Supplies, drugs & other prices at Mercy Hospital Oklahoma City, Inc
Oklahoma City, OK · every code in this section with a posted price and a Medicare benchmark.
69 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $3,615.30 | $5,562 | 4.8× |
| 2d tte w or w/o fol w/con,co (C8923) | $2,029.30 | $3,122 | 2.7× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,165.45 | $1,793 | 3.5× |
| Adm tocilizu covid-19 1st (M0249) | $377.65 | $581 | 0.9× |
| Adm tocilizu covid-19 2nd (M0250) | $947.70 | $1,458 | 2.2× |
| Admin hepatitis b vaccine (G0010) | $82.55 | $127 | 1.8× |
| Admin influenza virus vac (G0008) | $43.55 | $67 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $98.80 | $152 | 2.2× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $101.40 | $156 | 3.2× |
| Catheterize for urine spec (P9612) | $65 | $100 | 7.0× |
| Chemo extend iv infus w/pump (G0498) | $521.30 | $802 | 1.6× |
| Cyp1a2 gene analysis common variants (0031U) | $874.25 | $1,345 | 5.0× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $802.10 | $1,234 | 1.2× |
| Diab manage trn per indiv (G0108) | $150.15 | $231 | 2.7× |
| Diab manage trn ind/group (G0109) | $85.80 | $132 | 5.4× |
| Direct refer hospital observ (G0379) | $642.20 | $988 | 1.1× |
| Esd endoscopy or colonoscopy (C9779) | $5,556.85 | $8,549 | 1.5× |
| Fecal microbiota prep instil (G0455) | $235.95 | $363 | 0.3× |
| Fern test (Q0114) | $47.45 | $73 | 4.9× |
| Group mnt 2 or more 30 mins (G0271) | $72.80 | $112 | 4.3× |
| Hbot, full body chamber, 30m (G0277) | $620.10 | $954 | 4.7× |
| Home sleep test/type 3 porta (G0399) | $1,126.45 | $1,733 | 5.4× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $164.45 | $253 | 3.8× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$1,415.05–$2,405.65 | $2,177–$3,701 | varies |
| Instlj fecal microbiota ssp (0780T) | $1,327.30 | $2,042 | 10.4× |
| Intrav inf, toci, first dose (M0237) | $868.40 | $1,336 | 2.0× |
| Intrav inf, toci, second dos (M0238) | $947.70 | $1,458 | 2.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $476.45 | $733 | 3.9× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $679.25 | $1,045 | 1.3× |
| Mnt subs tx for change dx (G0270) | $52 | $80 | 1.6× |
| Mra w/cont, abd (C8900) | $1,750.45 | $2,693 | 5.2× |
| Mra w/cont, chest (C8909) | $1,740.70 | $2,678 | 5.2× |
| Mra w/cont, pelvis (C8918) | $2,817.75 | $4,335 | 8.4× |
| Mra w/o cont, abd (C8901) | $2,019.55 | $3,107 | 8.8× |
| Mra w/o cont, chest (C8910) | $1,963 | $3,020 | 8.6× |
| Mra w/o cont, pelvis (C8919) | $1,428.05 | $2,197 | 6.2× |
| Mra w/o fol w/cont, abd (C8902) | $2,321.15 | $3,571 | 6.9× |
| Mra w/o fol w/cont, chest (C8911) | $2,174.25 | $3,345 | 6.5× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$3,426.15–$7,178.60 | $5,271–$11,044 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,976.65 | $3,041 | 5.9× |
| Mri w/cont, breast, bi (C8906) | $1,841.45 | $2,833 | 5.5× |
| Mri w/cont, breast, uni (C8903) | $1,698.45 | $2,613 | 10.1× |
| Mri w/o fol w/cont, breast, (C8908) | $3,415.75 | $5,255 | 10.2× |
| Neuro csf prion prtn qual (0035U) | $194.35 | $299 | 0.4× |
| Oth resp proc, group (G0239) | $145.60 | $224 | 4.1× |
| Oth resp proc, indiv (G0238) | $107.90 | $166 | 3.9× |
| Pathogen test for platelets (P9100) | $55.90 | $86 | 1.0× |
| Perc d-e cor revasc chro sin (C9607) | $18,730.40 | $28,816 | 1.1× |
| Perc d-e cor revasc t cabg s (C9604) | $19,018.35 | $29,259 | 1.7× |
| Perc d-e cor stent ather s (C9602) | $26,606.45 | $40,933 | 1.5× |
| Perc drug-el cor stent sing (C9600) | $28,210.65 | $43,401 | 2.5× |
| Perq Sacral Augmt Bilat Inj (0201T) | $8,769.15 | $13,491 | 1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) | $8,138.65 | $12,521 | 1.2× |
| Place device/marker, non pro (C9728) | $1,530.10 | $2,354 | 1.1× |
| Psa screening (G0103) | $137.80 | $212 | 7.1× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $489.45 | $753 | 0.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $79.30 | $122 | 3.0× |
| Therapeutic procd strg endur (G0237) | $143.65 | $221 | 5.2× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$124.80–$133.90 | $192–$206 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $456.95 | $703 | 1.0× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$6,040.45–$6,483.10 | $9,293–$9,974 | varies |
| Trluml perip athrc abd aorta (0236T) | $32,869.20 | $50,568 | 3.0× |
| Trluml Perip Athrc Brchiocph (0237T) | $22,161.75 | $34,095 | 2.0× |
| Trluml Perip Athrc Iliac Art (0238T) | $28,059.20 | $43,168 | 1.6× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $19,146.40 | $29,456 | 1.7× |
| Tte w or w/o contr, cont ecg (C8930) | $1,966.90 | $3,026 | 2.6× |
| Tte w or w/o fol w/cont, com (C8921) | $4,416.75 | $6,795 | 5.9× |
| Tte w or wo fol wcon,doppler (C8929) | $2,536.30 | $3,902 | 3.4× |
| Unsched dialysis esrd pt hos (G0257) | $1,329.90 | $2,046 | 2.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.