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 |
|---|---|---|---|---|
| Chest X-ray CPT 71046 | $411.45 | $633.00 | $19.41 – $181.05 | 59 |
| Chest X-ray (single view) CPT 71045 | $325.65 | $501.00 | $14.42 – $181.05 | 59 |
| Chg pr pul rehab for copd patients CPT 94626 | $284.05 | $437.00 | $23.88 – $122.73 | 51 |
| Chlamydia culture CPT 87110 | $212.55 | $327.00 | $15.95 – $43.26 | 56 |
| Chlamydia type CPT 87140 | $40.95 | $63.00 | $4.53 – $12.29 | 56 |
| Chlnggrphy intraop addl s&i CPT 74301 | $646.10 | $994.00 | $12.98 – $46.78 | 7 |
| Chloramphenicol sodium injec HCPCS J0720 | $212.82 | $327.42 | $5.75 – $56.75 | 5 |
| Chloride CPT 82435 | $42.90 | $66.00 | $3.74 – $10.15 | 59 |
| Chloride 24 hour urine CPT 82436 | $99.45 | $153.00 | $4.69 – $12.69 | 59 |
| Chloroprocaine hcl injection HCPCS J2401 | $121.18 | $186.43 | $12.00 – $44.64 | 8 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $195.39 | $300.60 | $10.66 – $123.51 | 7 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $50.55 | $77.77 | $10.33 – $55.16 | 8 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $400.40 | $616.00 | $144.68 – $687.19 | 49 |
| Cholangiogram percutaneous compl CPT 47532 | $1,536.60 | $2,364.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $692.90 | $1,066.00 | $24.00 – $388.14 | 8 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,874.00 | $5,960.00 | $9.16 – $7,448.87 | 56 |
| Cholesterol CPT 82465 | $43.55 | $67.00 | $3.54 – $9.60 | 59 |
| Cholesterol body fluid CPT 84999 | $1,461.20 | $2,248.00 | $15.07 – $15.07 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $154.70 | $238.00 | $10.90 – $29.56 | 59 |
| Cholinesterase CPT 82480 | $132.60 | $204.00 | $6.40 – $20.67 | 60 |
| Cholinesterase challenge CPT 95857 | $1,393.60 | $2,144.00 | $30.00 – $449.22 | 48 |
| Chrom analysis CPT 88273 | $414.05 | $637.00 | $28.34 – $76.84 | 56 |
| Chromatography CPT 83021 | $100.10 | $154.00 | $14.70 – $39.86 | 59 |
| Chromogenic substrate assay CPT 85130 | $412.10 | $634.00 | $8.90 – $26.24 | 60 |
| Chromo high res and frag x - sendout CPT 81243 | $513.50 | $790.00 | $46.43 – $125.90 | 59 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,230.45 | $1,893.00 | $102.15 – $276.99 | 59 |
| Chromosome count additional CPT 88285 | $158.60 | $244.00 | $21.90 – $59.40 | 60 |
| Chromosome karyotype study CPT 88280 | $44.20 | $68.00 | $27.25 – $73.88 | 59 |
| Chronic urticaria - sendout CPT 86343 | $190.45 | $293.00 | $10.14 – $32.81 | 60 |
| Chylomicron screen, bf - sendout CPT 82664 | $124.15 | $191.00 | $49.06 – $135.75 | 56 |
| Cilastatin sodium injection HCPCS J0743 | $119.65 | $184.07 | $7.20 – $16.66 | 8 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $35.00 | $53.84 | $1.66 – $6.60 | 8 |
| Circum 28 days or older CPT 54161 | $5,888.19 | $9,058.75 | $174.37 – $4,348.95 | 55 |
| Circumcision (newborn) CPT 54150 | $652.60 | $1,004.00 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $1,862.25 | $2,865.00 | $12.35 – $28.46 | 8 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $347.75 | $535.00 | $268.22 – $727.33 | 58 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $3,064.75 | $4,715.00 | not published | 0 |
| Clearance of airways CPT 31720 | $136.50 | $210.00 | $44.61 – $455.57 | 55 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $68.69 | $105.67 | $2.12 – $4.88 | 8 |
| Clip ligating vesolock lg HCPCS C1760 | $1,617.20 | $2,488.00 | $1,109.31 – $1,109.31 | 1 |
| Cllr miami j sm HCPCS L0174 | $612.95 | $943.00 | $293.89 – $696.78 | 49 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $2,958.15 | $4,551.00 | $10.73 – $575.86 | 53 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $109.36 | $168.25 | $6.45 – $47.18 | 8 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $11,803.27 | $18,158.88 | $36.52 – $1,953.85 | 55 |
| Closure of windpipe lesion 31820 CPT 31820 | $755.23 | $1,161.89 | $250.00 – $6,897.67 | 55 |
| Clot factor xii hageman CPT 85280 | $124.15 | $191.00 | $15.75 – $42.71 | 60 |
| Clot factor xiii fibrin scrn CPT 85291 | $135.20 | $208.00 | $7.41 – $20.11 | 56 |
| Clot factor xiii fibrin stab CPT 85290 | $166.40 | $256.00 | $13.30 – $37.46 | 59 |
| Clozapine, 25 mg HCPCS S0136 | $4.87 | $7.50 | $0.79 – $1.22 | 2 |
| Cmbn ant pst colprhy CPT 57260 | $12,337.31 | $18,980.47 | $13.47 – $10,407.38 | 56 |
| C motor evoked lwr limbs CPT 95929 | $1,614.60 | $2,484.00 | $120.76 – $776.34 | 48 |
| C motor evoked uppr limbs CPT 95928 | $1,444.95 | $2,223.00 | $111.90 – $1,786.57 | 55 |
