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 |
|---|---|---|---|---|
| Prothrombin time substitution plasma fractions each CPT 85611 | $126.10 | $194.00 | $3.21 – $8.70 | 56 |
| Prp i/hern init block >5 yr CPT 49507 | $7,415.30 | $11,408.15 | $363.00 – $7,448.87 | 55 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $52.00 | $80.00 | $26.07 – $58.67 | 45 |
| Prq card revasc mi 1 vsl CPT 92941 | $22,101.30 | $34,002.00 | $320.00 – $1,241.21 | 48 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $19,902.35 | $30,619.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $14,398.80 | $22,152.00 | $320.00 – $24,017.18 | 55 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $18,981.30 | $29,202.00 | $320.00 – $24,017.18 | 55 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $3,615.95 | $5,563.00 | $498.72 – $38,138.17 | 51 |
| Prq trlml c athrc st angiop1 CPT 92933 | $22,101.30 | $34,002.00 | $320.00 – $38,138.17 | 48 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $8,375.25 | $12,885.00 | $10,674.06 – $24,017.18 | 44 |
| Prq trluml c angiop 1art&/br CPT 92920 | $12,884.95 | $19,823.00 | $320.00 – $11,841.05 | 55 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $20,649.20 | $31,768.00 | $320.00 – $24,017.18 | 55 |
| Prq trluml revsc ch occ ant CPT 92943 | $23,065.25 | $35,485.00 | $320.00 – $24,017.18 | 55 |
| Pr removal drug delivery implant CPT 11982 | $3,399.50 | $5,230.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $9,179.04 | $14,121.60 | $56.10 – $6,734.70 | 56 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $5,260.09 | $8,092.45 | $7.71 – $3,436.08 | 56 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $4,536.36 | $6,979.02 | $0.33 – $417.41 | 53 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $1,027.65 | $1,581.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $5,795.26 | $8,915.78 | $55.21 – $6,807.25 | 56 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,187.90 | $3,366.00 | not published | 0 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $26.65 | $41.00 | $13.03 – $30.90 | 44 |
| PSA (Prostate) Test CPT 84153 | $98.15 | $151.00 | $14.97 – $40.59 | 59 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $98.80 | $152.00 | $13.08 – $31.01 | 50 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $30.55 | $47.00 | $5.30 – $9.06 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $252.85 | $389.00 | $16.74 – $48.62 | 51 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $85.80 | $132.00 | $12.66 – $30.02 | 50 |
| Pt application of modality traction mechanical CPT 97012 | $96.20 | $148.00 | $12.76 – $30.26 | 50 |
| Pt evaluation high complexity patient/family CPT 97163 | $479.70 | $738.00 | $86.88 – $205.99 | 53 |
| Pt evaluation low complexity patient/family CPT 97161 | $428.35 | $659.00 | $86.88 – $205.99 | 53 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $438.10 | $674.00 | $86.88 – $205.99 | 53 |
| Pt re-evaluation patient/family CPT 97164 | $313.95 | $483.00 | $59.55 – $141.18 | 53 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $167.70 | $258.00 | $27.20 – $68.11 | 48 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $217.75 | $335.00 | $25.75 – $61.05 | 54 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $66.30 | $102.00 | $25.97 – $61.58 | 54 |
| Pt wheelchair management each 15 minutes CPT 97542 | $98.80 | $152.00 | $27.52 – $65.25 | 54 |
| Pul art balloon repr percut CPT 92997 | $6,741.15 | $10,371.00 | $10,098.95 – $24,017.18 | 48 |
| Pul art balloon repr percut CPT 92998 | $6,871.80 | $10,572.00 | $275.45 – $275.45 | 4 |
| Pulmonary vent imaging CPT 78579 | $932.10 | $1,434.00 | $124.89 – $831.71 | 49 |
| Pulse ox continuous overnight monitoring CPT 94762 | $747.50 | $1,150.00 | $21.08 – $267.70 | 55 |
| Pulse ox multiple CPT 94761 | $161.20 | $248.00 | $3.31 – $76.37 | 7 |
| Pulse ox single CPT 94760 | $119.60 | $184.00 | $5.49 – $40.15 | 3 |
| Punc of shunt for asp or inj CPT 61070 | $520.00 | $800.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $2,612.02 | $4,018.50 | $12.87 – $276.80 | 56 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $251.55 | $387.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $6,956.30 | $10,702.00 | $9.16 – $1,468.55 | 54 |
| Pvb thoracic cont infusion CPT 64463 | $1,974.41 | $3,037.56 | $1.10 – $4,062.56 | 55 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $108.36 | $166.71 | $16.99 – $39.20 | 4 |
| Pyruvate CPT 84210 | $101.40 | $156.00 | $11.79 – $31.96 | 60 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,407.60 | $3,704.00 | $197.60 – $1,292.35 | 57 |
| Quant diff pulm perf w/imaging CPT 78597 | $2,189.20 | $3,368.00 | $125.45 – $831.71 | 57 |
