Mercy Hospital Ardmore

1011 14th Avenue, Northwest Ardmore, OK · Mercy · · NPI 1386741635

Source: hospital's published price file ↗ · Published Jun 12, 2026 · Ingested Sep 7, 2026

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
Infect ag if influenza b CPT 87275 $59.80 $92.00 $10.90 – $27.04 56
Infect ag if varicella zoster CPT 87290 $96.20 $148.00 $11.94 – $29.62 56
Infect ag na hpv high-risk types CPT 87624 $85.15 $131.00 $31.21 – $77.45 58
Infect ag na influenza r/amp 1st 2 types CPT 87502 $268.45 $413.00 $85.21 – $211.46 59
Infect ag na orthopoxvirus amp prb each CPT 87593 $105.30 $162.00 $45.64 – $113.26 55
Infect ag na resp virus 12-25 targets CPT 87633 $417.30 $642.00 $408.86 – $919.96 52
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $97.50 $150.00 $10.66 – $26.44 59
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 $99.45 $153.00 $11.94 – $29.62 56
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $42.90 $66.00 $12.29 – $30.50 58
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $42.90 $66.00 $10.66 – $26.44 58
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $135.85 $209.00 $12.79 – $31.74 59
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $37.05 $57.00 $9.19 – $22.80 58
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $65.00 $100.00 $9.19 – $22.80 56
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $48.75 $75.00 $21.42 – $53.15 58
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $193.70 $298.00 $10.66 – $26.44 59
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $101.40 $156.00 $10.66 – $26.44 59
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 $72.80 $112.00 $10.66 – $26.44 59
Infectious agent nucleic acid amplified probe CPT 87798 $500.50 $770.00 $31.21 – $77.45 58
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $185.90 $286.00 $31.21 – $77.45 58
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $128.70 $198.00 $33.15 – $82.27 58
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $514.80 $792.00 $408.86 – $919.96 53
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $102.70 $158.00 $31.21 – $77.45 58
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $100.75 $155.00 $31.21 – $77.45 58
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $150.15 $231.00 $37.07 – $92.00 58
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $91.00 $140.00 $31.21 – $77.45 58
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $149.50 $230.00 $45.64 – $113.26 58
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $178.75 $275.00 $126.87 – $314.83 57
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $256.75 $395.00 $126.87 – $314.83 57
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $65.00 $100.00 $34.42 – $77.45 54
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $118.30 $182.00 $31.21 – $77.45 58
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 $125.45 $193.00 $68.85 – $154.91 51
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 $143.00 $220.00 $68.28 – $169.45 54
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $479.70 $738.00 $408.86 – $919.96 52
Infectious agent nucleic acid quantification bk virus CPT 87799 $273.65 $421.00 $38.11 – $94.56 59
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $235.30 $362.00 $38.11 – $94.56 59
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $191.10 $294.00 $38.11 – $94.56 58
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $190.45 $293.00 $75.70 – $187.84 59
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $367.90 $566.00 $126.87 – $314.83 56
Infliximab 100 mg intravenous solution HCPCS J1745 $1,395.87 $2,147.50 $30.45 – $878.40 59
Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 $1,469.00 $2,260.00 $27.51 – $771.00 59
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 $2,774.37 $4,268.26 $25.54 – $710.70 59
Inf thrc fascial pln blk uni w/wo image CPT 64467 $1,682.20 $2,588.00 $196.02 – $196.02 4
Ingest challenge ea addl 60 min CPT 95079 $289.90 $446.00 $75.63 – $75.63 4
Ingest challenge ini 120 min CPT 95076 $863.85 $1,329.00 $107.70 – $848.43 51
Initiation & management bipap/cpap initial day CPT 94660 $445.90 $686.00 $221.27 – $497.88 52
Inj alymsys 10 mg HCPCS Q5126 $8,414.12 $12,944.80 $50.61 – $1,379.40 59
Inj., benralizumab, 1 mg HCPCS J0517 $17,622.23 $27,111.12 $160.25 – $13,869.90 59
Inj, bupivacaine liposome HCPCS J0666 $816.31 $1,255.86 $1.38 – $422.94 57
Inj cefazolin (wg crit care) HCPCS J0687 $23.79 $36.60 $0.92 – $2.07 7