| C motor evoked upr&lwr limbs CPT 95939 | $637.00 | $980.00 | $370.74 – $1,786.57 | 55 |
| #cmvcul-virus inoculation shell CPT 87254 | $210.60 | $324.00 | $6.99 – $43.17 | 60 |
| Cmv pcr-sendout CPT 87496 | $460.20 | $708.00 | $28.57 – $77.45 | 56 |
| Co2 monitor per day CPT 94681 | $473.20 | $728.00 | $40.60 – $776.34 | 55 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $9,606.67 | $14,779.50 | $2.59 – $6,947.10 | 53 |
| Coagulation time activated teg CPT 85347 | $89.70 | $138.00 | $3.49 – $9.45 | 60 |
| Cocaine 4 % nasal solution HCPCS C9046 | $836.06 | $1,286.25 | $470.56 – $470.56 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | $55.25 | $85.00 | $6.57 – $17.81 | 60 |
| Cold agglutinin titer CPT 86157 | $65.65 | $101.00 | $6.56 – $17.79 | 60 |
| Colistimethate sodium inj HCPCS J0770 | $122.45 | $188.38 | $12.16 – $37.55 | 7 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $78.00 | $120.00 | $28.40 – $67.32 | 48 |
| Collar cerv ascend 172 reg HCPCS L0172 | $352.95 | $543.00 | $150.78 – $357.49 | 48 |
| Collar cerv patriot adlt HCPCS L0150 | $57.20 | $88.00 | $121.82 – $274.10 | 46 |
| Collar extrication adult univ HCPCS L0200 | $934.70 | $1,438.00 | $671.43 – $1,510.74 | 46 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $1,069.90 | $1,646.00 | $5.05 – $276.80 | 56 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $495.95 | $763.00 | $20.83 – $276.80 | 56 |
| Collection of venous blood by venipuncture CPT 36415 | $60.45 | $93.00 | $3.00 – $20.62 | 58 |
| Colonoscopy (diagnostic) CPT 45378 | $2,651.34 | $4,078.99 | $8.45 – $1,934.74 | 53 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $3,859.39 | $5,937.53 | $196.58 – $2,489.56 | 53 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $3,288.97 | $5,059.96 | $48.18 – $2,489.56 | 53 |
| Colonoscopy submucous njx CPT 45381 | $4,493.11 | $6,912.48 | $48.18 – $2,489.56 | 53 |
| Colonoscopy thru stoma spx CPT 44388 | $2,873.02 | $4,420.03 | $3.86 – $1,934.74 | 53 |
| Colonoscopy w/ablation CPT 45388 | $3,998.57 | $6,151.64 | $48.18 – $2,489.56 | 53 |
| Colonoscopy w/balloon dilat CPT 45386 | $3,947.52 | $6,073.11 | $48.18 – $2,489.56 | 53 |
| Colonoscopy w/band ligation CPT 45398 | $3,069.97 | $4,723.03 | $8.45 – $2,489.56 | 56 |
| Colonoscopy w/control bleed CPT 45382 | $3,261.97 | $5,018.41 | $48.18 – $2,489.56 | 53 |
| Colonoscopy w/dilation CPT 44405 | $3,021.77 | $4,648.87 | $157.60 – $2,489.56 | 55 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $12,719.58 | $19,568.59 | $245.99 – $12,630.24 | 55 |
| Colonoscopy w/fb removal CPT 45379 | $4,616.72 | $7,102.65 | $48.18 – $2,489.56 | 53 |
| Colonoscopy (with biopsy) CPT 45380 | $3,331.67 | $5,125.64 | $48.18 – $2,489.56 | 53 |
| Colonoscopy with biopsy CPT 44389 | $3,188.27 | $4,905.03 | $48.18 – $2,489.56 | 53 |
| Colonoscopy (with polyp removal) CPT 45385 | $3,350.12 | $5,154.03 | $48.18 – $2,489.56 | 53 |
| Colonoscopy w/resection CPT 45390 | $5,603.67 | $8,621.03 | $48.18 – $5,774.64 | 53 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $12,263.15 | $18,866.38 | $9.12 – $10,407.38 | 56 |
| Colpopexy extraperitoneal CPT 57282 | $14,605.22 | $22,469.57 | $9.12 – $15,427.49 | 56 |
| Colpopexy intraperitoneal CPT 57283 | $13,144.44 | $20,222.22 | $9.12 – $15,427.49 | 56 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $9,078.32 | $13,966.64 | $97.59 – $633.98 | 53 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $61.75 | $95.00 | $27.05 – $354.45 | 62 |
| Compatibility test each unit electronic CPT 86923 | $61.75 | $95.00 | $6.80 – $354.45 | 59 |
| Compatibility test each unit immediate spin technique CPT 86920 | $44.85 | $69.00 | $14.05 – $354.45 | 62 |
| Compatibility test incubate CPT 86921 | $44.85 | $69.00 | $18.72 – $354.45 | 62 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $2,042.95 | $3,143.00 | $210.84 – $1,450.70 | 56 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $1,284.40 | $1,976.00 | $206.87 – $1,450.70 | 56 |
| Complement antigen each component c3 CPT 86160 | $125.45 | $193.00 | $9.77 – $26.49 | 59 |
| Complex cystometrogram 51726 CPT 51726 | $3,141.45 | $4,833.00 | $169.33 – $519.80 | 53 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $3,151.80 | $4,848.93 | $48.18 – $1,047.20 | 53 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $13,445.39 | $20,685.22 | $201.43 – $13,814.58 | 56 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $1,732.90 | $2,666.00 | $6.03 – $523.36 | 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.