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 |
|---|---|---|---|---|
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $4,869.62 | $7,491.72 | $48.18 – $1,537.61 | 53 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $4,464.11 | $6,867.86 | $157.53 – $1,537.61 | 53 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $878.15 | $1,351.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $8,163.06 | $12,558.55 | $242.81 – $13,814.58 | 56 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $14,207.35 | $21,857.46 | $99.44 – $13,814.58 | 56 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $13,130.56 | $20,200.86 | $65.78 – $13,814.58 | 56 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $13,899.13 | $21,383.27 | $57.85 – $13,814.58 | 56 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $155.35 | $239.00 | $761.26 – $1,804.87 | 49 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $3,682.90 | $5,666.00 | $306.14 – $725.82 | 54 |
| Concentration infection agents any type CPT 87015 | $50.70 | $78.00 | $5.43 – $14.74 | 59 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $5,691.04 | $8,755.44 | $220.50 – $6,734.70 | 56 |
| Conization of cervix CPT 57520 | $6,000.40 | $9,231.39 | $259.66 – $6,734.70 | 56 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,693.20 | $2,604.92 | $3.68 – $1,031.04 | 58 |
| Connect omega .5mm HCPCS L8613 | $747.50 | $1,150.00 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $3,238.95 | $4,983.00 | not published | 0 |
| Consultation pathology during surgery CPT 88329 | $19,950.10 | $30,692.46 | $27.66 – $122.73 | 62 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $9,638.87 | $14,829.03 | $19.50 – $1,676.18 | 62 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $22,757.75 | $35,011.92 | $23.10 – $13,814.58 | 62 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $20,491.48 | $31,525.35 | $35.72 – $354.45 | 62 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $6,648.36 | $10,228.25 | $26.93 – $143.55 | 62 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $6,369.90 | $9,799.85 | $32.78 – $100.61 | 62 |
| Consult comp w/report rfrd material CPT 88325 | $7,811.36 | $12,017.48 | $49.47 – $354.45 | 62 |
| Contrast baths charges CPT 97034 | $61.10 | $94.00 | $12.39 – $29.38 | 51 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,971.80 | $4,572.00 | $49.96 – $6,569.00 | 61 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,822.95 | $4,343.00 | $56.88 – $11,576.67 | 61 |
| Contrast x-ray gallbladder CPT 74290 | $872.95 | $1,343.00 | $34.00 – $364.91 | 53 |
| Contrast x-ray of ankle CPT 73615 | $412.10 | $634.00 | $84.12 – $752.18 | 53 |
| Contrast x-ray of elbow CPT 73085 | $1,045.85 | $1,609.00 | $62.18 – $752.18 | 61 |
| Contrast x-ray of hip CPT 73525 | $739.05 | $1,137.00 | $84.12 – $752.18 | 61 |
| Contrast x-ray of knee joint CPT 73580 | $578.50 | $890.00 | $66.90 – $752.18 | 61 |
| Contrast x-ray of wrist CPT 73115 | $790.40 | $1,216.00 | $90.23 – $752.18 | 61 |
| Controller infinity pt dbs HCPCS C1787 | $28,356.25 | $43,625.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $392.60 | $604.00 | $114.79 – $276.80 | 49 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $3,626.54 | $5,579.30 | $8.45 – $276.80 | 56 |
| Convert nephrostomy catheter CPT 50434 | $6,268.29 | $9,643.52 | $123.02 – $4,348.95 | 56 |
| Coombs direct CPT 86880 | $90.35 | $139.00 | $4.39 – $122.73 | 62 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $151.45 | $233.00 | $4.65 – $354.45 | 62 |
| Coombs indirect titer reference CPT 86886 | $103.35 | $159.00 | $4.21 – $354.45 | 62 |
| Copper cu 64 dotatate diag HCPCS A9592 | $1,870.70 | $2,878.00 | $553.27 – $1,311.75 | 51 |
| Core ndl bx lng/med perq CPT 32408 | $5,769.60 | $8,876.31 | $128.42 – $3,436.08 | 56 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $15,888.60 | $24,444.00 | $186.62 – $6,744.70 | 55 |
| Coronary angio/lv gram/lt heart CPT 93458 | $14,483.95 | $22,283.00 | $165.64 – $6,744.70 | 55 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $16,823.30 | $25,882.00 | $207.90 – $6,744.70 | 55 |
| Coronary art/grft angio s&i CPT 93455 | $11,939.85 | $18,369.00 | $156.71 – $6,744.70 | 55 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $12,076.35 | $18,579.00 | $135.87 – $6,744.70 | 55 |
| Cortisol acth stimulation test - sendout CPT 80400 | $116.35 | $179.00 | $26.55 – $72.00 | 59 |
| Cortisol total am CPT 82533 | $247.65 | $381.00 | $13.27 – $35.98 | 59 |
| Co-treatment - group 15 mins, st CPT 92508 | $113.75 | $175.00 | $5.94 – $50.17 | 54 |
