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 |
|---|---|---|---|---|
| Warde hepatitis delta agent antibody CPT 86692 | $150.15 | $231.00 | $13.97 – $37.88 | 60 |
| Warde immunofixation electrophoresis urine CPT 86335 | $312.65 | $481.00 | $23.89 – $64.78 | 60 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $81.90 | $126.00 | $9.38 – $25.45 | 60 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,474.85 | $2,269.00 | $209.56 – $568.27 | 60 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $328.90 | $506.00 | $19.18 – $52.03 | 59 |
| Warde lipoprotein (a) CPT 83695 | $68.90 | $106.00 | $11.66 – $31.61 | 60 |
| Warde mitochondrial antibody each CPT 86381 | $38.35 | $59.00 | $20.71 – $56.18 | 59 |
| Warde neutralization rabies CPT 86382 | $255.45 | $393.00 | $13.76 – $45.95 | 60 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $120.25 | $185.00 | $10.79 – $29.25 | 58 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $113.75 | $175.00 | $18.70 – $50.70 | 58 |
| Warde protein c antigen CPT 85302 | $188.50 | $290.00 | $9.78 – $26.51 | 56 |
| Warde sex hormone binding globulin CPT 84270 | $139.75 | $215.00 | $17.69 – $47.96 | 60 |
| Warde somatomedin CPT 84305 | $118.30 | $182.00 | $17.30 – $46.93 | 60 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $81.25 | $125.00 | $4.48 – $12.14 | 60 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $118.30 | $182.00 | $12.83 – $36.93 | 60 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $173.55 | $267.00 | $41.40 – $112.26 | 60 |
| Warde topiramate therapeutic drug level CPT 80201 | $86.45 | $133.00 | $9.70 – $27.34 | 60 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $200.85 | $309.00 | $21.22 – $57.54 | 59 |
| Warde viscosity CPT 85810 | $71.50 | $110.00 | $9.50 – $25.76 | 60 |
| Warde vitamin a CPT 84590 | $83.85 | $129.00 | $9.45 – $26.38 | 60 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $108.55 | $167.00 | $17.28 – $46.86 | 60 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $110.50 | $170.00 | $22.87 – $62.03 | 60 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $63.05 | $97.00 | $8.05 – $22.54 | 60 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $178.75 | $275.00 | $31.34 – $84.98 | 60 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $163.15 | $251.00 | $11.54 – $31.30 | 60 |
| Warde zinc CPT 84630 | $78.00 | $120.00 | $9.27 – $25.14 | 60 |
| Wbc automated CPT 85048 | $35.75 | $55.00 | $2.07 – $5.61 | 56 |
| Western blot test CPT 84181 | $234.65 | $361.00 | $13.86 – $37.59 | 56 |
| Whole blood for transfusion HCPCS P9010 | $1,170.65 | $1,801.00 | $92.98 – $410.65 | 50 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $1,057.55 | $1,627.00 | $221.07 – $573.65 | 55 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $547.95 | $843.00 | $138.18 – $327.89 | 55 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $846.30 | $1,302.00 | $16.75 – $643.75 | 51 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $746.85 | $1,149.00 | $19.36 – $643.75 | 51 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $260.00 | $400.00 | $19.36 – $317.72 | 52 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $334.10 | $514.00 | $21.19 – $643.75 | 52 |
| Wrist arthroscopy/surgery CPT 29844 | $16,793.48 | $25,836.13 | $220.62 – $6,807.25 | 55 |
| Wrist arthroscopy/surgery CPT 29846 | $10,397.15 | $15,995.62 | $0.33 – $6,807.25 | 56 |
| Wrist arthroscopy/surgery CPT 29847 | $9,114.60 | $14,022.46 | $220.62 – $15,096.24 | 56 |
| Wrist endoscopy/surgery CPT 29848 | $4,942.18 | $7,603.36 | $13.47 – $3,345.36 | 56 |
| Wrist X-ray CPT 73110 | $623.35 | $959.00 | $23.00 – $181.05 | 61 |
| Xm archive tissue molec anal CPT 88363 | $7,248.17 | $11,151.03 | $15.08 – $60.17 | 62 |
| X-ray abdomen 1 view CPT 74018 | $382.20 | $588.00 | $18.03 – $181.05 | 59 |
| X-ray abdomen 2 views CPT 74019 | $518.05 | $797.00 | $21.64 – $222.38 | 59 |
| X-ray abdomen >=3 views CPT 74021 | $679.25 | $1,045.00 | $25.25 – $222.38 | 59 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $831.35 | $1,279.00 | $29.13 – $222.38 | 61 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $388.05 | $597.00 | $16.64 – $181.05 | 61 |
| X-ray ankle 2 views (both sides) CPT 73600 | $443.95 | $683.00 | $20.53 – $181.05 | 61 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $3,337.75 | $5,135.00 | $87.73 – $752.18 | 61 |
| X-ray bone age studies CPT 77072 | $339.95 | $523.00 | $25.61 – $222.38 | 60 |
| X-ray bone length studies CPT 77073 | $178.10 | $274.00 | $39.36 – $222.38 | 60 |
