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 |
|---|---|---|---|---|
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $18,379.64 | $28,276.37 | $315.63 – $11,576.67 | 56 |
| Place slctv cath subclavian art CPT 36225 | $7,913.75 | $12,175.00 | not published | 0 |
| Place slctv cath vertebral art uni CPT 36226 | $18,379.64 | $28,276.37 | $313.37 – $11,576.67 | 56 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $377.00 | $580.00 | $50.67 – $285.64 | 51 |
| Platelet aggregation each agent teg CPT 85576 | $173.55 | $267.00 | $20.27 – $54.98 | 59 |
| Platelet automated CPT 85049 | $16.25 | $25.00 | $3.65 – $9.89 | 59 |
| Platelet pheresis each unit HCPCS P9034 | $1,586.00 | $2,440.00 | $297.03 – $668.33 | 50 |
| Platelet pheresis irr ea HCPCS P9036 | $1,082.25 | $1,665.00 | $275.03 – $2,053.11 | 50 |
| Platelets each unit HCPCS P9019 | $516.75 | $795.00 | $39.69 – $115.01 | 55 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,834.00 | $4,360.00 | $468.14 – $1,531.64 | 55 |
| Platelets irradiated ea unit HCPCS P9032 | $958.10 | $1,474.00 | $73.05 – $850.05 | 50 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,134.25 | $1,745.00 | $71.17 – $312.06 | 55 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $269.75 | $415.00 | $127.09 – $410.11 | 55 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,094.60 | $1,684.00 | $240.82 – $541.85 | 50 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,411.80 | $2,172.00 | $459.34 – $1,089.04 | 55 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $3,092.70 | $4,758.00 | $389.81 – $1,106.65 | 55 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $3,518.45 | $5,413.00 | $483.98 – $1,472.26 | 55 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $872.95 | $1,343.00 | $554.21 – $1,313.96 | 51 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,366.65 | $3,641.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $787.15 | $1,211.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $4,323.90 | $6,652.16 | $9.16 – $7,333.57 | 56 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $3,494.40 | $5,376.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $838.50 | $1,290.00 | not published | 0 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $2,165.80 | $3,332.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,573.65 | $2,421.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $528.45 | $813.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $678.60 | $1,044.00 | $44.22 – $776.34 | 55 |
| Plmt biliary drainage cath CPT 47534 | $2,759.90 | $4,246.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $6,953.32 | $10,697.42 | $9.16 – $7,333.57 | 56 |
| Plmt ureteral stent prq CPT 50694 | $9,611.55 | $14,787.00 | not published | 0 |
| #pnh-flow cytometry interp CPT 88187 | $177.45 | $273.00 | $28.18 – $74.92 | 54 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $480.35 | $739.00 | $21.22 – $57.54 | 59 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $72,102.47 | $110,926.87 | $127.76 – $10,835.80 | 58 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $6,827.60 | $10,504.00 | $709.94 – $1,956.09 | 56 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $6,628.70 | $10,198.00 | $205.37 – $1,786.57 | 56 |
| Potassium 24 hour urine CPT 84133 | $75.40 | $116.00 | $3.85 – $10.44 | 59 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $42.25 | $65.00 | $1.00 – $3.35 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | $72.80 | $112.00 | $3.87 – $10.51 | 59 |
| Pq biliary strict dil s&i CPT 74363 | $2,321.15 | $3,571.00 | $127.16 – $506.13 | 7 |
| Pq dr cath chg w cont s&i CPT 75984 | $739.05 | $1,137.00 | $48.30 – $333.52 | 8 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,776.55 | $8,887.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $576.55 | $887.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $6,860.10 | $10,554.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $5,305.95 | $8,163.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,899.65 | $4,461.00 | not published | 0 |
| Pralatrexate injection HCPCS J9307 | $56,906.90 | $87,549.08 | $365.62 – $20,673.34 | 58 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $379.27 | $583.50 | $28.07 – $101.12 | 5 |
| Pr application splint static short arm CPT 29125 | $779.35 | $1,199.00 | $38.70 – $276.80 | 55 |
