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 |
|---|---|---|---|---|
| Amino acid screen, urine CPT 82128 | $198.90 | $306.00 | $11.29 – $30.62 | 56 |
| Amino acids quant 2-5 CPT 82136 | $347.10 | $534.00 | $15.96 – $43.29 | 60 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $44.97 | $69.19 | $8.95 – $20.65 | 4 |
| Aminolevulinic acid delta CPT 82135 | $129.35 | $199.00 | $13.39 – $36.31 | 60 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $96.20 | $148.00 | $5.17 – $29.80 | 8 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $202.10 | $310.93 | $12.60 – $32.78 | 7 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $75.12 | $115.57 | $1.95 – $5.16 | 8 |
| Amitriptyline (elavil) -sendout CPT 80335 | $119.60 | $184.00 | $0.01 – $28.28 | 3 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $43,630.44 | $67,123.76 | $21.07 – $31,272.41 | 58 |
| Ammonia CPT 82140 | $154.70 | $238.00 | $11.86 – $34.76 | 59 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $755.95 | $1,163.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $1,218.10 | $1,874.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $117.00 | $180.00 | $0.01 – $28.28 | 3 |
| Amphetamines 5 or more CPT 80326 | $76.05 | $117.00 | $0.01 – $23.60 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $209.98 | $323.04 | $50.07 – $116.68 | 8 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,114.41 | $1,714.47 | $22.37 – $300.20 | 53 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $34.74 | $53.44 | $0.71 – $1.70 | 8 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $218.72 | $336.50 | $1.54 – $33.92 | 9 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $495.95 | $763.00 | $214.07 – $580.50 | 53 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $6,460.35 | $9,939.00 | not published | 0 |
| Amylase CPT 82150 | $208.00 | $320.00 | $5.28 – $14.30 | 59 |
| Ana ds-dna CPT 86226 | $230.10 | $354.00 | $9.86 – $26.73 | 56 |
| Anal/urinary muscle study CPT 51784 | $435.50 | $670.00 | $26.63 – $267.70 | 55 |
| Anal/urinary muscle study CPT 51785 | $1,175.85 | $1,809.00 | $219.24 – $519.80 | 52 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $141.05 | $217.00 | $46.37 – $197.79 | 55 |
| Analysis gene f2 20210g>a variant CPT 81240 | $483.60 | $744.00 | $30.81 – $145.00 | 58 |
| Analysis gene f5 leiden variant CPT 81241 | $481.65 | $741.00 | $58.32 – $161.95 | 58 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $124.15 | $191.00 | $32.75 – $77.65 | 55 |
| Analysis tumor CPT 88358 | $357.50 | $550.00 | $52.88 – $354.45 | 54 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $298.35 | $459.00 | $28.95 – $77.45 | 55 |
| Anca screen with reflex to titer -quest CPT 86021 | $115.05 | $177.00 | $12.25 – $41.60 | 60 |
| An cholangiogram percutaneous compl CPT 47531 | $1,581.90 | $2,433.70 | $60.12 – $7,448.87 | 55 |
| An fluoro guide for cvp CPT 77001 | $492.05 | $757.00 | $66.86 – $241.34 | 8 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $9,550.62 | $14,693.26 | $9.16 – $11,841.05 | 56 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $6,874.40 | $10,576.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $6,443.45 | $9,913.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $11,241.94 | $17,295.30 | $9.16 – $11,841.05 | 56 |
| Ankle arthroscopy/surgery CPT 29891 | $14,893.39 | $22,912.91 | $8.45 – $15,096.24 | 56 |
| Ankle arthroscopy/surgery CPT 29892 | $13,609.05 | $20,937.00 | $0.33 – $15,096.24 | 56 |
| Ankle arthroscopy/surgery CPT 29897 | $20,844.25 | $32,068.07 | $220.62 – $15,096.24 | 56 |
| Ankle arthroscopy/surgery CPT 29898 | $11,619.06 | $17,875.47 | $220.62 – $6,807.25 | 56 |
| Ankle X-ray CPT 73610 | $652.60 | $1,004.00 | $18.00 – $181.05 | 61 |
| Anora (draw only) CPT 99001 | $9.75 | $15.00 | $6.14 – $8.00 | 5 |
| Anoscopy control bleeding 46614 CPT 46614 | $4,721.94 | $7,264.53 | $7.71 – $2,489.56 | 56 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $6,293.22 | $9,681.88 | $85.89 – $5,774.64 | 56 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $12,002.82 | $18,465.87 | $13.47 – $10,407.38 | 56 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $94.25 | $145.00 | $10.48 – $28.43 | 60 |
| Antibody elution rbc reference CPT 86860 | $61.75 | $95.00 | $6.55 – $354.45 | 62 |
| Antibody htlv/hiv confirm test CPT 86689 | $199.55 | $307.00 | $15.75 – $42.71 | 60 |
