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 |
|---|---|---|---|---|
| Iron CPT 83540 | $59.15 | $91.00 | $5.27 – $15.05 | 59 |
| Iron binding capacity CPT 83550 | $57.85 | $89.00 | $7.12 – $19.29 | 59 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $42.82 | $65.87 | $12.25 – $47.65 | 58 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $284.13 | $437.12 | $23.00 – $58.59 | 8 |
| Irradiation of blood product each unit reference CPT 86945 | $73.45 | $113.00 | $14.05 – $77.71 | 58 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $111.80 | $172.00 | $20.94 – $122.73 | 56 |
| Ivc venogram s&i CPT 75825 | $2,241.20 | $3,448.00 | $51.35 – $6,569.00 | 61 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $250.25 | $385.00 | $63.18 – $149.79 | 55 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $243.75 | $375.00 | $16.94 – $64.56 | 6 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $169.65 | $261.00 | $41.09 – $97.42 | 55 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $512.85 | $789.00 | $90.58 – $442.52 | 55 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $955.50 | $1,470.00 | $55.00 – $397.24 | 61 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $22,113.32 | $34,020.49 | $130.11 – $5,517.50 | 58 |
| Jak2 targeted sequence analysis CPT 81279 | $530.40 | $816.00 | $150.76 – $408.79 | 59 |
| John cunningham antibody CPT 86711 | $1,040.00 | $1,600.00 | $13.75 – $37.28 | 59 |
| J-tube placement CPT 44015 | $14,277.03 | $21,964.66 | $121.67 – $12,577.45 | 56 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $149.50 | $230.00 | $6.66 – $19.73 | 59 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $13.17 | $20.26 | $0.32 – $1.65 | 58 |
| Kidney imaging morphology CPT 78700 | $3,072.55 | $4,727.00 | $35.00 – $831.71 | 49 |
| Kidney imag w/bld flow multi CPT 78709 | $1,763.45 | $2,713.00 | $169.89 – $1,434.76 | 57 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,555.45 | $2,393.00 | $69.00 – $1,129.62 | 57 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $984.75 | $1,515.00 | $44.00 – $222.38 | 60 |
| Kit case 4.2mm spinejack HCPCS C1062 | $6,396.00 | $9,840.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $45,500.00 | $70,000.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $8,612.50 | $13,250.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,105.00 | $1,700.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $547.30 | $842.00 | $11.87 – $334.63 | 53 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $6,774.73 | $10,422.66 | $8.45 – $6,807.25 | 56 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $6,718.91 | $10,336.78 | $0.33 – $6,807.25 | 56 |
| Knee arthroscopy/surgery CPT 29873 | $17,179.19 | $26,429.52 | $220.62 – $15,096.24 | 56 |
| Knee arthroscopy/surgery CPT 29874 | $6,659.50 | $10,245.39 | $9.29 – $6,807.25 | 56 |
| Knee arthroscopy/surgery CPT 29875 | $7,798.88 | $11,998.28 | $0.33 – $6,807.25 | 56 |
| Knee arthroscopy/surgery CPT 29876 | $6,568.06 | $10,104.71 | $0.33 – $6,807.25 | 56 |
| Knee arthroscopy/surgery CPT 29879 | $8,472.98 | $13,035.35 | $297.00 – $6,807.25 | 55 |
