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 |
|---|---|---|---|---|
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $117.65 | $181.00 | $23.70 – $56.40 | 52 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $94.90 | $146.00 | $17.06 – $47.15 | 52 |
| Ther fx nasal inf turbinate CPT 30930 | $23,727.33 | $36,503.58 | $102.74 – $14,682.73 | 55 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $1,355.25 | $2,085.00 | $31.00 – $477.70 | 53 |
| Ther/proph/diag inj ia CPT 96373 | $107.90 | $166.00 | $187.62 – $442.52 | 48 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $43.53 | $66.97 | $3.52 – $107.15 | 9 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,529.80 | $3,892.00 | $92.31 – $1,305.08 | 56 |
| Thrombectmy crnry perq mechanical CPT 92973 | $4,954.30 | $7,622.00 | $152.36 – $152.36 | 4 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $13,237.26 | $20,365.02 | $93.28 – $11,841.05 | 56 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $14,234.95 | $21,899.93 | $19.28 – $24,017.18 | 56 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $26,212.25 | $40,326.54 | $9.16 – $38,138.17 | 56 |
| Thrombin time CPT 85670 | $133.90 | $206.00 | $4.11 – $12.91 | 60 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $118.30 | $182.00 | $5.27 – $14.62 | 60 |
| Thyroglobulin antibody CPT 86800 | $91.00 | $140.00 | $12.95 – $35.12 | 60 |
| Thyroid imaging CPT 78013 | $644.80 | $992.00 | $128.48 – $838.08 | 57 |
| Thyroid mets imag whole body CPT 78018 | $10,337.37 | $15,903.65 | $46.00 – $1,319.15 | 57 |
| Thyroid met uptake CPT 78020 | $229.45 | $353.00 | $12.75 – $273.17 | 5 |
| Thyroid (TSH) Test CPT 84443 | $59.80 | $92.00 | $13.67 – $37.08 | 59 |
| Thyroid Ultrasound CPT 76536 | $512.85 | $789.00 | $54.00 – $417.35 | 60 |
| Thyroid uptake measurement CPT 78012 | $892.45 | $1,373.00 | $60.19 – $831.71 | 49 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $7,570.32 | $11,646.65 | $495.60 – $5,594.03 | 58 |
| Thyroxine binding globulin (tbg) CPT 84442 | $163.15 | $251.00 | $12.03 – $32.62 | 60 |
| Tibial arthroscopy/surgery CPT 29855 | $17,233.86 | $26,513.63 | $220.62 – $15,096.24 | 56 |
| Tigecycline injection HCPCS J3243 | $437.45 | $673.00 | $31.50 – $75.33 | 7 |
| Tilt table study CPT 93660 | $3,207.75 | $4,935.00 | $63.38 – $776.34 | 55 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $1,045.51 | $1,608.47 | $181.00 – $419.90 | 8 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $27,070.87 | $41,647.50 | $182.59 – $20,648.23 | 58 |
| Tissue culture placenta CPT 88235 | $353.60 | $544.00 | $91.26 – $331.76 | 60 |
| Tissue culture skin/biopsy CPT 88233 | $748.15 | $1,151.00 | $91.26 – $310.63 | 59 |
| Tissue exam koh skin/hair/nails CPT 87220 | $145.60 | $224.00 | $3.48 – $10.37 | 60 |
| Tissue transglutaminase iga CPT 86364 | $85.80 | $132.00 | $9.38 – $25.45 | 58 |
| Tl-201 thallium diag per mci HCPCS A9505 | $363.35 | $559.00 | $16.88 – $34.29 | 5 |
| Tlh uterus 250 g or less CPT 58570 | $13,377.07 | $20,580.11 | $331.43 – $22,114.90 | 56 |
| Tlh w/t/o 250 g or less CPT 58571 | $15,540.92 | $23,909.11 | $363.00 – $22,114.90 | 56 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $16,872.63 | $25,957.90 | $331.43 – $22,114.90 | 56 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $365.27 | $561.96 | $1.97 – $5.30 | 8 |
| Tobramycin peak therapeutic drug level CPT 80200 | $131.30 | $202.00 | $13.13 – $35.60 | 60 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $9,737.46 | $14,980.71 | $5.15 – $1,165.10 | 58 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $133.90 | $206.00 | $10.60 – $57.12 | 54 |
| Tomosynthesis breast screen bilateral CPT 77063 | $107.90 | $166.00 | $19.53 – $120.64 | 56 |
| Tonsillectomy (age 12+) CPT 42826 | $4,874.10 | $7,498.61 | $8.45 – $6,897.67 | 56 |
| Tonsillectomy (child under 12) CPT 42825 | $4,130.78 | $6,355.04 | $231.46 – $12,315.95 | 55 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $559.64 | $860.98 | $71.20 – $222.08 | 8 |
| Total hysterectomy CPT 58150 | $13,073.40 | $20,112.93 | $59.20 – $1,965.78 | 55 |
| Toxoplasma antibody igg CPT 86777 | $83.20 | $128.00 | $11.72 – $31.76 | 60 |
| Toxoplasma antibody igm CPT 86778 | $83.20 | $128.00 | $11.73 – $31.81 | 60 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,108.25 | $1,705.00 | $268.22 – $727.33 | 58 |
| Tpmt gene com vrnts CPT 81335 | $332.80 | $512.00 | $142.30 – $385.86 | 58 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $13,392.21 | $20,603.40 | $13.47 – $11,154.98 | 56 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $14,456.30 | $22,240.46 | $364.09 – $10,293.15 | 58 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $15,791.00 | $24,293.85 | $323.14 – $12,577.45 | 56 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $150.15 | $231.00 | $48.23 – $117.30 | 53 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $91.86 | $141.33 | $4.00 – $6.00 | 2 |
