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 |
|---|---|---|---|---|
| Parathyroid planar imaging CPT 78070 | $1,724.45 | $2,653.00 | $24.00 – $1,273.89 | 57 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,859.00 | $2,860.00 | $220.93 – $1,461.62 | 57 |
| Paricalcitol HCPCS J2501 | $43.74 | $67.30 | $4.50 – $13.39 | 7 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $5,133.37 | $7,897.50 | $8.45 – $6,734.70 | 56 |
| Partial hysterectomy CPT 58180 | $11,597.12 | $17,841.73 | $59.20 – $1,864.41 | 55 |
| Partial removal finger bone CPT 26236 | $4,734.60 | $7,284.00 | $1,425.19 – $3,345.36 | 49 |
| Partial removal of thyroid CPT 60220 | $11,380.49 | $17,508.45 | $331.43 – $12,577.45 | 56 |
| Partial removal of vaginal wall 57106 CPT 57106 | $6,969.31 | $10,722.02 | $48.18 – $6,734.70 | 56 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $8.45 | $13.00 | $2.38 – $2.89 | 5 |
| Passy muir valve metal trach HCPCS L8501 | $185.25 | $285.00 | $145.07 – $326.42 | 46 |
| Pdgfra gene CPT 81314 | $510.25 | $785.00 | $268.22 – $727.33 | 58 |
| Pegaspargase injection HCPCS J9266 | $102,889.29 | $158,291.22 | $254.16 – $74,814.27 | 58 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $20,900.18 | $32,154.13 | $118.59 – $4,023.29 | 58 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $12,781.77 | $19,664.26 | $124.11 – $4,210.78 | 57 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $13,595.89 | $20,916.75 | $126.51 – $4,292.14 | 58 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $6,797.95 | $10,458.38 | $74.01 – $2,339.58 | 58 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $8,141.26 | $12,525.01 | $104.40 – $3,432.37 | 57 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,676.35 | $2,579.00 | $143.16 – $684.43 | 61 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,617.20 | $2,488.00 | $146.32 – $551.47 | 61 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,447.55 | $2,227.00 | $71.07 – $475.95 | 61 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,783.95 | $4,283.00 | $202.93 – $1,973.61 | 60 |
| Pelvic MRI (with contrast) CPT 72196 | $2,736.50 | $4,210.00 | $162.66 – $1,031.68 | 60 |
| Pelvic MRI (without contrast) CPT 72195 | $2,049.45 | $3,153.00 | $139.08 – $890.08 | 60 |
| Pelvic Ultrasound (complete) CPT 76856 | $990.60 | $1,524.00 | $40.00 – $222.38 | 60 |
| Pelvic Ultrasound (limited) CPT 76857 | $410.80 | $632.00 | $20.04 – $222.38 | 60 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $22,450.56 | $34,539.32 | $57.02 – $16,120.62 | 58 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,932.58 | $4,511.66 | $3.76 – $106.30 | 58 |
| Peng benzathine/procaine inj HCPCS J0558 | $1,063.52 | $1,636.19 | $19.15 – $308.35 | 53 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $887.89 | $1,365.99 | $16.98 – $248.42 | 58 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $218.72 | $336.50 | $6.00 – $14.28 | 8 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $16,884.40 | $25,976.00 | not published | 0 |
| Penile vascular study CPT 93980 | $991.90 | $1,526.00 | $43.00 – $217.50 | 55 |
| Penile vascular study CPT 93981 | $381.55 | $587.00 | $39.00 – $217.50 | 48 |
| Penis plastic surgery CPT 54360 | $10,526.96 | $16,195.33 | $363.00 – $7,333.57 | 55 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $730.06 | $1,123.17 | $0.18 – $0.42 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $11,194.10 | $17,221.69 | $1,562.75 – $6,912.70 | 53 |
| Perc cryo ablate renal tum CPT 50593 | $6,297.20 | $9,688.00 | not published | 0 |
| Perc d-e cor revasc chro add HCPCS C9608 | $10,784.80 | $16,592.00 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $18,730.40 | $28,816.00 | $16,086.00 – $38,138.17 | 51 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $14,922.70 | $22,958.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $19,018.35 | $29,259.00 | $10,130.02 – $24,017.18 | 51 |
| Perc d-e cor stent ather br HCPCS C9603 | $17,375.15 | $26,731.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $26,606.45 | $40,933.00 | $16,086.00 – $38,138.17 | 51 |
| Perc drug-el cor stent bran HCPCS C9601 | $17,732.00 | $27,280.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $28,210.65 | $43,401.00 | $10,130.02 – $24,017.18 | 51 |
| Perc rf ablate renal tumor CPT 50592 | $9,382.75 | $14,435.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $19,133.37 | $29,435.96 | $9.16 – $12,577.45 | 56 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,640.46 | $2,523.78 | $91.10 – $210.31 | 4 |
| Perineoplasty rpr per nonob CPT 56810 | $5,501.33 | $8,463.58 | $8.45 – $6,734.70 | 56 |
