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 |
|---|---|---|---|---|
| Splint func pos polyflex ii med HCPCS L3999 | $104.00 | $160.00 | not published | 0 |
| Split blood or products CPT 86985 | $317.85 | $489.00 | $5.00 – $354.45 | 58 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $6,990.75 | $10,755.00 | $811.30 – $9,152.21 | 48 |
| Srs linear based CPT 77372 | $46,780.40 | $71,969.84 | $739.93 – $15,323.17 | 56 |
| Srs multisource CPT 77371 | $50,441.36 | $77,602.09 | $311.79 – $15,323.17 | 56 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $442.00 | $680.00 | $49.44 – $231.99 | 53 |
| Staph a dna amp probe CPT 87640 | $74.75 | $115.00 | $28.57 – $77.45 | 56 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $205.40 | $316.00 | $90.88 – $216.93 | 52 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $15,722.85 | $24,189.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $376.35 | $579.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $23,887.50 | $36,750.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $403.00 | $620.00 | $49.44 – $236.53 | 53 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $568.75 | $875.00 | $49.44 – $478.96 | 53 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $665.60 | $1,024.00 | $46.87 – $191.24 | 52 |
| St evaluation swallow function CPT 92610 | $432.25 | $665.00 | $52.59 – $124.69 | 52 |
| Strep a ag ia CPT 87430 | $100.75 | $155.00 | $12.87 – $37.10 | 60 |
| Strep b dna amp probe CPT 87653 | $193.05 | $297.00 | $28.57 – $77.45 | 56 |
| Streptomycin injection HCPCS J3000 | $328.09 | $504.75 | $1.99 – $105.96 | 7 |
| Streptozocin injection HCPCS J9320 | $4,784.65 | $7,361.00 | $54.25 – $2,148.12 | 5 |
| Stress test pulmonary CPT 94618 | $285.35 | $439.00 | $29.88 – $276.80 | 55 |
| Str markers specimen anal CPT 81265 | $756.60 | $1,164.00 | $189.72 – $514.46 | 58 |
| St treatment speech individual CPT 92507 | $406.90 | $626.00 | $21.76 – $161.09 | 53 |
| St treatment swallow dysfunction/oral CPT 92526 | $365.30 | $562.00 | $74.77 – $177.27 | 52 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $0.63 – $1.28 | 7 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $26.62 | $40.96 | $0.80 – $1.34 | 4 |
| Sulfonylurea screen qn-sendout CPT 80377 | $65.65 | $101.00 | $0.01 – $28.28 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $52.49 | $80.76 | $6.42 – $51.45 | 6 |
| Support clav 29.6-40.5in med HCPCS L3650 | $70.20 | $108.00 | $66.09 – $161.31 | 46 |
| Surg dx exam anorectal CPT 45990 | $3,795.53 | $5,839.27 | $13.47 – $5,774.64 | 56 |
| Surgical pathology level 1 gross examination only CPT 88300 | $9,624.56 | $14,807.02 | $9.00 – $60.17 | 62 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $11,763.34 | $18,097.44 | $20.88 – $77.71 | 62 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $8,186.55 | $12,594.70 | $22.00 – $108.42 | 62 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $3,405.77 | $5,239.65 | $28.00 – $108.42 | 62 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $13,154.51 | $20,237.71 | $53.00 – $745.73 | 62 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $19,379.26 | $29,814.24 | $46.00 – $1,676.18 | 62 |
| Susceptibility agar dilution per agent CPT 87181 | $29.25 | $45.00 | $2.25 – $13.30 | 59 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $30.55 | $47.00 | $2.25 – $11.10 | 60 |
| Susceptibility mic per plate CPT 87186 | $120.90 | $186.00 | $7.04 – $19.09 | 59 |
| Suscept studies macrobroth dilution ea CPT 87188 | $122.85 | $189.00 | $5.40 – $16.04 | 60 |
| Svc venogram s&i CPT 75827 | $1,827.15 | $2,811.00 | $54.96 – $3,274.96 | 61 |
| Sweat collection by iontophoresis CPT 89230 | $135.20 | $208.00 | $1.71 – $108.42 | 54 |
| Synvisc or synvisc-one HCPCS J7325 | $4,460.17 | $6,861.80 | $6.48 – $293.28 | 58 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $61.10 | $94.00 | $3.59 – $10.94 | 60 |
| System pacing micra av HCPCS C1786 | $5,362.50 | $8,250.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $6,035.25 | $9,285.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $60.45 | $93.00 | $13.79 – $37.82 | 59 |
| T3 (triiodothyronine) total CPT 84480 | $107.90 | $166.00 | $11.54 – $31.30 | 60 |
| T4 (thyroxine) free CPT 84439 | $48.10 | $74.00 | $7.34 – $19.91 | 59 |
| T4 (thyroxine) total CPT 84436 | $67.60 | $104.00 | $5.59 – $15.16 | 60 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.87 | $7.50 | $0.18 – $0.61 | 8 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,149.09 | $1,767.83 | $106.29 – $684.22 | 53 |
