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 |
|---|---|---|---|---|
| Hysteroscopy biopsy CPT 58558 | $7,215.72 | $11,101.11 | $48.18 – $6,734.70 | 56 |
| Hysteroscopy dx sep proc CPT 58555 | $9,192.96 | $14,143.02 | $8.45 – $6,734.70 | 56 |
| Hysteroscopy remove fb CPT 58562 | $6,120.46 | $9,416.10 | $48.18 – $6,734.70 | 56 |
| Hysteroscopy remove myoma CPT 58561 | $7,531.88 | $11,587.51 | $48.18 – $10,407.38 | 56 |
| Hysteroscopy resect septum CPT 58560 | $9,604.72 | $14,776.50 | $48.18 – $10,407.38 | 55 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $764.26 | $1,175.79 | $185.29 – $246.42 | 5 |
| I-123 iobenguane diag HCPCS A9582 | $14,479.40 | $22,276.00 | $2,157.59 – $5,115.42 | 51 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $317.85 | $489.00 | $20.45 – $175.92 | 3 |
| I131 iodide cap, rx HCPCS A9517 | $70.20 | $108.00 | $20.60 – $58.34 | 56 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $178.10 | $274.00 | $7.32 – $7.32 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $259.35 | $399.00 | $10.92 – $29.62 | 56 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $193.05 | $297.00 | $28.57 – $77.45 | 58 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $781.56 | $1,202.40 | $51.09 – $76.08 | 7 |
| Ibuprofen injection HCPCS J1741 | $3,507.35 | $5,395.93 | $2.97 – $8.37 | 7 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $2,448.98 | $3,767.66 | $18.77 – $483.87 | 56 |
| Icatibant injection HCPCS J1744 | $3,256.50 | $5,010.00 | $1,632.90 – $3,049.50 | 5 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $30,875.00 | $47,500.00 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | $317.95 | $489.15 | $46.80 – $104.65 | 7 |
| Idh1 common variants CPT 81120 | $389.35 | $599.00 | $157.31 – $426.56 | 58 |
| Idh2 common variants CPT 81121 | $429.65 | $661.00 | $240.77 – $652.90 | 55 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $5,582.75 | $8,588.85 | $53.88 – $5,774.64 | 56 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $428.53 | $659.27 | $25.07 – $64.95 | 7 |
| Igh gene rearrange amp meth CPT 81261 | $153.40 | $236.00 | $110.20 – $437.02 | 58 |
| Igh@ var region somatic mutation analy CPT 81263 | $870.35 | $1,339.00 | $193.38 – $650.09 | 54 |
| Igk rearrangeabn clonal pop CPT 81264 | $115.70 | $178.00 | $83.31 – $381.27 | 58 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $5,926.38 | $9,117.51 | $40.26 – $3,436.08 | 61 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $7,386.57 | $11,363.95 | $68.15 – $745.73 | 61 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $5,638.78 | $8,675.04 | $39.60 – $354.45 | 62 |
| Iliac/fem angio cath insert HCPCS G0278 | $5,707.00 | $8,780.00 | $11.81 – $11.81 | 4 |
| Imatinib 100 mg tab HCPCS S0088 | $41.74 | $64.22 | $4.90 – $4.90 | 1 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $112.45 | $173.00 | $122.91 – $291.41 | 48 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $52.65 | $81.00 | $58.82 – $139.46 | 48 |
| Immune complex assay CPT 86332 | $124.80 | $192.00 | $19.83 – $53.79 | 56 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $7,523.50 | $11,574.61 | $74.85 – $2,115.94 | 58 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $143.00 | $220.00 | $16.94 – $47.03 | 59 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $127.40 | $196.00 | $16.94 – $47.03 | 59 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $108.55 | $167.00 | $9.76 – $26.44 | 56 |
| Immunodiffusion nes CPT 86329 | $252.20 | $388.00 | $11.44 – $37.20 | 60 |
| Immunofixation electrophoresis serum CPT 86334 | $143.65 | $221.00 | $18.18 – $64.58 | 60 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $9,049.50 | $13,922.31 | $40.62 – $3,436.08 | 61 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $9,049.50 | $13,922.31 | $11.58 – $354.45 | 62 |
| Immunoglobulin assay CPT 86023 | $169.00 | $260.00 | $10.14 – $28.42 | 60 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $2,193.75 | $3,375.00 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $4,862.00 | $7,480.00 | not published | 0 |
| Implant hormone pellet(s) 11980 CPT 11980 | $234.65 | $361.00 | not published | 0 |
| Implant neuroelectrode CPT 61863 | $36,116.35 | $55,563.61 | $93.30 – $3,050.31 | 55 |
| Implant neuroelectrode CPT 61867 | $39,354.62 | $60,545.57 | $27.16 – $4,509.29 | 53 |
| Implant neuroelectrodes CPT 64561 | $32,149.97 | $49,461.50 | $220.62 – $40,361.09 | 55 |
| Implant neurostim arrays CPT 61886 | $62,933.49 | $96,820.75 | $54.32 – $64,198.09 | 55 |
| Implant ureth bulk agent HCPCS L8606 | $1,706.25 | $2,625.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $9,807.34 | $15,088.21 | $297.00 – $13,258.74 | 55 |
