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 |
|---|---|---|---|---|
| Mgmt promoter methylation analysis CPT 81287 | $534.95 | $823.00 | $110.87 – $275.12 | 55 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $258.72 | $398.03 | $28.00 – $113.24 | 8 |
| Microalbumin urine screen CPT 82044 | $57.85 | $89.00 | $5.54 – $13.75 | 59 |
| Microbe susceptible mlc CPT 87187 | $55.25 | $85.00 | $13.21 – $88.67 | 56 |
| Microdissection laser CPT 88380 | $4,890.33 | $7,523.58 | $62.61 – $2,114.39 | 61 |
| Microdissection manual CPT 88381 | $4,489.97 | $6,907.65 | $150.15 – $3,755.14 | 62 |
| Microsatellite instability CPT 81301 | $736.45 | $1,133.00 | $296.28 – $769.38 | 57 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $268.90 | $413.70 | $0.13 – $0.48 | 8 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $116.51 | $179.25 | $2.62 – $6.72 | 7 |
| Minocycline hydrochloride HCPCS J2265 | $1,298.00 | $1,996.92 | $2.61 – $339.72 | 49 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,931.50 | $4,510.00 | $27.92 – $94.39 | 59 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $1,198.91 | $1,844.47 | $37.88 – $437.16 | 55 |
| Mlh1 gene CPT 81288 | $324.35 | $499.00 | $171.07 – $424.51 | 58 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $514.15 | $791.00 | $15.06 – $83.28 | 55 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6,038.50 | $9,290.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | $7,312.50 | $11,250.00 | $642.89 – $1,854.72 | 55 |
| Mopath procedure level 5 CPT 81404 | $1,005.55 | $1,547.00 | $244.46 – $606.63 | 55 |
| Mopath procedure level 6 CPT 81405 | $1,309.75 | $2,015.00 | $268.05 – $665.17 | 55 |
| Mopath procedure level 7 CPT 81406 | $1,802.45 | $2,773.00 | $251.62 – $624.40 | 55 |
| Mopath procedure level 9 CPT 81408 | $1,088.10 | $1,674.00 | $1,778.97 – $4,414.60 | 55 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $232.24 | $357.30 | $4.58 – $12.60 | 8 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $21.88 | $33.66 | $4.06 – $23.61 | 8 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $176.95 | $272.23 | $11.55 – $34.38 | 8 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $8,558.78 | $13,167.35 | $172.16 – $4,095.00 | 62 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $458.90 | $706.00 | $67.24 – $814.98 | 61 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $7,597.85 | $11,689.00 | $103.09 – $1,142.00 | 62 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $421.85 | $649.00 | $36.02 – $115.73 | 10 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $10,337.50 | $15,903.85 | $172.16 – $4,095.00 | 62 |
| M/phmtrc alysishquant/semiq CPT 88369 | $385.45 | $593.00 | $87.85 – $194.63 | 10 |
| M/phmtrc alys skeletal musc CPT 88355 | $440.70 | $678.00 | $55.99 – $387.36 | 61 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,679.95 | $4,123.00 | $217.62 – $972.36 | 52 |
| MRA spinal canal CPT 72159 | $3,111.55 | $4,787.00 | $224.22 – $1,078.95 | 52 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,452.45 | $3,773.00 | $215.99 – $972.36 | 48 |
| MRA without cont, abd HCPCS C8901 | $2,052.05 | $3,157.00 | $241.10 – $542.50 | 52 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,929.55 | $4,507.00 | $352.53 – $793.21 | 52 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $4,776.20 | $7,348.00 | $352.53 – $972.36 | 54 |
| MRI breast without cont bi CPT 77047 | $2,181.40 | $3,356.00 | $125.19 – $548.48 | 57 |
| MRI chest without contrast CPT 71550 | $2,850.25 | $4,385.00 | $191.13 – $967.21 | 59 |
| MRI chest without & w/contrast CPT 71552 | $3,643.90 | $5,606.00 | $300.57 – $2,113.55 | 59 |
| MRI chest w IV cont CPT 71551 | $3,227.90 | $4,966.00 | $252.63 – $1,782.35 | 52 |
| MRI loex nonjt w IV cont CPT 73719 | $3,330.60 | $5,124.00 | $162.38 – $1,144.80 | 59 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,442.40 | $5,296.00 | $138.80 – $954.92 | 59 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,737.85 | $7,289.00 | $205.15 – $1,842.24 | 59 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,829.10 | $2,814.00 | $141.30 – $965.08 | 59 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,682.25 | $5,665.00 | $206.54 – $2,119.58 | 59 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,909.05 | $2,937.00 | $166.83 – $1,144.80 | 59 |
| MRI tmj CPT 70336 | $2,457.00 | $3,780.00 | $168.79 – $972.36 | 59 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,215.55 | $4,947.00 | $191.13 – $954.92 | 59 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,345.25 | $6,685.00 | $267.35 – $1,842.24 | 59 |
