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 |
|---|---|---|---|---|
| Lymphatics/lymph node imaging CPT 78195 | $21,027.32 | $32,349.72 | $223.96 – $8,465.00 | 58 |
| Macroscopic exam arthropod CPT 87168 | $46.15 | $71.00 | $3.80 – $9.43 | 59 |
| Macroscopic exam parasite CPT 87169 | $42.90 | $66.00 | $3.83 – $9.51 | 59 |
| Magnesium CPT 83735 | $59.80 | $92.00 | $5.96 – $14.79 | 58 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $61.42 | $94.50 | $0.98 – $2.46 | 8 |
| Mammosite ced HCPCS C1728 | $2,983.50 | $4,590.00 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $261.30 | $402.00 | $32.70 – $302.50 | 56 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $372.45 | $573.00 | $20.78 – $302.50 | 56 |
| Mapping io sentinel lymph node CPT 38900 | $21,027.32 | $32,349.72 | $118.06 – $15,097.36 | 58 |
| Marker biop eviva buckle ss HCPCS A4648 | $520.00 | $800.00 | not published | 0 |
| Mastoids complete CPT 70130 | $295.10 | $454.00 | $38.30 – $240.32 | 59 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $21.45 | $33.00 | $115.47 – $359.82 | 53 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $89.05 | $137.00 | $12.86 – $31.92 | 59 |
| Mayo aathr protein s free CPT 85306 | $163.15 | $251.00 | $13.63 – $33.82 | 59 |
| Mayo activated protein c resistance assay CPT 85307 | $81.25 | $125.00 | $13.63 – $33.82 | 59 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $236.60 | $364.00 | $34.31 – $85.14 | 58 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $20.80 | $32.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $118.95 | $183.00 | $32.17 – $32.17 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $78.65 | $121.00 | $13.15 – $32.62 | 59 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $63.05 | $97.00 | $32.17 – $32.17 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $87.10 | $134.00 | $11.95 – $29.67 | 59 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $95.55 | $147.00 | $13.41 – $33.72 | 59 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $100.75 | $155.00 | $32.17 – $32.17 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $830.70 | $1,278.00 | $108.19 – $268.47 | 58 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $805.35 | $1,239.00 | $81.53 – $202.32 | 58 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $554.45 | $853.00 | $121.86 – $302.40 | 55 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,459.25 | $2,245.00 | $1,031.80 – $2,560.47 | 57 |
| Mayo androstenedione CPT 82157 | $130.00 | $200.00 | $26.04 – $64.63 | 59 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $42.90 | $66.00 | $12.99 – $32.23 | 58 |
| Mayo antithrombin iii antigen CPT 85301 | $96.20 | $148.00 | $9.62 – $24.65 | 59 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $143.65 | $221.00 | $13.39 – $33.22 | 59 |
| Mayo avwpr vw factor activity CPT 85397 | $324.35 | $499.00 | $27.45 – $68.12 | 59 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $378.30 | $582.00 | $34.42 – $77.45 | 54 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $57.85 | $89.00 | $32.17 – $32.17 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $39.00 | $60.00 | $9.05 – $22.97 | 59 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $481.65 | $741.00 | $128.83 – $319.71 | 58 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $277.55 | $427.00 | $190.90 – $473.73 | 58 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $104.00 | $160.00 | $11.47 – $28.47 | 59 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $19.50 | $30.00 | $32.17 – $32.17 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $101.40 | $156.00 | $11.73 – $29.11 | 59 |
| Mayo brcmg brucella antibody igm CPT 86622 | $109.20 | $168.00 | $7.94 – $19.71 | 56 |
| Mayo c1 esterase inhibitor CPT 83883 | $209.30 | $322.00 | $12.10 – $30.02 | 59 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $48.75 | $75.00 | $32.17 – $32.17 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $117.00 | $180.00 | $15.01 – $37.24 | 59 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $102.70 | $158.00 | $23.82 – $59.11 | 59 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $259.35 | $399.00 | $108.71 – $269.78 | 58 |
| Mayo ceruloplasmin CPT 82390 | $70.20 | $108.00 | $9.55 – $23.71 | 59 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $138.45 | $213.00 | $12.56 – $31.17 | 59 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $89.05 | $137.00 | $11.46 – $28.43 | 59 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $80.60 | $124.00 | $10.51 – $26.09 | 56 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $84.50 | $130.00 | $11.28 – $27.99 | 56 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $446.55 | $687.00 | $103.62 – $257.13 | 58 |
