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 |
|---|---|---|---|---|
| Heparin assay CPT 85520 | $149.50 | $230.00 | $11.64 – $28.89 | 59 |
| Heparin bolus from bag HCPCS J1644 | $141.37 | $217.50 | $0.20 – $0.63 | 8 |
| Heparin neutralization CPT 85525 | $81.25 | $125.00 | $10.53 – $26.13 | 59 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $7.15 | $11.00 | $0.20 – $0.60 | 4 |
| Hepatitis a antibody igm CPT 86709 | $100.10 | $154.00 | $10.02 – $29.53 | 59 |
| Hepatitis b core antibody igm CPT 86705 | $42.25 | $65.00 | $10.47 – $35.01 | 58 |
| Hepatitis b core antibody total CPT 86704 | $76.05 | $117.00 | $10.72 – $32.81 | 59 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $444.11 | $683.25 | $136.99 – $396.81 | 55 |
| Hepatitis b surface antibody CPT 86706 | $76.05 | $117.00 | $9.55 – $25.15 | 59 |
| Hepatitis c antibody CPT 86803 | $50.70 | $78.00 | $12.69 – $31.50 | 58 |
| Hepatobiliary system imaging CPT 78226 | $2,715.05 | $4,177.00 | $218.43 – $918.97 | 57 |
| Hereditary colon ca dsordrs CPT 81435 | $3,243.50 | $4,990.00 | $731.13 – $2,878.21 | 58 |
| Hernia Repair (Inguinal) CPT 49505 | $9,509.05 | $14,629.31 | $481.05 – $8,140.55 | 58 |
| Herpes simplex 1 ag if CPT 87274 | $92.95 | $143.00 | $10.66 – $26.44 | 56 |
| Herpes simplex 2 ag if CPT 87273 | $92.95 | $143.00 | $10.66 – $26.44 | 56 |
| Herpes simplex type 1 antibody igg CPT 86695 | $86.45 | $133.00 | $11.73 – $29.11 | 59 |
| Herpes simplex type 2 antibody igg CPT 86696 | $100.10 | $154.00 | $17.21 – $43.75 | 59 |
| Heterophile antibodies screening CPT 86308 | $233.35 | $359.00 | $4.61 – $11.43 | 59 |
| Hexa gene CPT 81255 | $352.95 | $543.00 | $45.76 – $113.57 | 55 |
| Hip X-ray CPT 73502 | $305.50 | $470.00 | $30.80 – $200.05 | 57 |
| Histamine CPT 83088 | $139.10 | $214.00 | $26.27 – $65.18 | 59 |
| Histochemical stains add-on CPT 88314 | $22,683.82 | $34,898.19 | $75.32 – $14,165.60 | 61 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $393.25 | $605.00 | $151.12 – $375.02 | 58 |
| Hla typing a b or c CPT 86813 | $447.85 | $689.00 | $51.59 – $128.02 | 59 |
| Hla typing dr/dq CPT 86816 | $286.00 | $440.00 | $26.84 – $66.59 | 56 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | $465.07 | $715.50 | $13.41 – $13.41 | 1 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $65.23 | $100.36 | $8.10 – $18.90 | 4 |
| Home health re-certification physician g0179 HCPCS G0179 | $73.45 | $113.00 | $36.45 – $91.23 | 51 |
| Homocysteine CPT 83090 | $284.05 | $437.00 | $15.94 – $39.55 | 58 |
| Homogenization tissue CPT 87176 | $61.10 | $94.00 | $5.23 – $14.14 | 58 |
| Homovanillic acid (hva) CPT 83150 | $59.15 | $91.00 | $19.93 – $49.47 | 59 |
| Hpv types 16 & 18 only CPT 87625 | $114.40 | $176.00 | $36.07 – $89.51 | 58 |
| H pylori (c-13) breath CPT 83013 | $204.10 | $314.00 | $59.92 – $148.68 | 59 |
| H pylori drug admin CPT 83014 | $22.10 | $34.00 | $6.99 – $17.35 | 59 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $8,394.75 | $12,915.00 | $1.68 – $1,575.00 | 52 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $272.02 | $418.50 | $52.48 – $89.28 | 3 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $272.02 | $418.50 | $67.50 – $153.00 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $9.94 | $15.30 | $4.08 – $12.15 | 8 |
| Hydration IV infusion each additional hour CPT 96361 | $176.15 | $271.00 | $41.09 – $106.47 | 56 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $170.95 | $263.00 | $187.62 – $483.61 | 56 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $490.23 | $754.20 | $20.94 – $62.67 | 8 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $415.73 | $639.58 | $0.18 – $0.60 | 7 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $149.03 | $229.28 | $12.31 – $42.93 | 8 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $100.75 | $155.00 | $15.92 – $39.51 | 56 |
| Hysterosalpingography s&i CPT 74740 | $419.25 | $645.00 | $63.01 – $548.48 | 59 |
| Hysteroscopy ablation CPT 58563 | $7,982.99 | $12,281.52 | $209.75 – $11,373.78 | 58 |
| Hysteroscopy biopsy CPT 58558 | $5,618.50 | $8,643.85 | $197.42 – $7,360.06 | 58 |
| Hysteroscopy remove fb CPT 58562 | $5,266.19 | $8,101.83 | $188.47 – $7,360.06 | 58 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $133.90 | $206.00 | $111.55 – $111.55 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $172.25 | $265.00 | $20.60 – $53.13 | 56 |