| X-ray bone survey complete CPT 77075 | $1,242.15 | $1,911.00 | $72.09 – $279.91 | 60 |
| X-ray bone survey infant CPT 77076 | $460.85 | $709.00 | $36.99 – $279.91 | 60 |
| X-ray cervical spine 2-3 views CPT 72040 | $425.10 | $654.00 | $24.14 – $181.05 | 61 |
| X-ray cervical spine 4-5 views CPT 72050 | $585.65 | $901.00 | $32.00 – $222.38 | 61 |
| X-ray cervical spine >= 6 views CPT 72052 | $553.80 | $852.00 | $40.24 – $222.38 | 61 |
| X-ray clavicle complete (both sides) CPT 73000 | $629.85 | $969.00 | $15.00 – $181.05 | 61 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,275.30 | $1,962.00 | $49.00 – $538.05 | 61 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,041.30 | $1,602.00 | $45.00 – $704.01 | 61 |
| X-ray elbow 2 views (both sides) CPT 73070 | $582.40 | $896.00 | $17.75 – $181.05 | 61 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $410.15 | $631.00 | $19.00 – $181.05 | 61 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $567.45 | $873.00 | $36.00 – $364.91 | 61 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $1,079.65 | $1,661.00 | $46.48 – $222.38 | 59 |
| X-ray exam entire spi 6/> vw CPT 72084 | $897.65 | $1,381.00 | $55.80 – $222.38 | 59 |
| X-ray exam of arm infant CPT 73092 | $375.70 | $578.00 | $19.97 – $222.38 | 61 |
| X-ray exam of eye sockets CPT 70200 | $280.80 | $432.00 | $14.00 – $222.38 | 61 |
| X-ray exam of femur 1 CPT 73551 | $256.75 | $395.00 | $17.75 – $181.05 | 59 |
| X-ray exam of jaw joint CPT 70332 | $2,065.70 | $3,178.00 | $47.74 – $496.40 | 61 |
| X-ray exam of penis CPT 74445 | $613.60 | $944.00 | $90.86 – $222.38 | 54 |
| X-ray exam of sinuses CPT 70210 | $289.25 | $445.00 | $14.00 – $181.05 | 61 |
| X-ray exam si joints CPT 72200 | $618.80 | $952.00 | $14.00 – $222.38 | 61 |
| X-ray exam thorac spine4/>vw CPT 72074 | $334.10 | $514.00 | $27.47 – $222.38 | 61 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $220.35 | $339.00 | $15.00 – $181.05 | 61 |
| X-ray facial bones complete > 3 views CPT 70150 | $320.45 | $493.00 | $18.00 – $222.38 | 61 |
| X-ray fallopian tube CPT 74742 | $750.75 | $1,155.00 | $254.11 – $254.11 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $416.65 | $641.00 | $21.18 – $181.05 | 59 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $497.90 | $766.00 | $16.00 – $181.05 | 61 |
| X-ray foot 2 views (both sides) CPT 73620 | $638.95 | $983.00 | $17.75 – $181.05 | 61 |
| X-ray forearm 2 views (both sides) CPT 73090 | $603.20 | $928.00 | $18.03 – $181.05 | 61 |
| X-ray hand 2 views (both sides) CPT 73120 | $555.10 | $854.00 | $17.00 – $222.38 | 61 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $358.15 | $551.00 | $13.00 – $181.05 | 61 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $576.55 | $887.00 | $38.63 – $222.38 | 59 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $391.30 | $602.00 | $25.52 – $222.38 | 59 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $454.35 | $699.00 | $31.17 – $222.38 | 59 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,155.70 | $1,778.00 | $37.49 – $222.38 | 59 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $159.90 | $246.00 | $18.85 – $181.05 | 59 |
| X-ray humerus >= 2 views left CPT 73060 | $624.65 | $961.00 | $20.25 – $181.05 | 61 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $375.70 | $578.00 | $21.91 – $181.05 | 61 |
| X-ray knee 3 views (both sides) CPT 73562 | $709.15 | $1,091.00 | $26.63 – $181.05 | 61 |
| X-ray knee ap standing bilateral CPT 73565 | $174.85 | $269.00 | $22.00 – $181.05 | 61 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $359.45 | $553.00 | $6.36 – $181.05 | 61 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $300.30 | $462.00 | $24.97 – $222.38 | 61 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $460.20 | $708.00 | $33.02 – $222.38 | 61 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $525.20 | $808.00 | $39.13 – $222.38 | 61 |
| X-ray mandible complete > 4 views CPT 70110 | $333.45 | $513.00 | $26.00 – $222.38 | 61 |
| X-ray mandible ltd <4 views CPT 70100 | $227.50 | $350.00 | $16.00 – $181.05 | 61 |
| X-ray nasal bones complete > 3 views CPT 70160 | $243.10 | $374.00 | $23.00 – $181.05 | 61 |
| X-ray neck soft tissue CPT 70360 | $508.30 | $782.00 | $10.00 – $181.05 | 61 |
| X-ray nose to rectum for foreign body child CPT 76010 | $200.20 | $308.00 | $7.20 – $181.05 | 61 |
| X-ray pelvis 1-2 views CPT 72170 | $259.35 | $399.00 | $16.36 – $222.38 | 61 |
| X-ray pelvis complete > 3 views CPT 72190 | $329.55 | $507.00 | $25.25 – $222.38 | 61 |
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.