| Knee arthroscopy/surgery CPT 29880 | $6,860.37 | $10,554.41 | $13.47 – $6,807.25 | 56 |
| Knee arthroscopy/surgery CPT 29882 | $14,832.53 | $22,819.28 | $0.33 – $26,710.31 | 56 |
| Knee arthroscopy/surgery CPT 29883 | $18,234.52 | $28,053.11 | $0.33 – $15,096.24 | 56 |
| Knee arthroscopy/surgery CPT 29884 | $7,786.79 | $11,979.67 | $0.33 – $6,807.25 | 56 |
| Knee arthroscopy/surgery CPT 29886 | $9,367.38 | $14,411.35 | $0.33 – $6,807.25 | 56 |
| Knee arthroscopy/surgery CPT 29887 | $7,642.28 | $11,757.35 | $0.33 – $15,096.24 | 56 |
| Knee arthroscopy/surgery CPT 29888 | $18,547.27 | $28,534.26 | $13.47 – $15,096.24 | 56 |
| Knee arthroscopy/surgery CPT 29889 | $20,575.96 | $31,655.32 | $13.47 – $26,710.31 | 56 |
| Knee MRI (with and without contrast) CPT 73723 | $3,916.25 | $6,025.00 | $246.53 – $1,971.21 | 60 |
| Knee MRI (with contrast) CPT 73722 | $1,959.75 | $3,015.00 | $205.43 – $1,630.91 | 60 |
| Knee MRI (without contrast) CPT 73721 | $3,057.60 | $4,704.00 | $120.47 – $897.52 | 60 |
| Knee X-ray CPT 73564 | $845.65 | $1,301.00 | $30.25 – $222.38 | 61 |
| Kras gene addl variants CPT 81276 | $358.80 | $552.00 | $157.31 – $426.56 | 59 |
| Kras gene variants exon 2 CPT 81275 | $596.70 | $918.00 | $157.31 – $426.56 | 59 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $17.50 | $26.92 | $0.29 – $0.67 | 8 |
| Labioplasty 56800 CPT 56800 | $9,356.13 | $14,394.05 | $0.33 – $6,734.70 | 56 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $111.18 | $171.05 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $21.45 | $33.00 | $4.92 – $14.09 | 59 |
| Lactated ringers intravenous solution HCPCS J7120 | $42.25 | $65.00 | $2.41 – $35.43 | 9 |
| Lactic acid CPT 83605 | $420.55 | $647.00 | $9.42 – $25.54 | 59 |
| Lactoferrin fecal qualitative CPT 83630 | $94.25 | $145.00 | $16.04 – $43.48 | 60 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $54,225.98 | $83,424.58 | $196.67 – $56,451.14 | 56 |
| Lam facetec & foramot lumbar CPT 63047 | $16,812.77 | $25,865.80 | $297.00 – $15,096.24 | 56 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $54,225.98 | $83,424.58 | $194.41 – $56,451.14 | 56 |
| Laminotomy single lumbar CPT 63042 | $12,813.01 | $19,712.33 | $89.56 – $15,096.24 | 56 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $30,837.85 | $47,442.85 | $33.26 – $8,462.07 | 58 |
| Laparo cholecystectomy/graph CPT 47563 | $9,397.50 | $14,457.69 | $48.18 – $12,577.45 | 56 |
| Laparo ligate spermatic vein CPT 55550 | $13,627.75 | $20,965.77 | $0.33 – $12,577.45 | 56 |
| Laparo-myomectomy complex CPT 58546 | $21,099.26 | $32,460.40 | $196.67 – $22,114.90 | 56 |
| Laparo new ureter/bladder CPT 50947 | $18,879.16 | $29,044.86 | $331.43 – $22,114.90 | 56 |
| Laparo partial nephrectomy CPT 50543 | $19,413.52 | $29,866.95 | $331.43 – $22,114.90 | 56 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $19,441.27 | $29,909.64 | $331.43 – $22,114.90 | 56 |
| Laparo radical nephrectomy CPT 50545 | $15,362.63 | $23,634.81 | $106.00 – $2,546.48 | 55 |
