MERCY HOSPITAL OKLAHOMA CITY, INC

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
B0407	Traumatic spinal cord injury M <24.50 and A >=61.50	$78,729	$78,729	—	—	21
B1904	Guillain-Barré M <38.50	$73,706	$73,706	—	—	21
C0407	Traumatic spinal cord injury M <24.50 and A >=61.50	$64,351	$64,351	—	—	21
D0407	Traumatic spinal cord injury M <24.50 and A >=61.50	$62,658	$62,658	—	—	21
B1806	Major multiple trauma with brain or spinal cord injury M <30.50	$62,387	$62,387	—	—	21
B0406	Traumatic spinal cord injury M >=24.50 and M <31.50 and A >=61.50	$57,491	$57,491	—	—	21
A0407	Traumatic spinal cord injury M <24.50 and A >=61.50	$56,699	$56,699	—	—	21
74080529	OCC/EMB NON HEMORR VENOUS	$56,400	$56,400	—	—	21
74080530	OCC/EMB NON HEMORR ART	$56,400	$56,400	—	—	21
74080531	OCC/EMB TUMOR/ORGAN INFAR	$56,400	$56,400	—	—	21
74080532	OCC/EMB HEMORRHAG/LYMPH	$56,400	$56,400	—	—	21
B0404	Traumatic spinal cord injury M <31.50 and A <61.50	$55,172	$55,172	—	—	21
B0505	Non-traumatic spinal cord injury M <39.50	$54,263	$54,263	—	—	21
C1904	Guillain-Barré M <38.50	$52,091	$52,091	—	—	21
C1806	Major multiple trauma with brain or spinal cord injury M <30.50	$51,038	$51,038	—	—	21
B0106	Stroke M <41.50 and A <84.50	$49,197	$49,197	—	—	21
74080268	INSERT TIPS	$48,288	$48,288	—	—	21
B1903	Guillain-Barré M >=38.50 and M <51.50	$47,933	$47,933	—	—	21
B0205	Traumatic brain injury M <35.50	$47,326	$47,326	—	—	21
74080483	REVISE TIPS	$47,034	$47,034	—	—	21
C0406	Traumatic spinal cord injury M >=24.50 and M <31.50 and A >=61.50	$46,991	$46,991	—	—	21
D1806	Major multiple trauma with brain or spinal cord injury M <30.50	$46,951	$46,951	—	—	21
D0406	Traumatic spinal cord injury M >=24.50 and M <31.50 and A >=61.50	$45,754	$45,754	—	—	21
A1904	Guillain-Barré M <38.50	$45,298	$45,298	—	—	21
D1904	Guillain-Barré M <38.50	$45,284	$45,284	—	—	21
C0404	Traumatic spinal cord injury M <31.50 and A <61.50	$45,096	$45,096	—	—	21
B1705	Major multiple trauma without brain or spinal cord injury M <36.50	$44,389	$44,389	—	—	21
B2102	Burns M <52.50	$44,205	$44,205	—	—	21
A1806	Major multiple trauma with brain or spinal cord injury M <30.50	$44,068	$44,068	—	—	21
D0404	Traumatic spinal cord injury M <31.50 and A <61.50	$43,910	$43,910	—	—	21
B0405	Traumatic spinal cord injury M >=31.50 and M <41.50	$43,702	$43,702	—	—	21
C0106	Stroke M <41.50 and A <84.50	$43,688	$43,688	—	—	21
B0105	Stroke M <41.50 and A >=84.50	$43,675	$43,675	—	—	21
B1805	Major multiple trauma with brain or spinal cord injury M >=30.50 and M <40.50	$43,061	$43,061	—	—	21
B0604	Neurological M <43.50	$42,550	$42,550	—	—	21
76085035	SM153 LEXIDRON TO 150MCI	$41,826	$41,826	—	—	21
C0505	Non-traumatic spinal cord injury M <39.50	$41,701	$41,701	—	—	21
A0406	Traumatic spinal cord injury M >=24.50 and M <31.50 and A >=61.50	$41,404	$41,404	—	—	21
B0305	Non-traumatic brain injury M <42.50 and A <78.50	$41,162	$41,162	—	—	21
B1004	Amputation lower extremity M <47.50	$41,049	$41,049	—	—	21
B1504	Pulmonary M <45.50	$40,686	$40,686	—	—	21
B0704	Fracture of lower extremity M <41.50	$39,844	$39,844	—	—	21
B1304	Rheumatoid other arthritis M <44.50 and A >=64.50	$39,795	$39,795	—	—	21
A0404	Traumatic spinal cord injury M <31.50 and A <61.50	$39,734	$39,734	—	—	21
B1305	Rheumatoid other arthritis M <51.50 and A <64.50	$39,717	$39,717	—	—	21
D0106	Stroke M <41.50 and A <84.50	$39,582	$39,582	—	—	21
B0904	Other orthopedic M <44.5	$39,048	$39,048	—	—	21
74080527	STNT PLC TRANSC VEIN INI	$39,033	$39,033	—	—	21
74080525	STNT PLC TRANSCTH ART INI	$38,870	$38,870	—	—	21
76085037	STRONTIUM SR-89 THERA/MCI	$38,866	$38,866	—	—	21

Showing top 50 of 7,877 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.