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 |
|---|---|---|---|---|
| Evoked potentials upper limbs CPT 95925 | $754.00 | $1,160.00 | $57.00 – $449.22 | 55 |
| Evoked potential visual not glaucoma CPT 95930 | $1,188.20 | $1,828.00 | $8.85 – $449.22 | 52 |
| Exam of vagina w/scope 57420 CPT 57420 | $4,917.46 | $7,565.32 | $13.47 – $633.98 | 53 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $5,654.66 | $8,699.48 | $92.61 – $6,734.70 | 56 |
| Exc abd tum over 10 cm 49205 CPT 49205 | $14,488.79 | $22,290.44 | $95.36 – $2,683.87 | 53 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $915.85 | $1,409.00 | $240.49 – $2,607.62 | 57 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $2,936.70 | $4,518.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,225.25 | $1,885.00 | not published | 0 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $5,082.55 | $7,819.31 | $48.18 – $6,043.13 | 56 |
| Exchange biliary drg cath CPT 47536 | $4,845.09 | $7,453.99 | $51.42 – $7,448.87 | 56 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $1,168.05 | $1,797.00 | $389.32 – $917.84 | 48 |
| Exchange drainage catheter CPT 49423 | $3,150.81 | $4,847.40 | $59.68 – $3,992.20 | 56 |
| Exchange nephrostomy cath CPT 50435 | $3,638.69 | $5,597.99 | $85.34 – $4,348.95 | 55 |
| Excise anal ext tag/papilla CPT 46220 | $3,654.90 | $5,622.92 | $48.18 – $2,489.56 | 53 |
| Excise inferior turbinate CPT 30130 | $10,938.13 | $16,827.90 | $250.00 – $6,897.67 | 55 |
| Excise intrspinl lesion lmbr CPT 63267 | $16,174.68 | $24,884.12 | $52.82 – $15,096.24 | 56 |
| Excise lesion testis CPT 54512 | $7,399.45 | $11,383.77 | $320.00 – $7,448.87 | 55 |
| Excise lip or cheek fold CPT 40819 | $3,380.72 | $5,201.11 | $179.06 – $3,228.00 | 55 |
| Excise parotid gland/lesion CPT 42410 | $8,566.79 | $13,179.68 | $331.43 – $12,315.95 | 56 |
| Excise parotid gland/lesion CPT 42415 | $11,225.69 | $17,270.29 | $297.00 – $12,315.95 | 56 |
| Excise/repair mouth lesion CPT 40812 | $3,443.54 | $5,297.76 | $48.18 – $3,228.00 | 56 |
| Excise submaxillary gland CPT 42440 | $12,080.18 | $18,584.90 | $297.00 – $12,315.95 | 56 |
| Excision floor mouth lesion 41116 CPT 41116 | $4,554.40 | $7,006.77 | $48.18 – $6,897.67 | 56 |
| Excision lesion mouth roof CPT 42106 | $5,639.33 | $8,675.90 | $48.18 – $6,897.67 | 56 |
| Excision of anal lesion(s) CPT 46922 | $4,324.48 | $6,653.05 | $48.18 – $5,774.64 | 56 |
| Excision of neck cyst confined 42810 CPT 42810 | $4,807.04 | $7,395.44 | $8.45 – $6,897.67 | 56 |
| Excision of penis lesion(s) 54060 CPT 54060 | $4,297.21 | $6,611.10 | $48.18 – $4,292.56 | 53 |
| Excision of salivary cyst CPT 42408 | $6,491.76 | $9,987.33 | $48.18 – $6,897.67 | 56 |
| Excision of vaginal septum 57130 CPT 57130 | $7,253.79 | $11,159.68 | $146.77 – $6,734.70 | 55 |
| Excision tongue lesion without closure 41110 CPT 41110 | $5,476.93 | $8,426.04 | $48.18 – $6,897.67 | 56 |
| Exc of rectal prlpse 45130 CPT 45130 | $12,770.00 | $19,646.15 | $3.30 – $2,105.43 | 55 |
| Exc prtl bn phlnx toe CPT 28124 | $10,783.50 | $16,590.00 | $250.00 – $6,807.25 | 49 |
| Exc rect tum transanal full CPT 45172 | $9,374.28 | $14,421.97 | $320.00 – $5,774.64 | 56 |
| Exc rect tum transanal part CPT 45171 | $5,589.76 | $8,599.63 | $48.18 – $5,774.64 | 56 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $5,462.94 | $8,404.52 | $6.39 – $2,489.56 | 53 |
| Exc vagina lesion 57135 CPT 57135 | $12,664.18 | $19,483.36 | $123.02 – $12,577.45 | 56 |
| Exercise w/hemodynamic meas CPT 93464 | $590.20 | $908.00 | $123.00 – $187.16 | 5 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $3,578.41 | $5,505.24 | $48.18 – $6,897.67 | 56 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $3,363.75 | $5,175.00 | not published | 0 |
| Exploration maxillary sinus CPT 31256 | $12,341.34 | $18,986.68 | $3.86 – $14,682.73 | 56 |
| Explore chest vessels 35820 CPT 35820 | $10,749.17 | $16,537.19 | $177.77 – $3,915.29 | 55 |
| Explore parathyroid glands CPT 60500 | $11,281.46 | $17,356.10 | $157.53 – $12,315.95 | 56 |
| Extensive vulva surgery CPT 56632 | $16,559.97 | $25,476.88 | $106.00 – $2,789.75 | 55 |
| External chromosome analysis 20-25 cells CPT 88264 | $295.75 | $455.00 | $117.71 – $319.20 | 58 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $94.90 | $146.00 | $8.00 – $60.17 | 59 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $759.85 | $1,169.00 | $91.26 – $317.30 | 58 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $116.35 | $179.00 | $14.60 – $39.58 | 59 |
