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 |
|---|---|---|---|---|
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $46,103.17 | $70,927.95 | $297.00 – $24,017.18 | 56 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $44,123.49 | $67,882.29 | $199.59 – $24,017.18 | 56 |
| Embo or occlude vascular venous s&i CPT 37241 | $8,021.00 | $12,340.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $2,200.90 | $3,386.00 | $53.46 – $1,450.70 | 53 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $336.70 | $518.00 | $6.40 – $276.80 | 54 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $817.70 | $1,258.00 | $16.00 – $267.70 | 47 |
| Emg needle test 1-extremity CPT 95860 | $300.95 | $463.00 | $13.11 – $276.80 | 47 |
| Emg needle test 4-extremities CPT 95864 | $1,081.60 | $1,664.00 | $19.00 – $267.70 | 47 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $450.45 | $693.00 | $4.00 – $449.22 | 47 |
| Encephalitis, california igg/igm CPT 86651 | $53.30 | $82.00 | $10.74 – $29.11 | 56 |
| Encephalitis, st louis igg/igm CPT 86653 | $53.30 | $82.00 | $10.74 – $29.11 | 56 |
| Encephalitis, western equine igg/igm CPT 86654 | $49.40 | $76.00 | $10.74 – $29.11 | 56 |
| Endo cath bile duct s&i CPT 74328 | $802.10 | $1,234.00 | $143.48 – $254.11 | 7 |
| Endo cath panc duct s&i CPT 74329 | $1,119.95 | $1,723.00 | $214.79 – $254.11 | 2 |
| Endo cholangiopancreatograph CPT 43261 | $9,293.39 | $14,297.52 | $157.53 – $12,630.24 | 56 |
| Endo cholangiopancreatograph CPT 43262 | $8,372.61 | $12,880.94 | $202.47 – $8,021.14 | 56 |
| Endoluminl ivus oct c 1st CPT 92978 | $6,154.85 | $9,469.00 | $182.64 – $182.64 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | $2,753.40 | $4,236.00 | not published | 0 |
| Endoscopic injection/implant CPT 51715 | $5,546.92 | $8,533.72 | $171.14 – $7,333.57 | 55 |
| Endoscopic pancreatoscopy CPT 43273 | $13,443.31 | $20,682.02 | $99.44 – $8,021.14 | 56 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $3,298.12 | $5,074.03 | $48.18 – $3,992.20 | 56 |
| Endoscopy bowel pouch/biop CPT 44386 | $3,534.67 | $5,437.96 | $48.18 – $1,934.74 | 52 |
| Endoscopy maxillary sinus CPT 31267 | $11,614.67 | $17,868.72 | $15.85 – $14,682.73 | 56 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $2,306.85 | $3,549.00 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $540.15 | $831.00 | $49.18 – $283.03 | 53 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $6,664.87 | $10,253.65 | $13.47 – $3,703.00 | 56 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $15,427.67 | $23,734.87 | $34.17 – $7,729.42 | 58 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $163.03 | $250.81 | $1.68 – $101.56 | 9 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $120.90 | $186.00 | $9.76 – $26.44 | 60 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $13,214.42 | $20,329.87 | $80.47 – $6,569.00 | 56 |
| Enzyme histochemistry CPT 88319 | $18,535.28 | $28,515.81 | $9.38 – $1,676.18 | 62 |
| Ep & ablate supravent arrhyt CPT 93653 | $34,585.20 | $53,208.00 | $397.78 – $54,378.67 | 55 |
| Ep & ablate ventric tachy CPT 93654 | $38,539.15 | $59,291.00 | $530.69 – $54,378.67 | 55 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $61,442.54 | $94,526.98 | $52.99 – $2,696.31 | 58 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $3,363.22 | $5,174.19 | $42.95 – $1,840.11 | 52 |
| Epidural lysis on single day 62264 CPT 62264 | $3,216.20 | $4,948.00 | not published | 0 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $66.06 | $101.63 | $32.80 – $75.61 | 4 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $10.76 | $16.56 | $2.97 – $6.86 | 4 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $656.17 | $1,009.50 | $0.35 – $0.84 | 4 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $14.44 | $22.21 | $2.88 – $6.61 | 4 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $248.81 | $382.79 | $40.75 – $116.48 | 8 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,472.11 | $2,264.79 | $7.34 – $41.52 | 58 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $3,481.20 | $5,355.69 | $6.80 – $38.45 | 58 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $194.67 | $299.49 | $50.88 – $117.43 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $103.35 | $159.00 | $10.68 – $28.96 | 60 |
| Epstein barr nuclear antigen antibody CPT 86664 | $78.65 | $121.00 | $12.44 – $33.75 | 59 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $85.15 | $131.00 | $14.76 – $40.04 | 59 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,749.80 | $2,692.00 | $3.04 – $219.75 | 56 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $7,356.69 | $11,317.99 | $19.13 – $5,407.02 | 58 |
