Mercy Hospital Oklahoma City Inc
Mercy Hospital Oklahoma City Inc in Oklahoma City, OK publishes cash prices for 55 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
4300 W. Memorial Road Oklahoma City OK 73120 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast | $3,116.10 | $4,794.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont | $1,493.70 | $2,298.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont | $1,617.20 | $2,488.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mamm Diagnostic Bilat W Cad | $409.50 | $630.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Rt W Cad | $202.15 | $311.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Lt W Cad | $202.15 | $311.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi | $3,057.60 | $4,704.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt | $2,038.40 | $3,136.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt | $2,038.40 | $3,136.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Extr Lwr Jt W/WO Cont Bi | $3,916.25 | $6,025.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Lt | $2,611.05 | $4,017.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Rt | $2,611.05 | $4,017.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cont | $1,996.80 | $3,072.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont | $2,947.10 | $4,534.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont | $2,147.60 | $3,304.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks Or> | $787.80 | $1,212.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilateral W Cad | $237.90 | $366.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilat Implant W Cad | $396.50 | $610.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Right W Cad | $308.75 | $475.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Left W Cad | $308.75 | $475.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs | $3,529.50 | $5,430.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs <6 Hrs | $5,398.90 | $8,306.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $879.45 | $1,353.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $756.60 | $1,164.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views | $460.20 | $708.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $18.85 | $29.00 | 35% |
| Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total | $391.30 | $602.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $48.10 | $74.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $154.70 | $238.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $17.55 | $27.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff | $57.85 | $89.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $23.40 | $36.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $154.05 | $237.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $99.45 | $153.00 | 35% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $337.35 | $519.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $245.70 | $378.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $65.65 | $101.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $98.15 | $151.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time | $26.65 | $41.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Mixing | $85.80 | $132.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $14.30 | $22.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $36.40 | $56.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Mixing Test | $36.40 | $56.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn | $11.05 | $17.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone | $59.80 | $92.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $11.05 | $17.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Non Automated W Micro | $16.90 | $26.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $7.80 | $12.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $40.95 | $63.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $85.80 | $132.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $92.30 | $142.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $92.30 | $142.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated | $26.65 | $41.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $26.65 | $41.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $26.65 | $41.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $28.60 | $44.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 GI Colo Biopsy Snare Pf | $3,350.12 | $5,154.03 | 35% |
| Colonoscopy with tissue sample CPT 45380 GI Colo Biopsy Cold Pf | $3,331.67 | $5,125.64 | 35% |
| Colonoscopy, diagnostic CPT 45378 GI Colonoscopy | $2,651.34 | $4,078.99 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy Pf | $8,811.64 | $13,556.37 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Pf | $7,904.78 | $12,161.20 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $6,718.91 | $10,336.78 | 35% |
| Left heart catheterization, diagnostic one side CPT 93452 Lt Heart Cath Including Inj Lt Ventriculography, S/I | $13,508.30 | $20,782.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Interlaminar Lumbar or Sacral W Imag | $2,264.95 | $3,484.54 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj Dx/Tx Epid/Subaracr Lmbr/Sac WO Imag | $9,225.45 | $14,193.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 Bilat Inj Epi/Lumb/Sacral Sngl Level | $1,838.20 | $2,828.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforminal Epi/Lumb/Sacral Sngl Level | $2,960.36 | $4,554.40 | 35% |
| Prostate biopsy CPT 55700 Bx Prostate Needle/Punch | $6,101.02 | $9,386.18 | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing | $20,602.81 | $31,696.63 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $13,258.21 | $20,397.24 | 35% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $4,367.71 | $6,719.55 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GI Egd W/Biopsy Pf | $3,662.96 | $5,635.33 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GI Upper Endoscopy Complex | $1,415.05 | $2,177.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Mlp | $54.60 | $84.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Pf | $64.35 | $99.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt | $103.35 | $159.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Patient | $298.35 | $459.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Mlp | $89.05 | $137.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Pf | $104.65 | $161.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt | $362.70 | $558.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt | $103.35 | $159.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Mlp | $120.90 | $186.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Pf | $141.70 | $218.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Patient | $497.25 | $765.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m | $88.40 | $136.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m | $88.40 | $136.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1or> Area Ea 15m Chl Dev | $213.85 | $329.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1or> Area Ea 15m Chl Dev | $213.85 | $329.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Mlp | $58.50 | $90.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Pf | $68.90 | $106.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min | $104.00 | $160.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Mlp | $89.05 | $137.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Pf | $104.65 | $161.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min | $129.35 | $199.00 | 35% |