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 |
|---|---|---|---|---|
| Argatroban nonesrd use 1mg HCPCS J0883 | $447.12 | $687.88 | $0.99 – $142.50 | 53 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,004.27 | $3,083.50 | $46.80 – $169.63 | 8 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,138.15 | $1,751.00 | $39.28 – $39.28 | 4 |
| Artery-vein nonautograft CPT 36830 | $11,852.74 | $18,234.99 | $13.47 – $11,576.67 | 56 |
| Artery xray each vessel 7577426 CPT 75774 | $1,189.50 | $1,830.00 | $42.46 – $1,015.64 | 8 |
| Artery xray of abdomen 75726-26 CPT 75726 | $2,815.80 | $4,332.00 | $64.66 – $11,576.67 | 61 |
| Artery x-rays adrenal gland CPT 75731 | $6,815.25 | $10,485.00 | $83.24 – $6,569.00 | 53 |
| Artery x-rays adrenals CPT 75733 | $11,402.95 | $17,543.00 | $558.11 – $6,569.00 | 53 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,483.00 | $3,820.00 | $57.44 – $6,569.00 | 61 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,719.95 | $5,723.00 | $59.93 – $6,569.00 | 61 |
| Artery x-rays chest CPT 75756 | $6,059.95 | $9,323.00 | $92.68 – $6,569.00 | 53 |
| Artery x-rays lung CPT 75741 | $2,275.00 | $3,500.00 | $58.82 – $6,569.00 | 61 |
| Artery x-rays lung CPT 75746 | $1,290.25 | $1,985.00 | $69.10 – $6,569.00 | 53 |
| Artery x-rays lungs CPT 75743 | $3,097.25 | $4,765.00 | $59.93 – $6,569.00 | 53 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $4,694.95 | $7,223.00 | $76.85 – $11,576.67 | 61 |
| Artery x-rays spine CPT 75705 | $5,743.40 | $8,836.00 | $152.32 – $11,576.67 | 61 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $380.90 | $586.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $534.30 | $822.00 | not published | 0 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $587.60 | $904.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $785.85 | $1,209.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,488.50 | $2,290.00 | not published | 0 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $520.00 | $800.00 | not published | 0 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $12,614.71 | $19,407.25 | $0.33 – $15,096.24 | 56 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $13,258.21 | $20,397.24 | $142.31 – $15,096.24 | 55 |
| Ascenda two piece catheter HCPCS C1772 | $16,250.00 | $25,000.00 | not published | 0 |
| Asp & inj bone cyst CPT 20615 | $1,201.20 | $1,848.00 | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $11,177.40 | $17,196.00 | $13.47 – $4,348.95 | 56 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,710.15 | $2,631.00 | $77.42 – $1,305.08 | 56 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,875.20 | $2,884.93 | $48.18 – $1,473.24 | 56 |
| Assay of adp & amp CPT 82030 | $169.00 | $260.00 | $21.00 – $56.95 | 56 |
| Assay of breath ethanol CPT 82075 | $126.10 | $194.00 | $0.01 – $66.22 | 57 |
| Assay of corticosterone CPT 82528 | $156.00 | $240.00 | $18.33 – $49.71 | 60 |
| Assay of estrogen CPT 84233 | $1,114.10 | $1,714.00 | $71.53 – $193.98 | 56 |
| Assay of feces porphyrins CPT 84126 | $225.55 | $347.00 | $31.83 – $86.33 | 56 |
| Assay of fluoride CPT 82735 | $104.00 | $160.00 | $15.09 – $40.92 | 56 |
| Assay of galactose CPT 82760 | $22.10 | $34.00 | $9.12 – $24.72 | 59 |
| Assay of interleukin-6 (il-6) CPT 83529 | $104.00 | $160.00 | $14.06 – $38.12 | 58 |
| Assay of leflunomide CPT 80193 | $193.70 | $298.00 | $31.39 – $85.14 | 55 |
| Assay of neonatal thyroxine CPT 84437 | $30.55 | $47.00 | $5.27 – $14.28 | 60 |
| Assay of osteocalcin CPT 83937 | $139.75 | $215.00 | $24.30 – $65.89 | 60 |
| Assay of prostaglandin CPT 84150 | $360.10 | $554.00 | $34.00 – $92.20 | 60 |
| Assay of salicylate CPT 80179 | $265.20 | $408.00 | $15.17 – $41.14 | 59 |
| Assay of semen fructose CPT 82757 | $141.05 | $217.00 | $14.11 – $38.27 | 59 |
| Assay of somatostatin CPT 84307 | $269.10 | $414.00 | $14.88 – $40.35 | 60 |
| Assay of thiocyanate CPT 84430 | $75.40 | $116.00 | $9.47 – $25.67 | 56 |
| Assay of tyrosine CPT 84510 | $105.95 | $163.00 | $8.66 – $23.46 | 60 |
| Assay of urine sulfate CPT 84392 | $46.15 | $71.00 | $4.47 – $12.12 | 60 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $255.45 | $393.00 | $85.75 – $205.99 | 52 |
| Assess cyst contrast inject CPT 49424 | $1,085.31 | $1,669.71 | $31.50 – $1,136.79 | 54 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $41.60 | $64.00 | $3.48 – $9.44 | 60 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | $15,041.00 | $23,140.00 | $196.34 – $15,096.24 | 56 |
