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 |
|---|---|---|---|---|
| Ghs inj neurolytic other perph nerve CPT 64640 | $3,099.20 | $4,768.00 | $107.36 – $1,840.11 | 54 |
| Ghs inj tendon origin/insertion CPT 20551 | $449.80 | $692.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,634.10 | $2,514.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,600.65 | $4,001.00 | $113.08 – $1,840.11 | 52 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $6,681.00 | $10,278.46 | $213.59 – $6,043.13 | 55 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $12,649.93 | $19,461.43 | $0.33 – $6,043.13 | 56 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $9,533.65 | $14,667.16 | $3.86 – $6,043.13 | 56 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $6,766.98 | $10,410.74 | $9.16 – $6,569.00 | 56 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $98.80 | $152.00 | $15.83 – $97.42 | 55 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $5,201.02 | $8,001.57 | $48.18 – $845.74 | 53 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $4,989.00 | $7,675.39 | $48.18 – $3,436.08 | 56 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $4,823.88 | $7,421.36 | $48.18 – $845.74 | 53 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $5,284.73 | $8,130.35 | $48.18 – $845.74 | 53 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $4,980.74 | $7,662.67 | $48.18 – $6,043.13 | 56 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $8,004.70 | $12,314.92 | $48.18 – $3,436.08 | 56 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $4,970.24 | $7,646.53 | $8.45 – $3,436.08 | 56 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $7,914.12 | $12,175.57 | $157.53 – $6,043.13 | 56 |
| Ghs mbp CPT 83873 | $61.75 | $95.00 | $14.00 – $46.94 | 59 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $948.35 | $1,459.00 | $52.17 – $88.58 | 5 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $602.55 | $927.00 | $73.98 – $73.98 | 4 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $598.00 | $920.00 | $66.84 – $106.47 | 6 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $145.60 | $224.00 | $9.67 – $17.45 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $475.80 | $732.00 | $52.85 – $80.97 | 6 |
| Ghs musc test done w/n test comp CPT 95886 | $394.55 | $607.00 | $42.76 – $143.17 | 5 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $233.35 | $359.00 | $40.59 – $91.05 | 5 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $211.25 | $325.00 | $43.49 – $125.69 | 6 |
| Ghs myocardial strain img spckl track CPT 93356 | $583.05 | $897.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $5,167.10 | $7,949.39 | $21.28 – $1,840.11 | 52 |
| Ghs nerve blk intercostal, single level CPT 64420 | $5,167.10 | $7,949.39 | $51.04 – $1,468.55 | 52 |
| Ghs nerve block axillary nerve CPT 64417 | $8,481.48 | $13,048.43 | $220.62 – $26,710.31 | 56 |
| Ghs nerve block brachial plexus CPT 64415 | $11,048.50 | $16,997.70 | $0.33 – $15,096.24 | 56 |
| Ghs nerve block celiac plexus CPT 64530 | $2,835.90 | $4,362.92 | $82.59 – $1,840.11 | 52 |
| Ghs nerve block interscaline CPT 64510 | $2,677.30 | $4,118.92 | $67.23 – $1,840.11 | 52 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,719.03 | $4,183.13 | $74.03 – $1,840.11 | 52 |
| Ghs nerve block sciatic nerve CPT 64445 | $14,955.43 | $23,008.36 | $64.35 – $15,096.24 | 56 |
| Ghs nerve block suprascapular CPT 64418 | $2,018.25 | $3,105.00 | $47.09 – $1,468.55 | 55 |
| Ghs ng placement w fluoro guidance CPT 43752 | $282.10 | $434.00 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $627.90 | $966.00 | not published | 0 |
| Ghs opcc repair cvp w subq port CPT 36576 | $11,681.86 | $17,972.09 | $9.16 – $3,274.96 | 56 |
| Ghs ot dds rom CPT 95851 | $282.75 | $435.00 | $6.08 – $36.89 | 53 |
| Ghs ot group caregiver training CPT 97552 | $37.70 | $58.00 | $8.55 – $29.71 | 49 |
| Ghs ot prosthetic training/15 min CPT 97761 | $85.80 | $132.00 | $35.41 – $83.94 | 54 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $130.65 | $201.00 | $44.89 – $124.14 | 54 |
| Ghs ot work hardening-additional hours CPT 97546 | $244.40 | $376.00 | $52.40 – $52.40 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $930.80 | $1,432.00 | $45.00 – $1,375.07 | 55 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $3,232.90 | $4,973.70 | $50.12 – $1,840.11 | 52 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $3,702.85 | $5,696.70 | $3.86 – $1,840.11 | 53 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $81.25 | $125.00 | $16.97 – $32.06 | 10 |
| Ghs phenylketonurid CPT 84030 | $120.25 | $185.00 | $4.38 – $12.14 | 60 |