Inj ceftolozane tazobactam HCPCS J0695 $934.20 $1,437.23 $8.67 – $500.40 59
Inj cntr knee arthro incl ct/mri CPT 27369 $218.40 $336.00 not published 0
Inj cyclophosphamd (ingenus) HCPCS J9073 $1,720.55 $2,647.00 $0.49 – $438.00 58
Inj. denosumab-bbdz, 1 mg HCPCS Q5136 $9,390.67 $14,447.18 $27.38 – $4,624.20 54
Inj, durolane 1 mg HCPCS J7318 $5,435.63 $8,362.51 $6.60 – $1,143.00 55
Inj dx for sinogram CPT 20501 $576.55 $887.00 not published 0
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 $2,715.83 $4,178.20 $0.50 – $3,047.00 58
Injection arthrography hip without anesthesia (both sides) CPT 27093 $270.40 $416.00 not published 0
Injection carpal tunnel therapeutic (both sides) CPT 20526 $243.10 $374.00 not published 0
Injection during cath supravalvular aortography CPT 93567 $1,022.45 $1,573.00 $32.54 – $32.54 4
Injection epidural blood patch or clot CPT 62273 $1,828.45 $2,813.00 $3.75 – $1,442.34 59
Injection for arthrography wrist (both sides) CPT 25246 $480.35 $739.00 not published 0
Injection for bladder x-ray CPT 51600 $875.55 $1,347.00 $36.71 – $548.48 55
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 $205.40 $316.00 not published 0
Injection for ureter x-ray CPT 50684 $1,625.00 $2,500.00 not published 0
Injection for ureter x-ray CPT 50690 $376.35 $579.00 $60.00 – $169.55 2
Injection, fulvestrant HCPCS J9395 $299.00 $460.00 $122.60 – $279.60 8
Injection, inclisiran, 1 mg HCPCS J1306 $9,943.76 $15,298.09 $12.37 – $10,138.80 59
Injection,onabotulinumtoxina HCPCS J0585 $1,734.91 $2,669.10 $6.39 – $1,842.00 59
Injection radioactive tracer sentinel node (both sides) CPT 38792 $2,328.95 $3,583.00 not published 0
Injection, renflexis HCPCS Q5104 $2,210.17 $3,400.26 $26.29 – $733.80 59
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 $1,353.30 $2,082.00 not published 0
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 $27,537.07 $42,364.73 $1,105.47 – $29,190.56 57
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $19,273.96 $29,652.25 $37.23 – $3,047.00 58
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 $6,399.97 $9,846.11 $96.36 – $3,047.00 54
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 $1,855.01 $2,853.86 $49.73 – $3,047.00 54
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 $1,855.01 $2,853.86 $91.22 – $3,047.00 54
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 $4,924.13 $7,575.58 $42.95 – $3,047.00 54
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 $4,924.13 $7,575.58 $78.77 – $3,047.00 54
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 $3,125.91 $4,809.10 $92.86 – $3,047.00 54
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 $2,589.02 $3,983.11 $86.63 – $3,047.00 54
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 $339.30 $522.00 not published 0
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 $1,112.15 $1,711.00 $45.92 – $697.90 56
Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 $1,033.50 $1,590.00 $52.87 – $697.90 56
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 $163.80 $252.00 $41.09 – $106.47 56
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $163.80 $252.00 $38.12 – $38.12 1
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 $321.10 $494.00 $187.62 – $483.61 56
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 $135.85 $209.00 $63.38 – $163.70 56
Injection treatment of nerve CPT 64681 $3,857.10 $5,934.00 not published 0
Inj epidural sgl lumb-sacral without img CPT 62322 $3,958.50 $6,090.00 not published 0
Inj. fe derisomaltose 10 mg HCPCS J1437 $18,516.57 $28,487.03 $21.51 – $6,207.00 55
Inj for ext venography CPT 36005 $631.80 $972.00 not published 0
Inj for mammo ductogram CPT 19030 $492.70 $758.00 not published 0
Inj herzuma 10 mg HCPCS Q5113 $8,939.74 $13,753.45 $54.95 – $6,360.48 59
Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 $1,870.70 $2,878.00 $40.32 – $40.32 4
Inj hrt cath w/s&i sel left vent CPT 93565 $2,299.70 $3,538.00 $23.35 – $23.35 4
Inj hrt cath w/s&i sel right vent CPT 93566 $980.85 $1,509.00 $22.59 – $22.59 4
Inj hydroxocobalamin IV 25mg HCPCS J3424 $5,109.00 $7,860.00 $5.34 – $12.01 48
Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 $3,579.55 $5,507.00 not published 0
Inj intralesional <= 7 lsn(s) CPT 11900 $403.00 $620.00 not published 0
Inj ivig privigen 500 mg HCPCS J1459 $21,066.29 $32,409.68 $48.59 – $1,401.90 59

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.