| Assistive tech assessment, ot CPT 97755 | $294.45 | $453.00 | $33.99 – $79.60 | 48 |
| Ast/sgot CPT 84450 | $13.65 | $21.00 | $4.21 – $11.43 | 59 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $43,641.76 | $67,141.17 | $87.51 – $20,783.04 | 58 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $22.46 | $34.56 | $1.50 – $13.95 | 8 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $1,562.60 | $2,404.00 | $68.95 – $68.95 | 4 |
| Augment injectable kit 3.0cc HCPCS C1734 | $5,543.85 | $8,529.00 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $4,368.65 | $6,721.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $5,744.70 | $8,838.00 | not published | 0 |
| Autologous blood process CPT 86890 | $692.90 | $1,066.00 | $49.00 – $354.45 | 55 |
| Automated diff wbc count CPT 85004 | $64.35 | $99.00 | $5.27 – $14.28 | 56 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $7,914.69 | $12,176.45 | $98.26 – $5,556.01 | 58 |
| Av fistula revision CPT 36833 | $10,889.18 | $16,752.59 | $53.88 – $11,576.67 | 56 |
| Av fusion direct any site CPT 36821 | $6,856.52 | $10,548.49 | $13.47 – $6,569.00 | 56 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $278.20 | $428.00 | not published | 0 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $17,559.19 | $27,014.14 | $51.81 – $13,182.75 | 54 |
| Azacitidine injection HCPCS J9025 | $2,173.63 | $3,344.05 | $29.00 – $108.81 | 7 |
| Azathioprine 50 mg tablet HCPCS J7500 | $4.87 | $7.50 | $0.07 – $1.19 | 8 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $92.98 | $143.05 | $2.13 – $5.11 | 8 |
| Baclofen eval charges CPT 97750 | $136.50 | $210.00 | $27.35 – $70.30 | 51 |
| Bacterial meningitis antigen CPT 86403 | $116.35 | $179.00 | $9.39 – $25.47 | 60 |
| Bacterial vaginosis pcr CPT 87801 | $708.50 | $1,090.00 | $50.12 – $154.95 | 59 |
| #bac vag cand-c. albicans naa CPT 87481 | $92.95 | $143.00 | $28.57 – $77.45 | 59 |
| Balloon dilate urtrl strix CPT 50706 | $5,948.79 | $9,151.99 | $9.16 – $7,333.57 | 56 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $1.95 | $3.00 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $5,089.78 | $7,830.43 | $8.45 – $6,734.70 | 56 |
| Bausch health Ultrasound surg HCPCS V2788 | $1,617.20 | $2,488.00 | not published | 0 |
| B cells total count CPT 86355 | $109.20 | $168.00 | $30.71 – $83.28 | 60 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $8,076.63 | $12,425.58 | $53.24 – $1,806.25 | 58 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $1,314.30 | $2,022.00 | $2.01 – $142.29 | 58 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $9,072.54 | $13,957.76 | $12.01 – $3,395.43 | 58 |
| #_benzodiazconfur CPT 80346 | $146.90 | $226.00 | $0.01 – $30.06 | 3 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $131.23 | $201.90 | $7.81 – $35.57 | 7 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $123.50 | $190.00 | $20.71 – $57.97 | 60 |
| Beta-2 microglobulin CPT 82232 | $187.20 | $288.00 | $13.17 – $37.56 | 59 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $14.45 | $22.23 | $3.46 – $161.24 | 9 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,946.98 | $4,533.81 | $69.22 – $1,957.19 | 58 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $2,584.57 | $3,976.26 | $22.10 – $505.55 | 58 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $2,276.50 | $3,502.31 | $24.07 – $564.70 | 58 |
| Bevacizumab injection HCPCS C9257 | $72.14 | $110.99 | $1.73 – $10.60 | 51 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $213.85 | $329.00 | $35.91 – $80.81 | 44 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $107.25 | $165.00 | $20.17 – $45.38 | 44 |
| B-hexosaminidase ea assay CPT 83080 | $330.85 | $509.00 | $13.73 – $37.24 | 56 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $3,267.60 | $5,027.08 | $47.38 – $1,840.11 | 52 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,157.00 | $1,780.00 | $44.33 – $638.60 | 56 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,608.10 | $2,474.00 | $44.86 – $638.60 | 56 |
| Bilicheck CPT 88720 | $91.00 | $140.00 | $4.08 – $11.08 | 60 |
| Bilirubin direct CPT 82248 | $18.20 | $28.00 | $4.08 – $11.08 | 59 |
| Bilirubin total CPT 82247 | $18.20 | $28.00 | $4.08 – $11.08 | 59 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $54.60 | $84.00 | $37.58 – $89.09 | 48 |
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.