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 |
|---|---|---|---|---|
| Fl exam g/colon tube w contrast CPT 49465 | $244.40 | $376.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $2,398.27 | $3,689.65 | $8.45 – $1,934.74 | 53 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $4,193.15 | $6,451.00 | $1,134.30 – $3,497.84 | 55 |
| Flow cytometry interp 16 or more CPT 88189 | $390.00 | $600.00 | $66.00 – $169.37 | 60 |
| Flow cytometry marker each additional CPT 88185 | $62.40 | $96.00 | $15.88 – $51.12 | 13 |
| Flow cytometry one marker technical component CPT 88184 | $307.45 | $473.00 | $43.18 – $745.73 | 62 |
| #flow interp 9 - 15 markers CPT 88188 | $265.20 | $408.00 | $48.97 – $124.56 | 59 |
| Flt3 gene CPT 81245 | $711.10 | $1,094.00 | $83.33 – $365.33 | 58 |
| Flt3 gene analysis CPT 81246 | $685.75 | $1,055.00 | $67.56 – $183.21 | 58 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $90.99 | $139.99 | $2.39 – $10.18 | 8 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $830.28 | $1,277.35 | $134.32 – $573.07 | 7 |
| Fluidotherapy charges pt CPT 97022 | $243.10 | $374.00 | $13.65 – $34.75 | 55 |
| Fluorescent antibody titer dna CPT 86256 | $139.10 | $214.00 | $9.81 – $36.71 | 60 |
| Fluoroestradiol f 18 HCPCS A9591 | $1,901.25 | $2,925.00 | $428.65 – $1,016.29 | 51 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $420.55 | $647.00 | $64.12 – $366.88 | 8 |
| Fluoroguide needle placement CPT 77002 | $621.40 | $956.00 | $65.45 – $301.69 | 8 |
| Fluoroscopy up to 1 hour CPT 76000 | $474.50 | $730.00 | $23.30 – $496.40 | 61 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $252.74 | $388.83 | $1.62 – $43.30 | 9 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $34.12 | $52.50 | $6.37 – $14.70 | 8 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,347.15 | $3,611.00 | $9.16 – $260.52 | 52 |
| Folic acid CPT 82746 | $85.80 | $132.00 | $11.97 – $33.80 | 59 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $7.15 | $11.00 | $0.60 – $1.40 | 4 |
| Follow-up angiography CPT 75898 | $842.40 | $1,296.00 | $85.36 – $6,569.00 | 60 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $5,638.99 | $8,675.37 | $6.41 – $1,474.00 | 48 |
| Fondaparinux sodium HCPCS J1652 | $237.63 | $365.58 | $3.35 – $10.46 | 8 |
| Foot X-ray CPT 73630 | $654.55 | $1,007.00 | $21.91 – $181.05 | 61 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $985.62 | $1,516.34 | $13.80 – $32.09 | 8 |
| Foscarnet sodium injection HCPCS J1455 | $2,068.05 | $3,181.61 | $52.20 – $268.86 | 8 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $94.05 | $144.70 | $1.24 – $10.88 | 53 |
| _fragile x methylation-sendout CPT 81244 | $385.45 | $593.00 | $36.54 – $99.09 | 59 |
| Fragmenting of kidney stone CPT 50590 | $10,057.42 | $15,472.95 | $8.45 – $7,333.57 | 56 |
| Frenectomy 41115 CPT 41115 | $3,610.58 | $5,554.74 | $8.45 – $3,228.00 | 56 |
| Frenotomy 40806 CPT 40806 | $4,077.57 | $6,273.18 | $26.91 – $12,315.95 | 55 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $520.00 | $800.00 | $61.16 – $159.58 | 55 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $419.90 | $646.00 | $52.21 – $185.99 | 55 |
| Fresh frozen plasma thawing ea un CPT 86927 | $131.30 | $202.00 | $5.00 – $354.45 | 49 |
| Frozen blood freeze/thaw CPT 86932 | $254.15 | $391.00 | $34.54 – $98.71 | 49 |
| Fructosamine glycated protein CPT 82985 | $70.20 | $108.00 | $13.64 – $36.99 | 60 |
| Ftl cgen abnor four anal CPT 81511 | $382.85 | $589.00 | $124.95 – $338.82 | 55 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $7.15 | $11.00 | $0.40 – $1.12 | 4 |
| G0180 home health certification HCPCS G0180 | $97.50 | $150.00 | $46.86 – $117.21 | 53 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $939.25 | $1,445.00 | $14.68 – $14.68 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $185.25 | $285.00 | $46.21 – $109.55 | 51 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $363.08 | $558.59 | $25.50 – $60.68 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $114.95 | $176.84 | $8.25 – $816.51 | 5 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $621.01 | $955.40 | $135.00 – $387.53 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $596.70 | $918.00 | $17.15 – $46.51 | 60 |
| Galactose transferase test CPT 82776 | $29.25 | $45.00 | $9.17 – $25.91 | 60 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $8,811.64 | $13,556.37 | $48.18 – $12,577.45 | 56 |
