Ot evaluation moderate complexity patient/family at Mercy Hospital Ardmore
1011 14th Avenue, Northwest Ardmore, OK · Mercy · · NPI 1386741635
$464.10
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.
$714.00
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.
$75.00 with UNITED HEALTHCARE CONTRACTED [320396] vs $242.00 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 →
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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 |
|---|---|---|---|
| UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC EXCHANGE | $75.00 | ↓ -84% |
| MEDICAID [20240] | HB ARDM OK MEDICAID (SOONERCARE) | $89.56 | ↓ -81% |
| HUMANA MEDICAID CONTRACTED [320486] | HB ARDM OK MEDICAID (SOONERCARE) | $89.56 | ↓ -81% |
| AETNA MEDICAID CONTRACTED [320009] | HB ARDM OK MEDICAID (SOONERCARE) | $89.56 | ↓ -81% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB ARDM OK MEDICAID (SOONERCARE) | $89.56 | ↓ -81% |
| GENERIC MEDICARE MANAGED CARE [20137] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| CROSS TIMBERS HOSPICE [20098] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| HALO HCR INC HOSPICE [20432] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| HORIZONS MEDICARE [20190] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB ARDM HUMANA 100% MCR | $93.90 | ↓ -80% |
| INDEPENDENT HEALTH [20197] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| KINDFUL HOSPICE [20434] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| MEDICAL ASSOCIATES HEALTH [20444] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| MENTAL HEALTH NETWORK MEDICARE [20250] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| MERCY HOSPICE OKC [20252] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| TRICARE CONTRACTED [320380] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB ARDM UHC MCR ADVANTAGE 100% | $93.90 | ↓ -80% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| WINDSOR MEDICARE [20424] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| AMERICAN HEALTH ADVANTAGE OF OK MEDICARE [20019] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| BCBS MEDICARE ADVANTAGE [20047] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| MEDICARE [20244] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| QUAL CHOICE CONTRACTED [320325] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] | HB ARDM MEDICARE/MGD MEDICARE 100% | $93.90 | ↓ -80% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | $94.38 | ↓ -80% |
| MEDICA CONTRACTED [320239] | HB ARDM MEDICA EXCHANGE | $95.00 | ↓ -80% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB ARDM MEDICA MEDICARE NEW 031523 | $95.72 | ↓ -79% |
| MEDICA MEDICARE ADVANTAGE [20477] | HB ARDM MEDICA MEDICARE NEW 031523 | $95.72 | ↓ -79% |
| GLOBALHEALTH CONTRACTED [320145] | HB ARDM GLOBAL HEALTH MCR 102% | $95.82 | ↓ -79% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB ARDM CIGNA MCR 103% | $96.77 | ↓ -79% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB ARDM BCBS OF OK NATIVEBLUE MCR 103% | $96.77 | ↓ -79% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB ARDM CIGNA MCR 103% | $96.77 | ↓ -79% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB ARDM DEVOTED HEALTH MCR 104% W/O SEQ | $99.55 | ↓ -79% |
| WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $101.64 | ↓ -78% |
| AETNA CONTRACTED [320008] | HB ARDM AETNA NBD | $104.30 | ↓ -78% |
| OSMA HEALTH CONTRACTED [320292] | HB ARDM OSMA HEALTH | $108.90 | ↓ -77% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC | $112.00 | ↓ -76% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ARDM UHC | $112.00 | ↓ -76% |
| WORKERS COMP [20426] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA WORK COMP | $126.63 | ↓ -73% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB ARDM AMBETTER EXCHANGE MEDICARE | $129.22 | ↓ -72% |
| AMBETTER CONTRACTED [320452] | HB ARDM AMBETTER EXCHANGE MEDICARE | $129.22 | ↓ -72% |
| NOVASYS CONTRACTED [320285] | HB ARDM AMBETTER EXCHANGE MEDICARE | $129.22 | ↓ -72% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB ARDM AMBETTER EXCHANGE MEDICARE | $129.22 | ↓ -72% |
| COMMUNITY CARE CONTRACTED [320080] | HB ARDM COMMUNITY CARE STATE 150% MCR W/O SEQ | $143.58 | ↓ -69% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB ARDM CIGNA | $144.23 | ↓ -69% |
| IMAGINE 360 CONTRACTED [320494] | HB OKLC ADA ARDM ROBINSON CONSTRUCTION DEC | $145.20 | ↓ -69% |