| Pr biopsy skin punch single lesion CPT 11104 | $354.90 | $546.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $43.55 | $67.00 | $12.99 – $77.95 | 55 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $8,636.98 | $13,287.66 | $135.24 – $7,333.57 | 56 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $1,043.25 | $1,605.00 | $24.06 – $317.72 | 55 |
| Prealbumin CPT 84134 | $32.50 | $50.00 | $11.88 – $32.20 | 59 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $39.13 | $60.20 | $0.04 – $1.95 | 8 |
| Prednisone 1 mg tablet HCPCS J7512 | $8.66 | $13.33 | $0.01 – $0.03 | 8 |
| Pregabalin - sendout CPT 80366 | $130.65 | $201.00 | $0.01 – $28.28 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,775.12 | $4,269.42 | $172.35 – $3,992.20 | 55 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $787.80 | $1,212.00 | $56.00 – $432.44 | 60 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $744.25 | $1,145.00 | $42.75 – $345.29 | 59 |
| Pressure max expiratory/inspiratory CPT 94799 | $274.30 | $422.00 | $99.99 – $267.70 | 51 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $140.40 | $216.00 | $8.00 – $354.45 | 62 |
| Pretreat rbc absorption reference CPT 86978 | $397.15 | $611.00 | $18.72 – $122.73 | 62 |
| Pretreat rbc density gradient separation reference CPT 86972 | $171.60 | $264.00 | $24.00 – $354.45 | 59 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $156.00 | $240.00 | $18.72 – $122.73 | 62 |
| Pretreat rbc w enzyme reference CPT 86971 | $60.45 | $93.00 | $16.87 – $354.45 | 59 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $6,752.20 | $10,388.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $3,240.90 | $4,986.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,327.70 | $6,658.00 | $102.00 – $102.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $34,705.38 | $53,392.90 | $282.26 – $38,138.17 | 56 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $34,705.38 | $53,392.90 | $137.49 – $38,138.17 | 56 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $3,328.00 | $5,120.00 | $164.66 – $845.74 | 55 |
| Pr incision & drainage abscess simple/single CPT 10060 | $1,155.05 | $1,777.00 | $110.19 – $417.41 | 55 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $4,632.03 | $7,126.20 | $31.71 – $633.98 | 53 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $848.90 | $1,306.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $162.50 | $250.00 | $42.71 – $72.40 | 5 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $6,447.67 | $9,919.50 | $0.33 – $7,107.15 | 56 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $8,450.00 | $13,000.00 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,792.80 | $2,758.16 | $32.26 – $568.47 | 53 |
| Procalcitonin CPT 84145 | $183.30 | $282.00 | $22.15 – $60.08 | 59 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | $681.38 | $1,048.28 | $292.04 – $292.04 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $10.12 | $15.57 | $2.95 – $25.61 | 9 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $20,280.00 | $31,200.00 | $13.47 – $1,934.74 | 53 |
| Progesterone CPT 84144 | $55.90 | $86.00 | $16.98 – $46.04 | 59 |
| Prolactin CPT 84146 | $135.85 | $209.00 | $15.77 – $43.10 | 60 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $54.60 | $84.00 | $13.51 – $29.90 | 2 |
| Promethazine hcl injection HCPCS J2550 | $7.15 | $11.00 | $3.57 – $12.92 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $94.49 | $145.37 | $2.00 – $5.02 | 5 |
| _propoxygc/msur CPT 80367 | $96.85 | $149.00 | $0.01 – $28.28 | 3 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $35.00 | $53.84 | $3.76 – $11.36 | 6 |
| Prostatectomy (turp) CPT 52601 | $9,207.64 | $14,165.60 | $196.67 – $11,154.98 | 56 |
| Prostate laser enucleation CPT 52649 | $18,979.04 | $29,198.52 | $196.67 – $11,154.98 | 56 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $38.58 | $59.36 | $3.42 – $13.14 | 8 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,471.00 | $5,340.00 | not published | 0 |
| Protein c activity CPT 85303 | $202.80 | $312.00 | $11.26 – $30.55 | 60 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $150.15 | $231.00 | $8.75 – $31.34 | 59 |
| Protein s total CPT 85305 | $300.95 | $463.00 | $9.45 – $25.63 | 60 |
| Protein total 24 hour urine CPT 84156 | $19.50 | $30.00 | $2.99 – $9.67 | 59 |
| Protein total body fluid CPT 84157 | $13.00 | $20.00 | $3.26 – $9.67 | 59 |
| Protein total serum plasma whole blood CPT 84155 | $13.00 | $20.00 | $2.99 – $9.67 | 59 |
| Prothrombin complex kcentra HCPCS J7168 | $9,248.46 | $14,228.40 | $2.01 – $1,740.00 | 51 |
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.