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 |
|---|---|---|---|---|
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $139.10 | $214.00 | $23.13 – $334.63 | 53 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $403.65 | $621.00 | $124.72 – $334.63 | 49 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $32,353.75 | $49,775.00 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,109.25 | $3,245.00 | not published | 0 |
| Granisetron hcl injection HCPCS J1626 | $819.74 | $1,261.14 | $1.80 – $4.19 | 8 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $72.80 | $112.00 | $11.72 – $26.38 | 44 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,847.00 | $4,380.00 | $67.46 – $4,348.95 | 53 |
| Guided cath fluid drainage 10030 CPT 10030 | $843.70 | $1,298.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,826.25 | $7,425.00 | $9.60 – $9.60 | 1 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $329.55 | $507.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $30,798.30 | $47,382.00 | $35.39 – $1,149.54 | 56 |
| Gw stiffened micro access kit HCPCS C1894 | $2,925.00 | $4,500.00 | $405.42 – $405.42 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.15 | $11.00 | $0.90 – $13.88 | 9 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $19.50 | $30.00 | $5.77 – $7.00 | 5 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,058.00 | $9,320.00 | not published | 0 |
| Hand X-ray CPT 73130 | $384.80 | $592.00 | $24.14 – $181.05 | 61 |
| Haptoglobin quantitative CPT 83010 | $115.05 | $177.00 | $10.24 – $27.77 | 60 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,210.95 | $1,863.00 | $488.40 – $1,324.38 | 58 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $599.30 | $922.00 | $164.76 – $446.76 | 58 |
| Hbb full gene sequence CPT 81364 | $404.95 | $623.00 | $264.21 – $716.45 | 59 |
| Hbb gene dup/del variants CPT 81363 | $676.65 | $1,041.00 | $164.76 – $446.76 | 55 |
| Hbot, full body chamber, 30m HCPCS G0277 | $620.10 | $954.00 | $120.75 – $286.29 | 55 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,885.00 | $2,900.00 | $35.00 – $705.72 | 53 |
| Hcg free betachain test CPT 84704 | $123.50 | $190.00 | $11.67 – $33.75 | 56 |
| Hcg qualitative CPT 84703 | $291.20 | $448.00 | $6.12 – $30.80 | 59 |
| Hcg quantitative CPT 84702 | $203.45 | $313.00 | $11.54 – $33.22 | 59 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $179.40 | $276.00 | $12.04 – $12.04 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,652.00 | $4,080.00 | $205.35 – $1,448.99 | 56 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $3,103.75 | $4,775.00 | $339.36 – $1,448.99 | 56 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $4,207.45 | $6,473.00 | $519.97 – $1,448.99 | 48 |
| Hdr rdncl skn surf brachytx CPT 77767 | $2,648.10 | $4,074.00 | $162.61 – $802.42 | 56 |
| Hdr rdncl skn surf brachytx CPT 77768 | $4,019.60 | $6,184.00 | $244.21 – $802.42 | 56 |
| Head CT scan (with and without contrast) CPT 70470 | $3,149.90 | $4,846.00 | $98.54 – $569.97 | 61 |
| Head CT scan (with contrast) CPT 70460 | $1,528.80 | $2,352.00 | $82.45 – $455.88 | 61 |
| Head CT scan (without contrast) CPT 70450 | $1,493.70 | $2,298.00 | $57.46 – $381.16 | 61 |
| Helicobacter pylori antibody igm CPT 86677 | $138.45 | $213.00 | $13.72 – $37.19 | 56 |
| Hematocrit CPT 85014 | $93.60 | $144.00 | $1.93 – $5.23 | 59 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $37,212.55 | $57,250.08 | $34.64 – $32,527.22 | 53 |
| Hemodialysis one evaluation CPT 90935 | $1,329.90 | $2,046.00 | $60.68 – $1,427.85 | 55 |
| Hemoglobin CPT 85018 | $63.05 | $97.00 | $1.93 – $5.36 | 59 |
| Hemoglobin fetal qualitative CPT 83033 | $125.45 | $193.00 | $6.51 – $17.66 | 56 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $183.30 | $282.00 | $6.68 – $18.10 | 60 |
| Hemoglobin plasma CPT 83051 | $85.80 | $132.00 | $5.95 – $16.89 | 60 |
| Hemolysins and agglutinins incubated CPT 86941 | $97.50 | $150.00 | $9.86 – $26.73 | 56 |
| Hemophilus influenza antibdy CPT 86684 | $139.75 | $215.00 | $12.89 – $34.96 | 60 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $3,349.87 | $5,153.65 | $48.18 – $1,934.74 | 53 |
| Heparin assay CPT 85520 | $141.05 | $217.00 | $10.66 – $28.89 | 59 |
| Heparin bolus from bag HCPCS J1644 | $166.23 | $255.74 | $0.20 – $6.24 | 9 |
| Heparin neutralization CPT 85525 | $105.95 | $163.00 | $9.64 – $26.13 | 60 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $7.15 | $11.00 | $0.02 – $1.01 | 5 |
