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 |
|---|---|---|---|---|
| Brach/thor cath 3rd CPT 36217 | $18,379.64 | $28,276.37 | $315.63 – $11,576.67 | 56 |
| Brachy source yttrium-90 HCPCS C2616 | $29,242.20 | $44,988.00 | $16,213.91 – $38,441.43 | 51 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $646.75 | $995.00 | $236.19 – $773.31 | 50 |
| Brachytx isodose complex CPT 77318 | $5,315.70 | $8,178.00 | $213.66 – $948.56 | 49 |
| Brachytx isodose intermed CPT 77317 | $26,578.69 | $40,890.30 | $1.65 – $778.99 | 57 |
| Brachytx isodose plan simple CPT 77316 | $24,874.78 | $38,268.90 | $120.66 – $778.99 | 57 |
| Braf gene CPT 81210 | $375.70 | $578.00 | $70.42 – $387.16 | 58 |
| Brain flow imaging only CPT 78610 | $1,550.90 | $2,386.00 | $20.00 – $776.02 | 5 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,253.55 | $3,467.00 | $224.84 – $1,769.34 | 60 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,901.90 | $2,926.00 | $147.94 – $894.86 | 60 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,781.00 | $2,740.00 | $137.94 – $894.86 | 60 |
| Brain MRI (with and without contrast) CPT 70553 | $2,947.10 | $4,534.00 | $183.49 – $2,007.25 | 60 |
| Brain MRI (with contrast) CPT 70552 | $1,888.90 | $2,906.00 | $162.10 – $1,083.28 | 60 |
| Brain MRI (without contrast) CPT 70551 | $1,996.80 | $3,072.00 | $110.20 – $904.30 | 60 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,002.05 | $6,157.00 | not published | 0 |
| Breast punct aspir cyst, bil CPT 19000 | $464.75 | $715.00 | not published | 0 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $48,146.34 | $74,071.30 | $250.18 – $35,366.04 | 58 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $14,169.70 | $21,799.54 | $58.71 – $14,682.73 | 56 |
| Bronch ebus samplng 1/2 node CPT 31652 | $9,752.39 | $15,003.67 | $48.18 – $7,756.66 | 56 |
| Bronch ebus samplng 3/> node CPT 31653 | $12,352.95 | $19,004.54 | $157.53 – $14,682.73 | 55 |
| Bronchial challenge CPT 94070 | $2,011.75 | $3,095.00 | $51.00 – $776.34 | 55 |
| Bronchoscopy clear airways 31645 CPT 31645 | $4,686.83 | $7,210.51 | $48.18 – $3,703.00 | 56 |
| Bronchoscopy dilate/fx repr CPT 31630 | $6,752.05 | $10,387.77 | $172.05 – $7,756.66 | 56 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $18,389.43 | $28,291.43 | $42.41 – $14,682.73 | 56 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $13,657.84 | $21,012.06 | $155.22 – $14,682.73 | 56 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $17,034.82 | $26,207.42 | $55.13 – $14,682.73 | 56 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $14,169.70 | $21,799.54 | $164.61 – $14,682.73 | 56 |
| Bronchoscopy treat blockage CPT 31641 | $10,690.50 | $16,446.92 | $157.53 – $7,756.66 | 56 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $9,554.22 | $14,698.80 | $48.18 – $7,756.66 | 56 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $3,438.51 | $5,290.02 | $48.18 – $3,703.00 | 56 |
| Br punct aspir ea add, l CPT 19001 | $329.55 | $507.00 | not published | 0 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $7.15 | $11.00 | $0.47 – $1.26 | 8 |
| Bundled special stain group 1 microorganisms CPT 88312 | $5,353.25 | $8,235.77 | $13.00 – $108.42 | 62 |
| Bundled special stain group 2 CPT 88313 | $5,459.99 | $8,399.98 | $7.00 – $276.80 | 62 |
| Bundle his recording CPT 93600 | $4,016.35 | $6,179.00 | $66.00 – $16,226.86 | 55 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $43.74 | $67.30 | $0.12 – $0.33 | 8 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $3.80 | $5.84 | $1.33 – $4.57 | 5 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $6.79 | $10.44 | $3.99 – $9.05 | 5 |
| Buprenorphine and metabolite - sendout CPT 80348 | $191.75 | $295.00 | $0.01 – $29.55 | 2 |
| Buprenorphine hydrochloride HCPCS J0592 | $38.65 | $59.46 | $0.92 – $10.96 | 7 |
| Buprenorphine oral 1mg HCPCS J0571 | $42.35 | $65.16 | $0.31 – $0.68 | 6 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,538.95 | $6,983.00 | not published | 0 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $58.66 | $90.24 | $3.94 – $16.18 | 7 |
| Bx bone trocar/ndl deep CPT 20225 | $1,323.40 | $2,036.00 | not published | 0 |
| Bx breast 1st lesion mr imag CPT 19085 | $2,431.65 | $3,741.00 | not published | 0 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,286.70 | $3,518.00 | not published | 0 |