| Ghs picc line insert < 5 CPT 36568 | $1,483.95 | $2,283.00 | $82.53 – $3,274.96 | 56 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $6,689.80 | $10,292.00 | $675.41 – $1,786.57 | 55 |
| Ghs ppd (tb intradermal) CPT 86580 | $90.35 | $139.00 | $7.67 – $60.17 | 62 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $102.70 | $158.00 | $7.87 – $21.32 | 56 |
| Ghs protein, misc fluid CPT 84160 | $33.15 | $51.00 | $4.57 – $12.38 | 56 |
| Ghs protoporphyrins fract CPT 84202 | $140.40 | $216.00 | $11.68 – $31.67 | 56 |
| Ghs pr without cont pulse ox CPT 94625 | $244.40 | $376.00 | $51.77 – $122.73 | 51 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $353.60 | $544.00 | $110.41 – $110.41 | 1 |
| Ghs quinidine CPT 80194 | $105.30 | $162.00 | $11.88 – $32.23 | 56 |
| Ghs reticulocyte count CPT 85044 | $139.10 | $214.00 | $3.51 – $9.51 | 60 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $472.55 | $727.00 | $11.32 – $30.70 | 60 |
| Ghs sedimentation rate CPT 85651 | $61.10 | $94.00 | $3.48 – $9.43 | 60 |
| Ghs semen analysis fert CPT 89320 | $106.60 | $164.00 | $10.02 – $27.17 | 53 |
| Ghs sensitivity (per antimicro) CPT 87184 | $63.70 | $98.00 | $6.09 – $16.51 | 59 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $4,811.62 | $7,402.50 | $69.24 – $417.41 | 52 |
| Ghs sleep study unattended CPT 95800 | $519.35 | $799.00 | $116.07 – $449.22 | 56 |
| Ghs somatosensory testing lower extremit CPT 95926 | $949.00 | $1,460.00 | $31.85 – $449.22 | 55 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,051.70 | $1,618.00 | $268.54 – $1,786.57 | 55 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $107.25 | $165.00 | $22.13 – $100.17 | 52 |
| Ghs sphenopalatine ganglion block CPT 64505 | $237.25 | $365.00 | $91.83 – $638.60 | 55 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $352.95 | $543.00 | $90.65 – $214.92 | 52 |
| Ghs st - re-eval for alt comm CPT 92597 | $559.65 | $861.00 | $63.48 – $150.52 | 53 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $6,129.36 | $9,429.78 | $16.97 – $1,537.61 | 53 |
| Ghs urine, porphyrins quant CPT 84120 | $101.40 | $156.00 | $11.98 – $32.47 | 60 |
| Ghs vaginal delivery only CPT 59409 | $1,624.35 | $2,499.00 | $706.07 – $6,734.70 | 49 |
| Gi inhouse confirmation CPT 87045 | $103.35 | $159.00 | $7.69 – $20.84 | 59 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,959.45 | $4,553.00 | $615.58 – $1,886.94 | 55 |
| Glassia injection HCPCS J0257 | $2,930.91 | $4,509.10 | $5.27 – $1,489.86 | 58 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,224.86 | $1,884.40 | $38.55 – $385.16 | 58 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,105.35 | $1,700.54 | $111.91 – $355.33 | 58 |
| Glucagon plasma - sendout CPT 82943 | $280.15 | $431.00 | $11.63 – $31.54 | 56 |
| Glucose 1 hr post dose CPT 82950 | $30.55 | $47.00 | $3.87 – $10.48 | 60 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $176.15 | $271.00 | $4.93 – $13.35 | 56 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $88.40 | $136.00 | $2.67 – $7.24 | 56 |
| Glucose blood quantitative CPT 82947 | $75.40 | $116.00 | $3.20 – $9.40 | 59 |
| Glucose body fluid CPT 82945 | $14.30 | $22.00 | $3.20 – $8.67 | 59 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $144.30 | $222.00 | $51.77 – $122.73 | 55 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $103.35 | $159.00 | $10.47 – $28.41 | 60 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $29.25 | $45.00 | $3.19 – $9.40 | 60 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $13.12 | $20.18 | $0.42 – $0.95 | 8 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $7,338.80 | $11,290.46 | $10.51 – $1,485.68 | 58 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $66.30 | $102.00 | $15.13 – $41.01 | 59 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $217.10 | $334.00 | $15.07 – $40.88 | 59 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $11,772.51 | $18,111.56 | $318.75 – $1,427.49 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $75.40 | $116.00 | $28.53 – $334.63 | 56 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,963.00 | $3,020.00 | $118.37 – $334.63 | 52 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $19,500.00 | $30,000.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $15,722.85 | $24,189.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $126.10 | $194.00 | $34.27 – $334.63 | 53 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $288.60 | $444.00 | $115.47 – $334.63 | 51 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $682.50 | $1,050.00 | $118.37 – $334.63 | 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.