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 |
|---|---|---|---|---|
| Ghs myocardial strain img spckl track CPT 93356 | $462.80 | $712.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $3,561.83 | $5,479.74 | $21.28 – $3,047.00 | 54 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,989.05 | $4,598.54 | $51.04 – $3,047.00 | 54 |
| Ghs nerve block axillary nerve CPT 64417 | $3,677.05 | $5,657.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $18,856.58 | $29,010.13 | $65.14 – $16,498.03 | 57 |
| Ghs nerve block celiac plexus CPT 64530 | $4,191.03 | $6,447.74 | $82.59 – $3,047.00 | 54 |
| Ghs nerve block interscaline CPT 64510 | $2,407.60 | $3,704.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $4,096.65 | $6,302.54 | $74.03 – $3,047.00 | 54 |
| Ghs nerve block sciatic nerve CPT 64445 | $18,486.83 | $28,441.27 | $64.35 – $16,498.03 | 58 |
| Ghs nerve block suprascapular CPT 64418 | $665.60 | $1,024.00 | not published | 0 |
| Ghs ng placement w fluoro guidance CPT 43752 | $517.40 | $796.00 | not published | 0 |
| Ghs ot dds rom CPT 95851 | $196.30 | $302.00 | $6.41 – $40.46 | 54 |
| Ghs ot prosthetic training/15 min CPT 97761 | $102.05 | $157.00 | $36.39 – $83.94 | 55 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $119.60 | $184.00 | $53.54 – $124.14 | 55 |
| Ghs ot work hardening-additional hours CPT 97546 | $208.00 | $320.00 | $52.40 – $52.40 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $842.40 | $1,296.00 | $0.91 – $1,502.75 | 56 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,249.95 | $3,461.46 | $91.22 – $3,047.00 | 54 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,333.15 | $2,051.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $58.50 | $90.00 | $20.85 – $34.47 | 8 |
| Ghs phenylketonurid CPT 84030 | $41.60 | $64.00 | $4.71 – $12.14 | 59 |
| Ghs picc line insert < 5 CPT 36568 | $2,494.70 | $3,838.00 | $83.61 – $3,579.06 | 58 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $5,128.50 | $7,890.00 | $805.36 – $1,952.47 | 56 |
| Ghs ppd (tb intradermal) CPT 86580 | $46.15 | $71.00 | $8.26 – $65.76 | 61 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $63.05 | $97.00 | $8.59 – $21.32 | 56 |
| Ghs protein, misc fluid CPT 84160 | $19.50 | $30.00 | $4.99 – $12.38 | 56 |
| Ghs protoporphyrins fract CPT 84202 | $84.50 | $130.00 | $12.76 – $31.67 | 56 |
| Ghs pr without cont pulse ox CPT 94625 | $184.60 | $284.00 | $59.61 – $134.13 | 52 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $267.15 | $411.00 | $110.41 – $110.41 | 1 |
| Ghs quinidine CPT 80194 | $85.15 | $131.00 | $12.99 – $32.23 | 56 |
| Ghs reticulocyte count CPT 85044 | $63.70 | $98.00 | $3.83 – $9.51 | 59 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $175.50 | $270.00 | $12.37 – $30.70 | 59 |
| Ghs sedimentation rate CPT 85651 | $72.80 | $112.00 | $3.80 – $9.43 | 59 |
| Ghs semen analysis fert CPT 89320 | $154.05 | $237.00 | $12.08 – $27.17 | 52 |
| Ghs sensitivity (per antimicro) CPT 87184 | $85.15 | $131.00 | $6.65 – $16.51 | 58 |
| Ghs sleep study unattended CPT 95800 | $1,179.10 | $1,814.00 | $116.07 – $490.93 | 56 |
| Ghs sphenopalatine ganglion block CPT 64505 | $1,966.90 | $3,026.00 | $91.83 – $697.90 | 56 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $177.45 | $273.00 | $91.09 – $214.92 | 53 |
| Ghs st - re-eval for alt comm CPT 92597 | $395.85 | $609.00 | $64.44 – $150.52 | 54 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $7,842.64 | $12,065.60 | $169.88 – $3,047.00 | 54 |
| Ghs urine, porphyrins quant CPT 84120 | $94.90 | $146.00 | $13.08 – $32.47 | 59 |
| Ghs vaginal delivery only CPT 59409 | $135.85 | $209.00 | $706.07 – $7,360.06 | 52 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,991.60 | $3,064.00 | $377.07 – $970.44 | 52 |
| Gi inhouse confirmation CPT 87045 | $33.80 | $52.00 | $8.40 – $20.84 | 58 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,701.70 | $2,618.00 | $615.58 – $2,062.16 | 56 |
| Glassia injection HCPCS J0257 | $3,266.25 | $5,025.00 | $5.55 – $1,602.00 | 59 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,365.00 | $2,100.00 | $143.55 – $414.15 | 59 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,231.81 | $1,895.10 | $111.91 – $382.08 | 59 |
| Glucagon plasma - sendout CPT 82943 | $109.20 | $168.00 | $12.71 – $31.54 | 56 |
| Glucose 1 hr post dose CPT 82950 | $52.00 | $80.00 | $4.23 – $10.48 | 59 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $32.50 | $50.00 | $2.92 – $7.24 | 56 |
