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 |
|---|---|---|---|---|
| Ua w/micro/comp poc CPT 81000 | $16.90 | $26.00 | $3.27 – $8.87 | 60 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $43,258.60 | $66,551.69 | $64.00 – $27,143.91 | 58 |
| Ugt1a1 gene analy common variants CPT 81350 | $1,281.15 | $1,971.00 | $120.26 – $516.51 | 55 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $317.20 | $488.00 | $67.46 – $222.38 | 58 |
| Ultrasound breast complete CPT 76641 | $533.00 | $820.00 | $56.90 – $336.89 | 59 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $452.40 | $696.00 | $44.13 – $258.08 | 59 |
| Ultrasound chest CPT 76604 | $598.00 | $920.00 | $23.00 – $222.38 | 60 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $1,047.15 | $1,611.00 | $17.75 – $222.38 | 59 |
| Ultrasound elastography parenchyma CPT 76981 | $302.25 | $465.00 | $63.57 – $222.38 | 58 |
| Ultrasound encephalogram CPT 76506 | $715.65 | $1,101.00 | $18.80 – $409.01 | 60 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $584.35 | $899.00 | $76.26 – $222.38 | 59 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $572.00 | $880.00 | $41.33 – $232.94 | 60 |
| Ultrasound guidance for vascular access CPT 76937 | $364.65 | $561.00 | $17.63 – $173.21 | 8 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $787.80 | $1,212.00 | $23.58 – $552.68 | 9 |
| Ultrasound guide intraoperative CPT 76998 | $602.55 | $927.00 | $54.38 – $245.87 | 6 |
| Ultrasound guide tissue ablation CPT 76940 | $884.65 | $1,361.00 | $47.21 – $203.33 | 6 |
| Ultrasound joint complete left CPT 76881 | $533.65 | $821.00 | $9.14 – $400.61 | 59 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $564.20 | $868.00 | $11.99 – $222.38 | 59 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $674.70 | $1,038.00 | $34.41 – $366.09 | 10 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $435.50 | $670.00 | $17.50 – $366.09 | 9 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $714.35 | $1,099.00 | $73.52 – $496.40 | 59 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $587.60 | $904.00 | $26.00 – $336.89 | 60 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $668.20 | $1,028.00 | $26.00 – $243.00 | 60 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $697.45 | $1,073.00 | $47.74 – $278.20 | 59 |
| Ultrasound prostate/transrectal CPT 76872 | $527.15 | $811.00 | $46.00 – $283.23 | 60 |
| Ultrasound retroperitoneal limited CPT 76775 | $482.30 | $742.00 | $15.00 – $222.38 | 60 |
| Ultrasound scrotum and contents CPT 76870 | $954.85 | $1,469.00 | $31.00 – $222.38 | 60 |
| Ultrasound spinal canal and contents CPT 76800 | $305.50 | $470.00 | $32.00 – $382.15 | 60 |
| Ultrasound transabd ea addl gest CPT 76812 | $588.90 | $906.00 | $51.75 – $536.39 | 8 |
| Ultrasound transvaginal non obstetric CPT 76830 | $879.45 | $1,353.00 | $68.00 – $412.32 | 60 |
| Unlisted CT procedure CPT 76497 | $584.35 | $899.00 | $70.12 – $181.05 | 59 |
| Unlisted fluoroscopic px CPT 76496 | $646.75 | $995.00 | $70.12 – $181.05 | 53 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $9,730.74 | $14,970.37 | $320.00 – $12,577.45 | 56 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $9,127.89 | $14,042.91 | $13.47 – $12,577.45 | 56 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $18,011.75 | $27,710.38 | $48.18 – $12,577.45 | 56 |
| Unlisted laps px appendix CPT 44979 | $19,765.43 | $30,408.36 | $331.43 – $22,114.90 | 56 |
| Unlisted laps px bladder CPT 51999 | $18,322.82 | $28,188.95 | $48.18 – $12,577.45 | 56 |
| Unlisted laps px esoph CPT 43289 | $13,649.50 | $20,999.23 | $196.67 – $12,577.45 | 56 |
| Unlisted laps px lymphtc sys CPT 38589 | $14,970.51 | $23,031.56 | $122.43 – $12,577.45 | 56 |
| Unlisted laps px ovidct ovry CPT 58679 | $16,649.41 | $25,614.47 | $48.18 – $12,577.45 | 56 |
| Unlisted laps px testis CPT 54699 | $13,219.57 | $20,337.80 | $13.47 – $12,577.45 | 56 |
| Unlisted laps px ureter CPT 50949 | $22,458.34 | $34,551.29 | $196.67 – $22,114.90 | 56 |
| Unlisted laps px uterus CPT 58578 | $18,428.66 | $28,351.78 | $196.67 – $12,577.45 | 56 |
| Unlisted neurological dx px CPT 95999 | $174.85 | $269.00 | $112.91 – $267.70 | 49 |
| Unlisted procedure liver CPT 47399 | $4,293.90 | $6,606.00 | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $1,210.95 | $1,863.00 | $15.07 – $15.07 | 1 |
| Unlisted procedure pancreas CPT 48999 | $4,932.47 | $7,588.41 | $186.54 – $12,630.24 | 53 |
| Unlisted procedure rectum CPT 45999 | $13,066.03 | $20,101.58 | $3.30 – $1,934.74 | 56 |
| Unlisted px accessory sinus CPT 31299 | $17,937.38 | $27,595.97 | $48.18 – $14,682.73 | 56 |