| Antibody htlv-i CPT 86687 | $91.00 | $140.00 | $7.40 – $20.06 | 56 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $449.15 | $691.00 | $14.95 – $57.97 | 60 |
| Antibody id rbc panel CPT 86870 | $493.35 | $759.00 | $11.00 – $745.73 | 62 |
| Antibody influenza virus CPT 86710 | $144.95 | $223.00 | $11.03 – $29.91 | 56 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $88.40 | $136.00 | $10.47 – $28.41 | 56 |
| Antibody screen rbc CPT 86850 | $294.45 | $453.00 | $5.00 – $108.42 | 62 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $32.50 | $50.00 | $0.89 – $3.93 | 58 |
| Antihemophilic viii/vwf comp HCPCS J7186 | $9,248.46 | $14,228.40 | $1.23 – $1,646.10 | 58 |
| Anti-inhibitor HCPCS J7198 | $32.50 | $50.00 | $2.37 – $6,361.20 | 53 |
| Anti mog serum - sendout CPT 86362 | $1,040.65 | $1,601.00 | $9.81 – $26.60 | 57 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $84.50 | $130.00 | $9.81 – $26.60 | 59 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $226.20 | $348.00 | $9.81 – $26.60 | 59 |
| Antinuclear antibodies CPT 86038 | $180.05 | $277.00 | $9.85 – $26.69 | 59 |
| Antinuclear antibodies titer CPT 86039 | $128.05 | $197.00 | $9.09 – $24.63 | 59 |
| Antiphosphatidylserine antibody CPT 86148 | $123.50 | $190.00 | $13.08 – $35.47 | 56 |
| Antistreptolysin o titer CPT 86060 | $57.85 | $89.00 | $5.94 – $16.11 | 60 |
| Antithrombin iii activity CPT 85300 | $151.45 | $233.00 | $9.65 – $26.16 | 60 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $17,306.26 | $26,625.02 | $262.24 – $13,930.08 | 53 |
| Apheresis plasma CPT 36514 | $5,802.09 | $8,926.30 | $76.67 – $3,240.16 | 55 |
| Apheresis platelets CPT 36513 | $10,037.57 | $15,442.42 | $86.46 – $917.84 | 55 |
| Apheresis rbc CPT 36512 | $4,741.07 | $7,293.96 | $64.56 – $3,240.16 | 55 |
| Apheresis wbc CPT 36511 | $2,728.70 | $4,198.00 | $1,440.04 – $3,240.16 | 48 |
| Apl(pml-rara) quant - sendout CPT 81315 | $370.50 | $570.00 | $87.45 – $457.60 | 59 |
| Appendix Removal (Laparoscopic) CPT 44970 | $9,610.77 | $14,785.80 | $48.18 – $12,577.45 | 56 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,842.75 | $2,835.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $7,710.30 | $11,862.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $3,723.20 | $5,728.00 | $34.64 – $69.79 | 6 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $620.10 | $954.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $599.95 | $923.00 | $75.33 – $338.07 | 55 |
| Application of forearm cast 29075 CPT 29075 | $1,116.05 | $1,717.00 | $55.51 – $581.89 | 55 |
| Application of long arm cast 29065 CPT 29065 | $366.60 | $564.00 | $85.30 – $581.89 | 48 |
| Application of paste boot 29580 CPT 29580 | $709.15 | $1,091.00 | $55.02 – $338.07 | 55 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,160.25 | $1,785.00 | not published | 0 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,160.25 | $1,785.00 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $156.00 | $240.00 | $5.19 – $16.17 | 50 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $217.10 | $334.00 | $10.61 – $28.74 | 51 |
| Apply finger cast 29086 CPT 29086 | $309.40 | $476.00 | $43.81 – $338.07 | 55 |
| Apply hand/wrist cast 29085 CPT 29085 | $289.25 | $445.00 | $84.49 – $338.07 | 48 |
| Apply interstit radiat compl CPT 77778 | $6,247.80 | $9,612.00 | $135.00 – $1,448.99 | 57 |
| Apply intrcav radiat compl CPT 77763 | $4,743.70 | $7,298.00 | $275.72 – $1,448.99 | 49 |
| Apply intrcav radiat interm CPT 77762 | $17,893.20 | $27,528.00 | $211.11 – $1,149.54 | 49 |
| Apply intrcav radiat simple CPT 77761 | $7,001.80 | $10,772.00 | $183.95 – $1,149.54 | 49 |
| Apply rigid leg cast 29445 CPT 29445 | $963.30 | $1,482.00 | not published | 0 |
| Apply surf ldr radionuclide CPT 77789 | $349.70 | $538.00 | $14.00 – $281.57 | 49 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $2,028.37 | $3,120.57 | $1.58 – $580.32 | 58 |
| #aptt mix-1:1 incubated CPT 87532 | $323.05 | $497.00 | $28.57 – $77.45 | 59 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $231.40 | $356.00 | $9.81 – $83.28 | 55 |
| Aquaporin-4 antibody cba each CPT 86052 | $566.15 | $871.00 | $9.81 – $26.60 | 58 |
| Aquaporin-4 antibody elisa CPT 86051 | $263.90 | $406.00 | $9.38 – $25.45 | 55 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $96.20 | $148.00 | $32.15 – $77.17 | 54 |
| Aquatic exercise - group charge CPT 97150 | $237.25 | $365.00 | $5.94 – $37.94 | 54 |
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.