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 |
|---|---|---|---|---|
| Flow cytometry interp 16 or more CPT 88189 | $285.35 | $439.00 | $73.62 – $169.37 | 59 |
| Flow cytometry marker each additional CPT 88185 | $62.40 | $96.00 | $19.72 – $54.97 | 10 |
| Flow cytometry one marker technical component CPT 88184 | $212.55 | $327.00 | $64.93 – $814.98 | 61 |
| #flow interp 9 - 15 markers CPT 88188 | $235.95 | $363.00 | $54.19 – $124.56 | 59 |
| Flt3 gene CPT 81245 | $458.25 | $705.00 | $147.22 – $365.33 | 58 |
| Flt3 gene analysis CPT 81246 | $664.30 | $1,022.00 | $73.83 – $183.21 | 58 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $68.25 | $105.00 | $2.39 – $10.95 | 8 |
| Fluidotherapy charges pt CPT 97022 | $92.30 | $142.00 | $14.38 – $32.36 | 55 |
| Fluorescent antibody titer dna CPT 86256 | $160.55 | $247.00 | $10.72 – $36.71 | 59 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $562.25 | $865.00 | $64.12 – $190.54 | 6 |
| Fluoroguide needle placement CPT 77002 | $488.80 | $752.00 | $74.68 – $220.02 | 6 |
| Fluoroscopy up to 1 hour CPT 76000 | $833.95 | $1,283.00 | $23.30 – $548.48 | 58 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,590.55 | $2,447.00 | not published | 0 |
| Folic acid CPT 82746 | $52.65 | $81.00 | $13.08 – $33.80 | 58 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $7.15 | $11.00 | $0.60 – $1.50 | 3 |
| Follow-up angiography CPT 75898 | $1,488.50 | $2,290.00 | $91.79 – $7,178.98 | 58 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,625.03 | $4,038.51 | $6.41 – $2,235.00 | 49 |
| Fondaparinux sodium HCPCS J1652 | $112.51 | $173.10 | $3.35 – $11.25 | 8 |
| Foot X-ray CPT 73630 | $582.40 | $896.00 | $21.91 – $200.05 | 59 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $136.50 | $210.00 | $18.00 – $45.00 | 8 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $104.81 | $161.25 | $1.31 – $7.45 | 53 |
| _fragile x methylation-sendout CPT 81244 | $239.20 | $368.00 | $39.93 – $99.09 | 58 |
| Fragmenting of kidney stone CPT 50590 | $11,278.68 | $17,351.81 | $502.53 – $8,465.00 | 58 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $857.35 | $1,319.00 | $61.16 – $174.39 | 56 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $717.60 | $1,104.00 | $52.21 – $203.26 | 56 |
| Fresh frozen plasma thawing ea un CPT 86927 | $130.00 | $200.00 | $21.03 – $387.36 | 49 |
| Frozen blood freeze/thaw CPT 86932 | $234.65 | $361.00 | $37.74 – $106.14 | 49 |
| Fructosamine glycated protein CPT 82985 | $33.80 | $52.00 | $14.91 – $36.99 | 58 |
| Ftl cgen abnor four anal CPT 81511 | $258.70 | $398.00 | $150.58 – $338.82 | 54 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $7.15 | $11.00 | $0.40 – $1.20 | 3 |
| G0180 home health certification HCPCS G0180 | $97.50 | $150.00 | $46.86 – $117.21 | 54 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $80.92 | $124.50 | $7.40 – $17.40 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $234.00 | $360.00 | $18.00 – $41.10 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $172.90 | $266.00 | $18.74 – $46.51 | 59 |
| Galactose transferase test CPT 82776 | $18.20 | $28.00 | $10.44 – $25.91 | 59 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $10,077.24 | $15,503.44 | $599.95 – $13,745.36 | 57 |
| Gammaglobulin iga CPT 82784 | $209.30 | $322.00 | $8.27 – $20.53 | 59 |
| Gammaglobulin ige CPT 82785 | $59.15 | $91.00 | $14.64 – $36.33 | 59 |
| Gamma glutamyltransferase CPT 82977 | $19.50 | $30.00 | $6.40 – $15.89 | 58 |
| Gamunex-c/gammaked HCPCS J1561 | $16,331.12 | $25,124.80 | $48.78 – $281.46 | 59 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $474.19 | $729.53 | $28.74 – $96.36 | 7 |
| Gardner vag dna quant CPT 87512 | $81.90 | $126.00 | $26.20 – $92.18 | 54 |
| Gastric emptying imag study CPT 78265 | $1,049.10 | $1,614.00 | $261.73 – $918.97 | 57 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $271.44 | $417.60 | $2.87 – $9.15 | 8 |
| General health panel CPT 80050 | $219.05 | $337.00 | $31.24 – $63.06 | 8 |
| Generator barostim neo2 2014 HCPCS C1767 | $27,067.30 | $41,642.00 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $19,500.00 | $30,000.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $34.27 | $52.73 | $2.39 – $5.46 | 8 |