| Glucose blood quantitative CPT 82947 | $27.30 | $42.00 | $3.50 – $9.40 | 58 |
| Glucose body fluid CPT 82945 | $14.30 | $22.00 | $3.50 – $8.67 | 58 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $107.90 | $166.00 | $11.45 – $28.41 | 59 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $29.25 | $45.00 | $3.49 – $9.40 | 59 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $7.15 | $11.00 | $0.46 – $1.02 | 8 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $71.50 | $110.00 | $16.53 – $41.01 | 58 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $114.40 | $176.00 | $16.47 – $40.88 | 58 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $9,404.26 | $14,468.10 | $907.42 – $1,282.88 | 3 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $75.40 | $116.00 | $28.53 – $359.82 | 57 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,570.40 | $2,416.00 | $124.72 – $359.82 | 53 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $14,852.50 | $22,850.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $13,642.20 | $20,988.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $119.60 | $184.00 | $115.47 – $359.82 | 53 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $365.95 | $563.00 | $115.47 – $359.82 | 52 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $332.80 | $512.00 | $115.47 – $359.82 | 57 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $139.10 | $214.00 | $115.47 – $359.82 | 53 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $17,212.00 | $26,480.00 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,517.10 | $2,334.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,161.55 | $1,787.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $975.00 | $1,500.00 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $533.00 | $820.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $34,136.47 | $52,517.65 | $35.39 – $3,181.75 | 57 |
| Gw stiffened micro access kit HCPCS C1894 | $910.00 | $1,400.00 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $7.15 | $11.00 | $0.98 – $2.22 | 8 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $20.80 | $32.00 | $6.93 – $7.18 | 4 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $4,225.00 | $6,500.00 | not published | 0 |
| Hand X-ray CPT 73130 | $573.95 | $883.00 | $24.14 – $200.05 | 59 |
| Haptoglobin quantitative CPT 83010 | $70.85 | $109.00 | $11.19 – $27.77 | 58 |
| Hba1/hba2 full gene sequence CPT 81259 | $618.15 | $951.00 | $533.69 – $1,324.38 | 57 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $385.45 | $593.00 | $180.03 – $446.76 | 57 |
| Hbb full gene sequence CPT 81364 | $592.80 | $912.00 | $288.71 – $716.45 | 58 |
| Hbb gene dup/del variants CPT 81363 | $583.05 | $897.00 | $180.03 – $446.76 | 55 |
| Hbot, full body chamber, 30m HCPCS G0277 | $387.40 | $596.00 | $139.05 – $312.87 | 56 |
| Hcg free betachain test CPT 84704 | $70.20 | $108.00 | $13.60 – $33.75 | 56 |
| Hcg qualitative CPT 84703 | $128.70 | $198.00 | $6.69 – $30.80 | 58 |
| Hcg quantitative CPT 84702 | $278.85 | $429.00 | $13.39 – $33.22 | 58 |
| Head CT scan (with and without contrast) CPT 70470 | $2,145.65 | $3,301.00 | $98.54 – $612.87 | 59 |
| Head CT scan (with contrast) CPT 70460 | $1,829.75 | $2,815.00 | $82.45 – $492.80 | 59 |
| Head CT scan (without contrast) CPT 70450 | $1,588.60 | $2,444.00 | $57.46 – $409.85 | 59 |
| Helicobacter pylori antibody igm CPT 86677 | $148.85 | $229.00 | $14.99 – $37.19 | 56 |
| Hematocrit CPT 85014 | $52.65 | $81.00 | $2.11 – $5.23 | 58 |
| Hemodialysis one evaluation CPT 90935 | $1,531.40 | $2,356.00 | $60.68 – $1,560.43 | 56 |
| Hemoglobin CPT 85018 | $52.65 | $81.00 | $2.11 – $5.36 | 58 |
| Hemoglobin fetal qualitative CPT 83033 | $66.30 | $102.00 | $7.12 – $17.66 | 56 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $51.35 | $79.00 | $7.29 – $18.10 | 59 |
| Hemoglobin plasma CPT 83051 | $58.50 | $90.00 | $6.50 – $16.89 | 59 |
| Hemolysins and agglutinins incubated CPT 86941 | $96.20 | $148.00 | $10.77 – $26.73 | 56 |
| Hemophilus influenza antibdy CPT 86684 | $174.85 | $269.00 | $14.09 – $34.96 | 59 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $2,315.12 | $3,561.73 | $185.74 – $3,047.00 | 54 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $9,106.54 | $14,010.06 | $359.19 – $6,315.00 | 58 |
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.