Icd reliance df4 ib 64cm at Mercy Hospital Ardmore

1011 14th Avenue, Northwest Ardmore, OK · Mercy · · NPI 1386741635

Source: hospital's published price file ↗ · Published Jun 12, 2026 · Ingested Sep 7, 2026

$4,745.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$7,300.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$599.00 with HEALTH CHOICE CONTRACTED [320166] vs $5,990.00 with MEDICA CONTRACTED [320239] — 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 →

Payer
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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
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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
HEALTH CHOICE CONTRACTED [320166] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCHOICE (OSEEGIB) $599.00 ↓ -87%
MEDICA CONTRACTED [320239] HB ARDM MEDICA EXCHANGE $2,294.17 ↓ -52%
UNITED HEALTHCARE CONTRACTED [320396] HB ARDM UHC EXCHANGE $2,318.13 ↓ -51%
HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION $2,336.10 ↓ -51%
GLOBALHEALTH CONTRACTED [320144] HB ARDM GLOBALHEALTH $2,396.00 ↓ -50%
OSMA HEALTH CONTRACTED [320292] HB ARDM OSMA HEALTH $2,396.00 ↓ -50%
WEBTPA CONTRACTED [320417] HB OKLC HEART HOSPITAL EMPLOYER $2,515.80 ↓ -47%
AETNA CONTRACTED [320008] HB ARDM AETNA NBD $2,581.69 ↓ -46%
HEALTHSMART ACCEL CONTRACTED [320183] HB ARDM HEALTHSMART ACCEL $2,995.00 ↓ -37%
HEALTHSMART PREFERRED CARE CONTRACTED [320184] HB ARDM HEALTHSMART PPO $3,294.50 ↓ -31%
WORKERS COMP [20426] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA WORK COMP $3,294.50 ↓ -31%
UNITED HEALTHCARE CONTRACTED [320396] HB ARDM UHC $3,564.05 ↓ -25%
UNITED MEDICAL RESOURCES CONTRACTED [320454] HB ARDM UHC $3,564.05 ↓ -25%
CIGNA HEALTHCARE CONTRACTED [320071] HB ARDM CIGNA $3,570.04 ↓ -25%
EDISON HEALTH SOLUTIONS CONTRACTED [320502] HB OKLC ADA ARDM WOODARD DEC NEW 040124 $3,594.00 ↓ -24%
AITHER HEALTH CONTRACTED [320449] HB OKLC ADA ARDM LACLEDE CHAIN DEC $3,594.00 ↓ -24%
AITHER HEALTH CONTRACTED [320449] HB OKLC ADA ARDM WOODARD DEC NEW 040124 $3,594.00 ↓ -24%
AUXIANT CONTRACTED [320462] HB OKLC ADA ARDM BUCHHEIT DEC $3,594.00 ↓ -24%
AUXIANT CONTRACTED [320462] HB OKLC ADA ARDM CITY OF JACKSON DEC $3,594.00 ↓ -24%
BENEFIT MANAGEMENT CONTRACTED [320052] HB ARDM, OKLC HEALTHCARE HIGHWAYS $3,594.00 ↓ -24%
EBMS CONTRACTED [320493] HB OKLC ADA ARDM CRADER DISTRIBUTING DEC $3,594.00 ↓ -24%
HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] HB ARDM, OKLC HEALTHCARE HIGHWAYS $3,594.00 ↓ -24%
HEALTHLINK CONTRACTED [320179] HB OKLC ADA ARDM SAPAUGH DEC $3,594.00 ↓ -24%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL $3,594.00 ↓ -24%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP $3,594.00 ↓ -24%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS $3,594.00 ↓ -24%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ADA, ARDM, OKLC TALL TREE DEC $3,594.00 ↓ -24%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM CITY OF JACKSON DEC $3,594.00 ↓ -24%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM DEC TOWN AND COUNTRY $3,594.00 ↓ -24%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM EASTER SEALS DEC $3,594.00 ↓ -24%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM SAPAUGH DEC $3,594.00 ↓ -24%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM SCHAEFER / QCG DEC $3,594.00 ↓ -24%
QUIK TRIP CONTRACTED [320447] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP $3,594.00 ↓ -24%
