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 |
|---|---|---|---|---|
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $17,684.26 | $27,206.56 | $137.09 – $5,932.80 | 59 |
| Jak2 targeted sequence analysis CPT 81279 | $555.10 | $854.00 | $164.73 – $408.79 | 58 |
| John cunningham antibody CPT 86711 | $889.20 | $1,368.00 | $15.02 – $37.28 | 59 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $29.90 | $46.00 | $7.27 – $19.73 | 58 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $31.84 | $48.98 | $0.33 – $1.65 | 59 |
| Kidney function study CPT 78725 | $1,751.75 | $2,695.00 | $66.55 – $918.97 | 57 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,352.00 | $2,080.00 | $142.92 – $1,248.14 | 57 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $481.65 | $741.00 | $61.35 – $240.32 | 59 |
| Kit case 4.2mm spinejack HCPCS C1062 | $5,116.80 | $7,872.00 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,110.00 | $9,400.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $22,254.70 | $34,238.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $20,800.00 | $32,000.00 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $6,891.33 | $10,602.05 | $555.31 – $7,439.36 | 57 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $7,526.10 | $11,578.61 | $487.28 – $7,439.36 | 57 |
| Knee arthroscopy/surgery CPT 29873 | $8,284.33 | $12,745.13 | $489.88 – $7,439.36 | 57 |
| Knee arthroscopy/surgery CPT 29874 | $7,248.14 | $11,150.98 | $478.99 – $7,439.36 | 57 |
| Knee arthroscopy/surgery CPT 29875 | $7,550.68 | $11,616.43 | $448.02 – $7,439.36 | 57 |
| Knee arthroscopy/surgery CPT 29880 | $7,030.42 | $10,816.03 | $504.07 – $7,439.36 | 57 |
| Knee arthroscopy/surgery CPT 29882 | $9,766.89 | $15,025.98 | $609.14 – $7,439.36 | 57 |
| Knee arthroscopy/surgery CPT 29888 | $21,941.09 | $33,755.53 | $846.86 – $16,498.03 | 57 |
| Knee MRI (with and without contrast) CPT 73723 | $5,516.55 | $8,487.00 | $246.53 – $2,119.58 | 59 |
| Knee MRI (with contrast) CPT 73722 | $4,387.50 | $6,750.00 | $205.43 – $1,802.03 | 59 |
| Knee MRI (without contrast) CPT 73721 | $4,493.45 | $6,913.00 | $120.47 – $965.08 | 59 |
| Knee X-ray CPT 73564 | $707.20 | $1,088.00 | $30.25 – $240.32 | 59 |
| Kras gene addl variants CPT 81276 | $451.75 | $695.00 | $171.89 – $426.56 | 58 |
| Kras gene variants exon 2 CPT 81275 | $659.10 | $1,014.00 | $171.89 – $426.56 | 58 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $19.50 | $30.00 | $0.28 – $0.72 | 8 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $79.85 | $122.85 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $21.45 | $33.00 | $5.37 – $14.09 | 59 |
| Lactated ringers intravenous solution HCPCS J7120 | $42.25 | $65.00 | $2.41 – $7.35 | 8 |
| Lactic acid CPT 83605 | $118.30 | $182.00 | $10.29 – $25.54 | 58 |
| Lactoferrin fecal qualitative CPT 83630 | $48.10 | $74.00 | $17.52 – $43.48 | 59 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $37,069.47 | $57,029.95 | $218.22 – $61,693.03 | 53 |
| Lam facetec & foramot lumbar CPT 63047 | $11,958.11 | $18,397.09 | $1,001.97 – $16,498.03 | 57 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $53,254.47 | $81,929.96 | $194.41 – $61,693.03 | 53 |
| Laparo ablate renal cyst CPT 50541 | $13,483.92 | $20,744.50 | $796.14 – $24,168.43 | 57 |
| Laparo cholecystectomy/graph CPT 47563 | $10,791.29 | $16,601.98 | $649.98 – $13,745.36 | 57 |
| Laparo new ureter/bladder CPT 50948 | $34,497.93 | $53,073.74 | $1,098.88 – $24,168.43 | 57 |
| Laparo partial nephrectomy CPT 50543 | $15,455.99 | $23,778.44 | $1,289.86 – $24,168.43 | 57 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $17,950.95 | $27,616.84 | $5,195.58 – $13,745.36 | 57 |
| Laparoscopic myomectomy CPT 58545 | $10,105.71 | $15,547.25 | $776.88 – $13,745.36 | 57 |
| Laparoscopy aspiration CPT 49322 | $9,851.85 | $15,156.70 | $338.14 – $13,745.36 | 57 |
| Laparoscopy biopsy CPT 49321 | $11,350.07 | $17,461.64 | $313.10 – $13,745.36 | 57 |
| Laparoscopy excise lesions CPT 58662 | $11,499.73 | $17,691.90 | $620.69 – $13,745.36 | 57 |
| Laparoscopy lymphadenectomy CPT 38571 | $35,813.43 | $55,097.58 | $577.17 – $24,168.43 | 57 |
| Laparoscopy lysis CPT 58660 | $7,703.75 | $11,851.92 | $601.14 – $13,745.36 | 57 |
| Laparoscopy remove adnexa CPT 58661 | $11,468.64 | $17,644.06 | $563.67 – $13,745.36 | 57 |
| Laparoscopy surg colpopexy CPT 57425 | $20,430.45 | $31,431.46 | $829.82 – $24,168.43 | 57 |
| Laparoscopy ureterolithotomy CPT 50945 | $22,421.15 | $34,494.08 | $841.50 – $13,745.36 | 57 |
| Lap enterolysis CPT 44180 | $8,175.26 | $12,577.32 | $823.46 – $13,745.36 | 57 |