| Quest t3 uptake CPT 84479 | $136.50 | $210.00 | $5.27 – $14.28 | 60 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $2,947.56 | $4,534.71 | $345.74 – $898.32 | 50 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $2,260.37 | $3,477.50 | $269.95 – $1,448.57 | 52 |
| Radiation handling CPT 77790 | $842.40 | $1,296.00 | $14.95 – $202.71 | 8 |
| Radiation physics consult CPT 77336 | $32,982.95 | $50,743.00 | $83.37 – $360.32 | 57 |
| Radiation therapy dose plan CPT 77300 | $37,589.50 | $57,830.00 | $28.02 – $279.63 | 57 |
| Radiation treatment aid(s) CPT 77332 | $28,798.90 | $44,306.00 | $13.03 – $279.63 | 57 |
| Radiation treatment aid(s) CPT 77333 | $50,788.00 | $78,135.39 | $43.55 – $279.63 | 57 |
| Radiation treatment aid(s) CPT 77334 | $32,461.00 | $49,940.00 | $54.68 – $778.99 | 57 |
| Radiation treatment delivery CPT 77402 | $13,238.55 | $20,367.00 | $59.00 – $304.84 | 56 |
| Radiation treatment delivery CPT 77412 | $17,669.60 | $27,184.00 | $76.00 – $1,149.54 | 56 |
| Radiology port images(s) CPT 77417 | $25,673.89 | $39,498.30 | $0.94 – $1,149.54 | 57 |
| Radiotherapy dose plan imrt CPT 77301 | $38,901.85 | $59,849.00 | $732.77 – $7,160.12 | 57 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $235.95 | $363.00 | $119.62 – $377.65 | 55 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,602.25 | $2,465.00 | $46.00 – $2,367.63 | 57 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,882.40 | $2,896.00 | $172.14 – $2,526.00 | 57 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $21,703.72 | $33,390.34 | $36.00 – $2,367.63 | 57 |
| Radphm lcl tumor plr sgl day CPT 78800 | $759.20 | $1,168.00 | $30.00 – $831.71 | 57 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $5,600.37 | $8,615.95 | $70.26 – $3,972.96 | 58 |
| Rapid Strep Test CPT 87880 | $253.50 | $390.00 | $12.87 – $36.49 | 60 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $18,204.85 | $28,007.46 | $316.62 – $3,017.80 | 58 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $89,715.93 | $138,024.51 | $208.24 – $17,661.54 | 58 |
| Rbc count only automated CPT 85041 | $24.05 | $37.00 | $2.45 – $6.67 | 59 |
| Rbc deglycerolized each unit HCPCS P9039 | $810.55 | $1,247.00 | $244.66 – $677.07 | 55 |
| Rbc irradiated each unit HCPCS P9038 | $1,418.95 | $2,183.00 | $97.88 – $314.13 | 50 |
| Rbc serum pretx incubj drugs CPT 86975 | $89.05 | $137.00 | $22.84 – $929.39 | 58 |
| Reconstruction of nose CPT 30410 | $8,059.77 | $12,399.64 | $13.47 – $12,315.95 | 56 |
| Reconstruction of urethra CPT 54324 | $10,103.74 | $15,544.21 | $0.33 – $7,333.57 | 56 |
| Reconstruction tongue fold CPT 41520 | $9,052.89 | $13,927.53 | $48.18 – $6,897.67 | 56 |
| Reconstruct urethra/bladder CPT 53431 | $13,084.64 | $20,130.22 | $48.18 – $11,154.98 | 56 |
| Red blood cells each unit HCPCS P9021 | $1,347.45 | $2,073.00 | $93.35 – $325.71 | 55 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $1,351.35 | $2,079.00 | $262.28 – $914.34 | 50 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $837.20 | $1,288.00 | $225.26 – $539.49 | 55 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $542.10 | $834.00 | $136.54 – $399.99 | 55 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,896.70 | $2,918.00 | $169.40 – $574.12 | 55 |
| Red blood cells washed each unit HCPCS P9022 | $1,172.60 | $1,804.00 | $159.69 – $797.30 | 55 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $131.23 | $201.90 | $13.24 – $30.58 | 8 |
| Relocation skin pocket aicd CPT 33223 | $2,802.15 | $4,311.00 | not published | 0 |
| Relocation skin pocket pm CPT 33222 | $3,002.35 | $4,619.00 | not published | 0 |
| Rem/biv cast full arm/leg CPT 29705 | $791.05 | $1,217.00 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $2,307.66 | $3,550.24 | $6.42 – $1,816.29 | 58 |
| Rem endovas vena cava filter CPT 37193 | $7,023.30 | $10,805.08 | $9.16 – $6,569.00 | 56 |
| Removal anal seton other marker 46030 CPT 46030 | $3,774.93 | $5,807.59 | $77.32 – $5,774.64 | 55 |
| Removal biliary drg cath CPT 47537 | $746.49 | $1,148.44 | $81.78 – $1,886.94 | 55 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $985.85 | $1,516.69 | $120.33 – $1,305.08 | 52 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $4,362.12 | $6,710.96 | $165.56 – $3,274.96 | 55 |
| Removal cerclage w/anes CPT 59871 | $2,794.35 | $4,299.00 | not published | 0 |
| Removal cerclage without anes CPT 59899 | $1,285.70 | $1,978.00 | $177.41 – $420.61 | 51 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $235.95 | $363.00 | $23.64 – $417.41 | 55 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $3,196.34 | $4,917.45 | $83.01 – $3,436.08 | 55 |
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.