Mercy Hospital Ardmore
1011 14th Avenue, Northwest Ardmore, OK · Mercy · · NPI 1386741635
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $115.70 | $178.00 | $26.04 – $69.53 | 59 |
| 17-hydroxypregnenolone CPT 84143 | $108.55 | $167.00 | $20.29 – $50.35 | 59 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $3,208.40 | $4,936.00 | $792.14 – $1,782.35 | 52 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $996.45 | $1,533.00 | $792.14 – $1,782.35 | 48 |
| 2nd order venous cath CPT 36012 | $1,300.00 | $2,000.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $34,757.45 | $53,473.00 | $214.21 – $3,181.75 | 57 |
| 3d recon without postprocess indpndt CPT 76376 | $722.80 | $1,112.00 | $13.03 – $51.68 | 7 |
| 5' nucleotidase - sendout CPT 83915 | $65.65 | $101.00 | $9.92 – $24.63 | 59 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $101.40 | $156.00 | $16.97 – $77.18 | 11 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $4,275.33 | $6,577.43 | $43.87 – $3,164.25 | 59 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $60.45 | $93.00 | $10.68 – $26.51 | 59 |
| Abd aorta w/runoff s&i CPT 75630 | $4,012.45 | $6,173.00 | $53.83 – $7,178.98 | 58 |
| Abd/low ext cath 1st CPT 36245 | $9,954.83 | $15,315.13 | $200.96 – $7,178.98 | 53 |
| Abd/low ext cath 2nd CPT 36246 | $11,396.41 | $17,532.94 | $214.54 – $7,178.98 | 54 |
| Abd/low ext cath 3rd CPT 36247 | $8,911.57 | $13,710.11 | $252.36 – $7,178.98 | 54 |
| Abd/low ext cath addl CPT 36248 | $3,339.05 | $5,137.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,008.85 | $4,629.00 | $143.16 – $735.95 | 59 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,596.10 | $3,994.00 | $158.53 – $592.98 | 59 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,994.85 | $3,069.00 | $70.23 – $490.20 | 59 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,737.85 | $7,289.00 | $204.04 – $2,122.16 | 59 |
| Abdominal MRI (without contrast) CPT 74181 | $3,546.40 | $5,456.00 | $110.75 – $967.21 | 59 |
| Abdominal paracentesis w/image guidance CPT 49083 | $4,798.30 | $7,382.00 | $90.50 – $3,047.00 | 55 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,199.25 | $1,845.00 | $65.49 – $240.32 | 59 |
| Abdominal Ultrasound (limited) CPT 76705 | $947.05 | $1,457.00 | $49.68 – $240.32 | 59 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $5,248.75 | $8,075.00 | $130.02 – $292.56 | 52 |
| Ablation cryo adrenal tumor CPT 60699 | $3,569.15 | $5,491.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,695.20 | $2,608.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,281.80 | $1,972.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $260.65 | $401.00 | $16.58 – $41.14 | 58 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $153.56 | $236.25 | $21.62 – $68.94 | 8 |
| Acetone qualitative CPT 82009 | $52.65 | $81.00 | $4.02 – $9.98 | 59 |
| Acetylcholine receptor modulating antibody CPT 86043 | $88.40 | $136.00 | $10.72 – $26.60 | 58 |
| Acetylcholinesterase assay CPT 82013 | $198.90 | $306.00 | $10.93 – $27.13 | 56 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $536.30 | $825.08 | $33.00 – $86.40 | 8 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $55.25 | $85.00 | $11.72 – $27.32 | 54 |
| Actinotherapy uv light CPT 96900 | $89.05 | $137.00 | $20.80 – $84.92 | 56 |
| Acute hepatitis panel CPT 80074 | $284.70 | $438.00 | $42.37 – $105.13 | 58 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $102.37 | $157.50 | $10.00 – $40.00 | 7 |
| #acylcarnitineprfl CPT 82017 | $67.60 | $104.00 | $15.01 – $37.24 | 58 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,638.00 | $2,520.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $234.00 | $360.00 | $0.96 – $4.05 | 8 |
| Adh-sendout CPT 84588 | $118.30 | $182.00 | $30.19 – $74.92 | 56 |
| Adj gastric band via subq port CPT 43999 | $2,971.42 | $4,571.41 | $3.50 – $2,062.16 | 57 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $136.99 | $210.75 | $4.62 – $11.10 | 6 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $300.95 | $463.00 | $63.38 – $163.70 | 56 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $300.95 | $463.00 | $63.38 – $163.70 | 56 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $361.40 | $556.00 | $295.37 – $751.00 | 56 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $317.85 | $489.00 | $295.37 – $751.00 | 56 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $110.50 | $170.00 | $63.38 – $163.70 | 56 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $201.50 | $310.00 | $63.38 – $163.70 | 56 |