| Peritoneogram rs&i CPT 74190 | $1,194.05 | $1,837.00 | $105.42 – $1,136.79 | 60 |
| Perq dev breast 1st mr guide CPT 19287 | $5,895.50 | $9,070.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $2,174.90 | $3,346.00 | not published | 0 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $30,134.30 | $46,360.46 | $250.00 – $19,694.56 | 56 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $30,670.50 | $47,185.39 | $250.00 – $19,694.56 | 56 |
| Perq plmt bile duct stent CPT 47538 | $7,879.95 | $12,123.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47539 | $13,442.59 | $20,680.91 | $9.16 – $12,577.45 | 56 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $25,200.12 | $38,769.42 | $15.84 – $18,807.39 | 58 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $53,160.49 | $81,785.37 | $56.07 – $19,023.34 | 58 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,904.30 | $10,622.00 | $1,226.22 – $3,023.12 | 58 |
| Pet CT whole body initial CPT 78816 | $7,086.95 | $10,903.00 | $1,226.22 – $3,023.12 | 58 |
| Pet fdg brain metoblic eval sb CPT 78608 | $6,324.50 | $9,730.00 | $43.00 – $3,023.12 | 58 |
| Pet image w/ct lmtd CPT 78814 | $10,026.25 | $15,425.00 | $1,226.22 – $3,023.12 | 58 |
| Pet scan brain perf study CPT 78609 | $3,258.45 | $5,013.00 | $43.00 – $43.00 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $51,327.25 | $78,965.00 | not published | 0 |
| Ph body fluid CPT 83986 | $51.35 | $79.00 | $2.92 – $7.90 | 60 |
| Phencyclidine (pcp) CPT 83992 | $85.80 | $132.00 | $0.01 – $55.29 | 8 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $200.99 | $309.22 | $4.20 – $62.24 | 7 |
| Phenobarbital therapeutic drug level CPT 80184 | $93.60 | $144.00 | $12.45 – $33.77 | 60 |
| Phentolaine mesylate inj HCPCS J2760 | $2,143.37 | $3,297.50 | $27.37 – $693.92 | 58 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $166.23 | $255.74 | $0.05 – $0.14 | 7 |
| Phenylep ketorolac opth soln HCPCS J1097 | $1,319.24 | $2,029.60 | $94.77 – $550.56 | 47 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.15 | $11.00 | $0.94 – $2.23 | 7 |
| Phenytoin total therapeutic drug level CPT 80185 | $85.15 | $131.00 | $10.79 – $30.10 | 60 |
| Phlebotomy therapeutic CPT 99195 | $523.25 | $805.00 | $79.55 – $276.80 | 55 |
| Phosphorus CPT 84100 | $74.10 | $114.00 | $3.86 – $10.46 | 59 |
| Phosphorus 24 hour urine CPT 84105 | $52.00 | $80.00 | $4.71 – $12.76 | 60 |
| Photopheresis CPT 36522 | $12,948.65 | $19,921.00 | $4,027.21 – $9,061.43 | 44 |
| Phys blood bank serv reactj CPT 86078 | $100.75 | $155.00 | $38.75 – $354.45 | 62 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $108.19 | $166.44 | $2.21 – $8.31 | 9 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $477.10 | $734.00 | $296.04 – $764.81 | 55 |
| Pin caspar distraction 12mm HCPCS C1821 | $13,000.00 | $20,000.00 | not published | 0 |
| Pinworm exam CPT 87172 | $34.45 | $53.00 | $3.48 – $9.43 | 56 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $28.44 | $43.75 | $2.28 – $146.42 | 9 |
| Place breast rad tube/caths CPT 19298 | $5,625.75 | $8,655.00 | not published | 0 |
| Place cath xtrnl carotid CPT 36227 | $24,389.53 | $37,522.35 | $103.04 – $11,576.67 | 56 |
| Place cecostomy tube perc CPT 49442 | $1,742.65 | $2,681.00 | not published | 0 |
| Place device/marker, non pro HCPCS C9728 | $1,530.10 | $2,354.00 | $1,214.57 – $2,879.62 | 51 |
| Place gastrostomy tube perc CPT 49440 | $4,467.44 | $6,872.99 | $132.44 – $3,992.20 | 56 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $953.55 | $1,467.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $528.45 | $813.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,157.65 | $1,781.00 | not published | 0 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $7,001.14 | $10,770.99 | $9.16 – $7,333.57 | 56 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $888.55 | $1,367.00 | $72.65 – $72.65 | 1 |
| Placement of seton CPT 46020 | $4,709.15 | $7,244.85 | $105.77 – $5,774.64 | 55 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $18,330.72 | $28,201.11 | $363.00 – $24,017.18 | 56 |
| Place needles pelvic for right CPT 55920 | $26,770.09 | $41,184.76 | $250.00 – $4,625.40 | 56 |
| Place non-slctv cath thoracic arta CPT 36221 | $6,267.30 | $9,642.00 | not published | 0 |
| Place right device/marker pros CPT 55876 | $13,512.46 | $20,788.40 | $87.82 – $11,154.98 | 55 |
| Place slctv cath carotd art uni CPT 36224 | $18,379.64 | $28,276.37 | $315.63 – $11,576.67 | 56 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $24,389.53 | $37,522.35 | $242.65 – $11,576.67 | 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.