| Mayo chromium CPT 82495 | $55.90 | $86.00 | $18.04 – $44.76 | 58 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $74.10 | $114.00 | $32.17 – $32.17 | 1 |
| Mayo coccidioides antibody CPT 86635 | $33.15 | $51.00 | $10.20 – $25.32 | 58 |
| Mayo cocou cortisone urine CPT 82542 | $265.20 | $408.00 | $21.43 – $53.17 | 58 |
| Mayo cortisol free CPT 82530 | $111.80 | $172.00 | $14.86 – $36.88 | 59 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $92.95 | $143.00 | $37.47 – $92.99 | 58 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $102.70 | $158.00 | $10.78 – $26.75 | 59 |
| Mayo cyanide CPT 82600 | $96.85 | $149.00 | $17.26 – $42.82 | 56 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $631.15 | $971.00 | $172.16 – $682.81 | 61 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $211.25 | $325.00 | $11.79 – $36.09 | 59 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $112.45 | $173.00 | $22.48 – $55.78 | 59 |
| Mayo dihydrotestosterone CPT 82642 | $78.65 | $121.00 | $28.72 – $64.63 | 54 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $323.05 | $497.00 | $8.57 – $21.28 | 59 |
| Mayo efpo chloride stool CPT 82438 | $35.75 | $55.00 | $4.45 – $11.27 | 59 |
| Mayo estriol CPT 82677 | $100.10 | $154.00 | $21.51 – $53.37 | 59 |
| Mayo estrone CPT 82679 | $89.05 | $137.00 | $22.19 – $59.18 | 58 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $63.70 | $98.00 | $14.53 – $36.40 | 59 |
| Mayo everolimus therapeutic drug level CPT 80169 | $183.30 | $282.00 | $12.21 – $30.31 | 58 |
| Mayo factor ii CPT 85210 | $126.10 | $194.00 | $11.55 – $28.65 | 56 |
| Mayo factor v CPT 85220 | $90.35 | $139.00 | $15.00 – $39.26 | 58 |
| Mayo factor vii CPT 85230 | $152.75 | $235.00 | $15.92 – $39.51 | 59 |
| Mayo factor viii vw factor antigen CPT 85246 | $130.65 | $201.00 | $20.40 – $50.64 | 59 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $171.60 | $264.00 | $20.40 – $50.64 | 59 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $167.70 | $258.00 | $20.40 – $50.64 | 59 |
| Mayo factor x CPT 85260 | $131.30 | $202.00 | $15.92 – $39.51 | 56 |
| Mayo factor xi CPT 85270 | $157.95 | $243.00 | $15.92 – $41.11 | 59 |
| Mayo fat/lipids feces quantitative CPT 82710 | $97.50 | $150.00 | $14.94 – $37.08 | 56 |
| Mayo fbl culture fungi blood CPT 87103 | $83.85 | $129.00 | $14.73 – $45.16 | 59 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $122.85 | $189.00 | $14.07 – $177.60 | 56 |
| Mayo ffspg allergen clam igg CPT 86001 | $30.55 | $47.00 | $7.67 – $17.26 | 55 |
| Mayo fibrinogen antigen CPT 85385 | $127.40 | $196.00 | $12.86 – $31.92 | 56 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $56.55 | $87.00 | $19.28 – $47.83 | 58 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,417.00 | $2,180.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $39.00 | $60.00 | $4.23 – $10.48 | 56 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $174.20 | $268.00 | $31.21 – $77.45 | 59 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $143.65 | $221.00 | $12.27 – $30.44 | 59 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $175.50 | $270.00 | $22.96 – $131.32 | 59 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $70.85 | $109.00 | $7.91 – $19.62 | 59 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $88.40 | $136.00 | $13.26 – $29.84 | 55 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $88.40 | $136.00 | $24.17 – $59.97 | 58 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $272.35 | $419.00 | $15.36 – $38.12 | 59 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $93.60 | $144.00 | $13.33 – $33.09 | 59 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $118.95 | $183.00 | $18.51 – $47.03 | 58 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $172.90 | $266.00 | $18.51 – $45.93 | 59 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $73.45 | $113.00 | $14.29 – $35.47 | 58 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $124.80 | $192.00 | $10.66 – $26.44 | 59 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $61.75 | $95.00 | $34.42 – $77.45 | 54 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $129.35 | $199.00 | $31.21 – $77.45 | 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.