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 |
|---|---|---|---|---|
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,781.00 | $2,740.00 | $110.20 – $455.88 | 61 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,600.30 | $2,462.00 | $85.48 – $381.16 | 61 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,589.95 | $5,523.00 | $212.92 – $752.18 | 60 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,116.10 | $4,794.00 | $188.51 – $752.18 | 60 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,638.35 | $4,059.00 | $88.54 – $496.40 | 60 |
| CT thoracic spine w/contrast CPT 72129 | $1,641.90 | $2,526.00 | $146.95 – $569.97 | 61 |
| CT thoracic spine without contrast CPT 72128 | $1,595.10 | $2,454.00 | $71.90 – $475.95 | 61 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $666.90 | $1,026.00 | $75.21 – $222.38 | 59 |
| CT t-spine w /wo contrast CPT 72130 | $1,796.60 | $2,764.00 | $120.20 – $712.73 | 61 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,711.80 | $4,172.00 | $126.31 – $752.18 | 61 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,945.45 | $2,993.00 | $85.22 – $400.03 | 61 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,306.55 | $5,087.00 | $143.16 – $598.68 | 61 |
| Culture aerobic additional method definitive id each CPT 87077 | $109.85 | $169.00 | $6.58 – $17.83 | 59 |
| Culture afb any source CPT 87116 | $110.50 | $170.00 | $8.79 – $23.84 | 59 |
| Culture anaerobic additional method definitive id each CPT 87076 | $95.55 | $147.00 | $6.58 – $21.68 | 60 |
| Culture anaerobic except blood CPT 87075 | $379.60 | $584.00 | $7.71 – $20.90 | 59 |
| Culture bact stool aero addl path ea CPT 87046 | $49.40 | $76.00 | $3.37 – $20.84 | 59 |
| Culture body fluid CPT 87070 | $240.50 | $370.00 | $7.02 – $19.03 | 59 |
| Culture fungi definitive id mold CPT 87107 | $183.30 | $282.00 | $8.40 – $22.78 | 60 |
| Culture fungi definitive id yeast CPT 87106 | $80.60 | $124.00 | $8.40 – $22.78 | 59 |
| Culture fungi other (except blood) CPT 87102 | $113.75 | $175.00 | $6.84 – $18.56 | 59 |
| Culture fungi skin/hair/nail CPT 87101 | $115.05 | $177.00 | $6.28 – $17.92 | 60 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $113.10 | $174.00 | $11.89 – $32.25 | 60 |
| Culture mycoplasma any source CPT 87109 | $592.15 | $911.00 | $12.53 – $33.97 | 56 |
| Culture quantitative aerobic other source CPT 87071 | $81.90 | $126.00 | $6.74 – $21.83 | 60 |
| Culture screening strep group a CPT 87081 | $230.75 | $355.00 | $5.40 – $14.63 | 59 |
| Culture typing added method CPT 87158 | $120.90 | $186.00 | $6.30 – $17.08 | 56 |
| Culture typing immunologic CPT 87147 | $110.50 | $170.00 | $4.21 – $23.59 | 59 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $677.30 | $1,042.00 | $177.50 – $481.32 | 59 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $18.85 | $29.00 | $28.57 – $77.45 | 59 |
| Culture urine each isolate CPT 87088 | $116.35 | $179.00 | $6.59 – $17.86 | 60 |
| Cutter lead HCPCS C1773 | $5,644.60 | $8,684.00 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $2,706.30 | $4,163.54 | $9.16 – $3,274.96 | 56 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $89.05 | $137.00 | $11.66 – $31.61 | 56 |
| Cyclic citrullinated peptide antibody CPT 86200 | $109.20 | $168.00 | $10.54 – $28.58 | 60 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $5,387.39 | $8,288.30 | $0.72 – $203.67 | 58 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $63.11 | $97.09 | $0.84 – $4.35 | 8 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $317.57 | $488.57 | $20.59 – $195.30 | 7 |
| Cyclosporine 2 hour CPT 80158 | $325.65 | $501.00 | $14.70 – $39.84 | 60 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $13.19 | $20.30 | $0.68 – $1.65 | 8 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,827.23 | $2,811.13 | $2.20 – $3.77 | 7 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $20,831.20 | $32,048.00 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $572.00 | $880.00 | $199.24 – $643.12 | 52 |
| Cyp3a4 gene common variants CPT 81230 | $412.75 | $635.00 | $142.30 – $385.86 | 51 |
| Cystatin c CPT 82610 | $106.60 | $164.00 | $15.07 – $40.88 | 60 |
| Cystic fibrosis cftr CPT 81223 | $994.50 | $1,530.00 | $406.19 – $1,101.44 | 55 |
| Cystine urine quantitative CPT 82131 | $294.45 | $453.00 | $18.71 – $50.72 | 60 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $663.65 | $1,021.00 | $21.91 – $752.18 | 61 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $10,534.97 | $16,207.64 | $48.18 – $19,694.56 | 56 |
| Cysto rx balo cath urtl strx CPT 52284 | $11,863.22 | $18,251.11 | $66.68 – $11,154.98 | 56 |
