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 |
|---|---|---|---|---|
| Revasc evasc fpvt angio sf 1st CPT 37263 | $8,206.90 | $12,626.00 | not published | 0 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $54,818.40 | $84,336.00 | not published | 0 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $11,974.30 | $18,422.00 | not published | 0 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $54,818.40 | $84,336.00 | not published | 0 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $11,974.30 | $18,422.00 | not published | 0 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $12,629.50 | $19,430.00 | not published | 0 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | $16,023.15 | $24,651.00 | not published | 0 |
| Revasc evasc imvt angio sf 1st CPT 37296 | $47,919.30 | $73,722.00 | not published | 0 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $6,018.35 | $9,259.00 | not published | 0 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $10,535.20 | $16,208.00 | not published | 0 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $10,535.20 | $16,208.00 | not published | 0 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $32,750.90 | $50,386.00 | not published | 0 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $7,666.10 | $11,794.00 | not published | 0 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $47,919.30 | $73,722.00 | not published | 0 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $9,402.90 | $14,466.00 | not published | 0 |
| Revise arm/leg nerve CPT 64708 | $6,443.06 | $9,912.40 | $8.45 – $4,062.56 | 56 |
| Revise middle ear & mastoid CPT 69641 | $25,527.40 | $39,272.92 | $9.16 – $12,315.95 | 56 |
| Revise middle ear & mastoid CPT 69643 | $20,999.26 | $32,306.56 | $8.45 – $12,315.95 | 56 |
| Revise/remove neuroelectrode CPT 61880 | $59,549.51 | $91,614.63 | $53.88 – $64,198.09 | 55 |
| Revise/remove sling repair CPT 57287 | $10,534.97 | $16,207.64 | $48.18 – $19,694.56 | 56 |
| Revise/repl vagus n eltrd CPT 64569 | $56,126.67 | $86,348.72 | $123.02 – $64,198.09 | 56 |
| Revise spermatic cord veins CPT 55530 | $9,352.65 | $14,388.70 | $313.89 – $7,333.57 | 55 |
| Revise spine eltrd perq aray CPT 63663 | $13,168.66 | $20,259.48 | $297.00 – $13,258.74 | 55 |
| Revise ulnar nerve at wrist CPT 64719 | $7,724.42 | $11,883.72 | $13.47 – $4,062.56 | 56 |
| Revise ureter CPT 50727 | $12,492.40 | $19,219.08 | $9.16 – $7,333.57 | 52 |
| Revise urethra stage 1 CPT 53400 | $13,649.93 | $20,999.90 | $196.67 – $11,154.98 | 56 |
| Revise vag graft via vagina CPT 57295 | $12,953.90 | $19,929.07 | $320.00 – $7,333.57 | 55 |
| Revision of bladder neck CPT 52500 | $7,033.75 | $10,821.15 | $13.47 – $7,333.57 | 56 |
| Revision of cervix CPT 59320 | $3,664.76 | $5,638.10 | $35.00 – $6,734.70 | 56 |
| Revision of ileostomy; simple 44312 CPT 44312 | $12,492.40 | $19,219.08 | $9.16 – $7,333.57 | 52 |
| Revision of nose CPT 30430 | $25,393.14 | $39,066.37 | $196.67 – $12,315.95 | 55 |
| Revision of penis CPT 54300 | $5,140.15 | $7,907.93 | $363.00 – $7,333.57 | 55 |
| Revision of scrotum CPT 55175 | $9,449.84 | $14,538.22 | $16.97 – $7,333.57 | 56 |
| Revision of scrotum CPT 55180 | $17,431.65 | $26,817.93 | $202.47 – $11,154.98 | 56 |
| Revision of testis CPT 54660 | $15,261.60 | $23,479.39 | $0.33 – $11,154.98 | 56 |
| Revision of urethra CPT 53450 | $6,674.36 | $10,268.24 | $0.33 – $7,333.57 | 56 |
| Revision open av fistula without thromb CPT 36832 | $11,667.30 | $17,949.70 | $13.47 – $11,576.67 | 56 |
| Revision tips CPT 37183 | $12,222.69 | $18,804.14 | $9.16 – $11,841.05 | 56 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $7,456.29 | $11,471.21 | $220.62 – $7,273.50 | 56 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $5,459.49 | $8,399.21 | $129.68 – $7,273.50 | 56 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $5,459.49 | $8,399.21 | $201.59 – $7,273.50 | 56 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $6,941.01 | $10,678.47 | $10.04 – $5,680.44 | 58 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $5,210.40 | $8,016.00 | $3.00 – $4,062.56 | 55 |
| Rheumatoid factor qualitative CPT 86430 | $73.45 | $113.00 | $4.99 – $13.55 | 60 |
| Rheumatoid factor quantitative CPT 86431 | $55.90 | $86.00 | $4.62 – $17.48 | 60 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $576.27 | $886.57 | $73.35 – $191.25 | 8 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $781.11 | $1,201.71 | $114.00 – $267.84 | 4 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $39,845.49 | $61,300.75 | $13.59 – $23,050.98 | 58 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $3,467.82 | $5,335.11 | $69.04 – $1,951.88 | 58 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $24,060.00 | $37,015.39 | $33.78 – $13,370.24 | 58 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $15,479.72 | $23,814.96 | $29.12 – $3,582.36 | 58 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $2,654.22 | $4,083.42 | $18.86 – $409.01 | 57 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $2,654.22 | $4,083.42 | $12.74 – $235.90 | 57 |