| Tacrolimus therapeutic drug level CPT 80197 | $167.70 | $258.00 | $11.18 – $30.31 | 60 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $5,237.62 | $8,057.88 | $13.19 – $3,727.44 | 58 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $303.74 | $467.29 | $70.37 – $194.63 | 53 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $43,800.48 | $67,385.36 | $69.71 – $31,533.70 | 58 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $36.45 | $56.08 | $0.30 – $1.39 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,608.75 | $2,475.00 | $618.26 – $1,676.51 | 58 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,548.40 | $8,536.00 | $2,376.55 – $6,444.43 | 54 |
| Target gsa panel organ neop CPT 81445 | $5,852.60 | $9,004.00 | $486.70 – $1,319.77 | 55 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $56,474.60 | $86,884.00 | $1,459.55 – $4,126.35 | 58 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,302.25 | $2,003.46 | $0.23 – $192.51 | 58 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $148.85 | $229.00 | $81.40 – $220.73 | 60 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $202.80 | $312.00 | $50.46 – $136.81 | 59 |
| Tc-99m apcitide diag HCPCS A9504 | $1,252.55 | $1,927.00 | $400.00 – $400.00 | 1 |
| Tc-99m bicisate HCPCS A9557 | $3,641.95 | $5,603.00 | $32.00 – $1,711.81 | 50 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,040.35 | $3,139.00 | $869.68 – $2,061.91 | 55 |
| Tc-99m exametazime diag HCPCS A9521 | $2,290.60 | $3,524.00 | $347.61 – $347.61 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $337.35 | $519.00 | $53.92 – $103.92 | 2 |
| Tc-99m maa HCPCS A9540 | $87.75 | $135.00 | $18.14 – $31.50 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $384.80 | $592.00 | $38.20 – $127.54 | 3 |
| Tc-99m medronate HCPCS A9503 | $158.60 | $244.00 | $13.65 – $37.83 | 5 |
| Tc-99m mertiatide HCPCS A9562 | $648.05 | $997.00 | $31.27 – $31.27 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $134.55 | $207.00 | $23.04 – $46.45 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | $161.85 | $249.00 | $13.68 – $13.68 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $132.60 | $204.00 | $13.68 – $13.68 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $37.05 | $57.00 | $0.20 – $1.81 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $251.55 | $387.00 | $20.80 – $67.25 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $807.30 | $1,242.00 | $70.66 – $288.15 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $720.20 | $1,108.00 | $52.88 – $280.74 | 6 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $1,343.55 | $2,067.00 | $89.53 – $112.08 | 5 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,007.50 | $1,550.00 | $694.65 – $694.65 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $222.30 | $342.00 | $38.25 – $103.70 | 59 |
| T cells absolute cd 4 count CPT 86361 | $219.70 | $338.00 | $21.80 – $59.11 | 56 |
| T cells total count CPT 86359 | $113.75 | $175.00 | $30.71 – $83.28 | 60 |
| Telavancin injection HCPCS J3095 | $2,944.48 | $4,529.97 | $6.90 – $1,387.33 | 53 |
| Telehealth original site facility fee HCPCS Q3014 | $230.75 | $355.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $36,822.50 | $56,650.00 | $113.48 – $778.99 | 57 |
| Telethx isodose plan simple CPT 77306 | $1,166.10 | $1,794.00 | $62.71 – $778.99 | 57 |
| Temozolomide HCPCS J8700 | $773.04 | $1,189.29 | $0.27 – $1.03 | 7 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $3,700.11 | $5,692.48 | $10.20 – $2,736.99 | 53 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $5,271.27 | $8,109.65 | $28.00 – $1,979.51 | 58 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $27,830.64 | $42,816.37 | $183.82 – $25,984.67 | 58 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $86.18 | $132.59 | $2.14 – $32.30 | 9 |
| Testicular imaging w/vasc flow CPT 78761 | $984.75 | $1,515.00 | $43.00 – $853.11 | 49 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $55.90 | $86.00 | $35.50 – $122.73 | 49 |
| Test stress cardiovascular tracing only CPT 93017 | $1,435.85 | $2,209.00 | $31.33 – $449.22 | 55 |
| Tetanus immune globulin inj HCPCS J1670 | $2,868.19 | $4,412.60 | $11.42 – $1,469.02 | 58 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $16,793.56 | $25,836.25 | $16.37 – $9,720.08 | 58 |
| Theophylline therapeutic drug level CPT 80198 | $85.80 | $132.00 | $11.51 – $31.21 | 60 |
| Therapeutic procd strg endur HCPCS G0237 | $143.65 | $221.00 | $25.38 – $60.17 | 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.