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 |
|---|---|---|---|---|
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $473.20 | $728.00 | $73.00 – $217.50 | 55 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $572.00 | $880.00 | $70.00 – $217.50 | 54 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,149.85 | $1,769.00 | $73.00 – $217.50 | 55 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $893.10 | $1,374.00 | $73.00 – $496.40 | 55 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $897.00 | $1,380.00 | $73.00 – $217.50 | 55 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $565.50 | $870.00 | $73.00 – $217.50 | 55 |
| Scan proc cranial extra CPT 61782 | $12,604.29 | $19,391.22 | $0.33 – $14,682.73 | 56 |
| Scan proc cranial intra 61781 CPT 61781 | $23,273.07 | $35,804.73 | $202.51 – $61,291.29 | 56 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,017.90 | $1,566.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $6,701.14 | $10,309.44 | $3.86 – $6,807.25 | 56 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $5,679.70 | $8,738.00 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $79.30 | $122.00 | $21.56 – $58.47 | 52 |
| Screening Mammogram CPT 77067 | $396.50 | $610.00 | $76.15 – $264.60 | 55 |
| Screening prostate cancer PSA HCPCS G0103 | $137.80 | $212.00 | $15.72 – $42.62 | 56 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $20,506.20 | $31,548.00 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $33,514.00 | $51,560.00 | not published | 0 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $405.60 | $624.00 | $48.03 – $48.03 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $12.35 | $19.00 | $2.20 – $8.60 | 59 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $46.80 | $72.00 | $12.19 – $12.19 | 4 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $78.00 | $120.00 | $9.14 – $9.14 | 4 |
| Semen analysis presence/motility CPT 89321 | $455.00 | $700.00 | $9.81 – $35.30 | 57 |
| Sertraline (zoloft) - sendout CPT 80332 | $228.80 | $352.00 | $0.01 – $28.28 | 3 |
| Set radiation therapy field CPT 77280 | $41,018.25 | $63,105.00 | $117.94 – $1,103.01 | 57 |
| Set radiation therapy field CPT 77285 | $42,805.75 | $65,855.00 | $248.00 – $1,750.09 | 57 |
| Set radiation therapy field CPT 77290 | $32,940.70 | $50,678.00 | $300.00 – $2,018.29 | 57 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $15,264.24 | $23,483.45 | $0.33 – $15,096.24 | 56 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $9,822.99 | $15,112.29 | $3.86 – $6,807.25 | 56 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $7,864.82 | $12,099.73 | $8.45 – $6,807.25 | 56 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $10,501.82 | $16,156.65 | $220.62 – $6,807.25 | 56 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $10,351.64 | $15,925.60 | $8.45 – $15,096.24 | 56 |
| Shoe post-op mens m HCPCS L3260 | $17.55 | $27.00 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $13,811.32 | $21,248.19 | $250.00 – $15,096.24 | 55 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,324.10 | $5,114.00 | $247.64 – $1,971.21 | 60 |
| Shoulder MRI (with contrast) CPT 73222 | $4,455.75 | $6,855.00 | $204.87 – $1,630.91 | 60 |
| Shoulder MRI (without contrast) CPT 73221 | $2,993.25 | $4,605.00 | $120.75 – $897.52 | 60 |
| Shoulder X-ray CPT 73030 | $698.10 | $1,074.00 | $20.00 – $181.05 | 61 |
| Shrinker prosth below knee HCPCS L8440 | $351.00 | $540.00 | $53.04 – $119.35 | 46 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,168.75 | $4,875.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $350.35 | $539.00 | $49.41 – $353.69 | 61 |
| Sialography s&i CPT 70390 | $838.50 | $1,290.00 | $81.62 – $496.40 | 61 |
| Sialolithotomy 42330 CPT 42330 | $5,631.57 | $8,663.95 | $143.07 – $6,897.67 | 55 |
| Sickling rbc CPT 85660 | $76.70 | $118.00 | $4.49 – $12.16 | 59 |
| Sigmoidoscopy and biopsy CPT 45331 | $2,844.76 | $4,376.55 | $48.18 – $1,934.74 | 53 |
| Sigmoidoscopy for bleeding CPT 45334 | $2,713.72 | $4,174.96 | $102.28 – $2,489.56 | 52 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $3,427.22 | $5,272.65 | $48.18 – $1,934.74 | 53 |
| Sigmoidoscopy w/ablation CPT 45346 | $3,364.21 | $5,175.71 | $48.18 – $2,489.56 | 53 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $5,258.76 | $8,090.40 | $48.18 – $2,489.56 | 53 |