| YUZU HEALTH CONTRACTED [320521] | HB ADA ARDM OKLC LEVEL HEALTH DEC - NEW 01.01.26 | $145.20 | ↓ -69% |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $145.20 | ↓ -69% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL | $145.20 | ↓ -69% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $145.20 | ↓ -69% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $145.20 | ↓ -69% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, OKLC TALL TREE DEC | $145.20 | ↓ -69% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $145.20 | ↓ -69% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM DEC TOWN AND COUNTRY | $145.20 | ↓ -69% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM EASTER SEALS DEC | $145.20 | ↓ -69% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SAPAUGH DEC | $145.20 | ↓ -69% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SCHAEFER / QCG DEC | $145.20 | ↓ -69% |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM LACLEDE CHAIN DEC | $145.20 | ↓ -69% |
| QUIK TRIP CONTRACTED [320447] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $145.20 | ↓ -69% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $145.20 | ↓ -69% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC | $145.20 | ↓ -69% |
| REFLECT HEALTH CONTRACTED [320492] | HB OKLC ARDM ADA WW WOOD DEC | $145.20 | ↓ -69% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $145.20 | ↓ -69% |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM BUCHHEIT DEC | $145.20 | ↓ -69% |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $145.20 | ↓ -69% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $145.20 | ↓ -69% |
| EBMS CONTRACTED [320493] | HB OKLC ADA ARDM CRADER DISTRIBUTING DEC | $145.20 | ↓ -69% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $145.20 | ↓ -69% |
| HEALTHLINK CONTRACTED [320179] | HB OKLC ADA ARDM SAPAUGH DEC | $145.20 | ↓ -69% |
| AETNA CONTRACTED [320008] | HB ARDM AETNA | $151.01 | ↓ -67% |
| TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $157.30 | ↓ -66% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $157.30 | ↓ -66% |
| HEALTHLINK CONTRACTED [320179] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $157.30 | ↓ -66% |
| AUXIANT CONTRACTED [320462] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $157.30 | ↓ -66% |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB ARDM HEALTHSMART PPO | $157.30 | ↓ -66% |
| HEALTHSMART ACCEL CONTRACTED [320183] | HB ARDM HEALTHSMART ACCEL | $157.30 | ↓ -66% |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $157.30 | ↓ -66% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CLAYCO DEC | $157.30 | ↓ -66% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $157.30 | ↓ -66% |
| HEALTHSCOPE CONTRACTED [320182] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $157.30 | ↓ -66% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $157.30 | ↓ -66% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL | $157.30 | ↓ -66% |
| POINT C CONTRACTED [320238] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $157.30 | ↓ -66% |
| FIRST HEALTH CONTRACTED [320128] | HB ARDM AETNA - FIRST HEALTH | $157.78 | ↓ -66% |
| CENTIVO CONTRACTED [320505] | HB ARDM CENTIVO MCR 165% | $157.94 | ↓ -66% |
| HEALTH CHOICE CONTRACTED [320166] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCHOICE (OSEEGIB) | $161.91 | ↓ -65% |
| GLOBALHEALTH CONTRACTED [320144] | HB ARDM GLOBALHEALTH | $164.56 | ↓ -65% |
| HUMANA CONTRACTED [320193] | HB ARDM HUMANA CHOICECARE | $166.98 | ↓ -64% |
| COMMUNITY CARE CONTRACTED [320080] | HB ARDM COMMUNITY CARE | $169.40 | ↓ -63% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS SAVILITY | $181.50 | ↓ -61% |
| PREFERRED COMMUNITY CHOICE CONTRACTED [320311] | HB ARDM PCC | $183.92 | ↓ -60% |
| MULTIPLAN CONTRACTED [320270] | HB ARDM PHCS PRIMARY | $193.60 | ↓ -58% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS PRIMARY | $193.60 | ↓ -58% |
| KEMPTON CONTRACTED [320214] | HB ARDM KEMPTON DEC 225% MCR | $211.28 | ↓ -54% |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB ARDM KEMPTON DEC 225% MCR | $211.28 | ↓ -54% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS COMPLEMENTARY | $217.80 | ↓ -53% |
| MULTIPLAN CONTRACTED [320270] | HB ARDM PHCS COMPLEMENTARY | $217.80 | ↓ -53% |
| UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB ARDM UNITED BEHAVIORAL HEALTH MCR | $242.00 | ↓ -48% |
| MEDICA CONTRACTED [320239] | HB ARDM UNITED BEHAVIORAL HEALTH COMM | $242.00 | ↓ -48% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB ARDM BLUE LINCS | not published by hospital | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB ARDM BLUE TRADITIONAL | 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 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 CROSS PREFERRED | not published by hospital | — |
| MC ANTHEM [20455] | HB ARDM BLUE CHOICE | not published by hospital | — |
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Ot evaluation moderate complexity patient/family at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $865.00 | $89.56 – $89.56 |
| Mercy Hospital Healdton | Healdton | $562.25 | $89.56 – $161.91 |
| Mercy Hospital Kingfisher | Kingfisher | $566.80 | $89.56 – $161.91 |
| Mercy Hospital Logan County | Guthrie | $566.80 | $89.56 – $161.91 |