| Bx breast add lesion mr imag CPT 19086 | $1,316.25 | $2,025.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $528.45 | $813.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $528.45 | $813.00 | not published | 0 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $7,879.12 | $12,121.72 | $48.18 – $6,734.70 | 56 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $8,082.80 | $12,435.08 | $297.00 – $8,145.89 | 56 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $14,099.36 | $21,691.33 | $232.64 – $8,145.89 | 56 |
| Bx liver with other CPT 47001 | $10,296.66 | $15,841.02 | $251.98 – $3,436.08 | 56 |
| Bx pancreas pq ndl CPT 48102 | $1,027.00 | $1,580.00 | not published | 0 |
| Bx pleura pq ndl CPT 32400 | $5,532.81 | $8,512.02 | $80.47 – $3,436.08 | 56 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $7,128.83 | $10,967.43 | $17.17 – $7,333.57 | 58 |
| Bx prst8 ndl sat sampling CPT 55706 | $11,962.09 | $18,403.22 | $48.18 – $7,333.57 | 56 |
| Bx skin punch ea sep/ addl les CPT 11105 | $208.65 | $321.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $174.85 | $269.00 | not published | 0 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,303.90 | $2,006.00 | not published | 0 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,616.55 | $2,487.00 | not published | 0 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $1,028.30 | $1,582.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $742.30 | $1,142.00 | not published | 0 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $5,718.35 | $8,797.46 | $48.18 – $1,916.21 | 53 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $6,894.72 | $10,607.26 | $48.18 – $10,407.38 | 56 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $6,894.72 | $10,607.26 | $24.64 – $10,407.38 | 56 |
| Bypass temp external fem-fem CPT 37799 | $8,192.60 | $12,604.00 | $159.15 – $6,569.00 | 55 |
| C-1 esterase, cinryze HCPCS J0598 | $10,675.27 | $16,423.49 | $64.26 – $8,619.71 | 53 |
| C1 esterase inhibitor func - sendout CPT 86161 | $293.80 | $452.00 | $9.77 – $26.49 | 60 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $41,451.42 | $63,771.41 | $215.11 – $36,488.18 | 58 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $58.58 | $90.13 | $3.14 – $3.64 | 5 |
| Cable cath 22-pin diag HCPCS C1730 | $159.90 | $246.00 | not published | 0 |
| Cad breast MRI w/r&i HCPCS C8937 | $189.15 | $291.00 | not published | 0 |
| Cadd pump refill CPT 96521 | $307.45 | $473.00 | $143.48 – $442.52 | 49 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $52.49 | $80.76 | $15.24 – $20.04 | 6 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $3,256.50 | $5,010.00 | $40.46 – $1,044.63 | 5 |
| Calcium 24 hour urine CPT 82340 | $65.65 | $101.00 | $4.91 – $13.31 | 60 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $88.46 | $136.09 | $5.00 – $7.50 | 2 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $31.92 | $49.11 | $1.50 – $4.19 | 8 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $172.80 | $265.84 | $8.00 – $19.53 | 8 |
| Calcium ionized CPT 82330 | $85.15 | $131.00 | $11.13 – $31.96 | 59 |
| Calcium total CPT 82310 | $33.80 | $52.00 | $4.20 – $11.39 | 59 |
| Calculi urinary-sendout CPT 82360 | $111.80 | $172.00 | $10.47 – $28.41 | 60 |
| Calculus analysis qual CPT 82355 | $157.95 | $243.00 | $9.43 – $26.29 | 60 |
| Calprotectin fecal CPT 83993 | $213.20 | $328.00 | $15.98 – $43.33 | 59 |
| Campylobacter antibody CPT 86625 | $170.95 | $263.00 | $10.68 – $28.96 | 56 |
| Candida dna CPT 87480 | $101.40 | $156.00 | $16.32 – $44.26 | 60 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $20,506.20 | $31,548.00 | not published | 0 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $37.64 | $57.91 | $0.03 – $0.25 | 53 |
| Cap nerve 2x15mm HCPCS C1763 | $4,607.20 | $7,088.00 | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | $1,787.50 | $2,750.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $92.95 | $143.00 | $11.86 – $32.16 | 60 |
| Carbohydrate deficient transf - sendout CPT 82373 | $284.05 | $437.00 | $10.28 – $39.86 | 60 |
| Carbon dioxide CPT 82374 | $325.65 | $501.00 | $3.97 – $10.77 | 59 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $277.07 | $426.26 | $3.35 – $7.73 | 8 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $1,395.43 | $2,146.81 | $14.49 – $104.97 | 52 |
| Carboxyhemoglobin quantitative CPT 82375 | $75.40 | $116.00 | $10.03 – $29.12 | 60 |
| Carcinoembryonic ag (cea) CPT 82378 | $227.50 | $350.00 | $15.43 – $41.85 | 59 |
| Cardiac drug stress test CPT 93024 | $673.40 | $1,036.00 | $45.00 – $929.39 | 48 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,331.55 | $3,587.00 | $138.07 – $2,693.46 | 57 |
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.