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 |
|---|---|---|---|---|
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $26,017.53 | $40,026.97 | $31.58 – $10,933.20 | 59 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $1,955.17 | $3,007.95 | $1.31 – $756.00 | 59 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $216.18 | $332.59 | $6.83 – $98.55 | 58 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $28,953.71 | $44,544.17 | $53.99 – $29,190.56 | 58 |
| Inj meropenem (wg crit care) HCPCS J2183 | $146.25 | $225.00 | $16.50 – $41.70 | 7 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $214.50 | $330.00 | $34.60 – $99.00 | 8 |
| Inj multihance HCPCS A9577 | $141.76 | $218.10 | $11.10 – $25.35 | 4 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,044.55 | $1,607.00 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $2,757.49 | $4,242.30 | $35.10 – $1,360.80 | 59 |
| Inj ontruzant 10 mg HCPCS Q5112 | $3,881.13 | $5,970.97 | $29.24 – $1,092.15 | 59 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $28,627.62 | $44,042.50 | $98.98 – $28,554.00 | 59 |
| Inj proc lumbr disk ea lvl CPT 62290 | $3,946.15 | $6,071.00 | not published | 0 |
| Inj proc myelogram lumbar CPT 62284 | $2,037.10 | $3,134.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $569.40 | $876.00 | not published | 0 |
| Inj, releuko 1 mcg HCPCS Q5125 | $775.12 | $1,192.50 | $0.31 – $241.38 | 55 |
| Inj retro urethrocysto CPT 51610 | $2,031.25 | $3,125.00 | not published | 0 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $846.25 | $1,301.92 | $13.03 – $939.75 | 59 |
| Inj scleros sol mult veins CPT 36471 | $474.50 | $730.00 | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $421.20 | $648.00 | not published | 0 |
| Inj secretin synthetic human HCPCS J2850 | $2,559.37 | $3,937.50 | $39.46 – $966.95 | 49 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $54,767.45 | $84,257.61 | $360.92 – $52,062.00 | 55 |
| Inj testosterone cypionate HCPCS J1071 | $134.36 | $206.71 | $4.00 – $12.00 | 8 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $2,860.00 | $4,400.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,682.20 | $2,588.00 | $60.51 – $107.76 | 5 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $5,651.75 | $8,695.00 | $5.16 – $1,161.60 | 57 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $1,868.81 | $2,875.09 | $18.28 – $1,687.68 | 58 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $1,152.16 | $1,772.56 | $4.35 – $964.80 | 58 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $7,932.08 | $12,203.20 | $34.00 – $1,078.91 | 59 |
| Inj w/fluor eval cv device CPT 36598 | $208.13 | $320.20 | $29.92 – $3,047.00 | 58 |
| Ins cath ren art 1st bi CPT 36252 | $22,439.30 | $34,522.00 | $298.96 – $26,247.35 | 57 |
| Ins cath ren art 1st uni CPT 36251 | $3,186.95 | $4,903.00 | not published | 0 |
| Ins cath ren art 2nd+ uni CPT 36253 | $16,333.20 | $25,128.00 | not published | 0 |
| Ins cerv dilator (sep proc) CPT 59200 | $484.90 | $746.00 | $57.08 – $692.85 | 56 |
| Insert cath pleura with image CPT 32557 | $3,170.70 | $4,878.00 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $12,890.60 | $19,831.69 | $95.11 – $13,745.36 | 57 |
| Insertion catheter bladder non indwelling CPT 51701 | $15,380.15 | $23,661.77 | $21.50 – $564.00 | 58 |
| Insertion catheter bladder temporary simple CPT 51702 | $7,115.45 | $10,946.85 | $22.11 – $564.00 | 58 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,668.95 | $7,183.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $3,911.70 | $6,018.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,488.50 | $2,290.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $35,959.85 | $55,322.84 | $436.17 – $23,764.09 | 57 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $2,835.30 | $4,362.00 | not published | 0 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $5,109.00 | $7,860.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $3,199.30 | $4,922.00 | $83.61 – $3,579.06 | 58 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $79,233.05 | $121,897.00 | $763.34 – $71,367.02 | 57 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $3,277.95 | $5,043.00 | not published | 0 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $2,005.90 | $3,086.00 | not published | 0 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $22,768.78 | $35,028.90 | $72.78 – $18,815.27 | 57 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $6,762.60 | $10,404.00 | $288.92 – $7,178.98 | 58 |
| Insert/repl sq defib w/eltrd CPT 33270 | $12,007.45 | $18,473.00 | not published | 0 |
