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 |
|---|---|---|---|---|
| Biofeedback, pt CPT 90901 | $167.05 | $257.00 | $15.01 – $35.58 | 47 |
| Biopsy abdominal mass CPT 49180 | $4,990.06 | $7,677.02 | $69.98 – $3,436.08 | 56 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,089.40 | $1,676.00 | not published | 0 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $6,062.21 | $9,326.48 | $65.54 – $1,693.80 | 56 |
| Biopsy external ear 69100 CPT 69100 | $4,892.60 | $7,527.07 | $3.30 – $492.76 | 56 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $5,376.14 | $8,270.98 | $61.25 – $6,043.13 | 56 |
| Biopsy lower leg soft tissue CPT 27613 | $1,255.80 | $1,932.00 | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,000.35 | $1,539.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $5,789.28 | $8,906.58 | $74.58 – $3,436.08 | 56 |
| Biopsy needle lymph node superficial CPT 38505 | $3,972.48 | $6,111.51 | $72.84 – $3,436.08 | 56 |
| Biopsy of heart lining CPT 93505 | $5,270.85 | $8,109.00 | $222.00 – $6,569.00 | 55 |
| Biopsy of nerve CPT 64795 | $6,849.82 | $10,538.19 | $176.28 – $6,807.25 | 56 |
| Biopsy of penis CPT 54105 | $13,980.85 | $21,509.00 | $157.53 – $11,154.98 | 56 |
| Biopsy of penis 54100 CPT 54100 | $6,179.16 | $9,506.40 | $48.18 – $3,436.08 | 56 |
| Biopsy of prostate CPT 55700 | $6,101.02 | $9,386.18 | $45.73 – $1,824.23 | 48 |
| Biopsy of prostate CPT 55705 | $7,786.93 | $11,979.90 | $96.53 – $7,333.57 | 56 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $5,364.05 | $8,252.39 | $157.53 – $5,774.64 | 56 |
| Biopsy of salivary gland 42400 CPT 42400 | $3,268.54 | $5,028.52 | $45.78 – $1,473.24 | 56 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $4,572.03 | $7,033.89 | $48.18 – $3,228.00 | 56 |
| Biopsy/removal lymph nodes CPT 38525 | $19,798.54 | $30,459.30 | $250.00 – $13,814.58 | 56 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $8,737.96 | $13,443.02 | $107.49 – $3,436.08 | 56 |
| Biopsy skin incisional single lesion CPT 11106 | $3,230.50 | $4,970.00 | not published | 0 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,714.05 | $2,637.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $139.10 | $214.00 | $13.73 – $37.24 | 59 |
| Bivalirudin HCPCS J0583 | $244.24 | $375.75 | $35.00 – $83.70 | 8 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $4,568.62 | $7,028.64 | $25.51 – $519.80 | 56 |
| Bld exchange truj oth thn nb CPT 36455 | $1,898.65 | $2,921.00 | $389.32 – $917.84 | 48 |
| Bld prd mix CPT 86965 | $111.80 | $172.00 | $5.00 – $354.45 | 52 |
| Bld push tfuj 2 yr/< CPT 36440 | $429.00 | $660.00 | $407.92 – $917.84 | 44 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $423.34 | $651.29 | $18.92 – $43.69 | 8 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $21,552.58 | $33,157.82 | $152.65 – $15,104.50 | 58 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $3,047.20 | $4,688.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $5,565.95 | $8,563.00 | $710.74 – $710.74 | 1 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,908.75 | $4,475.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $10,951.85 | $16,849.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,056.25 | $1,625.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $10,182.90 | $15,666.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $6,440.20 | $9,908.00 | $51.59 – $119.53 | 6 |
| Blood Clotting (PT/INR) Test CPT 85610 | $36.40 | $56.00 | $3.49 – $9.47 | 59 |
| Blood Clotting (PTT) Test CPT 85730 | $85.80 | $132.00 | $4.90 – $13.27 | 59 |
| Blood Count (CBC) Test CPT 85025 | $17.55 | $27.00 | $6.33 – $18.27 | 59 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $57.85 | $89.00 | $5.27 – $16.43 | 59 |
| Blood count spun microhematocrit CPT 85013 | $44.20 | $68.00 | $3.38 – $15.45 | 56 |
| Blood Culture Test CPT 87040 | $423.80 | $652.00 | $8.40 – $22.78 | 59 |
| Blood draw capillary 36416 CPT 36416 | $139.75 | $215.00 | $2.67 – $59.97 | 58 |
| Blood gases o2 saturation direct measurement CPT 82805 | $102.70 | $158.00 | $40.52 – $173.87 | 60 |
| Blood gases ph venous CPT 82800 | $76.70 | $118.00 | $8.95 – $24.28 | 60 |
| Blood, l/r, irradiated HCPCS P9056 | $822.90 | $1,266.00 | $81.28 – $182.89 | 50 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $64.35 | $99.00 | $12.96 – $35.14 | 60 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $33.80 | $52.00 | $3.44 – $9.34 | 59 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $53.95 | $83.00 | $3.56 – $9.67 | 60 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $33.80 | $52.00 | $4.33 – $11.74 | 56 |
