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 |
|---|---|---|---|---|
| Drain finger abscess;simple 26010 CPT 26010 | $1,231.75 | $1,895.00 | not published | 0 |
| Drain penis lesion CPT 54015 | $5,808.65 | $8,936.38 | $13.47 – $3,436.08 | 56 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $936.65 | $1,441.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $212.55 | $327.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $910.65 | $1,401.00 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $2,681.25 | $4,125.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $7,273.90 | $11,190.61 | $34.54 – $7,448.87 | 56 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $46.50 | $71.54 | $3.40 – $19.00 | 9 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $577.85 | $889.00 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $35.10 | $54.00 | $4.35 – $334.63 | 56 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $28.60 | $44.00 | $124.72 – $334.63 | 45 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $12,735.45 | $19,593.00 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $317.85 | $489.00 | $118.37 – $334.63 | 51 |
| Drug admin & hemodynmic meas CPT 93463 | $2,715.70 | $4,178.00 | $81.69 – $85.83 | 5 |
| Drug assay caffeine CPT 80155 | $198.25 | $305.00 | $31.39 – $85.14 | 55 |
| Drug assay posaconazole CPT 80187 | $194.35 | $299.00 | $22.07 – $59.84 | 55 |
| Drug assay voriconazole CPT 80285 | $186.55 | $287.00 | $22.07 – $59.84 | 58 |
| Drug of abuse screen urine CPT 80305 | $120.25 | $185.00 | $10.25 – $27.81 | 59 |
| Drug test prsmv instrmnt CPT 80306 | $435.50 | $670.00 | $13.95 – $37.83 | 58 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,688.05 | $2,597.00 | $50.58 – $137.16 | 58 |
| Drvvt confirm - quest CPT 85597 | $143.65 | $221.00 | $14.64 – $39.69 | 56 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,652.47 | $7,157.64 | $3.50 – $4,062.56 | 56 |
| Ductogram sgl duct CPT 77053 | $668.20 | $1,028.00 | $30.80 – $496.40 | 60 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $767.00 | $1,180.00 | $91.74 – $217.50 | 55 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $900.90 | $1,386.00 | $55.80 – $449.22 | 55 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $740.35 | $1,139.00 | $33.00 – $496.40 | 55 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $3,895.11 | $5,992.48 | $80.20 – $2,720.92 | 58 |
| Dxa bone density axl vrt fx CPT 77085 | $528.45 | $813.00 | $32.72 – $222.38 | 60 |
| Dx bronchoscope/brush 31623 CPT 31623 | $13,718.52 | $21,105.41 | $116.54 – $14,682.73 | 56 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $6,626.93 | $10,195.28 | $80.47 – $7,756.66 | 56 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,459.93 | $3,784.51 | $3.86 – $3,703.00 | 56 |
| Ecg 12 lead tracing only CPT 93005 | $246.35 | $379.00 | $5.25 – $122.73 | 55 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $245.70 | $378.00 | $5.25 – $122.73 | 55 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $5,381.35 | $8,279.00 | $168.33 – $1,136.79 | 55 |
| Echocardiography doppler color flow mapping CPT 93325 | $696.80 | $1,072.00 | $16.00 – $381.53 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,536.30 | $3,902.00 | $687.89 – $1,630.91 | 51 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $853.45 | $1,313.00 | $59.00 – $496.40 | 55 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,165.45 | $1,793.00 | $306.14 – $725.82 | 51 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $633.75 | $975.00 | $16.37 – $38.00 | 2 |
| Echo exam of fetal heart CPT 76825 | $2,518.75 | $3,875.00 | $60.72 – $1,136.79 | 60 |
| Echo exam of fetal heart CPT 76826 | $826.15 | $1,271.00 | $57.44 – $578.28 | 60 |
| Echograp trans r pros study CPT 76873 | $817.70 | $1,258.00 | $83.54 – $419.07 | 60 |
| Echo guidance radiotherapy CPT 76965 | $1,335.10 | $2,054.00 | $23.02 – $448.42 | 8 |
| Echo guide for amniocentesis CPT 76946 | $499.85 | $769.00 | $12.75 – $123.52 | 9 |
| Echo guide for transfusion CPT 76941 | $459.55 | $707.00 | $42.49 – $123.92 | 5 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $3,849.30 | $5,922.00 | $66.00 – $1,136.79 | 55 |
| Echo transesophageal intraop CPT 93318 | $3,399.50 | $5,230.00 | $147.36 – $1,136.79 | 50 |
| Echo transthoracic CPT 93303 | $2,693.60 | $4,144.00 | $145.35 – $1,136.79 | 55 |
| Echo transthoracic CPT 93304 | $1,010.10 | $1,554.00 | $74.65 – $1,136.79 | 55 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,280.50 | $1,970.00 | $76.00 – $496.40 | 55 |