| Counseling smoke cess interm >10mins CPT 99407 | $65.00 | $100.00 | $24.37 – $77.95 | 55 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $3,250.00 | $5,000.00 | not published | 0 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $39.00 | $60.00 | $35.66 – $84.55 | 55 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $377.65 | $581.00 | $407.71 – $917.38 | 46 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $947.70 | $1,458.00 | $407.71 – $917.38 | 46 |
| #covid19rsv-rsv CPT 87634 | $146.25 | $225.00 | $57.15 – $154.95 | 58 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $109.20 | $168.00 | $10.60 – $28.76 | 56 |
| C-peptide CPT 84681 | $110.50 | $170.00 | $16.94 – $45.93 | 59 |
| Cr-51 sodium chromate HCPCS A9553 | $3,947.45 | $6,073.00 | $451.20 – $4,233.51 | 47 |
| Crbrospnl fld flw imag cistern CPT 78630 | $6,615.70 | $10,178.00 | $92.00 – $1,491.74 | 57 |
| C-reactive protein CPT 86140 | $94.90 | $146.00 | $4.21 – $14.22 | 59 |
| C-reactive protein high sensitivity CPT 86141 | $139.10 | $214.00 | $10.54 – $109.31 | 60 |
| C-reactive protein, quantitative CPT 86406 | $158.60 | $244.00 | $8.66 – $23.49 | 60 |
| Create eardrum opening CPT 69436 | $3,353.74 | $5,159.60 | $137.23 – $3,228.00 | 55 |
| Creatine kinase CPT 82550 | $64.35 | $99.00 | $5.30 – $14.37 | 59 |
| Creatine kinase isoenzymes CPT 82552 | $120.90 | $186.00 | $10.90 – $29.56 | 60 |
| Creatine kinase mb CPT 82553 | $165.10 | $254.00 | $9.41 – $25.49 | 60 |
| Creatinine CPT 82565 | $33.80 | $52.00 | $4.17 – $11.30 | 59 |
| Creatinine 24 hour urine CPT 82570 | $63.70 | $98.00 | $4.21 – $11.43 | 59 |
| Creatinine clearance urine CPT 82575 | $85.15 | $131.00 | $7.70 – $22.54 | 60 |
| #creutz-prot.,western blot CPT 84182 | $771.55 | $1,187.00 | $23.78 – $64.48 | 60 |
| Critical care 30-74 minutes CPT 99291 | $4,576.00 | $7,040.00 | $750.36 – $1,718.52 | 48 |
| Critical care each additional 30 minutes CPT 99292 | $518.70 | $798.00 | $106.50 – $106.50 | 4 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $8,996.34 | $13,840.53 | $120.98 – $6,840.52 | 58 |
| Cryoablate prostate CPT 55873 | $17,624.18 | $27,114.12 | $297.00 – $19,694.56 | 55 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $40.95 | $63.00 | $11.51 – $31.21 | 56 |
| Cryoprecipitate each unit HCPCS P9012 | $667.55 | $1,027.00 | $39.75 – $155.64 | 55 |
| Cryptosporidium antigen CPT 87272 | $200.20 | $308.00 | $9.76 – $26.44 | 56 |
| Crystal identification light microscopy CPT 89060 | $31.85 | $49.00 | $5.96 – $29.64 | 59 |
| Csf leakage imaging CPT 78650 | $1,034.80 | $1,592.00 | $75.00 – $2,693.46 | 57 |
| CT 3d report other modality w/workstation CPT 76377 | $1,160.90 | $1,786.00 | $20.00 – $469.23 | 8 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,148.25 | $3,305.00 | $142.90 – $675.74 | 61 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,685.50 | $5,670.00 | $143.14 – $675.74 | 61 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,905.85 | $6,009.00 | $143.14 – $592.38 | 61 |
| Cta neck without &/or w/contrast CPT 70498 | $1,698.45 | $2,613.00 | $143.14 – $570.46 | 61 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,001.05 | $4,617.00 | $239.84 – $752.18 | 60 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,015.65 | $3,101.00 | $143.19 – $703.27 | 61 |
| CT Angiogram of the Head CPT 70496 | $1,784.25 | $2,745.00 | $143.14 – $570.46 | 61 |
| CT angio pelvis CPT 72191 | $1,575.60 | $2,424.00 | $153.91 – $675.74 | 61 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,781.35 | $4,279.00 | $142.90 – $592.38 | 61 |
| CT cerebral perf w cont & prcssng CPT 70473 | $911.95 | $1,403.00 | $162.18 – $364.91 | 47 |
| CT guidance for needle placement CPT 77012 | $1,648.40 | $2,536.00 | $58.85 – $1,497.44 | 8 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $2,471.30 | $3,802.00 | $47.46 – $289.97 | 8 |
| CT guid parench tis ablat CPT 77013 | $1,424.80 | $2,192.00 | $191.31 – $1,322.66 | 7 |
| CT limited or localized follow-up study CPT 76380 | $732.55 | $1,127.00 | $29.00 – $282.81 | 61 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $3,488.55 | $5,367.00 | $97.15 – $475.95 | 61 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,021.50 | $3,110.00 | $71.62 – $400.03 | 61 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,979.30 | $6,122.00 | $119.64 – $598.68 | 61 |
| CT neck soft tissue w/contrast CPT 70491 | $2,284.10 | $3,514.00 | $103.53 – $455.88 | 61 |
| CT neck soft tissue without contrast CPT 70490 | $1,965.60 | $3,024.00 | $78.01 – $381.16 | 61 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,933.45 | $4,513.00 | $132.36 – $569.97 | 61 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,784.90 | $2,746.00 | $130.75 – $569.97 | 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.