| Blood smear interpretation CPT 85060 | $79.30 | $122.00 | $6.00 – $41.03 | 54 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $12.35 | $19.00 | $3.09 – $8.39 | 59 |
| Blood split unit HCPCS P9011 | $635.70 | $978.00 | $68.23 – $337.11 | 55 |
| Blood typing abo CPT 86900 | $10.40 | $16.00 | $2.43 – $276.80 | 62 |
| Blood typing ag donor ea ag CPT 86902 | $13.65 | $21.00 | $5.17 – $745.73 | 62 |
| Blood typing patient serum CPT 86904 | $99.45 | $153.00 | $13.30 – $122.73 | 62 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $27.30 | $42.00 | $3.11 – $745.73 | 62 |
| Blood typing rh (d) CPT 86901 | $10.40 | $16.00 | $2.43 – $77.71 | 62 |
| Blood typing rh phenotype complete reference CPT 86906 | $245.05 | $377.00 | $6.31 – $77.71 | 62 |
| Bone Density Scan (DEXA) CPT 77080 | $366.60 | $564.00 | $91.74 – $222.38 | 60 |
| Bone/joint imaging ltd area CPT 78300 | $975.65 | $1,501.00 | $23.00 – $831.71 | 57 |
| Bone marrow;aspiration only 38220 CPT 38220 | $3,427.45 | $5,273.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $5,050.68 | $7,770.28 | $192.78 – $6,043.13 | 56 |
| Bone marrow interpretation CPT 85097 | $143.65 | $221.00 | $37.75 – $1,676.18 | 62 |
| Bone survey-lead poisoning CPT 77074 | $469.30 | $722.00 | $39.96 – $222.38 | 60 |
| Bone tendon board add on HCPCS C9356 | $5,479.50 | $8,430.00 | not published | 0 |
| Boot j walker l HCPCS L4386 | $63.70 | $98.00 | $182.36 – $432.37 | 49 |
| Boot mlti podous univ xlg HCPCS L4396 | $560.95 | $863.00 | $193.09 – $457.79 | 48 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $406.25 | $625.00 | $296.23 – $702.32 | 49 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $80.60 | $124.00 | $296.23 – $702.32 | 49 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $163.80 | $252.00 | $13.86 – $37.59 | 59 |
| Borrelia miyamotoi amp prb CPT 87478 | $313.30 | $482.00 | $28.95 – $77.45 | 55 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $203.79 | $313.52 | $77.70 – $207.99 | 8 |
| Bowel imaging CPT 78290 | $1,186.25 | $1,825.00 | $79.00 – $1,458.25 | 57 |
| Brace afo lg left 6607 HCPCS L1930 | $137.15 | $211.00 | $337.44 – $800.04 | 48 |
| Brace afo spiral prefab HCPCS L1951 | $1,656.85 | $2,549.00 | $1,017.90 – $2,290.32 | 46 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $1,007.50 | $1,550.00 | $135.57 – $305.05 | 46 |
| Brace ank air stirrup univ HCPCS L4350 | $681.85 | $1,049.00 | $103.63 – $233.18 | 46 |
| Brace ankle stablizing lg HCPCS L1902 | $113.10 | $174.00 | $119.99 – $269.97 | 46 |
| Brace back epic tslo 456 HCPCS L0457 | $1,597.05 | $2,457.00 | $678.17 – $1,607.86 | 49 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,554.80 | $2,392.00 | $472.84 – $1,121.04 | 49 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,330.90 | $3,586.00 | $1,709.76 – $4,053.66 | 48 |
| Brace back t-lso custom HCPCS L0486 | $1,981.20 | $3,048.00 | $2,051.56 – $4,864.03 | 48 |
| Brace back vista 464 tlso HCPCS L0648 | $1,308.45 | $2,013.00 | $700.15 – $1,659.98 | 49 |
| Brace cust back lso HCPCS L0631 | $2,486.25 | $3,825.00 | $1,244.27 – $2,799.67 | 46 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $387.40 | $596.00 | $406.08 – $913.69 | 46 |
| Brace halo bremer l2830 HCPCS L2830 | $348.40 | $536.00 | $105.91 – $238.30 | 46 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,097.55 | $3,227.00 | $2,197.70 – $4,944.93 | 46 |
| Brace knee extender plus 22-30in HCPCS L1832 | $917.15 | $1,411.00 | $650.42 – $1,542.09 | 48 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $1,086.80 | $1,672.00 | $446.51 – $1,004.67 | 46 |
| Brace m arm board HCPCS L3809 | $3.25 | $5.00 | $261.77 – $620.63 | 48 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $1,707.55 | $2,627.00 | $1,397.45 – $3,313.20 | 48 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $385.45 | $593.00 | $1,205.44 – $2,712.31 | 46 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $120.25 | $185.00 | $261.77 – $620.63 | 49 |
| Brace tlso flex cust HCPCS L0450 | $331.50 | $510.00 | $134.23 – $302.02 | 46 |
| Brace wrist classic lft sm HCPCS L3908 | $122.20 | $188.00 | $62.72 – $148.71 | 49 |
| Brach/thor cath 1st CPT 36215 | $7,159.85 | $11,015.15 | $182.96 – $6,569.00 | 54 |
| Brach/thor cath 2nd CPT 36216 | $1,407.90 | $2,166.00 | not published | 0 |
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.