| Iaadi respiratory synctial virus CPT 87280 | $63.70 | $98.00 | $11.94 – $29.62 | 56 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $129.35 | $199.00 | $31.21 – $77.45 | 57 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $25,987.00 | $39,980.00 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $31,356.00 | $48,240.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $14,943.50 | $22,990.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,745.00 | $7,300.00 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | $678.37 | $1,043.65 | $187.20 – $450.12 | 7 |
| Idh1 common variants CPT 81120 | $358.15 | $551.00 | $164.26 – $426.56 | 57 |
| Idh2 common variants CPT 81121 | $405.60 | $624.00 | $263.10 – $652.90 | 55 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $321.05 | $493.93 | $25.07 – $69.84 | 7 |
| Igh gene rearrange amp meth CPT 81261 | $348.40 | $536.00 | $176.11 – $437.02 | 58 |
| Igh@ var region somatic mutation analy CPT 81263 | $730.60 | $1,124.00 | $288.92 – $650.09 | 53 |
| Igk rearrangeabn clonal pop CPT 81264 | $334.10 | $514.00 | $153.64 – $381.27 | 58 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $5,801.50 | $8,925.38 | $77.00 – $3,261.00 | 61 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $225.55 | $347.00 | $124.51 – $814.98 | 60 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $6,773.47 | $10,420.73 | $70.26 – $387.36 | 61 |
| Iliac/fem angio cath insert HCPCS G0278 | $7,053.15 | $10,851.00 | $11.81 – $11.81 | 4 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $112.45 | $173.00 | $231.04 – $231.04 | 1 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $113.10 | $174.00 | $87.19 – $196.18 | 50 |
| Immobilizer shldr sling med HCPCS L3660 | $24.70 | $38.00 | $202.25 – $202.25 | 1 |
| Immune complex assay CPT 86332 | $106.60 | $164.00 | $21.68 – $53.79 | 56 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $35.10 | $54.00 | $18.51 – $47.03 | 58 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $35.10 | $54.00 | $18.51 – $47.03 | 58 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $92.95 | $143.00 | $10.66 – $26.44 | 56 |
| Immunodiffusion nes CPT 86329 | $135.85 | $209.00 | $12.50 – $37.20 | 59 |
| Immunofixation electrophoresis serum CPT 86334 | $150.15 | $231.00 | $19.87 – $64.58 | 59 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $9,183.04 | $14,127.75 | $96.93 – $3,755.14 | 62 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $9,183.04 | $14,127.75 | $93.87 – $1,142.00 | 62 |
| Immunoglobulin assay CPT 86023 | $156.00 | $240.00 | $11.08 – $28.42 | 59 |
| Impedence cardiogram CPT 93701 | $214.50 | $330.00 | $114.79 – $302.50 | 51 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $1,755.00 | $2,700.00 | not published | 0 |
| Implant neuroelectrodes CPT 64555 | $7,203.30 | $11,082.00 | not published | 0 |
| Implant neuroelectrodes CPT 64561 | $33,831.84 | $52,048.98 | $262.37 – $44,108.90 | 57 |
| Implant ureth bulk agent HCPCS L8606 | $1,365.00 | $2,100.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $13,189.91 | $20,292.17 | $362.84 – $14,489.90 | 58 |
| Implnt spinl canal catheter 62350 CPT 62350 | $11,362.65 | $17,481.00 | $359.57 – $359.57 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $4,630.60 | $7,124.00 | $918.47 – $2,435.07 | 56 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $4,823.65 | $7,421.00 | $688.05 – $1,835.28 | 56 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,878.50 | $2,890.00 | $636.98 – $1,645.81 | 56 |
| In-111 pentetreotide HCPCS A9572 | $3,699.80 | $5,692.00 | $1,704.99 – $4,416.67 | 56 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $7,870.20 | $12,108.00 | $109.62 – $3,755.14 | 57 |
| Incision of anal sphincter CPT 46080 | $6,531.51 | $10,048.47 | $143.08 – $6,310.86 | 58 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $73.12 | $112.50 | $9.12 – $461.20 | 52 |
| Infect ag drug suscept pheno predict CPT 87900 | $322.40 | $496.00 | $115.94 – $287.72 | 59 |
| Infect ag eia influenza a or b ea CPT 87400 | $74.75 | $115.00 | $12.57 – $31.19 | 59 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $427.05 | $657.00 | $114.50 – $284.15 | 58 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $482.95 | $743.00 | $229.00 – $568.27 | 59 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $115.70 | $178.00 | $32.15 – $72.33 | 54 |
| Infect ag ia optc obs influenza CPT 87804 | $127.40 | $196.00 | $14.72 – $94.25 | 59 |
| Infect ag if influenza a CPT 87276 | $36.40 | $56.00 | $14.29 – $35.47 | 56 |
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.