| Gallium illuccix 1 millicure HCPCS A9596 | $871.00 | $1,340.00 | $445.50 – $1,056.24 | 55 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,548.11 | $2,381.71 | $32.80 – $1,288.42 | 53 |
| Gammaglobulin iga CPT 82784 | $109.20 | $168.00 | $7.57 – $20.53 | 59 |
| Gammaglobulin ige CPT 82785 | $80.60 | $124.00 | $13.40 – $36.33 | 59 |
| Gamma glutamyltransferase CPT 82977 | $144.95 | $223.00 | $5.86 – $15.89 | 59 |
| Gamunex-c/gammaked HCPCS J1561 | $19,955.83 | $30,701.28 | $46.29 – $261.76 | 58 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $425.51 | $654.63 | $28.74 – $89.61 | 7 |
| Gardner vag dna quant CPT 87512 | $99.45 | $153.00 | $23.52 – $92.18 | 56 |
| Gastroesophageal reflux study CPT 78262 | $1,552.85 | $2,389.00 | $64.00 – $1,027.47 | 49 |
| Gastroesophageal reflux test CPT 91034 | $1,030.25 | $1,585.00 | $159.60 – $776.34 | 55 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $505.89 | $778.30 | $2.87 – $8.51 | 8 |
| General health panel CPT 80050 | $338.65 | $521.00 | $29.54 – $58.64 | 10 |
| Generator barostim neo2 2014 HCPCS C1767 | $37,752.00 | $58,080.00 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $19,500.00 | $30,000.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $30.76 | $47.32 | $2.20 – $11.46 | 9 |
| Gentamicin peak therapeutic drug level CPT 80170 | $83.85 | $129.00 | $13.33 – $37.36 | 60 |
| G-esoph reflx tst w/electrod CPT 91035 | $2,960.10 | $4,554.00 | $330.48 – $1,786.57 | 55 |
| Ghs abscess perianal iandd CPT 46050 | $5,078.70 | $7,813.39 | $0.33 – $1,934.74 | 53 |
| Ghs abscess postoperative iandd complex CPT 10180 | $8,409.70 | $12,938.00 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $100.10 | $154.00 | $7.99 – $21.65 | 56 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $813.80 | $1,252.00 | $83.24 – $225.72 | 59 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $410.15 | $631.00 | $9.90 – $276.80 | 55 |
| Ghs antibodies (torch) igm CPT 86694 | $105.95 | $163.00 | $11.72 – $31.76 | 60 |
| Ghs bladder cath - complex-foley CPT 51703 | $34,571.78 | $53,187.36 | $65.66 – $31,458.01 | 59 |
| Ghs bleeding time (ivy) CPT 85002 | $390.65 | $601.00 | $3.93 – $10.64 | 56 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $2,615.09 | $4,023.21 | $110.36 – $1,840.11 | 52 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,084.85 | $1,669.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $2,019.92 | $3,107.57 | $172.35 – $3,992.20 | 55 |
| Ghs chemo >8 hrs CPT 96416 | $437.45 | $673.00 | $138.66 – $687.19 | 56 |
| Ghs chemo IV push, ea addtl CPT 96411 | $236.60 | $364.00 | $59.87 – $149.79 | 56 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $153.40 | $236.00 | $28.57 – $77.45 | 56 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $6,233.13 | $9,589.43 | $0.33 – $6,807.25 | 56 |
| Ghs community re-entry 15 minutes CPT 97537 | $104.00 | $160.00 | $28.36 – $67.23 | 50 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,845.70 | $4,378.00 | $9.16 – $1,468.55 | 56 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $715.65 | $1,101.00 | $189.47 – $449.22 | 55 |
| Ghs fat & muscle CPT 89160 | $73.45 | $113.00 | $3.95 – $10.71 | 56 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $68.90 | $106.00 | $2.26 – $18.59 | 60 |
| Ghs fish cytogen CPT 88271 | $258.05 | $397.00 | $17.44 – $47.28 | 60 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $115.05 | $177.00 | $41.67 – $112.99 | 60 |
| Ghs gastric intub aspiration lavage CPT 43753 | $10,473.48 | $16,113.05 | $19.11 – $397.08 | 55 |
| Ghs hcv amplificaiton CPT 87521 | $283.40 | $436.00 | $28.57 – $77.45 | 53 |
| Ghs hgb stability-thal CPT 83068 | $70.85 | $109.00 | $7.71 – $20.90 | 59 |
| Ghs histoplasma antigen CPT 87385 | $229.45 | $353.00 | $10.79 – $29.25 | 59 |
| Ghs HIV antibody CPT 86703 | $187.85 | $289.00 | $7.91 – $30.26 | 60 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $518.70 | $798.00 | $86.39 – $234.28 | 56 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $7,933.24 | $12,204.98 | $47.56 – $7,333.57 | 56 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $5,367.04 | $8,256.98 | $25.46 – $2,489.56 | 53 |
| Ghs immun0electrophoresis CPT 86320 | $97.50 | $150.00 | $24.35 – $66.04 | 56 |
| Ghs inf midline insertion CPT 36140 | $24,389.53 | $37,522.35 | $315.63 – $11,576.67 | 56 |
| Ghs inhibitor screen CPT 85335 | $556.40 | $856.00 | $10.47 – $28.41 | 60 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $7,077.85 | $10,889.00 | $160.66 – $1,840.11 | 52 |
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.