Prep skn trk/ext adl 100cm2 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$379.80 with AMBETTER CONTRACTED [320452] vs $1,266.00 with MEDICA CONTRACTED [320239] — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AMBETTER CONTRACTED [320452] | HB ARDM AMBETTER EXCHANGE MEDICARE | $379.80 | — |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB ARDM AMBETTER EXCHANGE MEDICARE | $379.80 | — |
| NOVASYS CONTRACTED [320285] | HB ARDM AMBETTER EXCHANGE MEDICARE | $379.80 | — |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB ARDM AMBETTER EXCHANGE MEDICARE | $379.80 | — |
| MEDICA CONTRACTED [320239] | HB ARDM MEDICA EXCHANGE | $484.88 | — |
| UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC EXCHANGE | $489.94 | — |
| WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $531.72 | — |
| AETNA CONTRACTED [320008] | HB ARDM AETNA NBD | $545.65 | — |
| OSMA HEALTH CONTRACTED [320292] | HB ARDM OSMA HEALTH | $569.70 | — |
| GLOBALHEALTH CONTRACTED [320144] | HB ARDM GLOBALHEALTH | $746.94 | — |
| UNITED HEALTHCARE CONTRACTED [320396] | HB ARDM UHC | $753.27 | — |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ARDM UHC | $753.27 | — |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB ARDM CIGNA | $754.54 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM DEC TOWN AND COUNTRY | $759.60 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM EASTER SEALS DEC | $759.60 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SAPAUGH DEC | $759.60 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM SCHAEFER / QCG DEC | $759.60 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $759.60 | — |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM LACLEDE CHAIN DEC | $759.60 | — |
| AITHER HEALTH CONTRACTED [320449] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $759.60 | — |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM BUCHHEIT DEC | $759.60 | — |
| AUXIANT CONTRACTED [320462] | HB OKLC ADA ARDM CITY OF JACKSON DEC | $759.60 | — |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $759.60 | — |
| EBMS CONTRACTED [320493] | HB OKLC ADA ARDM CRADER DISTRIBUTING DEC | $759.60 | — |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ARDM, OKLC HEALTHCARE HIGHWAYS | $759.60 | — |
| HEALTHLINK CONTRACTED [320179] | HB OKLC ADA ARDM SAPAUGH DEC | $759.60 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL | $759.60 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $759.60 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $759.60 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, OKLC TALL TREE DEC | $759.60 | — |
| QUIK TRIP CONTRACTED [320447] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $759.60 | — |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $759.60 | — |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC | $759.60 | — |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB OKLC ADA ARDM WOODARD DEC NEW 040124 | $759.60 | — |
| IMAGINE 360 CONTRACTED [320494] | HB OKLC ADA ARDM ROBINSON CONSTRUCTION DEC | $759.60 | — |
| REFLECT HEALTH CONTRACTED [320492] | HB OKLC ARDM ADA WW WOOD DEC | $759.60 | — |
| YUZU HEALTH CONTRACTED [320521] | HB ADA ARDM OKLC LEVEL HEALTH DEC - NEW 01.01.26 | $759.60 | — |
| AETNA CONTRACTED [320008] | HB ARDM AETNA | $789.98 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $822.90 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CLAYCO DEC | $822.90 | — |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $822.90 | — |
| HEALTHSCOPE CONTRACTED [320182] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $822.90 | — |
| HEALTHLINK CONTRACTED [320179] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $822.90 | — |
| TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $822.90 | — |
| HEALTHSMART ACCEL CONTRACTED [320183] | HB ARDM HEALTHSMART ACCEL | $822.90 | — |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB ARDM HEALTHSMART PPO | $822.90 | — |
| AUXIANT CONTRACTED [320462] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $822.90 | — |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $822.90 | — |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL | $822.90 | — |
| POINT C CONTRACTED [320238] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $822.90 | — |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB ARDM, OKLC NETWORK AFFILIATION AGREEMENT | $822.90 | — |
| FIRST HEALTH CONTRACTED [320128] | HB ARDM AETNA - FIRST HEALTH | $825.43 | — |
| HUMANA CONTRACTED [320193] | HB ARDM HUMANA CHOICECARE | $873.54 | — |
| COMMUNITY CARE CONTRACTED [320080] | HB ARDM COMMUNITY CARE | $886.20 | — |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS SAVILITY | $949.50 | — |
| PREFERRED COMMUNITY CHOICE CONTRACTED [320311] | HB ARDM PCC | $962.16 | — |
| MULTIPLAN CONTRACTED [320270] | HB ARDM PHCS PRIMARY | $1,012.80 | — |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS PRIMARY | $1,012.80 | — |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB ARDM PHCS COMPLEMENTARY | $1,139.40 | — |
| MULTIPLAN CONTRACTED [320270] | HB ARDM PHCS COMPLEMENTARY | $1,139.40 | — |
| UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] | HB ARDM UNITED BEHAVIORAL HEALTH MCR | $1,266.00 | — |
| MEDICA CONTRACTED [320239] | HB ARDM UNITED BEHAVIORAL HEALTH COMM | $1,266.00 | — |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, ARDM, OKLC HEALTHCARE HWY CHICKSAW NATION | not published by hospital | — |