| Gentamicin peak therapeutic drug level CPT 80170 | $65.00 | $100.00 | $14.57 – $37.36 | 58 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,374.10 | $2,114.00 | $383.84 – $1,952.47 | 56 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,941.55 | $2,987.00 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $66.30 | $102.00 | $8.73 – $21.65 | 56 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $195.00 | $300.00 | $90.96 – $225.72 | 58 |
| Ghs antibodies (torch) igm CPT 86694 | $107.90 | $166.00 | $12.80 – $31.76 | 59 |
| Ghs bladder cath - complex-foley CPT 51703 | $6,935.81 | $10,670.47 | $65.66 – $3,047.00 | 58 |
| Ghs bleeding time (ivy) CPT 85002 | $97.50 | $150.00 | $4.29 – $10.64 | 56 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $3,470.35 | $5,339.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,307.20 | $5,088.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $652.60 | $1,004.00 | $33.27 – $3,047.00 | 58 |
| Ghs chemo >8 hrs CPT 96416 | $960.05 | $1,477.00 | $295.37 – $751.00 | 56 |
| Ghs chemo IV push, ea addtl CPT 96411 | $237.25 | $365.00 | $63.38 – $163.70 | 56 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $135.85 | $209.00 | $31.21 – $77.45 | 56 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $8,116.89 | $12,487.53 | $706.54 – $8,057.16 | 54 |
| Ghs community re-entry 15 minutes CPT 97537 | $52.00 | $80.00 | $29.88 – $67.23 | 50 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,556.10 | $2,394.00 | not published | 0 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $683.15 | $1,051.00 | $218.19 – $490.93 | 56 |
| Ghs excision ingrown nail CPT 11765 | $404.30 | $622.00 | not published | 0 |
| Ghs fat & muscle CPT 89160 | $39.00 | $60.00 | $4.31 – $10.71 | 56 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $53.30 | $82.00 | $6.21 – $18.59 | 59 |
| Ghs fish cytogen CPT 88271 | $222.30 | $342.00 | $19.05 – $47.28 | 58 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $115.05 | $177.00 | $45.53 – $112.99 | 58 |
| Ghs flow volume loop CPT 94375 | $215.15 | $331.00 | $33.50 – $490.93 | 56 |
| Ghs gastric intub aspiration lavage CPT 43753 | $189.15 | $291.00 | $19.11 – $490.93 | 56 |
| Ghs hcv amplificaiton CPT 87521 | $267.80 | $412.00 | $34.42 – $77.45 | 52 |
| Ghs hgb stability-thal CPT 83068 | $92.30 | $142.00 | $8.42 – $20.90 | 59 |
| Ghs histoplasma antigen CPT 87385 | $194.35 | $299.00 | $11.79 – $29.25 | 59 |
| Ghs HIV antibody CPT 86703 | $48.75 | $75.00 | $7.91 – $30.26 | 58 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $654.55 | $1,007.00 | $94.41 – $234.28 | 56 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,901.90 | $2,926.00 | not published | 0 |
| Ghs immun0electrophoresis CPT 86320 | $97.50 | $150.00 | $26.61 – $66.04 | 56 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $6,864.21 | $10,560.33 | $101.61 – $3,047.00 | 54 |
| Ghs inf midline insertion CPT 36140 | $11,885.38 | $18,285.20 | $76.31 – $7,370.99 | 53 |
| Ghs inhibitor screen CPT 85335 | $593.45 | $913.00 | $11.45 – $28.41 | 59 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $4,418.05 | $6,797.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $3,536.70 | $5,441.08 | $3.60 – $4,439.80 | 58 |
| Ghs inj tendon origin/insertion CPT 20551 | $759.20 | $1,168.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $5,779.22 | $8,891.11 | $52.01 – $3,047.00 | 54 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $5,779.22 | $8,891.11 | $113.08 – $3,047.00 | 54 |
| Ghs insertion of needle - bone CPT 36680 | $29,906.95 | $46,010.69 | $52.69 – $29,190.56 | 59 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $110.50 | $170.00 | not published | 0 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $107.90 | $166.00 | $15.83 – $106.47 | 56 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $6,209.70 | $9,553.39 | $127.09 – $924.27 | 54 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $6,502.46 | $10,003.79 | $123.75 – $3,755.14 | 58 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $9,590.93 | $14,755.27 | $165.51 – $6,604.28 | 58 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $5,704.41 | $8,776.02 | $161.44 – $3,755.14 | 58 |
| Ghs low level laser therapy CPT 97039 | $36.40 | $56.00 | $15.45 – $15.45 | 1 |
| Ghs mbp CPT 83873 | $61.75 | $95.00 | $15.30 – $46.94 | 58 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $105.30 | $162.00 | $20.79 – $97.16 | 6 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $185.25 | $285.00 | $66.84 – $116.77 | 6 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $145.60 | $224.00 | $9.67 – $19.14 | 5 |
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.