| E coli 0157 ag ia CPT 87335 | $90.35 | $139.00 | $10.31 – $27.94 | 56 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $23,864.24 | $36,714.21 | $41.61 – $17,648.15 | 54 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $70.85 | $109.00 | $25.50 – $46.11 | 5 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $627.25 | $965.00 | $79.50 – $449.22 | 55 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $2,064.40 | $3,176.00 | $28.00 – $776.34 | 50 |
| Eeg during surgery CPT 95955 | $735.80 | $1,132.00 | $131.19 – $278.81 | 6 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $804.05 | $1,237.00 | $25.00 – $449.22 | 55 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $772.85 | $1,189.00 | $103.51 – $449.22 | 55 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $646.75 | $995.00 | $71.00 – $449.22 | 48 |
| Eeg recording awake and asleep CPT 95819 | $1,456.00 | $2,240.00 | $64.00 – $449.22 | 55 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $508.30 | $782.00 | $199.65 – $504.63 | 50 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $567.45 | $873.00 | $97.05 – $449.22 | 50 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $1,565.85 | $2,409.00 | $345.03 – $1,008.28 | 50 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $1,671.15 | $2,571.00 | $345.03 – $806.44 | 50 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $406.25 | $625.00 | $199.65 – $449.22 | 50 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,262.30 | $1,942.00 | $145.57 – $776.34 | 50 |
| E equine encephalitis igg CPT 86652 | $49.40 | $76.00 | $10.74 – $29.11 | 56 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $23,101.53 | $35,540.81 | $30.36 – $17,164.08 | 58 |
| Egd control bleeding any CPT 43255 | $2,950.41 | $4,539.10 | $171.69 – $3,992.20 | 55 |
| Egd dilate stricture CPT 43245 | $4,126.70 | $6,348.77 | $48.18 – $3,992.20 | 56 |
| Egd endo mucosal resection CPT 43254 | $4,790.52 | $7,370.03 | $48.18 – $3,992.20 | 56 |
| Egd endoscopic stent place CPT 43266 | $9,873.38 | $15,189.82 | $3.86 – $12,630.24 | 53 |
| Egd guide wire insertion CPT 43248 | $3,124.61 | $4,807.09 | $143.23 – $1,886.94 | 52 |
| Egd injection varices CPT 43243 | $5,108.39 | $7,859.06 | $3.86 – $3,992.20 | 56 |
| Egd lesion ablation CPT 43270 | $5,608.23 | $8,628.04 | $48.18 – $3,992.20 | 53 |
| Egd remove foreign body CPT 43247 | $3,709.32 | $5,706.64 | $152.25 – $3,992.20 | 55 |
| Egd remove lesion snare CPT 43251 | $4,118.17 | $6,335.65 | $157.53 – $3,992.20 | 56 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $2,802.40 | $4,311.38 | $8.45 – $3,992.20 | 56 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $4,446.09 | $6,840.14 | $157.53 – $3,992.20 | 56 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $5,115.47 | $7,869.96 | $223.31 – $3,992.20 | 56 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $3,932.76 | $6,050.40 | $7.71 – $3,992.20 | 56 |
| Egd varices ligation CPT 43244 | $3,087.49 | $4,749.98 | $9.16 – $3,992.20 | 56 |
| Egd w/transmural drain cyst CPT 43240 | $10,886.13 | $16,747.90 | $250.00 – $12,630.24 | 55 |
| Egfr gene com variants CPT 81235 | $599.95 | $923.00 | $264.21 – $716.45 | 59 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $313.30 | $482.00 | $28.95 – $77.45 | 55 |
| Elbow arthroscopy/surgery CPT 29834 | $9,004.84 | $13,853.60 | $8.45 – $6,807.25 | 56 |
| Elbow arthroscopy/surgery CPT 29835 | $9,004.84 | $13,853.60 | $8.45 – $6,807.25 | 56 |
| Elbow arthroscopy/surgery CPT 29838 | $8,882.52 | $13,665.41 | $250.00 – $6,807.25 | 55 |
| Electrical stimulation/unattended 97014 CPT 97014 | $57.85 | $89.00 | $11.17 – $59.83 | 11 |
| Electrolyte panel CPT 80051 | $110.50 | $170.00 | $5.71 – $15.47 | 60 |
| Electron microscopy diagnostic CPT 88348 | $10,122.46 | $15,573.02 | $168.00 – $1,676.18 | 62 |
| Electrophysiology evaluation CPT 93619 | $12,456.60 | $19,164.00 | $383.00 – $16,226.86 | 55 |
| Electrophysiology evaluation CPT 93620 | $28,523.30 | $43,882.00 | $528.20 – $16,226.86 | 55 |
| Electrophysiology evaluation CPT 93621 | $26,882.70 | $41,358.00 | $511.58 – $511.58 | 1 |
| Electrophysiology evaluation CPT 93641 | $3,560.70 | $5,478.00 | $172.00 – $172.00 | 1 |
| Electrophysiology evaluation CPT 93642 | $3,980.60 | $6,124.00 | $75.64 – $2,533.04 | 55 |
| Electrophys map 3d add-on CPT 93613 | $4,373.85 | $6,729.00 | $238.63 – $257.77 | 2 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $11,567.40 | $17,796.00 | $7.49 – $6,352.83 | 58 |
| Embolization s&i CPT 75894 | $3,343.60 | $5,144.00 | $87.39 – $1,945.88 | 7 |
| Embo or occlude vascular arterial s&i CPT 37242 | $21,071.16 | $32,417.17 | $9.16 – $38,138.17 | 56 |
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.