| Insert swan-ganz cath CPT 93503 | $4,052.10 | $6,234.00 | $1,383.36 – $3,579.06 | 51 |
| Insert vad art access left hrt arterial access CPT 33990 | $6,390.80 | $9,832.00 | not published | 0 |
| Ins icd gen exist mlt leads CPT 33231 | $40,730.95 | $62,663.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $586.95 | $903.00 | $95.99 – $814.98 | 61 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $9,150.88 | $14,078.27 | $86.03 – $6,604.28 | 61 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $9,150.88 | $14,078.27 | $116.60 – $387.36 | 61 |
| Ins lv lead exist pm/icd CPT 33224 | $19,955.65 | $30,701.00 | not published | 0 |
| Ins picad w subq port 5yr> CPT 36571 | $1,634.75 | $2,515.00 | not published | 0 |
| Ins pm gen exist dual lead CPT 33230 | $29,350.10 | $45,154.00 | not published | 0 |
| Ins pm gen w/exist mlt leads CPT 33221 | $11,794.25 | $18,145.00 | not published | 0 |
| Ins pq tunnld ip cath w/img CPT 49418 | $4,501.90 | $6,926.00 | not published | 0 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $46,212.60 | $71,096.31 | $303.35 – $70,159.34 | 58 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $33,700.42 | $51,846.80 | $401.31 – $43,794.18 | 57 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $15,106.00 | $23,240.00 | not published | 0 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $10,385.05 | $15,977.00 | not published | 0 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $33,831.84 | $52,048.98 | $257.31 – $44,108.90 | 58 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $31,590.00 | $48,600.00 | $274.46 – $65,215.66 | 53 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $10,406.95 | $16,010.70 | $37.20 – $3,047.00 | 58 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $7,027.84 | $10,812.06 | $224.67 – $7,178.98 | 58 |
| Insulin total CPT 83525 | $30.55 | $47.00 | $10.17 – $26.31 | 58 |
| Intra-atrial pacing CPT 93610 | $8,708.05 | $13,397.00 | $6,757.32 – $17,733.64 | 52 |
| Intra-atrial recording CPT 93602 | $8,594.95 | $13,223.00 | $6,757.32 – $17,733.64 | 52 |
| Intraventricular pacing CPT 93612 | $7,718.10 | $11,874.00 | $6,757.32 – $17,733.64 | 56 |
| Intrinsic factor antibody CPT 86340 | $121.55 | $187.00 | $13.41 – $39.38 | 59 |
| Intro cath dialysis circuit CPT 36901 | $1,299.35 | $1,999.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,373.30 | $12,882.00 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $14,035.45 | $21,593.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $744.25 | $1,145.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $1,329.90 | $2,046.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $30,287.70 | $46,596.46 | $76.76 – $26,247.35 | 57 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $30,287.70 | $46,596.46 | $60.65 – $26,247.35 | 57 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,318.85 | $2,029.00 | $124.95 – $538.51 | 51 |
| Ionm in operatng room 15 min CPT 95940 | $388.05 | $597.00 | $26.31 – $44.01 | 6 |
| Ionm remote/>1 pt or per hr CPT 95941 | $1,170.00 | $1,800.00 | $278.99 – $278.99 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $315.02 | $484.65 | $3.80 – $12.30 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $231.56 | $356.25 | $1.40 – $4.50 | 8 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $50.37 | $77.50 | $3.80 – $8.70 | 8 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $8,936.52 | $13,748.50 | $65.11 – $8,077.98 | 59 |
| Iron CPT 83540 | $71.50 | $110.00 | $5.75 – $15.05 | 58 |
| Iron binding capacity CPT 83550 | $31.20 | $48.00 | $7.77 – $19.29 | 58 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $292.06 | $449.33 | $23.00 – $63.00 | 8 |
| Irradiation of blood product each unit reference CPT 86945 | $76.70 | $118.00 | $14.05 – $84.92 | 58 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $123.50 | $190.00 | $20.94 – $134.13 | 56 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $13,555.98 | $20,855.35 | $81.99 – $2,365.50 | 59 |
| Ivc venogram s&i CPT 75825 | $3,783.65 | $5,821.00 | $51.35 – $7,178.98 | 58 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $176.80 | $272.00 | $63.38 – $163.70 | 56 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $168.35 | $259.00 | $16.94 – $32.40 | 5 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $176.80 | $272.00 | $41.09 – $106.47 | 56 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $381.55 | $587.00 | $187.62 – $483.61 | 56 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $858.65 | $1,321.00 | $93.26 – $403.20 | 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.