| Rmvl esophgl sphnctr dev CPT 43285 | $15,534.11 | $23,898.63 | $196.67 – $11,117.65 | 53 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $8,526.70 | $13,118.00 | $196.67 – $2,489.56 | 53 |
| Rmvl icd by tv extr CPT 33244 | $7,397.00 | $11,380.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $6,432.40 | $9,896.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $768.10 | $1,181.69 | $141.50 – $1,305.08 | 55 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $14,427.74 | $22,196.53 | $54.55 – $1,637.82 | 55 |
| Rmvl perm pm pulse gen CPT 33233 | $4,380.35 | $6,739.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $13,750.41 | $21,154.47 | $48.18 – $17,004.38 | 56 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $249.60 | $384.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $4,774.25 | $7,345.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $4,645.55 | $7,147.00 | not published | 0 |
| Rmv ntr oi implt skl prq esp CPT 69726 | $3,851.72 | $5,925.72 | $3.86 – $6,807.25 | 56 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $11,720.42 | $18,031.42 | $28.67 – $8,104.95 | 58 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $18,826.87 | $28,964.42 | $10.34 – $3,654.90 | 58 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $8,989.15 | $13,829.46 | $11.35 – $6,737.85 | 58 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $712.17 | $1,095.65 | $1.20 – $7.87 | 9 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,215.50 | $1,870.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,118.65 | $1,721.00 | $42.00 – $1,076.10 | 57 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,310.40 | $2,016.00 | $49.80 – $3,274.96 | 56 |
| Rpl tun-cvad w subq port CPT 36582 | $5,254.75 | $8,084.23 | $9.16 – $6,569.00 | 56 |
| Rpl tun cvc wo subq port CPT 36581 | $4,572.90 | $7,035.23 | $9.16 – $6,569.00 | 56 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $13,554.44 | $20,852.99 | $0.34 – $1,981.04 | 55 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $17,646.60 | $27,148.62 | $0.33 – $13,468.50 | 56 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $11,162.84 | $17,173.60 | $13.47 – $12,577.45 | 56 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $11,501.63 | $17,694.82 | $0.33 – $13,468.50 | 56 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $9,516.36 | $14,640.56 | $13.47 – $7,448.87 | 56 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $6,397.53 | $9,842.36 | $59.20 – $12,577.45 | 55 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $11,234.48 | $17,283.81 | $59.20 – $2,400.56 | 52 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $9,459.87 | $14,553.65 | $0.34 – $1,713.67 | 55 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $12,182.55 | $18,742.39 | $3.86 – $1,663.17 | 53 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $10,689.74 | $16,445.75 | $13.47 – $13,468.50 | 56 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $7,554.89 | $11,622.91 | $29.60 – $12,577.45 | 56 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $9,427.30 | $14,503.54 | $3.86 – $7,448.87 | 56 |
| Rpr rem hernia init reduce CPT 49550 | $11,013.79 | $16,944.30 | $4.21 – $7,448.87 | 56 |
| Rsv assay w/optic CPT 87807 | $94.25 | $145.00 | $10.66 – $93.86 | 60 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $568.10 | $874.00 | $123.10 – $276.98 | 44 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $339.95 | $523.00 | $34.51 – $77.65 | 44 |
| Rubella antibody igg CPT 86762 | $89.05 | $137.00 | $11.72 – $31.76 | 59 |
| Rubeola antibody igg CPT 86765 | $123.50 | $190.00 | $10.48 – $28.43 | 60 |
| Russell viper venom diluted CPT 85613 | $139.75 | $215.00 | $7.80 – $21.15 | 60 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $9,587.51 | $14,750.01 | $34.26 – $6,972.54 | 58 |
| Sargramostim injection HCPCS J2820 | $955.90 | $1,470.62 | $57.62 – $814.40 | 58 |
| Sarscov coronavirus ag ia CPT 87426 | $80.60 | $124.00 | $31.43 – $112.61 | 59 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $252.20 | $388.00 | $51.48 – $155.15 | 59 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,484.60 | $2,284.00 | $91.00 – $496.40 | 55 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $923.00 | $1,420.00 | $73.00 – $217.50 | 55 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $595.40 | $916.00 | $73.00 – $496.40 | 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.