Brace fx hum ovr shldr sm at Mercy Hospital Ardmore
1011 14th Avenue, Northwest Ardmore, OK · Mercy · · NPI 1386741635
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$182.69 with MEDICA CONTRACTED [320239] vs $477.00 with UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| MEDICA CONTRACTED [320239] | HB ARDM MEDICA EXCHANGE | $182.69 | — |
| UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC EXCHANGE | $184.60 | — |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | $186.03 | — |
| WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $200.34 | — |
| AETNA CONTRACTED [320008] | HB ARDM AETNA NBD | $205.59 | — |
| OSMA HEALTH CONTRACTED [320292] | HB ARDM OSMA HEALTH | $214.65 | — |
| WORKERS COMP [20426] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA WORK COMP | $262.35 | — |
| UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC | $283.82 | — |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ARDM UHC | $283.82 | — |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB ARDM CIGNA | $284.29 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $286.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $286.20 | — |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $286.20 | — |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM LACLEDE CHAIN DEC | $286.20 | — |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $286.20 | — |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM BUCHHEIT DEC | $286.20 | — |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $286.20 | — |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $286.20 | — |
| EBMS CONTRACTED [320493] | HB OKLC ADA ARDM CRADER DISTRIBUTING DEC | $286.20 | — |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $286.20 | — |
| HEALTHLINK CONTRACTED [320179] | HB OKLC ADA ARDM SAPAUGH DEC | $286.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL | $286.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, OKLC TALL TREE DEC | $286.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $286.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM DEC TOWN AND COUNTRY | $286.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM EASTER SEALS DEC | $286.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SAPAUGH DEC | $286.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SCHAEFER / QCG DEC | $286.20 | — |
| QUIK TRIP CONTRACTED [320447] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $286.20 | — |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $286.20 | — |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC | $286.20 | — |
| IMAGINE 360 CONTRACTED [320494] | HB OKLC ADA ARDM ROBINSON CONSTRUCTION DEC | $286.20 | — |
| REFLECT HEALTH CONTRACTED [320492] | HB OKLC ARDM ADA WW WOOD DEC | $286.20 | — |
| YUZU HEALTH CONTRACTED [320521] | HB ADA ARDM OKLC LEVEL HEALTH DEC - NEW 01.01.26 | $286.20 | — |
| AETNA CONTRACTED [320008] | HB ARDM AETNA | $297.65 | — |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $310.05 | — |
| TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $310.05 | — |
| HEALTHLINK CONTRACTED [320179] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $310.05 | — |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $310.05 | — |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $310.05 | — |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL | $310.05 | — |
| AUXIANT CONTRACTED [320462] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $310.05 | — |
| HEALTHSMART ACCEL CONTRACTED [320183] | HB ARDM HEALTHSMART ACCEL | $310.05 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CLAYCO DEC | $310.05 | — |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB ARDM HEALTHSMART PPO | $310.05 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $310.05 | — |
| HEALTHSCOPE CONTRACTED [320182] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $310.05 | — |
| POINT C CONTRACTED [320238] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $310.05 | — |
| FIRST HEALTH CONTRACTED [320128] | HB ARDM AETNA - FIRST HEALTH | $311.00 | — |
| GLOBALHEALTH CONTRACTED [320144] | HB ARDM GLOBALHEALTH | $324.36 | — |
| HUMANA CONTRACTED [320193] | HB ARDM HUMANA CHOICECARE | $329.13 | — |
| COMMUNITY CARE CONTRACTED [320080] | HB ARDM COMMUNITY CARE | $333.90 | — |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS SAVILITY | $357.75 | — |
| PREFERRED COMMUNITY CHOICE CONTRACTED [320311] | HB ARDM PCC | $362.52 | — |
| MULTIPLAN CONTRACTED [320270] | HB ARDM PHCS PRIMARY | $381.60 | — |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS PRIMARY | $381.60 | — |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS COMPLEMENTARY | $429.30 | — |
| MULTIPLAN CONTRACTED [320270] | HB ARDM PHCS COMPLEMENTARY | $429.30 | — |
| MEDICA CONTRACTED [320239] | HB ARDM UNITED BEHAVIORAL HEALTH COMM | $477.00 | — |
| UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB ARDM UNITED BEHAVIORAL HEALTH MCR | $477.00 | — |
Visitor-reported prices
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Brace fx hum ovr shldr sm at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Oklahoma City | Oklahoma City | $387.40 | $406.08 – $913.69 |