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 |
|---|---|---|---|---|
| Nerve conduction studies 5-6 CPT 95909 | $832.65 | $1,281.00 | $55.46 – $449.22 | 54 |
| Nerve conduction studies 9-10 CPT 95911 | $1,117.35 | $1,719.00 | $83.05 – $776.34 | 54 |
| Nerve pedicle transfer CPT 64905 | $11,412.23 | $17,557.27 | $7.71 – $18,257.77 | 56 |
| Nerve repair w/allograft CPT 64910 | $12,129.85 | $18,661.31 | $320.00 – $18,257.77 | 55 |
| Neurolysis celiac plexus CPT 64680 | $6,803.55 | $10,467.00 | $141.46 – $1,840.11 | 52 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $208.65 | $321.00 | $28.00 – $267.70 | 54 |
| New Patient Office Visit (level 2) CPT 99202 | $219.05 | $337.00 | $37.18 – $108.75 | 52 |
| New Patient Office Visit (level 3) CPT 99203 | $298.35 | $459.00 | $64.49 – $170.64 | 52 |
| New Patient Office Visit (level 4) CPT 99204 | $362.70 | $558.00 | $105.50 – $258.45 | 52 |
| New Patient Office Visit (level 5) CPT 99205 | $497.25 | $765.00 | $12.00 – $345.01 | 52 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $889.78 | $1,368.89 | $16.00 – $33.48 | 8 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $98.43 | $151.43 | $7.05 – $21.90 | 8 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $29,632.15 | $45,587.93 | $31.30 – $3,539.95 | 58 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $114,962.20 | $176,864.93 | $187.83 – $84,963.31 | 58 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $2,894.45 | $4,453.00 | not published | 0 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,580.80 | $2,432.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,644.50 | $2,530.00 | $125.00 – $1,449.85 | 57 |
| Nm imaging bone/joint whole body CPT 78306 | $3,699.38 | $5,691.36 | $59.00 – $1,024.10 | 57 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,334.15 | $3,591.00 | $137.64 – $889.97 | 57 |
| Nm imaging gastric emptying study CPT 78264 | $1,989.00 | $3,060.00 | $23.00 – $1,220.23 | 57 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,331.85 | $2,049.00 | $55.00 – $1,464.94 | 57 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,064.85 | $3,176.69 | $296.97 – $1,739.87 | 57 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,757.30 | $4,242.00 | $99.85 – $1,129.62 | 57 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,879.15 | $2,891.00 | $211.76 – $1,377.84 | 57 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,869.40 | $2,876.00 | $162.36 – $1,055.98 | 57 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $10,894.00 | $16,760.00 | $42.72 – $485.45 | 57 |
| Npm1 gene CPT 81310 | $686.40 | $1,056.00 | $43.78 – $544.14 | 58 |
| Nras gene variants exon 2&3 CPT 81311 | $461.50 | $710.00 | $240.77 – $652.90 | 58 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $59,170.15 | $91,031.00 | $886.97 – $6,327.93 | 57 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $11,886.01 | $18,286.17 | $33.79 – $18,257.77 | 56 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $17,331.74 | $26,664.21 | $11.57 – $14,682.73 | 56 |
| Nsl/sins ndsc total CPT 31253 | $11,852.28 | $18,234.28 | $8.45 – $14,682.73 | 56 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $15,010.48 | $23,093.05 | $297.00 – $14,682.73 | 55 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $9,309.82 | $14,322.80 | $8.45 – $12,315.95 | 56 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $30,886.05 | $47,517.00 | $300.00 – $981.52 | 50 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $23,749.70 | $36,538.00 | $515.14 – $2,879.62 | 50 |
| Nuclear rx intra-arterial CPT 79445 | $29,899.82 | $45,999.72 | $129.62 – $485.45 | 56 |
| Nuclear rx IV admin CPT 79101 | $97,366.75 | $149,795.00 | $44.66 – $485.45 | 57 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,838.60 | $7,444.00 | $266.71 – $2,693.46 | 57 |
| Nushield 1 square cm HCPCS Q4160 | $347.10 | $534.00 | $115.47 – $334.63 | 52 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $34,557.77 | $53,165.80 | $76.16 – $21,533.22 | 58 |
| Observation direct referral from physician office for admission HCPCS G0379 | $642.20 | $988.00 | $522.58 – $1,238.98 | 51 |
| Observation per hour HCPCS G0378 | $100.10 | $154.00 | $29.47 – $38.57 | 2 |
| Obstetrics panel CPT 80055 | $337.35 | $519.00 | $36.52 – $105.53 | 56 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $399.10 | $614.00 | $50.24 – $284.94 | 59 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $370.50 | $570.00 | $23.30 – $142.42 | 8 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $79,358.05 | $122,089.31 | $55.48 – $47,056.14 | 58 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $89.84 | $138.22 | $0.71 – $1.65 | 8 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $25,287.33 | $38,903.59 | $175.35 – $4,957.55 | 58 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $22,076.86 | $33,964.40 | $61.05 – $2,990.64 | 51 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $122.80 | $188.92 | $15.00 – $37.39 | 8 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $5,711.64 | $8,787.14 | $38.94 – $3,302.80 | 58 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.18 – $6.96 | 9 |