| Sigmoidoscopy w/resection CPT 45349 | $5,057.72 | $7,781.11 | $48.18 – $5,774.64 | 56 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $4,170.47 | $6,416.11 | $48.18 – $2,489.56 | 53 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $2,879.47 | $4,429.96 | $107.83 – $9,886.31 | 54 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $4,710.27 | $7,246.57 | $146.74 – $2,489.56 | 53 |
| Sig w/tndsc balloon dilation CPT 45340 | $4,398.21 | $6,766.47 | $69.53 – $2,489.56 | 53 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $244.36 | $375.94 | $0.28 – $0.44 | 2 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $570.71 | $878.02 | $123.35 – $284.80 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,845.35 | $2,839.00 | $107.98 – $569.97 | 61 |
| Sinus CT scan (with contrast) CPT 70487 | $2,835.95 | $4,363.00 | $86.04 – $455.88 | 61 |
| Sinus CT scan (without contrast) CPT 70486 | $3,342.30 | $5,142.00 | $76.07 – $381.16 | 61 |
| Sinus/juglr venogram s&i CPT 75860 | $4,063.15 | $6,251.00 | $69.02 – $6,569.00 | 61 |
| Sipuleucel-t - su HCPCS Q2043 | $228,722.68 | $351,881.05 | $32,860.00 – $148,104.75 | 57 |
| Sirolimus, oral HCPCS J7520 | $98.07 | $150.88 | $1.06 – $3.32 | 8 |
| Skin Biopsy CPT 11102 | $896.35 | $1,379.00 | $85.94 – $845.74 | 56 |
| Sleep Study (Polysomnography) CPT 95810 | $5,398.90 | $8,306.00 | $122.00 – $1,786.57 | 56 |
| Sleep study unattended CPT 95806 | $588.90 | $906.00 | $81.63 – $449.22 | 56 |
| Sling suprapubic suburetheral HCPCS C1771 | $10,439.00 | $16,060.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | $536.25 | $825.00 | $51.77 – $122.73 | 52 |
| Sm-153 lexidron ther HCPCS A9604 | $30,588.35 | $47,059.00 | $3,099.76 – $6,974.63 | 46 |
| Small bowel endoscopy CPT 44360 | $4,478.67 | $6,890.26 | $48.18 – $3,992.20 | 56 |
| Small bowel endoscopy CPT 44364 | $3,536.10 | $5,440.16 | $143.55 – $3,992.20 | 56 |
| Small bowel endoscopy CPT 44366 | $4,008.62 | $6,167.11 | $3.86 – $3,992.20 | 56 |
| Small bowel endoscopy CPT 44382 | $6,142.99 | $9,450.76 | $65.15 – $1,886.94 | 53 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $5,625.48 | $8,654.58 | $164.48 – $3,992.20 | 55 |
| Small bowel endoscopy/biopsy CPT 44361 | $3,858.47 | $5,936.11 | $48.18 – $3,992.20 | 56 |
| Small bowel endoscopy br/wa CPT 44380 | $8,047.07 | $12,380.11 | $48.18 – $1,886.94 | 53 |
| Small bowel endoscopy br/wa CPT 44381 | $3,763.27 | $5,789.65 | $48.18 – $3,992.20 | 53 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $68.90 | $106.00 | $4.39 – $13.24 | 59 |
| Smear gram stain CPT 87205 | $85.80 | $132.00 | $3.48 – $9.44 | 59 |
| Smear nasal eosinophil CPT 89190 | $62.40 | $96.00 | $4.71 – $12.78 | 56 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $109.85 | $169.00 | $4.87 – $22.97 | 60 |
| Smear wet mount CPT 87210 | $156.00 | $240.00 | $4.74 – $12.85 | 59 |
| Snrpn/ube3a gene CPT 81331 | $532.35 | $819.00 | $41.57 – $112.73 | 59 |
| Sodium 24 hour urine CPT 84300 | $124.15 | $191.00 | $4.11 – $11.17 | 59 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $42.25 | $65.00 | $2.50 – $35.43 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $42.25 | $65.00 | $1.25 – $3.57 | 8 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $42.25 | $65.00 | $0.63 – $15.75 | 9 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $42.25 | $65.00 | $8.00 – $19.00 | 6 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $139.11 | $214.02 | $10.95 – $31.53 | 8 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $831.15 | $1,278.70 | $73.03 – $195.91 | 7 |
| Sodium serum/plasma/whole blood CPT 84295 | $51.35 | $79.00 | $3.92 – $10.62 | 59 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $12.60 | $19.39 | $0.82 – $3.03 | 52 |
| Special physics consult CPT 77370 | $32,940.70 | $50,678.00 | $109.00 – $279.63 | 56 |
| Special radiation dosimetry CPT 77331 | $18,529.55 | $28,507.00 | $16.08 – $279.63 | 57 |
| Special radiation treatment CPT 77470 | $46,255.32 | $71,162.03 | $29.94 – $1,149.54 | 57 |
| Special teletx port plan CPT 77321 | $17,465.50 | $26,870.00 | $37.19 – $778.99 | 57 |
| Specific gravity body fluid CPT 84315 | $42.90 | $66.00 | $1.86 – $7.24 | 56 |
| Specimen fat stain CPT 89125 | $73.45 | $113.00 | $4.79 – $12.98 | 56 |
| Speech evaluation complex CPT 70371 | $684.45 | $1,053.00 | $56.90 – $496.40 | 53 |
| Sperm antibody test CPT 89325 | $107.25 | $165.00 | $8.69 – $23.55 | 53 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,848.30 | $4,382.00 | $9.16 – $1,468.55 | 56 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $887.25 | $1,365.00 | $33.19 – $776.34 | 55 |
| Splint finger frog med HCPCS L3927 | $4.55 | $7.00 | $36.63 – $86.84 | 49 |
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.