| Laparoscopic myomectomy CPT 58545 | $19,031.97 | $29,279.96 | $10.09 – $12,577.45 | 56 |
| Laparoscopic nephrectomy CPT 50546 | $15,305.75 | $23,547.31 | $64.40 – $2,300.60 | 55 |
| Laparoscopy adrenalectomy CPT 60650 | $13,302.81 | $20,465.86 | $3.30 – $2,308.11 | 55 |
| Laparoscopy aspiration CPT 49322 | $17,132.43 | $26,357.59 | $48.18 – $12,577.45 | 56 |
| Laparoscopy biopsy CPT 49321 | $13,879.84 | $21,353.60 | $157.53 – $12,577.45 | 56 |
| Laparoscopye procstom 43659 CPT 43659 | $21,000.91 | $32,309.09 | $196.67 – $22,114.90 | 56 |
| Laparoscopy excise lesions CPT 58662 | $15,917.85 | $24,489.00 | $10.09 – $12,577.45 | 56 |
| Laparoscopy fundoplasty CPT 43280 | $14,226.86 | $21,887.48 | $196.67 – $22,114.90 | 56 |
| Laparoscopy gastrostomy CPT 43653 | $9,789.66 | $15,061.01 | $363.00 – $12,577.45 | 55 |
| Laparoscopy lymphadenectomy CPT 38571 | $20,773.44 | $31,959.14 | $363.00 – $22,114.90 | 56 |
| Laparoscopy lymphadenectomy CPT 38572 | $25,511.51 | $39,248.48 | $331.43 – $22,114.90 | 56 |
| Laparoscopy lymph node biop CPT 38570 | $21,198.86 | $32,613.63 | $363.00 – $22,114.90 | 56 |
| Laparoscopy lysis CPT 58660 | $7,947.86 | $12,227.48 | $0.33 – $12,577.45 | 56 |
| Laparoscopy orchiectomy CPT 54690 | $17,949.73 | $27,614.97 | $48.18 – $12,577.45 | 56 |
| Laparoscopy pyeloplasty CPT 50544 | $21,664.61 | $33,330.17 | $331.43 – $22,114.90 | 56 |
| Laparoscopy remove adnexa CPT 58661 | $13,410.82 | $20,632.03 | $331.43 – $12,577.45 | 56 |
| Laparoscopy splenectomy CPT 38120 | $14,486.37 | $22,286.72 | $196.67 – $22,114.90 | 56 |
| Laparoscopy surg colpopexy CPT 57425 | $25,887.45 | $39,826.85 | $9.12 – $22,114.90 | 56 |
| Laparo urethral suspension CPT 51990 | $25,415.23 | $39,100.36 | $331.43 – $22,114.90 | 56 |
| Laparo-vag hyst incl t/o CPT 58552 | $14,654.38 | $22,545.20 | $331.43 – $22,114.90 | 56 |
| Lap colostomy 44188 CPT 44188 | $10,087.19 | $15,518.75 | $29.60 – $2,370.99 | 52 |
| Lap enterectomy 44202 CPT 44202 | $22,081.49 | $33,971.53 | $196.67 – $12,577.45 | 56 |
| Lap enterolysis CPT 44180 | $8,290.89 | $12,755.22 | $8.45 – $12,577.45 | 56 |
| Lap gastric bypass/roux-en-y CPT 43644 | $20,567.56 | $31,642.40 | $70.64 – $3,367.35 | 56 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | $35,977.08 | $55,349.36 | $331.43 – $22,114.90 | 56 |
| Lap ing hernia repair init CPT 49650 | $9,605.51 | $14,777.71 | $363.00 – $12,577.45 | 55 |
| Lap ing hernia repair recur CPT 49651 | $9,902.52 | $15,234.64 | $13.47 – $12,577.45 | 56 |
| Lap insert tunnel ip cath CPT 49324 | $7,339.43 | $11,291.43 | $13.47 – $12,577.45 | 56 |
| Lap jejunostomy 44186 CPT 44186 | $8,275.26 | $12,731.17 | $363.00 – $12,577.45 | 55 |
| Lap myotomy heller CPT 43279 | $17,023.35 | $26,189.77 | $31.11 – $2,499.55 | 55 |
| Lap paraesophag hern repair CPT 43281 | $16,735.77 | $25,747.34 | $196.67 – $22,114.90 | 56 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $16,903.73 | $26,005.74 | $48.18 – $22,114.90 | 56 |
| Lap revision perm ip cath CPT 49325 | $6,463.47 | $9,943.80 | $13.47 – $12,577.45 | 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.