| Cystoscopy and treatment CPT 52214 | $5,071.90 | $7,802.92 | $148.58 – $7,333.57 | 55 |
| Cystoscopy and treatment CPT 52224 | $6,441.10 | $9,909.39 | $171.82 – $7,333.57 | 56 |
| Cystoscopy and treatment CPT 52234 | $6,644.15 | $10,221.77 | $48.18 – $7,333.57 | 56 |
| Cystoscopy and treatment CPT 52235 | $6,980.76 | $10,739.63 | $247.49 – $7,333.57 | 56 |
| Cystoscopy and treatment CPT 52240 | $7,400.17 | $11,384.87 | $320.00 – $11,154.98 | 56 |
| Cystoscopy and treatment CPT 52260 | $4,756.97 | $7,318.42 | $8.45 – $4,348.95 | 56 |
| Cystoscopy and treatment CPT 52276 | $6,076.26 | $9,348.09 | $3.86 – $4,348.95 | 56 |
| Cystoscopy and treatment CPT 52283 | $6,869.43 | $10,568.35 | $173.50 – $7,333.57 | 55 |
| Cystoscopy and treatment CPT 52310 | $4,184.36 | $6,437.47 | $130.66 – $4,348.95 | 55 |
| Cystoscopy and treatment CPT 52330 | $5,160.67 | $7,939.49 | $225.07 – $7,333.57 | 56 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,471.90 | $5,341.38 | $13.47 – $1,450.70 | 56 |
| Cystoscopy chemodenervation CPT 52287 | $6,859.52 | $10,553.11 | $6.39 – $4,348.95 | 56 |
| Cystoscopy removal of clots CPT 52001 | $6,148.69 | $9,459.52 | $13.47 – $7,333.57 | 56 |
| Cystoscopy & ureter catheter CPT 52005 | $5,919.06 | $9,106.24 | $115.74 – $4,348.95 | 56 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $5,214.31 | $8,022.01 | $7.71 – $4,348.95 | 56 |
| Cystouretero & or pyeloscope CPT 52351 | $8,451.22 | $13,001.87 | $250.00 – $7,333.57 | 56 |
| Cysto/uretero stricture tx CPT 52344 | $10,130.43 | $15,585.27 | $316.01 – $7,333.57 | 56 |
| Cystouretero w/biopsy CPT 52354 | $9,504.27 | $14,621.95 | $250.00 – $11,154.98 | 56 |
| Cysto/uretero w/lithotripsy CPT 52356 | $15,912.44 | $24,480.67 | $322.58 – $11,154.98 | 56 |
| Cystouretero w/lithotripsy CPT 52353 | $14,791.96 | $22,756.86 | $322.58 – $11,154.98 | 56 |
| Cystouretero w/stone remove CPT 52352 | $9,473.63 | $14,574.81 | $250.00 – $7,333.57 | 56 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,600.46 | $7,077.63 | $4.21 – $4,348.95 | 56 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $5,465.41 | $8,408.33 | $48.18 – $7,333.57 | 56 |
| Cysto w/ureter stricture tx CPT 52341 | $12,946.03 | $19,916.97 | $243.65 – $11,154.98 | 56 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $142.97 | $219.95 | $3.95 – $216.51 | 9 |
| Cytogenetics 25-99 CPT 88274 | $95.55 | $147.00 | $34.50 – $93.55 | 59 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $91.00 | $140.00 | $11.72 – $31.76 | 59 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $91.00 | $140.00 | $13.72 – $37.19 | 59 |
| Cyto/molecular report CPT 88291 | $107.25 | $165.00 | $5.72 – $69.38 | 59 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $165.75 | $255.00 | $45.73 – $109.77 | 62 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $84.50 | $130.00 | $20.75 – $116.37 | 59 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $213.20 | $328.00 | $16.49 – $44.72 | 56 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $70.20 | $108.00 | $22.00 – $77.71 | 62 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $145.60 | $224.00 | $11.00 – $77.71 | 62 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $73.45 | $113.00 | $7.22 – $48.37 | 12 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $200.20 | $308.00 | $24.81 – $354.45 | 62 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $143.00 | $220.00 | $45.73 – $149.21 | 62 |
| Cytopath smear other source CPT 88160 | $99.45 | $153.00 | $9.00 – $68.00 | 62 |
| Cytopath smear oth prep screen & interp CPT 88161 | $146.25 | $225.00 | $22.99 – $69.38 | 62 |
| Cytopath tbs c/v manual CPT 88164 | $79.95 | $123.00 | $7.39 – $40.92 | 56 |
| Cytotoxic antibody screening CPT 86807 | $465.40 | $716.00 | $33.22 – $173.60 | 60 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $81.02 | $124.64 | $4.17 – $10.13 | 8 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,862.25 | $2,865.00 | $10.54 – $888.78 | 58 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $5,214.38 | $8,022.12 | $13.97 – $3,947.85 | 58 |
| Dalteparin sodium HCPCS J1645 | $425.68 | $654.89 | $13.86 – $41.77 | 7 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $262.47 | $403.80 | $10.50 – $29.30 | 8 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $41,087.78 | $63,211.97 | $51.23 – $26,074.22 | 58 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $12,602.65 | $19,388.70 | $2.86 – $202.28 | 58 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $41,935.66 | $64,516.40 | $256.23 – $30,249.29 | 53 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $525.77 | $808.87 | $47.04 – $130.29 | 8 |
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.