| F-18 fdg pet diag HCPCS A9552 | $2,399.15 | $3,691.00 | $257.48 – $727.47 | 6 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $4,217.20 | $6,488.00 | $1,699.67 – $4,029.74 | 55 |
| F-18 fluciclovine per mci HCPCS A9588 | $885.30 | $1,362.00 | $316.15 – $711.35 | 46 |
| F-18 sodium fluoride HCPCS A9580 | $564.20 | $868.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $465.40 | $716.00 | $18.86 – $181.05 | 61 |
| Factor ix CPT 85250 | $127.40 | $196.00 | $15.50 – $42.03 | 60 |
| Factor ix complex HCPCS J7194 | $7,229.43 | $11,122.20 | $1.67 – $2,245.95 | 53 |
| Factor ix non-recombinant HCPCS J7193 | $2,914.57 | $4,483.95 | $1.34 – $1,799.55 | 53 |
| Factor ix recombinant nos HCPCS J7195 | $17,389.71 | $26,753.40 | $1.80 – $1,206.68 | 58 |
| Factor viii CPT 85240 | $158.60 | $244.00 | $14.58 – $40.18 | 60 |
| Factor viii recombinant nos HCPCS J7192 | $12,765.48 | $19,639.20 | $1.54 – $1,032.30 | 58 |
| Factor viii recomb novoeight HCPCS J7182 | $7,783.03 | $11,973.90 | $1.38 – $3,710.70 | 49 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $7.15 | $11.00 | $0.40 – $1.12 | 4 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $11,874.36 | $18,268.24 | $29.10 – $8,227.71 | 58 |
| Fat/lipids feces qualitative CPT 82705 | $55.25 | $85.00 | $4.15 – $12.20 | 60 |
| Fatty acids nonesterified CPT 82725 | $183.30 | $282.00 | $15.28 – $41.43 | 60 |
| Fecal microbiota prep instil HCPCS G0455 | $235.95 | $363.00 | not published | 0 |
| #fecal-sodium CPT 84302 | $64.35 | $99.00 | $3.96 – $10.73 | 60 |
| Feeding tube reposition CPT 74355 | $602.55 | $927.00 | $48.87 – $211.62 | 5 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $247.65 | $381.00 | $15.17 – $41.14 | 55 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $530.00 | $815.39 | $0.85 – $9.27 | 9 |
| Fern test HCPCS Q0114 | $47.45 | $73.00 | $7.93 – $21.50 | 59 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $473.48 | $728.43 | $1.03 – $145.08 | 58 |
| Ferritin CPT 82728 | $48.75 | $75.00 | $11.10 – $30.09 | 59 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $5,221.50 | $8,033.07 | $0.21 – $313.04 | 57 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $568.10 | $874.00 | $34.68 – $316.77 | 60 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,740.70 | $2,678.00 | $617.87 – $1,675.45 | 55 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $1,560.00 | $2,400.00 | $32.69 – $420.61 | 55 |
| Fetal cord puncture prenatal CPT 59012 | $6,557.22 | $10,088.03 | $47.50 – $633.98 | 55 |
| Fetal fibronectin CPT 82731 | $327.60 | $504.00 | $52.43 – $142.17 | 60 |
| Fetal fluid drainage w/us CPT 59074 | $4,434.68 | $6,822.59 | $35.00 – $633.98 | 55 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $733.20 | $1,128.00 | $6.29 – $17.06 | 59 |
| Fetal hemoglobin rosette CPT 85461 | $60.45 | $93.00 | $7.62 – $20.66 | 60 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $96.20 | $148.00 | $6.75 – $42.65 | 56 |
| Fetal non stress test CPT 59025 | $1,007.50 | $1,550.00 | $19.06 – $420.61 | 55 |
| #_fet/norfentcnfrmur CPT 80354 | $150.15 | $231.00 | $0.01 – $29.55 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $36.40 | $56.00 | $8.28 – $22.47 | 59 |
| Fibrin degrade semiquant CPT 85378 | $111.15 | $171.00 | $7.91 – $21.45 | 56 |
| Fibrinogen activity CPT 85384 | $22.75 | $35.00 | $7.91 – $21.45 | 60 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $64.35 | $99.00 | $7.37 – $34.17 | 60 |
| Fibrinolytic antiplasmin CPT 85410 | $169.00 | $260.00 | $6.28 – $17.02 | 56 |
| Fibrinolytic plasminogen CPT 85415 | $239.85 | $369.00 | $13.99 – $37.94 | 60 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $479.05 | $737.00 | $5.31 – $14.41 | 56 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,141.08 | $1,755.51 | $0.26 – $175.77 | 58 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,730.61 | $2,662.47 | $0.95 – $803.52 | 58 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,429.54 | $2,199.29 | $0.33 – $234.36 | 58 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $20,889.70 | $32,138.00 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $2,884.70 | $4,438.00 | not published | 0 |
| Finasteride, 5 mg HCPCS S0138 | $4.87 | $7.50 | $0.14 – $0.26 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $722.15 | $1,111.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $2,166.40 | $3,332.93 | $42.22 – $1,473.24 | 56 |
| Fine needle asp without image guide 10021 CPT 10021 | $3,019.20 | $4,644.93 | $44.90 – $845.74 | 53 |
| Flecainide (tambocor)-sendout CPT 80181 | $114.40 | $176.00 | $15.17 – $41.14 | 59 |
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.