| Open bx/exc inguinofem nodes CPT 38531 | $12,313.74 | $18,944.22 | $250.00 – $8,145.89 | 53 |
| Ophthalmic mitomycin HCPCS J7315 | $1,347.18 | $2,072.58 | $451.50 – $501.55 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $49,041.44 | $75,448.37 | $80.47 – $91,636.76 | 55 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $49,408.41 | $76,012.94 | $1.65 – $64,198.09 | 56 |
| Orchiopexy ingun/scrot appr CPT 54640 | $7,204.24 | $11,083.44 | $0.33 – $7,448.87 | 56 |
| Organic acids total quant ea spec CPT 83918 | $621.40 | $956.00 | $19.21 – $52.09 | 60 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $18,248.52 | $28,074.64 | $40.70 – $13,807.15 | 58 |
| Oropharyngeal biopsy 42800 CPT 42800 | $9,638.87 | $14,829.03 | $100.62 – $3,228.00 | 56 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $68.24 | $104.99 | $6.48 – $92.59 | 9 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $14.95 | $23.00 | not published | 0 |
| Orthopantogram CPT 70355 | $288.60 | $444.00 | $7.20 – $181.05 | 61 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $656.50 | $1,010.00 | $501.67 – $1,128.79 | 46 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $92.95 | $143.00 | $349.82 – $829.39 | 48 |
| Oscillation chest wall mechanical per session CPT 94669 | $127.40 | $196.00 | $23.25 – $455.57 | 51 |
| Osmolality blood CPT 83930 | $65.65 | $101.00 | $5.38 – $14.59 | 60 |
| Osmolality urine CPT 83935 | $65.00 | $100.00 | $5.56 – $15.05 | 59 |
| Ot evaluation high complexity patient/family CPT 97167 | $635.70 | $978.00 | $89.12 – $211.28 | 53 |
| Ot evaluation low complexity patient/family CPT 97165 | $579.15 | $891.00 | $89.12 – $211.28 | 53 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $605.80 | $932.00 | $89.12 – $211.28 | 53 |
| Other immunoelectrophoresis CPT 86325 | $204.75 | $315.00 | $18.83 – $51.05 | 56 |
| Oth resp proc, group HCPCS G0239 | $145.60 | $224.00 | $10.81 – $77.71 | 55 |
| Oth resp proc, indiv HCPCS G0238 | $107.90 | $166.00 | $8.58 – $60.17 | 55 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $174.20 | $268.00 | $43.43 – $102.97 | 53 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $258.70 | $398.00 | $40.14 – $95.18 | 53 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $249.60 | $384.00 | $23.93 – $58.25 | 54 |
| Ot re-evaluation patient/family CPT 97168 | $448.50 | $690.00 | $60.38 – $143.17 | 53 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $169.65 | $261.00 | $21.76 – $72.89 | 54 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $61.10 | $94.00 | $16.95 – $40.19 | 54 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $99.45 | $153.00 | $18.10 – $42.91 | 54 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $213.85 | $329.00 | $21.76 – $61.05 | 54 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $250.25 | $385.00 | $28.98 – $68.71 | 54 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $192.40 | $296.00 | $28.54 – $67.65 | 54 |
| Ovarian cystectomy 58925 CPT 58925 | $12,669.47 | $19,491.50 | $331.43 – $10,407.38 | 56 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $72.53 | $111.59 | $2.92 – $9.04 | 7 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,971.84 | $3,033.60 | $8.00 – $19.53 | 8 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $109.36 | $168.25 | $0.60 – $28.66 | 7 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $397.40 | $611.38 | $11.11 – $39.45 | 8 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $5,897.25 | $9,072.69 | $5.60 – $1,584.72 | 58 |
| Pad repl cerv collr univ adult HCPCS L0999 | $2,946.45 | $4,533.00 | not published | 0 |
| Palonosetron hcl HCPCS J2469 | $874.90 | $1,346.00 | $4.60 – $17.02 | 8 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $163.96 | $252.25 | $12.58 – $32.70 | 8 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $27,831.21 | $42,817.25 | $162.35 – $4,590.11 | 58 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $19.89 | $30.60 | $1.98 – $5.08 | 6 |
| Papaverin hcl injection HCPCS J2440 | $181.15 | $278.69 | $5.01 – $43.74 | 6 |
| Parathormone (pth) intact CPT 83970 | $208.65 | $321.00 | $33.61 – $91.12 | 59 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,732.90 | $2,666.00 | $38.86 – $1,629.24 | 57 |
| Parathyroid autotransplantation 60512 CPT 60512 | $11,028.41 | $16,966.79 | $203.68 – $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.