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 |
|---|---|---|---|---|
| Njx cath slct pulm vn angrph CPT 93574 | $2,704.00 | $4,160.00 | $61.55 – $61.55 | 4 |
| Njx cth slct p-art angrp uni CPT 93569 | $1,459.90 | $2,246.00 | $33.33 – $33.33 | 4 |
| Njx interlaminar lmbr/sac CPT 62327 | $2,431.00 | $3,740.00 | $90.52 – $3,261.00 | 54 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,361.10 | $2,094.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,439.75 | $2,215.00 | $224.51 – $918.97 | 57 |
| Nm imaging bone/joint whole body CPT 78306 | $6,211.27 | $9,555.80 | $191.52 – $918.97 | 58 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,271.10 | $3,494.00 | $137.64 – $918.97 | 57 |
| Nm imaging gastric emptying study CPT 78264 | $2,741.70 | $4,218.00 | $221.18 – $918.97 | 57 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $897.00 | $1,380.00 | $227.29 – $918.97 | 57 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,253.17 | $3,466.42 | $296.97 – $1,248.14 | 57 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,636.05 | $2,517.00 | $99.85 – $1,248.14 | 57 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $7,866.85 | $12,102.84 | $211.76 – $6,890.72 | 59 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,662.70 | $2,558.00 | $42.72 – $536.38 | 57 |
| Npm1 gene CPT 81310 | $661.05 | $1,017.00 | $219.28 – $544.14 | 58 |
| Nras gene variants exon 2&3 CPT 81311 | $738.40 | $1,136.00 | $263.10 – $652.90 | 58 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $33,753.20 | $51,928.00 | $83.37 – $981.52 | 52 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $30,563.65 | $47,021.00 | $515.14 – $3,147.02 | 52 |
| Nuclear Stress Test (Heart) CPT 78452 | $6,606.60 | $10,164.00 | $298.61 – $2,976.05 | 57 |
| Nushield 1 square cm HCPCS Q4160 | $243.75 | $375.00 | $115.47 – $359.82 | 53 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $27,648.69 | $42,536.44 | $80.25 – $23,154.00 | 59 |
| Observation direct referral from physician office for admission HCPCS G0379 | $911.30 | $1,402.00 | $601.77 – $1,354.02 | 52 |
| Observation per hour HCPCS G0378 | $102.70 | $158.00 | $44.99 – $44.99 | 1 |
| Obstetrics panel CPT 80055 | $264.55 | $407.00 | $42.53 – $105.53 | 56 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $63,520.80 | $97,724.31 | $58.46 – $50,598.00 | 59 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $2,422.29 | $3,726.60 | $0.77 – $1.77 | 8 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $20,225.74 | $31,116.52 | $184.77 – $5,330.70 | 59 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $17,655.07 | $27,161.65 | $61.05 – $2,778.11 | 53 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $192.52 | $296.18 | $15.00 – $40.20 | 8 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $4,551.25 | $7,001.92 | $41.03 – $3,551.40 | 59 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.18 – $0.48 | 8 |
| Open bx/exc inguinofem nodes CPT 38531 | $8,276.22 | $12,732.65 | $394.41 – $8,902.29 | 57 |
| Orchiectomy partial CPT 54522 | $23,952.63 | $36,850.20 | $516.69 – $13,745.36 | 57 |
| Organic acids total quant ea spec CPT 83918 | $156.00 | $240.00 | $20.99 – $52.09 | 59 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $3,186.36 | $4,902.10 | $28.02 – $3,234.00 | 59 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $76.05 | $117.00 | $10.19 – $23.25 | 8 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $511.55 | $787.00 | $984.04 – $984.04 | 1 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $13.00 | $20.00 | $1,377.62 – $1,377.62 | 1 |
| Orthopantogram CPT 70355 | $304.20 | $468.00 | $7.20 – $200.05 | 58 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $65.65 | $101.00 | $657.56 – $657.56 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $81.25 | $125.00 | $23.25 – $497.88 | 52 |
| Osmolality blood CPT 83930 | $73.45 | $113.00 | $5.88 – $14.59 | 58 |
| Osmolality urine CPT 83935 | $70.20 | $108.00 | $6.07 – $15.05 | 58 |
| Ot evaluation high complexity patient/family CPT 97167 | $491.40 | $756.00 | $89.56 – $211.28 | 55 |
| Ot evaluation low complexity patient/family CPT 97165 | $436.80 | $672.00 | $89.56 – $211.28 | 54 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $464.10 | $714.00 | $89.56 – $211.28 | 55 |
| Other immunoelectrophoresis CPT 86325 | $137.80 | $212.00 | $20.57 – $51.05 | 56 |
| Oth resp proc, group HCPCS G0239 | $94.25 | $145.00 | $10.81 – $84.92 | 56 |
| Oth resp proc, indiv HCPCS G0238 | $99.45 | $153.00 | $8.58 – $65.76 | 56 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $122.85 | $189.00 | $45.21 – $102.97 | 55 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $155.35 | $239.00 | $41.39 – $95.18 | 55 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $172.90 | $266.00 | $23.93 – $58.25 | 54 |