| MRI upper extremity w/dye CPT 73219 | $3,468.40 | $5,336.00 | $220.70 – $1,144.80 | 52 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,213.60 | $4,944.00 | $352.53 – $793.21 | 53 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,610.40 | $4,016.00 | $352.53 – $793.21 | 53 |
| Mthfr gene analy common variants CPT 81291 | $207.35 | $319.00 | $64.10 – $144.22 | 54 |
| M.tuberculo dna dir probe CPT 87555 | $120.25 | $185.00 | $23.91 – $59.33 | 56 |
| Mucopolysaccharides CPT 83864 | $157.30 | $242.00 | $25.35 – $62.91 | 59 |
| Multiple sleep latency test CPT 95805 | $2,432.95 | $3,743.00 | $363.59 – $1,952.47 | 56 |
| Mumps antibody igg CPT 86735 | $72.80 | $112.00 | $11.61 – $28.81 | 59 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $4.87 | $7.50 | $0.15 – $0.39 | 8 |
| Mycophenolic acid HCPCS J7518 | $4.87 | $7.50 | $0.80 – $1.88 | 4 |
| Mycoplasma antibody igm CPT 86738 | $115.05 | $177.00 | $11.78 – $29.22 | 59 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $582.40 | $896.00 | $156.02 – $387.16 | 57 |
| Myelogphy 2/> spine regions CPT 72270 | $4,443.40 | $6,836.00 | $529.12 – $1,782.35 | 52 |
| Myelography l-s spine CPT 72265 | $2,316.60 | $3,564.00 | $58.02 – $1,802.03 | 59 |
| Myelography neck spine CPT 72240 | $2,481.05 | $3,817.00 | $62.39 – $1,802.03 | 58 |
| Myelography thoracic spine CPT 72255 | $2,734.55 | $4,207.00 | $54.13 – $1,782.35 | 52 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,223.90 | $1,882.93 | $102.61 – $4,409.00 | 58 |
| Myelography via inj w/s&i cervical CPT 62302 | $4,426.69 | $6,810.30 | $99.97 – $4,409.00 | 59 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,821.84 | $5,879.75 | $98.61 – $4,409.00 | 59 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,255.15 | $1,931.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $287.30 | $442.00 | $10.26 – $25.45 | 58 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $60.94 | $93.75 | $3.00 – $11.50 | 7 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $37.81 | $58.17 | $3.43 – $9.69 | 8 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $19.30 | $29.69 | $0.90 – $1.80 | 3 |
| Natriuretic peptide CPT 83880 | $157.30 | $242.00 | $34.92 – $86.66 | 58 |
| Natural killer cells total count CPT 86357 | $95.55 | $147.00 | $33.56 – $83.28 | 59 |
| N block inj hypogas plxs CPT 64517 | $3,938.43 | $6,059.12 | $110.36 – $3,261.00 | 54 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,546.05 | $3,917.00 | $119.36 – $766.38 | 59 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,388.10 | $3,674.00 | $270.00 – $801.97 | 59 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,156.70 | $3,318.00 | $72.18 – $511.77 | 59 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,255.20 | $5,008.00 | $184.60 – $2,158.33 | 59 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,951.65 | $4,541.00 | $165.99 – $1,164.82 | 59 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,441.40 | $3,756.00 | $105.48 – $972.36 | 59 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,715.70 | $4,178.00 | $225.95 – $1,902.52 | 59 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,421.25 | $3,725.00 | $152.11 – $962.22 | 59 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,198.30 | $3,382.00 | $138.22 – $962.22 | 59 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $85.80 | $132.00 | $55.16 – $124.32 | 6 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $7.15 | $11.00 | $0.74 – $1.70 | 6 |
| Neurolysis celiac plexus CPT 64680 | $3,283.15 | $5,051.00 | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $192.40 | $296.00 | $39.18 – $119.27 | 54 |
| New Patient Office Visit (level 3) CPT 99203 | $239.20 | $368.00 | $67.95 – $187.15 | 53 |
| New Patient Office Visit (level 4) CPT 99204 | $317.20 | $488.00 | $111.17 – $283.46 | 53 |
| New Patient Office Visit (level 5) CPT 99205 | $274.95 | $423.00 | $152.10 – $378.40 | 53 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $103.54 | $159.30 | $20.00 – $45.00 | 7 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $109.69 | $168.75 | $14.10 – $47.10 | 8 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $23,704.69 | $36,468.75 | $32.99 – $3,806.40 | 59 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $92,029.46 | $141,583.78 | $197.92 – $91,358.40 | 59 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $3,190.20 | $4,908.00 | not published | 0 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $1,645.31 | $2,531.24 | $70.59 – $3,047.00 | 54 |
| Njx cath slct p angrph mapca CPT 93575 | $2,415.40 | $3,716.00 | $81.72 – $81.72 | 4 |
| Njx cath slct p-art angrp bi CPT 93573 | $2,433.60 | $3,744.00 | $55.29 – $55.29 | 4 |
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.