| Administration immunization 1 vaccine CPT 90471 | $100.75 | $155.00 | $63.38 – $163.70 | 56 |
| Administration immunization each additional component CPT 90461 | $13.00 | $20.00 | $8.24 – $18.54 | 47 |
| Administration immunization each additional vaccine CPT 90472 | $40.30 | $62.00 | $12.70 – $25.18 | 6 |
| Administration immunization first component each vaccine CPT 90460 | $36.40 | $56.00 | $18.34 – $47.96 | 54 |
| Administration vaccine hepatitis b HCPCS G0010 | $70.20 | $108.00 | $47.32 – $106.47 | 52 |
| Administration vaccine influenza virus HCPCS G0008 | $48.75 | $75.00 | $2.46 – $106.47 | 56 |
| Administration vaccine pneumococcal HCPCS G0009 | $52.65 | $81.00 | $2.46 – $106.47 | 56 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $19,424.81 | $29,884.33 | $41.40 – $11,943.00 | 59 |
| Aep hearing status deter i&r CPT 92651 | $760.50 | $1,170.00 | $72.15 – $490.93 | 56 |
| Aep neurodiagnostic i&r CPT 92653 | $941.20 | $1,448.00 | $72.57 – $490.93 | 56 |
| Aep thrshld est mlt freq i&r CPT 92652 | $929.50 | $1,430.00 | $98.21 – $490.93 | 56 |
| _afb id by dna probe rflx ast CPT 87149 | $88.40 | $136.00 | $17.83 – $44.26 | 56 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $314.60 | $484.00 | $102.61 – $254.63 | 59 |
| Albumin body fluid quantitative each specimen CPT 82042 | $15.60 | $24.00 | $6.92 – $17.17 | 58 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $438.75 | $675.00 | $49.70 – $117.16 | 58 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $227.91 | $350.63 | $49.70 – $117.16 | 58 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $81.25 | $125.00 | $5.14 – $12.76 | 58 |
| Albumin serum plasma or whole blood CPT 82040 | $17.55 | $27.00 | $4.40 – $10.93 | 58 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $120.90 | $186.00 | $16.94 – $38.12 | 53 |
| Alkaline phosphatase CPT 84075 | $43.55 | $67.00 | $4.61 – $11.43 | 59 |
| Allergen alpha lactalbumin ige CPT 86008 | $59.15 | $91.00 | $15.95 – $39.58 | 57 |
| Allergen egg white ige CPT 86003 | $102.70 | $158.00 | $4.64 – $16.41 | 59 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $22.75 | $35.00 | $7.82 – $17.59 | 52 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $418.60 | $644.00 | $115.47 – $359.82 | 53 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $388.70 | $598.00 | $124.72 – $359.82 | 57 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1,652.30 | $2,542.00 | $5.04 – $1,455.00 | 59 |
| Alpha-fetoprotein amniotic CPT 82106 | $94.25 | $145.00 | $15.12 – $37.52 | 56 |
| Alpha-fetoprotein tumor marker CPT 82105 | $70.20 | $108.00 | $14.92 – $37.02 | 59 |
| Alprostadil for injection HCPCS J0270 | $825.55 | $1,270.08 | $5,989.80 – $5,989.80 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $518.16 | $797.17 | $93.28 – $538.26 | 59 |
| Alt/sgpt CPT 84460 | $41.60 | $64.00 | $4.71 – $11.70 | 59 |
| Aluminum - quest CPT 82108 | $122.20 | $188.00 | $22.66 – $56.24 | 59 |
| Alveoloplasty each quadrant CPT 41874 | $6,290.44 | $9,677.60 | $214.24 – $21,136.24 | 57 |
| Amantadine (symmetrel)-sendout CPT 80375 | $208.00 | $320.00 | $32.17 – $32.17 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $69.71 | $107.25 | $2.70 – $8.70 | 8 |
| Amino acid screen, urine CPT 82128 | $111.80 | $172.00 | $12.34 – $30.62 | 56 |
| Amino acids quant 2-5 CPT 82136 | $90.35 | $139.00 | $17.44 – $43.29 | 59 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $52.84 | $81.30 | $9.75 – $22.20 | 3 |
| Aminolevulinic acid delta CPT 82135 | $132.60 | $204.00 | $14.63 – $36.31 | 59 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $107.20 | $164.93 | $5.17 – $32.04 | 8 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $225.22 | $346.50 | $12.60 – $35.25 | 7 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $9.76 | $15.01 | $1.95 – $5.55 | 8 |
| Amitriptyline (elavil) -sendout CPT 80335 | $59.80 | $92.00 | $32.17 – $32.17 | 1 |
| Ammonia CPT 82140 | $85.80 | $132.00 | $12.96 – $34.76 | 58 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,425.45 | $2,193.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $84.50 | $130.00 | $32.17 – $32.17 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $234.00 | $360.00 | $14.21 – $125.46 | 8 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,598.32 | $2,458.95 | $22.37 – $322.80 | 55 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $3,315.29 | $5,100.45 | $0.71 – $1.83 | 8 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $73.12 | $112.50 | $1.64 – $3.84 | 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.