| Ot re-evaluation patient/family CPT 97168 | $416.65 | $641.00 | $61.51 – $143.17 | 55 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $57.20 | $88.00 | $32.02 – $72.89 | 54 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $83.85 | $129.00 | $17.86 – $40.19 | 55 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $81.90 | $126.00 | $19.07 – $42.91 | 55 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $154.70 | $238.00 | $25.94 – $61.05 | 54 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $89.05 | $137.00 | $29.72 – $68.71 | 54 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $58.50 | $90.00 | $28.72 – $67.65 | 54 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $123.50 | $190.00 | $16.00 – $42.00 | 8 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $102.37 | $157.50 | $0.65 – $2.09 | 6 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $299.00 | $460.00 | $3.30 – $12.60 | 8 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,628.18 | $7,120.27 | $5.91 – $2,129.21 | 59 |
| Pad repl cerv collr univ adult HCPCS L0999 | $2,356.90 | $3,626.00 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $6,493.54 | $9,990.06 | $14.79 – $6,654.96 | 59 |
| Palonosetron hcl HCPCS J2469 | $87.75 | $135.00 | $5.80 – $18.30 | 8 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $131.62 | $202.50 | $12.58 – $35.16 | 8 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $22,262.65 | $34,250.23 | $171.07 – $4,935.60 | 59 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $8.29 | $12.75 | $1.98 – $5.08 | 5 |
| Papaverin hcl injection HCPCS J2440 | $91.41 | $140.63 | $37.50 – $55.88 | 6 |
| Parathormone (pth) intact CPT 83970 | $219.70 | $338.00 | $36.72 – $91.12 | 58 |
| Parathyroid planar imaging CPT 78070 | $1,398.15 | $2,151.00 | $193.44 – $918.97 | 57 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,374.75 | $2,115.00 | $220.93 – $918.97 | 57 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $8.45 | $13.00 | $2.38 – $3.13 | 5 |
| Pdgfra gene CPT 81314 | $701.35 | $1,079.00 | $293.09 – $727.33 | 58 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $17,103.94 | $26,313.76 | $124.96 – $4,326.12 | 59 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $10,460.13 | $16,092.51 | $130.78 – $4,527.72 | 59 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $11,126.37 | $17,117.50 | $133.31 – $4,615.20 | 59 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,563.19 | $8,558.76 | $77.99 – $2,515.68 | 59 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $6,662.51 | $10,250.01 | $110.00 – $3,690.72 | 59 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,918.15 | $2,951.00 | $143.16 – $735.95 | 59 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,644.50 | $2,530.00 | $158.53 – $592.98 | 59 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,531.40 | $2,356.00 | $71.07 – $511.77 | 59 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,732.30 | $5,742.00 | $202.93 – $2,122.16 | 59 |
| Pelvic MRI (with contrast) CPT 72196 | $3,120.65 | $4,801.00 | $162.66 – $1,109.33 | 59 |
| Pelvic MRI (without contrast) CPT 72195 | $2,653.30 | $4,082.00 | $139.08 – $957.07 | 59 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,086.80 | $1,672.00 | $61.07 – $240.32 | 59 |
| Pelvic Ultrasound (limited) CPT 76857 | $479.70 | $738.00 | $21.91 – $240.32 | 58 |
| Peng benzathine/procaine inj HCPCS J0558 | $592.60 | $911.70 | $19.15 – $331.56 | 55 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $989.48 | $1,522.28 | $30.87 – $534.24 | 59 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $62.02 | $95.41 | $6.75 – $17.28 | 8 |
| Perc cryo ablate renal tum CPT 50593 | $17,052.10 | $26,234.00 | not published | 0 |
| Perc d-e cor revasc chro add HCPCS C9608 | $12,941.50 | $19,910.00 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $20,873.45 | $32,113.00 | $18,523.83 – $41,679.57 | 52 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $15,753.40 | $24,236.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $24,226.15 | $37,271.00 | $11,665.22 – $26,247.35 | 52 |
| Perc d-e cor stent ather br HCPCS C9603 | $14,085.50 | $21,670.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $12,359.10 | $19,014.00 | $18,523.83 – $41,679.57 | 52 |
| Perc drug-el cor stent bran HCPCS C9601 | $6,789.25 | $10,445.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $13,245.70 | $20,378.00 | $11,665.22 – $26,247.35 | 52 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,828.14 | $2,812.53 | $99.10 – $226.14 | 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.