Mercy Rehabilitation Hospital Oklahoma City, LLC
Mercy Rehabilitation Hospital Oklahoma City, LLC in Oklahoma City, OK publishes cash prices for 34 common procedures listed here, from its own machine-readable price file updated Mar 16, 2026. Click a procedure to compare it with other hospitals nearby.
5401 W. Memorial Road Oklahoma City OK 73142 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 inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST | $1,114.69 | $1,114.69 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN/HEAD WO CONTRAST | $323.38 | $323.38 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $335.07 | $335.07 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAM DIAG BILATERAL | $480.99 | $480.99 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI EXTR LWR JT WO C | $716.75 | $716.75 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $709.60 | $709.60 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST | $709.60 | $709.60 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO CONTRAST | $709.60 | $709.60 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS >14 WEEKS | $903.92 | $903.92 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMOGRAM SCREEN BILATERAL | $210.99 | $210.99 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $963.38 | $963.38 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $323.38 | $323.38 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBOSACRAL SP 4+ VIEWS | $185.66 | $185.66 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $26.65 | $26.65 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $20.92 | $20.92 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $163.96 | $163.96 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $24.48 | $24.48 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC, W/ AUTO DIFF | $36.45 | $36.45 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 AUTOMATED CBC | $24.48 | $24.48 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC, AUTO W/O DIFF | $30.33 | $30.33 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $33.26 | $33.26 | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL | $38.75 | $38.75 | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $156.96 | $156.96 | — |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $63.00 | $63.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC ATG (FREE) | $126.04 | $126.04 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $27.36 | $27.36 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ATG (TOTAL) | $145.28 | $145.28 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $8.93 | $8.93 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $88.79 | $88.79 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $18.39 | $18.39 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $78.72 | $78.72 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AND MICROSCOPI | $8.40 | $8.40 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICROSCOPIC | $14.82 | $14.82 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W/MICROSCOP | $46.95 | $46.95 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MACRO ONLY | $10.02 | $10.02 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO | $10.52 | $10.52 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O MICROSC | $92.11 | $92.11 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG | $514.29 | $514.29 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT NEW PT LEVEL IV | $1,941.50 | $1,941.50 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT NEW PT LEVEL V | $1,904.71 | $1,904.71 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $130.43 | $130.43 | — |