| Ercp biliary & pancreas CPT 74330 | $1,086.80 | $1,672.00 | $214.79 – $621.97 | 8 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $9,887.66 | $15,211.78 | $143.55 – $12,630.24 | 56 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $7,489.01 | $11,521.55 | $157.53 – $12,630.24 | 56 |
| Ercp lithotripsy calculi CPT 43265 | $19,626.74 | $30,194.98 | $250.00 – $12,630.24 | 55 |
| Ercp remove duct calculi 43264 CPT 43264 | $6,781.09 | $10,432.45 | $297.00 – $8,021.14 | 55 |
| Ercp remove forgn body duct 43275 CPT 43275 | $5,406.23 | $8,317.28 | $3.86 – $3,992.20 | 56 |
| Ercp stent exchange w/dilate CPT 43276 | $9,293.39 | $14,297.52 | $157.53 – $12,630.24 | 56 |
| Ercp w/specimen collection CPT 43260 | $7,432.93 | $11,435.28 | $250.00 – $8,021.14 | 55 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $5,186.48 | $7,979.20 | $71.46 – $2,020.24 | 58 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $131.23 | $201.90 | $16.46 – $38.00 | 8 |
| ER Visit (level 1, minor) CPT 99281 | $534.95 | $823.00 | $10.79 – $175.43 | 55 |
| ER Visit (level 2) CPT 99282 | $887.25 | $1,365.00 | $39.61 – $319.44 | 55 |
| ER Visit (level 3) CPT 99283 | $1,859.65 | $2,861.00 | $68.06 – $567.92 | 55 |
| ER Visit (level 4) CPT 99284 | $3,917.77 | $6,027.34 | $115.85 – $868.10 | 55 |
| ER Visit (level 5, high severity) CPT 99285 | $7,439.53 | $11,445.43 | $168.10 – $1,238.98 | 55 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $874.90 | $1,346.00 | $7.54 – $240.11 | 7 |
| Esd endoscopy or colonoscopy HCPCS C9779 | $5,556.85 | $8,549.00 | $3,564.87 – $8,021.14 | 46 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $522.76 | $804.24 | $90.00 – $170.00 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $1,521.89 | $2,341.37 | $1.68 – $4.91 | 8 |
| Esophageal motility CPT 78258 | $1,608.10 | $2,474.00 | $109.51 – $898.37 | 49 |
| Esophagoscop ultrasound exam CPT 43231 | $4,480.52 | $6,893.11 | $134.01 – $3,992.20 | 56 |
| Esophagoscopy balloon <30mm CPT 43220 | $3,560.08 | $5,477.04 | $102.12 – $3,992.20 | 55 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $3,255.20 | $5,008.00 | $76.31 – $1,886.94 | 52 |
| Esophagoscopy w/us needle bx CPT 43232 | $4,520.26 | $6,954.25 | $157.53 – $3,992.20 | 56 |
| Esophagus motility study CPT 91010 | $1,998.10 | $3,074.00 | $59.00 – $776.34 | 55 |
| Esoph balloon distension tst CPT 91040 | $2,775.50 | $4,270.00 | $327.45 – $776.34 | 55 |
| Esoph egd dilation <30 mm CPT 43249 | $3,904.73 | $6,007.27 | $131.91 – $3,992.20 | 56 |
| Esophgl motil w/stim/perfus CPT 91013 | $1,337.70 | $2,058.00 | $15.61 – $21.69 | 4 |
| Esoph imped function test CPT 91037 | $674.05 | $1,037.00 | $85.68 – $449.22 | 55 |
| Esoph imped funct test > 1hr CPT 91038 | $5,322.85 | $8,189.00 | $61.36 – $776.34 | 55 |
| Establish access to aorta CPT 36160 | $852.80 | $1,312.00 | not published | 0 |
| Establish brain cavity shunt CPT 62223 | $32,009.11 | $49,244.79 | $93.30 – $2,349.64 | 55 |
| Established Patient Office Visit (level 1) CPT 99211 | $377.00 | $580.00 | $6.98 – $34.69 | 52 |
| Established Patient Office Visit (level 2) CPT 99212 | $542.75 | $835.00 | $28.08 – $85.81 | 52 |
| Established Patient Office Visit (level 3) CPT 99213 | $847.60 | $1,304.00 | $52.02 – $138.42 | 52 |
| Established Patient Office Visit (level 4) CPT 99214 | $380.25 | $585.00 | $76.52 – $197.50 | 52 |
| Established Patient Office Visit (level 5) CPT 99215 | $500.50 | $770.00 | $113.54 – $280.55 | 52 |
| Estradiol total CPT 82670 | $74.75 | $115.00 | $22.75 – $61.67 | 59 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $116.13 | $178.66 | $2.08 – $18.92 | 8 |
| Estrogens total-sendout CPT 82672 | $150.80 | $232.00 | $17.67 – $49.82 | 60 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $2,312.36 | $3,557.48 | $491.65 – $1,365.06 | 53 |
| Ethylene glycol -sendout CPT 82693 | $98.80 | $152.00 | $12.13 – $32.89 | 56 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $658.04 | $1,012.37 | $9.80 – $23.72 | 8 |
| Etoposide 50 mg cap HCPCS J8560 | $351.93 | $541.43 | $76.52 – $228.56 | 53 |
| Evacuate mole of uterus CPT 59870 | $6,919.37 | $10,645.19 | $157.53 – $6,734.70 | 56 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $674.70 | $1,038.00 | $108.29 – $256.75 | 52 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $749.45 | $1,153.00 | $79.86 – $216.56 | 59 |
| Evaluation heart device CPT 93640 | $4,878.25 | $7,505.00 | $102.00 – $102.00 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $442.00 | $680.00 | $49.44 – $281.67 | 53 |
| Event monitor CPT 93270 | $380.90 | $586.00 | $6.92 – $77.65 | 55 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $237.90 | $366.00 | $23.29 – $64.90 | 5 |
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.