| Hepatitis a antibody igm CPT 86709 | $74.75 | $115.00 | $9.16 – $29.53 | 60 |
| Hepatitis b core antibody igm CPT 86705 | $74.75 | $115.00 | $9.58 – $35.01 | 60 |
| Hepatitis b core antibody total CPT 86704 | $74.75 | $115.00 | $9.81 – $32.81 | 59 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $3,457.48 | $5,319.20 | $60.48 – $369.03 | 52 |
| Hepatitis b surface antibody CPT 86706 | $74.75 | $115.00 | $8.75 – $25.15 | 59 |
| Hepatitis c antibody CPT 86803 | $74.75 | $115.00 | $11.62 – $31.50 | 59 |
| Hepatobiliary system imaging CPT 78226 | $2,566.85 | $3,949.00 | $218.43 – $1,438.19 | 57 |
| Hereditary colon ca dsordrs CPT 81435 | $2,904.85 | $4,469.00 | $476.11 – $2,878.21 | 59 |
| Hernia Repair (Inguinal) CPT 49505 | $7,904.78 | $12,161.20 | $363.00 – $7,448.87 | 55 |
| Herpes simplex 1 ag if CPT 87274 | $89.05 | $137.00 | $9.76 – $26.44 | 56 |
| Herpes simplex 2 ag if CPT 87273 | $94.90 | $146.00 | $9.76 – $26.44 | 56 |
| Herpes simplex type 1 antibody igg CPT 86695 | $164.45 | $253.00 | $10.74 – $29.11 | 59 |
| Herpes simplex type 2 antibody igg CPT 86696 | $130.65 | $201.00 | $15.75 – $43.75 | 59 |
| Heterophile antibodies screening CPT 86308 | $170.30 | $262.00 | $4.21 – $11.43 | 60 |
| Hexa gene CPT 81255 | $907.40 | $1,396.00 | $41.88 – $113.57 | 55 |
| Hip arthr0 w/debridement CPT 29862 | $12,802.95 | $19,696.85 | $0.33 – $15,096.24 | 56 |
| Hip arthr0 w/synovectomy CPT 29863 | $12,852.38 | $19,772.90 | $13.47 – $15,096.24 | 56 |
| Hip arthro acetabuloplasty CPT 29915 | $15,189.84 | $23,368.98 | $0.33 – $15,096.24 | 56 |
| Hip arthro w/femoroplasty CPT 29914 | $20,385.59 | $31,362.45 | $8.45 – $15,096.24 | 56 |
| Hip arthro w/labral repair CPT 29916 | $20,385.59 | $31,362.45 | $8.45 – $15,096.24 | 56 |
| Hip X-ray CPT 73502 | $244.40 | $376.00 | $27.84 – $181.05 | 59 |
| Histamine CPT 83088 | $206.05 | $317.00 | $24.04 – $65.18 | 60 |
| Histochemical stains add-on CPT 88314 | $18,535.28 | $28,515.81 | $40.00 – $6,043.13 | 62 |
| Hla class i high defin qual CPT 86832 | $835.25 | $1,285.00 | $161.59 – $714.61 | 56 |
| Hla ii typing 1 loc hr CPT 81382 | $782.60 | $1,204.00 | $100.67 – $273.00 | 59 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $255.45 | $393.00 | $96.72 – $375.02 | 59 |
| Hla typing a b or c CPT 86813 | $415.35 | $639.00 | $47.21 – $128.02 | 60 |
| Hla typing dr/dq CPT 86816 | $370.50 | $570.00 | $24.56 – $66.59 | 56 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $14.22 | $21.88 | $3.00 – $6.98 | 3 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $46.12 | $70.95 | $7.50 – $17.58 | 3 |
| Home health re-certification physician g0179 HCPCS G0179 | $73.45 | $113.00 | $36.45 – $91.23 | 48 |
| Home sleep test/type 3 porta HCPCS G0399 | $1,126.45 | $1,733.00 | $189.47 – $449.22 | 51 |
| Homocysteine CPT 83090 | $167.70 | $258.00 | $14.59 – $39.55 | 60 |
| Homogenization tissue CPT 87176 | $44.85 | $69.00 | $4.79 – $14.14 | 59 |
| Homovanillic acid (hva) CPT 83150 | $118.30 | $182.00 | $12.89 – $49.47 | 60 |
| Hpv types 16 & 18 only CPT 87625 | $118.30 | $182.00 | $33.01 – $89.51 | 59 |
| H pylori (c-13) breath CPT 83013 | $334.10 | $514.00 | $41.33 – $148.68 | 59 |
| H pylori drug admin CPT 83014 | $26.00 | $40.00 | $6.40 – $17.35 | 59 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $244.10 | $375.54 | $60.00 – $142.29 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $74.54 | $114.68 | $4.08 – $64.60 | 9 |
| Hydration IV infusion each additional hour CPT 96361 | $339.30 | $522.00 | $41.09 – $97.42 | 55 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $563.55 | $867.00 | $186.65 – $442.52 | 55 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $879.50 | $1,353.07 | $4.94 – $58.28 | 9 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $1,398.20 | $2,151.08 | $0.27 – $0.84 | 8 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $101.54 | $156.21 | $4.38 – $79.85 | 9 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $169.65 | $261.00 | $14.58 – $39.51 | 56 |
| Hymenotomy CPT 56442 | $5,404.05 | $8,313.92 | $8.45 – $6,734.70 | 56 |
| Hyoscyamine sulfate inj HCPCS J1980 | $236.22 | $363.42 | $24.90 – $62.99 | 5 |
| Hysterosalpingography s&i CPT 74740 | $1,061.45 | $1,633.00 | $63.01 – $496.40 | 61 |
| Hysteroscopy ablation CPT 58563 | $8,997.19 | $13,841.83 | $48.18 – $10,407.38 | 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.