| Transabdom amnioinfus w/us CPT 59070 | $4,680.06 | $7,200.09 | $35.00 – $633.98 | 55 |
| Transcath biopsy CPT 37200 | $11,329.96 | $17,430.71 | $182.12 – $11,576.67 | 56 |
| Transcath closure of asd CPT 93580 | $20,099.30 | $30,922.00 | $813.46 – $38,138.17 | 55 |
| Transcath closure of vsd CPT 93581 | $20,891.65 | $32,141.00 | $1,143.85 – $38,138.17 | 48 |
| Transcatheter bx s&i CPT 75970 | $2,473.25 | $3,805.00 | $331.60 – $930.66 | 7 |
| Transcath occlusion cns CPT 61624 | $3,615.95 | $5,563.00 | not published | 0 |
| Transferrin CPT 84466 | $28.60 | $44.00 | $10.38 – $28.17 | 59 |
| Transfusion blood/blood component(s) CPT 36430 | $7,813.00 | $12,020.00 | $42.92 – $917.84 | 55 |
| Transorl lwr esophgl myotomy CPT 43497 | $10,388.64 | $15,982.52 | $48.18 – $1,886.94 | 53 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $5,728.66 | $8,813.33 | $68.36 – $2,898.95 | 58 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $13,947.04 | $21,456.98 | $52.49 – $2,127.65 | 58 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $12,423.37 | $19,112.87 | $9.71 – $284.55 | 58 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $6,483.10 | $9,974.00 | $1,232.44 – $2,773.06 | 46 |
| Treat ectopic pregnancy CPT 59151 | $11,931.72 | $18,356.50 | $123.02 – $12,577.45 | 56 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $5,842.48 | $8,988.43 | $48.18 – $6,734.70 | 56 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $328.25 | $505.00 | $46.65 – $276.80 | 55 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $133.90 | $206.00 | $13.58 – $13.58 | 4 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $480.35 | $739.00 | $6.00 – $455.57 | 55 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $5,346.26 | $8,225.02 | $48.18 – $6,734.70 | 56 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | $6,603.35 | $10,159.00 | $297.00 – $5,774.64 | 49 |
| Treatment of miscarriage CPT 59821 | $6,204.91 | $9,546.02 | $123.02 – $6,734.70 | 56 |
| Treatment of urethra lesion CPT 53220 | $12,444.70 | $19,145.69 | $250.00 – $8,145.89 | 56 |
| Treatment radiation delivery level 2 CPT 77407 | $37,928.15 | $58,351.00 | $66.00 – $1,189.65 | 56 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $155,002.54 | $238,465.44 | $133.35 – $113,095.44 | 58 |
| Treponema pallidum antibody CPT 86780 | $79.95 | $123.00 | $10.78 – $29.22 | 59 |
| Trg gene rearrangement anal CPT 81342 | $111.80 | $172.00 | $110.20 – $444.77 | 58 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $37.19 | $57.21 | $0.90 – $9.57 | 9 |
| Trichinella antibody CPT 86784 | $162.50 | $250.00 | $10.22 – $27.72 | 56 |
| Trichomonas assay w/optic CPT 87808 | $89.05 | $137.00 | $12.44 – $33.75 | 56 |
| #tricyclicantidprssnt CPT 80337 | $122.20 | $188.00 | $0.01 – $27.18 | 2 |
| Triglycerides CPT 84478 | $252.20 | $388.00 | $4.68 – $12.67 | 59 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $18,191.17 | $27,986.42 | $6.66 – $26,710.31 | 55 |
| Trml dstrj ios bvn ea addl CPT 64629 | $22,629.39 | $34,814.44 | $5.92 – $26,710.31 | 55 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $5,531.50 | $8,510.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $6,258.85 | $9,629.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $7,804.55 | $12,007.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $60,282.61 | $92,742.48 | $127.61 – $38,138.17 | 53 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $60,282.61 | $92,742.48 | $262.28 – $38,138.17 | 53 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $2,456.35 | $3,779.00 | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $8,099.75 | $12,461.15 | $328.54 – $11,576.67 | 53 |
| Troponin quantitative CPT 84484 | $139.10 | $214.00 | $10.15 – $27.53 | 59 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,966.90 | $3,026.00 | $687.89 – $1,630.91 | 51 |
| Tte w or without fol w/cont, com HCPCS C8921 | $4,416.75 | $6,795.00 | $687.89 – $1,630.91 | 51 |
| Tx atrial fib pulm vein isol CPT 93656 | $32,999.85 | $50,769.00 | $530.95 – $54,378.67 | 55 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $14,761.25 | $22,709.62 | $73.35 – $1,798.60 | 55 |
| Tx l/r atrial fib addl CPT 93657 | $15,355.60 | $23,624.00 | $163.31 – $264.47 | 5 |
| Tympanic membrane repair CPT 69610 | $3,990.32 | $6,138.96 | $13.47 – $3,228.00 | 56 |
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.