| Lap impl electrode antrum CPT 43647 | $41,532.69 | $63,896.45 | $257.31 – $44,108.90 | 57 |
| Lap ing hernia repair init CPT 49650 | $16,219.87 | $24,953.65 | $400.97 – $13,745.36 | 57 |
| Lap ing hernia repair recur CPT 49651 | $16,384.54 | $25,206.98 | $520.33 – $13,745.36 | 57 |
| Lap paraesophag hern repair CPT 43281 | $21,722.99 | $33,419.99 | $1,360.45 – $24,168.43 | 57 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $24,540.78 | $37,755.05 | $99.40 – $24,168.43 | 57 |
| Lap rmvl gastr adj all parts CPT 43774 | $17,820.15 | $27,415.61 | $846.32 – $8,765.96 | 57 |
| Laps surg prst8ect rpbic rad CPT 55866 | $35,813.43 | $55,097.58 | $1,049.97 – $24,168.43 | 57 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $3,900.00 | $6,000.00 | not published | 0 |
| Lead capillary CPT 83655 | $43.55 | $67.00 | $10.77 – $26.73 | 58 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,170.00 | $1,800.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $4,160.00 | $6,400.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $996.45 | $1,533.00 | $157.95 – $542.50 | 56 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $613.60 | $944.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $576.47 | $886.88 | $4.16 – $10.17 | 8 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $19,781.90 | $30,433.69 | $172.85 – $1,496.07 | 59 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $18.97 | $29.18 | $2.00 – $4.50 | 8 |
| Levetiracetam therapeutic drug level CPT 80177 | $78.65 | $121.00 | $11.79 – $29.25 | 57 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $65.08 | $100.13 | $1.36 – $6.12 | 8 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $514.70 | $791.85 | $53.90 – $209.70 | 7 |
| Liberta rc ipg HCPCS C1820 | $27,300.00 | $42,000.00 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $34.12 | $52.50 | $20.00 – $60.00 | 6 |
| Lidocaine therapeutic drug level CPT 80176 | $105.95 | $163.00 | $13.07 – $32.43 | 56 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $222.30 | $342.00 | $8.94 – $21.06 | 8 |
| Lipase CPT 83690 | $202.15 | $311.00 | $6.13 – $15.96 | 58 |
| Lipoprotein blood high res frac & quant CPT 83701 | $84.50 | $130.00 | $30.12 – $74.74 | 56 |
| Lipoprotein blood quant CPT 83704 | $121.55 | $187.00 | $30.41 – $75.47 | 59 |
| Lipoprotein direct measurement hdl CPT 83718 | $49.40 | $76.00 | $7.28 – $18.08 | 56 |
| Lipoprotein direct measurement ldl CPT 83721 | $21.45 | $33.00 | $9.34 – $23.18 | 58 |
| Lithium therapeutic drug level CPT 80178 | $224.90 | $346.00 | $5.88 – $14.59 | 58 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $11,511.50 | $17,710.00 | not published | 0 |
| Liver Function Test CPT 80076 | $22.10 | $34.00 | $7.27 – $18.03 | 58 |
| Liver/spleen imag static only CPT 78215 | $1,236.30 | $1,902.00 | $132.92 – $918.97 | 57 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $195.25 | $300.38 | $11.30 – $32.70 | 8 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $97.76 | $150.40 | $1.35 – $4.71 | 8 |
| Low back disk surgery CPT 63030 | $9,637.75 | $14,827.31 | $842.28 – $16,498.03 | 57 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,031.25 | $3,125.00 | $119.64 – $766.38 | 59 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,907.10 | $2,934.00 | $270.00 – $801.97 | 59 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,557.40 | $2,396.00 | $94.70 – $511.77 | 59 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $5,022.55 | $7,727.00 | $184.04 – $2,158.33 | 59 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,129.75 | $4,815.00 | $162.10 – $1,164.82 | 59 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,766.40 | $4,256.00 | $105.76 – $1,078.95 | 59 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $512.20 | $788.00 | $24.41 – $240.32 | 59 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $24,630.68 | $37,893.36 | $706.37 – $24,168.43 | 57 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $25,975.53 | $39,962.36 | $1.65 – $24,168.43 | 57 |
| L/s ratio fetal lung CPT 83661 | $190.45 | $293.00 | $19.56 – $48.54 | 56 |
| Lumbar diskogram s&i CPT 72295 | $2,872.35 | $4,419.00 | $74.21 – $4,439.80 | 59 |
| Lung function test (mbc/mvv) CPT 94200 | $306.80 | $472.00 | $12.38 – $134.13 | 56 |
| Lung Function Test (Spirometry) CPT 94010 | $324.35 | $499.00 | $19.36 – $490.93 | 56 |
| Lung perfusion imaging CPT 78580 | $839.15 | $1,291.00 | $152.08 – $918.97 | 57 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $36,821.02 | $56,647.72 | $41.94 – $36,297.00 | 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.