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 |
|---|---|---|---|---|
| D&c after delivery 59160 CPT 59160 | $6,824.69 | $10,499.53 | $48.18 – $6,734.70 | 56 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $12,263.15 | $18,866.38 | $9.12 – $10,407.38 | 56 |
| Dch glucoscan CPT 82948 | $35.75 | $55.00 | $4.10 – $11.12 | 56 |
| Dch validity tests CPT 81002 | $28.60 | $44.00 | $2.84 – $7.68 | 60 |
| Deamidated gliadin antibody iga CPT 86258 | $201.50 | $310.00 | $9.38 – $26.60 | 59 |
| Debridement (>20 cm) charge pt CPT 97598 | $608.40 | $936.00 | $19.56 – $68.46 | 53 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,634.75 | $2,515.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $3,582.15 | $5,511.00 | $46.22 – $63.85 | 5 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $3,185.00 | $4,900.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $698.75 | $1,075.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $369.85 | $569.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $4,011.80 | $6,172.00 | not published | 0 |
| Decalcification CPT 88311 | $5,545.79 | $8,531.98 | $7.54 – $6,043.13 | 62 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $759.04 | $1,167.76 | $53.50 – $131.13 | 8 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $24,488.16 | $37,674.10 | $28.83 – $687.19 | 55 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $180.23 | $277.28 | $8.94 – $22.57 | 8 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $5,603.58 | $8,620.90 | $4.15 – $939.67 | 58 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $379.60 | $584.00 | $6.00 – $455.57 | 55 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $13,015.70 | $20,024.15 | $27.47 – $4,660.42 | 58 |
| Depo-estradiol cypionate inj HCPCS J1000 | $1,128.36 | $1,735.94 | $22.80 – $682.02 | 8 |
| Design mlc device for imrt CPT 77338 | $41,990.00 | $64,600.00 | $203.89 – $1,329.10 | 57 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $88.74 | $136.52 | $3.89 – $8.98 | 8 |
| Desoxycorticosterone CPT 82633 | $209.95 | $323.00 | $25.22 – $69.53 | 60 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $4,782.59 | $7,357.83 | $3.86 – $4,062.56 | 56 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $4,782.59 | $7,357.83 | $3.86 – $4,062.56 | 56 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $2,728.22 | $4,197.26 | $147.88 – $2,489.56 | 52 |
| Destruction anal lesion(s) CPT 46924 | $4,353.78 | $6,698.13 | $48.18 – $5,774.64 | 56 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $6,463.05 | $9,943.15 | $49.73 – $4,062.56 | 55 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $6,460.90 | $9,939.84 | $167.60 – $4,062.56 | 55 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $6,986.00 | $10,747.70 | $48.18 – $4,292.56 | 53 |
| Developmental screen/score/document 96110 CPT 96110 | $209.30 | $322.00 | $9.70 – $9.70 | 4 |
| Device ablt adv novasure HCPCS C1886 | $6,067.10 | $9,334.00 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,737.50 | $5,750.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $3,556.47 | $5,471.50 | $772.65 – $1,457.56 | 6 |
| Device sut capio slim opn HCPCS C2631 | $781.30 | $1,202.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $234.65 | $361.00 | $18.58 – $181.05 | 60 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $123.21 | $189.56 | $0.02 – $0.17 | 8 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $24.28 | $37.36 | $0.22 – $4.77 | 9 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,199.75 | $1,845.77 | $46.31 – $130.91 | 58 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $42.25 | $65.00 | $2.36 – $6.75 | 8 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $42.25 | $65.00 | $1.12 – $9.31 | 6 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $42.25 | $65.00 | $1.80 – $18.02 | 9 |
| Dextrose 5 % IV bolus HCPCS J7070 | $42.25 | $65.00 | $3.50 – $8.09 | 8 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $104.00 | $160.00 | $18.10 – $49.07 | 59 |
| Diabetes (HbA1c) Test CPT 83036 | $98.15 | $151.00 | $7.91 – $21.43 | 59 |
| Diab manage trn ind/group HCPCS G0109 | $85.80 | $132.00 | $13.88 – $33.66 | 53 |
| Diag laparo separate proc 49320 CPT 49320 | $8,359.45 | $12,860.69 | $8.45 – $12,577.45 | 56 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $4,110.34 | $6,323.60 | $38.32 – $276.80 | 55 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $429.65 | $661.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $409.50 | $630.00 | $92.30 – $327.99 | 55 |