| Implnt spinl canal catheter 62350 CPT 62350 | $7,569.90 | $11,646.00 | $359.57 – $359.57 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,493.75 | $5,375.00 | $918.47 – $2,435.07 | 55 |
| In-111 capromab pendet HCPCS A9507 | $5,441.15 | $8,371.00 | $1,647.18 – $3,819.27 | 47 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,393.60 | $2,144.00 | $191.04 – $1,645.81 | 55 |
| In-111 pentetreotide HCPCS A9572 | $4,545.45 | $6,993.00 | $128.00 – $4,416.67 | 55 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $8,307.65 | $12,781.00 | $885.71 – $3,436.08 | 56 |
| Incision of anal sphincter CPT 46080 | $4,542.45 | $6,988.39 | $13.47 – $5,774.64 | 56 |
| Incision of rectal abscess CPT 46060 | $5,385.66 | $8,285.63 | $13.47 – $5,774.64 | 56 |
| Incision of spinal nerve 64772 CPT 64772 | $9,181.58 | $14,125.51 | $220.62 – $15,096.24 | 56 |
| Incision of tongue fold CPT 41010 | $3,283.23 | $5,051.13 | $96.33 – $3,228.00 | 55 |
| Incisn of toe tndn CPT 28010 | $2,081.30 | $3,202.00 | $206.37 – $3,345.36 | 56 |
| Incobotulinumtoxin a HCPCS J0588 | $3,328.14 | $5,120.22 | $4.92 – $1,392.21 | 58 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $1,749.80 | $2,692.00 | $8.66 – $660.96 | 52 |
| Infect ag drug suscept pheno predict CPT 87900 | $616.85 | $949.00 | $106.11 – $287.72 | 60 |
| Infect ag eia influenza a or b ea CPT 87400 | $217.75 | $335.00 | $6.43 – $31.19 | 60 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $604.50 | $930.00 | $104.79 – $284.15 | 59 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $499.85 | $769.00 | $209.56 – $568.27 | 60 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $176.15 | $271.00 | $26.68 – $72.33 | 56 |
| Infect ag ia optc obs influenza CPT 87804 | $201.50 | $310.00 | $12.45 – $94.25 | 60 |
| Infect ag if influenza a CPT 87276 | $53.30 | $82.00 | $12.87 – $35.47 | 56 |
| Infect ag if influenza b CPT 87275 | $89.05 | $137.00 | $9.98 – $27.04 | 56 |
| Infect ag if varicella zoster CPT 87290 | $79.30 | $122.00 | $10.92 – $29.62 | 56 |
| Infect ag na hpv high-risk types CPT 87624 | $154.05 | $237.00 | $28.57 – $77.45 | 58 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $226.20 | $348.00 | $77.98 – $211.46 | 60 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $128.70 | $198.00 | $45.64 – $113.26 | 55 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,180.40 | $1,816.00 | $242.38 – $919.96 | 53 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $122.85 | $189.00 | $9.76 – $26.44 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $116.35 | $179.00 | $10.92 – $29.62 | 56 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $75.40 | $116.00 | $11.25 – $30.50 | 59 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $88.40 | $136.00 | $9.76 – $26.44 | 59 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $130.00 | $200.00 | $6.12 – $31.74 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $80.60 | $124.00 | $8.40 – $22.80 | 59 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $84.50 | $130.00 | $8.40 – $22.80 | 56 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $48.75 | $75.00 | $19.60 – $53.15 | 59 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $224.25 | $345.00 | $9.76 – $26.44 | 59 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $398.45 | $613.00 | $9.76 – $26.44 | 60 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $65.00 | $100.00 | $9.76 – $26.44 | 60 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $405.60 | $624.00 | $28.57 – $77.45 | 59 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $387.40 | $596.00 | $28.57 – $77.45 | 60 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $127.40 | $196.00 | $30.34 – $82.27 | 59 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,146.60 | $1,764.00 | $339.26 – $919.96 | 54 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $227.50 | $350.00 | $28.57 – $77.45 | 59 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $100.75 | $155.00 | $28.57 – $77.45 | 59 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $185.25 | $285.00 | $33.92 – $92.00 | 60 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $393.25 | $605.00 | $28.57 – $77.45 | 60 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $130.00 | $200.00 | $45.64 – $113.26 | 58 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $178.75 | $275.00 | $126.87 – $314.83 | 58 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $256.75 | $395.00 | $126.87 – $314.83 | 58 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $109.20 | $168.00 | $28.57 – $77.45 | 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.