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS $3,594.00 ↓ -24%
SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC $3,594.00 ↓ -24%
IMAGINE 360 CONTRACTED [320494] HB OKLC ADA ARDM ROBINSON CONSTRUCTION DEC $3,594.00 ↓ -24%
REFLECT HEALTH CONTRACTED [320492] HB OKLC ARDM ADA WW WOOD DEC $3,594.00 ↓ -24%
YUZU HEALTH CONTRACTED [320521] HB ADA ARDM OKLC LEVEL HEALTH DEC - NEW 01.01.26 $3,594.00 ↓ -24%
AETNA CONTRACTED [320008] HB ARDM AETNA $3,737.76 ↓ -21%
PREFERRED HEALTH PLAN CONTRACTED [320522] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $3,893.50 ↓ -18%
POINT C CONTRACTED [320238] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $3,893.50 ↓ -18%
TRI STATE HEALTHCARE COALITION CONTRACTED [320379] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $3,893.50 ↓ -18%
FEDERAL MEDICAL CENTER CONTRACTED [320127] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $3,893.50 ↓ -18%
UNITED MEDICAL RESOURCES CONTRACTED [320454] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $3,893.50 ↓ -18%
HEALTHLINK CONTRACTED [320179] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $3,893.50 ↓ -18%
BENEFIT MANAGEMENT CONTRACTED [320052] HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL $3,893.50 ↓ -18%
HEALTHSCOPE CONTRACTED [320182] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $3,893.50 ↓ -18%
AUXIANT CONTRACTED [320462] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $3,893.50 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB OKLC ADA ARDM CLAYCO DEC $3,893.50 ↓ -18%
MERCY BENEFIT ADMIN CONTRACTED [320251] HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT $3,893.50 ↓ -18%
FIRST HEALTH CONTRACTED [320128] HB ARDM AETNA - FIRST HEALTH $3,905.48 ↓ -18%
HUMANA CONTRACTED [320193] HB ARDM HUMANA CHOICECARE $4,133.10 ↓ -13%
COMMUNITY CARE CONTRACTED [320080] HB ARDM COMMUNITY CARE $4,193.00 ↓ -12%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB ARDM PHCS SAVILITY $4,492.50 ↓ -5%
PREFERRED COMMUNITY CHOICE CONTRACTED [320311] HB ARDM PCC $4,552.40 ↓ -4%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB ARDM PHCS PRIMARY $4,792.00 ↑ +1%
MULTIPLAN CONTRACTED [320270] HB ARDM PHCS PRIMARY $4,792.00 ↑ +1%
MULTIPLAN CONTRACTED [320270] HB ARDM PHCS COMPLEMENTARY $5,391.00 ↑ +14%
PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] HB ARDM PHCS COMPLEMENTARY $5,391.00 ↑ +14%
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] HB ARDM UNITED BEHAVIORAL HEALTH MCR $5,990.00 ↑ +26%
MEDICA CONTRACTED [320239] HB ARDM UNITED BEHAVIORAL HEALTH COMM $5,990.00 ↑ +26%
BLUE CROSS AND BLUE SHIELD [20053] HB ARDM BLUE LINCS not published by hospital
MC ANTHEM [20455] HB ARDM BLUE CHOICE not published by hospital
BLUE CROSS AND BLUE SHIELD [20053] HB ARDM BLUE CROSS PREFERRED not published by hospital
BLUE CROSS AND BLUE SHIELD [20053] HB ARDM BLUE CROSS ADVANTAGE PPO not published by hospital
MC GENERIC ANTHEM [20456] HB ARDM BLUE CHOICE not published by hospital
BLUE CROSS AND BLUE SHIELD [20053] HB ARDM BLUE CHOICE not published by hospital
BLUE CROSS AND BLUE SHIELD [20053] HB ARDM BLUE TRADITIONAL not published by hospital

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Icd reliance df4 ib 64cm at other Oklahoma hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Oklahoma City Oklahoma City $30,875.00 not published

All Oklahoma hospitals for this procedure →