| Diagnostic Mammogram (one breast) CPT 77065 | $202.15 | $311.00 | $71.97 – $259.08 | 55 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $15,305.41 | $23,546.78 | $9.16 – $11,841.05 | 56 |
| Dialysis one evaluation CPT 90945 | $1,194.70 | $1,838.00 | $75.59 – $868.10 | 55 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $141.74 | $218.06 | $11.25 – $12,396.04 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $13.97 | $21.49 | $6.15 – $22.40 | 9 |
| Dicyclomine injection HCPCS J0500 | $85.31 | $131.24 | $10.68 – $77.00 | 9 |
| Diffusing capacity CPT 94729 | $713.05 | $1,097.00 | $47.81 – $88.77 | 5 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $626.55 | $963.92 | $3.47 – $27.29 | 8 |
| Digoxin total therapeutic drug level CPT 80162 | $66.95 | $103.00 | $10.81 – $29.31 | 60 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $229.66 | $353.33 | $9.97 – $150.73 | 9 |
| Dilate biliary duct/ampulla CPT 47542 | $11,621.85 | $17,879.77 | $10.36 – $7,448.87 | 56 |
| Dilate esophagus 1/mult pass CPT 43450 | $4,757.35 | $7,319.00 | $48.18 – $1,886.94 | 53 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $2,350.40 | $3,616.00 | $299.81 – $637.04 | 5 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $2,299.05 | $3,537.00 | $149.90 – $318.52 | 5 |
| Dilate urethra stricture CPT 53600 | $6,179.16 | $9,506.40 | $48.18 – $3,436.08 | 56 |
| Dilation of anal sphincter CPT 45905 | $3,758.08 | $5,781.66 | $123.02 – $2,489.56 | 53 |
| Dilator fascial 10fx20cm HCPCS C2627 | $189.15 | $291.00 | $539.33 – $539.33 | 1 |
| Dilat xst trc new access rcs CPT 50437 | $7,972.25 | $12,265.00 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $49.92 | $76.80 | $0.80 – $2.23 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $3,192.29 | $4,911.22 | $2.14 – $1,971.36 | 55 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $11.37 | $17.50 | $0.73 – $10.87 | 9 |
| Disability dlco CPT 94727 | $429.65 | $661.00 | $31.89 – $449.22 | 55 |
| Disaccharidases CPT 82657 | $486.85 | $749.00 | $18.05 – $48.94 | 59 |
| Discography cerv/thor spine CPT 72285 | $2,375.10 | $3,654.00 | $64.12 – $4,062.56 | 53 |
| Dise eval slp do brth flx dx CPT 42975 | $3,197.94 | $4,919.91 | $1.25 – $3,703.00 | 55 |
| Dna antibody native/double stranded CPT 86225 | $37.05 | $57.00 | $11.19 – $36.11 | 59 |
| Dna gardnerella CPT 87510 | $101.40 | $156.00 | $16.32 – $44.26 | 60 |
| Dna probe chlamydia CPT 87490 | $169.00 | $260.00 | $18.52 – $50.22 | 56 |
| Dna probe gc CPT 87590 | $144.95 | $223.00 | $21.88 – $59.33 | 56 |
| Dna trichomonas CPT 87660 | $101.40 | $156.00 | $16.32 – $44.26 | 60 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $174.98 | $269.20 | $7.39 – $20.76 | 8 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $16,854.16 | $25,929.48 | $12.80 – $29.02 | 8 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $108.27 | $166.57 | $0.71 – $2.12 | 5 |
| Doppler echo complete CPT 93320 | $737.75 | $1,135.00 | $50.00 – $425.12 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $736.45 | $1,133.00 | $73.00 – $449.22 | 55 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $544.05 | $837.00 | $27.30 – $276.80 | 55 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $167.68 | $257.97 | $32.50 – $32.50 | 1 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $44,861.28 | $69,017.35 | $230.03 – $32,517.45 | 58 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $996.60 | $1,533.23 | $3.11 – $7.17 | 8 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,602.00 | $7,080.00 | $66.90 – $378.27 | 58 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $75.79 | $116.60 | $10.00 – $22.32 | 4 |
| Dpyd gene common variants CPT 81232 | $475.15 | $731.00 | $142.30 – $385.86 | 53 |
| Drainage of kidney lesion CPT 50390 | $3,604.91 | $5,546.02 | $48.18 – $1,473.24 | 53 |
| Drainage of mouth lesion CPT 41017 | $13,966.96 | $21,487.63 | $304.23 – $6,897.67 | 56 |
| Drainage of mouth lesion CPT 41018 | $16,956.84 | $26,087.45 | $320.00 – $6,897.67 | 56 |
| Drainage of rectal abscess 45020 CPT 45020 | $7,029.58 | $10,814.74 | $162.18 – $5,774.64 | 55 |
| Drain bladder by trocar/cath CPT 51101 | $5,698.90 | $8,767.54 | $13.47 – $1,786.57 | 56 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $8,009.64 | $12,322.53 | $31.71 – $3,436.08 | 56 |
| Drain cath image guided visceral pq CPT 49405 | $7,347.61 | $11,304.02 | $250.00 – $3,436.08 | 56 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $6,953.70 | $10,698.00 | $9.16 – $1,468.55 | 53 |
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.