| Unlisted px arthroscopy CPT 29999 | $17,922.90 | $27,573.70 | $216.45 – $513.18 | 51 |
| Unlisted px biliary tract CPT 47999 | $9,105.15 | $14,007.92 | $143.55 – $12,630.24 | 56 |
| Unlisted px male genital sys CPT 55899 | $11,957.11 | $18,395.56 | $0.33 – $519.80 | 56 |
| Unlisted px small intestine CPT 44799 | $3,857.33 | $5,934.36 | $136.25 – $3,992.20 | 56 |
| Unlisted transfusion med px CPT 86999 | $156.00 | $240.00 | $25.38 – $60.17 | 53 |
| Unlisted ultrasound procedure CPT 76999 | $253.50 | $390.00 | $76.36 – $181.05 | 54 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,329.90 | $2,046.00 | $602.24 – $1,427.85 | 51 |
| Upgrade pm system CPT 33214 | $26,338.65 | $40,521.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,027.05 | $4,657.00 | $185.15 – $2,007.25 | 60 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,176.85 | $3,349.00 | $164.33 – $1,083.28 | 60 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,037.75 | $3,135.00 | $105.20 – $1,003.42 | 60 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,637.15 | $4,057.16 | $3.86 – $1,886.94 | 53 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $3,662.96 | $5,635.33 | $48.18 – $1,886.94 | 53 |
| Uppr gi scope w/submuc inj CPT 43236 | $4,112.87 | $6,327.49 | $48.18 – $3,992.20 | 56 |
| Urea nitrogen CPT 84520 | $48.75 | $75.00 | $3.21 – $9.68 | 59 |
| Urea nitrogen 24 hour urine CPT 84540 | $69.55 | $107.00 | $4.52 – $12.27 | 59 |
| Ureteral reflux study CPT 78740 | $1,175.85 | $1,809.00 | $16.00 – $930.20 | 49 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $656.50 | $1,010.00 | $118.42 – $496.40 | 60 |
| Urethrocystography void s&i CPT 74455 | $622.05 | $957.00 | $73.84 – $496.40 | 61 |
| Uric acid blood CPT 84550 | $16.25 | $25.00 | $3.67 – $9.98 | 59 |
| Uric acid urine CPT 84560 | $59.15 | $91.00 | $4.14 – $11.21 | 60 |
| Urinalysis microscopic only CPT 81015 | $8.45 | $13.00 | $2.49 – $6.73 | 59 |
| Urinalysis (with microscopy) CPT 81001 | $11.05 | $17.00 | $2.59 – $7.93 | 59 |
| Urinalysis (without microscopy) CPT 81003 | $92.30 | $142.00 | $1.84 – $4.97 | 59 |
| Urine Culture Test CPT 87086 | $28.60 | $44.00 | $6.57 – $17.81 | 59 |
| Urine pregnancy test CPT 81025 | $205.40 | $316.00 | $7.01 – $19.00 | 59 |
| Urography, antegrade CPT 74425 | $702.65 | $1,081.00 | $105.42 – $752.18 | 60 |
| Use 1st target lesion CPT 76982 | $252.85 | $389.00 | $96.67 – $222.38 | 46 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $16,296.36 | $25,071.33 | $10.82 – $7,957.64 | 58 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $111,850.54 | $172,077.75 | $10,206.00 – $29,752.20 | 5 |
| Vaccine dtap < 7 years im CPT 90700 | $124.39 | $191.37 | $21.47 – $32.22 | 5 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $470.09 | $723.21 | $9.56 – $88.22 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $57.57 | $88.57 | $9.56 – $14.22 | 5 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $388.53 | $597.74 | $62.70 – $83.98 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $312.62 | $480.95 | $56.70 – $123.99 | 6 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $722.21 | $1,111.10 | $157.58 – $292.97 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $124.74 | $191.91 | $25.80 – $54.79 | 6 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,436.32 | $2,209.73 | $9.56 – $345.54 | 5 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $373.94 | $575.29 | $13.80 – $161.96 | 6 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $86.35 | $132.85 | $13.12 – $38.30 | 6 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,096.08 | $1,686.27 | $183.11 – $263.88 | 5 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $771.49 | $1,186.91 | $160.31 – $185.97 | 5 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $769.73 | $1,184.20 | $65.60 – $138.57 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | $418.82 | $644.34 | $34.64 – $102.89 | 5 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $512.17 | $787.96 | $12.34 – $220.23 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,346.83 | $2,072.04 | $279.05 – $516.29 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $205.87 | $316.73 | $19.43 – $50.20 | 5 |
| Vaccine rabies im CPT 90675 | $1,527.99 | $2,350.75 | $293.47 – $829.69 | 57 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,603.09 | $4,004.76 | $463.47 – $624.81 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $2,603.09 | $4,004.76 | $463.47 – $624.81 | 5 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $446.17 | $686.41 | $9.56 – $91.82 | 4 |
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.