADVANTAGE PPO | $29.55 | ↓ -73% |
| AMBETTER CONTRACTED [320452] | HB OKLC AMBETTER EXCHANGE MEDICARE | $36.80 | ↓ -66% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB OKLC AMBETTER EXCHANGE MEDICARE | $36.80 | ↓ -66% |
| NOVASYS CONTRACTED [320285] | HB OKLC AMBETTER EXCHANGE MEDICARE | $36.80 | ↓ -66% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB OKLC AMBETTER EXCHANGE MEDICARE | $36.80 | ↓ -66% |
| COMMUNITY CARE CONTRACTED [320080] | HB OKLC COMMUNITY CARE STATE 150% MCR NO SEQ NEW 010123 | $40.89 | ↓ -62% |
| HEALTH CHOICE CONTRACTED [320166] | HB OKLC HEALTHCHOICE/OSEEGIB TIER 1 | $44.33 | ↓ -59% |
| CENTIVO CONTRACTED [320505] | HB OKLC CENTIVO MCR 165% | $44.98 | ↓ -58% |
| MEDICA CONTRACTED [320239] | HB OKLC MEDICA EXCHANGE | $52.62 | ↓ -51% |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB OKLC KEMPTON DEC 225% MCR | $60.17 | ↓ -44% |
| KEMPTON CONTRACTED [320214] | HB OKLC KEMPTON DEC 225% MCR | $60.17 | ↓ -44% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | $64.74 | ↓ -40% |
| WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $69.72 | ↓ -35% |
| OSMA HEALTH CONTRACTED [320292] | HB OKLC OSMA | $74.70 | ↓ -31% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB OKLC CIGNA NBD | $86.32 | ↓ -20% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB OKLC CIGNA | $97.44 | ↓ -10% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC | $99.60 | ↓ -8% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $99.60 | ↓ -8% |
| REFLECT HEALTH CONTRACTED [320492] | HB OKLC ARDM ADA WW WOOD DEC | $99.60 | ↓ -8% |
| IMAGINE 360 CONTRACTED [320494] | HB OKLC ADA ARDM ROBINSON CONSTRUCTION DEC | $99.60 | ↓ -8% |
| EBMS CONTRACTED [320493] | HB OKLC ADA ARDM CRADER DISTRIBUTING DEC | $99.60 | ↓ -8% |
| WORKERS COMP [20426] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA WORK COMP | $99.60 | ↓ -8% |
| YUZU HEALTH CONTRACTED [320521] | HB ADA ARDM OKLC LEVEL HEALTH DEC - NEW 01.01.26 | $99.60 | ↓ -8% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $99.60 | ↓ -8% |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $99.60 | ↓ -8% |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM LACLEDE CHAIN DEC | $99.60 | ↓ -8% |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM BUCHHEIT DEC | $99.60 | ↓ -8% |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $99.60 | ↓ -8% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $99.60 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM DEC TOWN AND COUNTRY | $99.60 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $99.60 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM EASTER SEALS DEC | $99.60 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SAPAUGH DEC | $99.60 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SCHAEFER / QCG DEC | $99.60 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, OKLC TALL TREE DEC | $99.60 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $99.60 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $99.60 | ↓ -8% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL | $99.60 | ↓ -8% |
| HEALTHLINK CONTRACTED [320179] | HB OKLC ADA ARDM SAPAUGH DEC | $99.60 | ↓ -8% |
| QUIK TRIP CONTRACTED [320447] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $99.60 | ↓ -8% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $99.60 | ↓ -8% |
| FIRST HEALTH CONTRACTED [320128] | HB OKLC AETNA - FIRST HEALTH | $100.26 | ↓ -7% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA PREFERRED COX & NBD | $100.26 | ↓ -7% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA POS HMO GATED | $103.58 | ↓ -4% |
| HEALTHSMART ACCEL CONTRACTED [320183] | HB OKLC HEALTHSMART ACCEL | $107.90 | ↑ +0% |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB OKLC HEALTHSMART PPO | $107.90 | ↑ +0% |
| HEALTHLINK CONTRACTED [320179] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $107.90 | ↑ +0% |
| AUXIANT CONTRACTED [320462] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $107.90 | ↑ +0% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL | $107.90 | ↑ +0% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $107.90 | ↑ +0% |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $107.90 | ↑ +0% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB OKLC PHCS SAVILITY | $107.90 | ↑ +0% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CLAYCO DEC | $107.90 | ↑ +0% |
| HEALTHSCOPE CONTRACTED [320182] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $107.90 | ↑ +0% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $107.90 | ↑ +0% |
| TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $107.90 | ↑ +0% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $107.90 | ↑ +0% |
| POINT C CONTRACTED [320238] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $107.90 | ↑ +0% |
| HUMANA CONTRACTED [320193] | HB OKLC HUMANA CHOICECARE | $114.54 | ↑ +6% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA PPO NON-GATED | $114.54 | ↑ +6% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB OKLC PHCS PRIMARY | $116.20 | ↑ +8% |
| COMMUNITY CARE CONTRACTED [320080] | HB OKLC COMMUNITY CARE | $116.20 | ↑ +8% |
| COMMUNITY CARE CONTRACTED [320080] | HB OKLC CCL&H | $116.20 | ↑ +8% |
| MULTIPLAN CONTRACTED [320270] | HB OKLC PHCS PRIMARY | $116.20 | ↑ +8% |
| AETNA CONTRACTED [320008] | HB OKLC AETNA SIGNATURE ASA | $117.69 | ↑ +9% |
| GLOBALHEALTH CONTRACTED [320144] | HB OKLC GLOBALHEALTH | $117.86 | ↑ +9% |
| PREFERRED COMMUNITY CHOICE CONTRACTED [320311] | HB OKLC PREFERRED COMMUNITY CHOICE | $126.16 | ↑ +17% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB OKLC UHC EXCHANGE | $133.00 | ↑ +23% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB OKLC PHCS COMPLEMENTARY | $149.40 | ↑ +38% |
| MULTIPLAN CONTRACTED [320270] | HB OKLC PHCS COMPLEMENTARY | $149.40 | ↑ +38% |
| CENTRALINK CONTRACTED [320480] | HB OKLC CENTRALINK WORK COMP SURGICAL BUNDLES NEW 100123 | $166.00 | ↑ +54% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB OKLC UHC | $200.00 | ↑ +85% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB OKLC UHC | $200.00 | ↑ +85% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB OKLC UHC | $200.00 | ↑ +85% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE TRADITIONAL | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB OKLC BLUE LINCS | not published by hospital | — |
Visitor-reported prices
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Oth resp proc, indiv at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $105.00 | $8.58 – $8.58 |
| Mercy Hospital Ardmore | Northwest Ardmore | $99.45 | $8.58 – $65.76 |
| Mercy Hospital Healdton | Healdton | $68.25 | $8.58 – $51.71 |
| Mercy Hospital Kingfisher | Kingfisher | $67.60 | $8.58 – $51.71 |
| Mercy Hospital Tishomingo | Tishomingo | $68.25 | $8.58 – $51.71 |
| Mercy Hospital Watonga | Watonga | $67.60 | $8.58 – $51.71 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | $20.54 | $10.43 – $19.73 |
| Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) | Bartlesville | $20.54 | $10.43 – $22.62 |