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 |
|---|---|---|---|---|
| Pericardiocentesis wwo imaging CPT 33016 | $1,568.45 | $2,413.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $1,658.80 | $2,552.00 | not published | 0 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $20,155.91 | $31,009.09 | $16.69 – $20,223.00 | 59 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,990.10 | $10,754.00 | $3.97 – $3,287.07 | 57 |
| Pet CT whole body initial CPT 78816 | $7,709.65 | $11,861.00 | $3.97 – $3,287.07 | 57 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,070.30 | $6,262.00 | $1,226.22 – $3,251.19 | 56 |
| Pet image skull-thigh CPT 78812 | $5,842.85 | $8,989.00 | $1,226.22 – $3,251.19 | 52 |
| Pet image w/ct lmtd CPT 78814 | $8,648.25 | $13,305.00 | $1,226.22 – $3,287.07 | 57 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $41,061.80 | $63,172.00 | not published | 0 |
| Ph body fluid CPT 83986 | $53.95 | $83.00 | $3.18 – $7.90 | 58 |
| Phencyclidine (pcp) CPT 83992 | $74.75 | $115.00 | $24.01 – $55.29 | 5 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $216.42 | $332.95 | $30.76 – $66.93 | 7 |
| Phenobarbital therapeutic drug level CPT 80184 | $81.90 | $126.00 | $13.61 – $33.77 | 59 |
| Phentolaine mesylate inj HCPCS J2760 | $2,388.61 | $3,674.78 | $252.56 – $728.64 | 59 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $28.37 | $43.65 | $0.05 – $0.15 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.15 | $11.00 | $0.94 – $2.40 | 7 |
| Phenytoin total therapeutic drug level CPT 80185 | $101.40 | $156.00 | $11.79 – $30.10 | 59 |
| Phlebotomy therapeutic CPT 99195 | $226.20 | $348.00 | $79.55 – $302.50 | 56 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $6,591.00 | $10,140.00 | not published | 0 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $11,086.40 | $17,056.00 | not published | 0 |
| Phosphorus CPT 84100 | $57.85 | $89.00 | $4.22 – $10.46 | 58 |
| Phosphorus 24 hour urine CPT 84105 | $29.90 | $46.00 | $5.14 – $12.76 | 59 |
| Phys blood bank serv reactj CPT 86078 | $122.85 | $189.00 | $39.21 – $387.36 | 61 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $62.56 | $96.24 | $2.21 – $8.94 | 8 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $453.05 | $697.00 | $296.04 – $764.81 | 56 |
| Pin caspar distraction 12mm HCPCS C1821 | $10,400.00 | $16,000.00 | not published | 0 |
| Pinworm exam CPT 87172 | $39.00 | $60.00 | $3.80 – $9.43 | 56 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $31.69 | $48.75 | $2.28 – $6.12 | 8 |
| Place cath xtrnl carotid CPT 36227 | $6,721.00 | $10,340.00 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $939.25 | $1,445.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $989.30 | $1,522.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $521.30 | $802.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,138.15 | $1,751.00 | not published | 0 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,787.50 | $2,750.00 | not published | 0 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $380.25 | $585.00 | $72.65 – $72.65 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $22,439.30 | $34,522.00 | $377.18 – $26,247.35 | 57 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,312.10 | $6,634.00 | not published | 0 |
| Place slctv cath carotd art uni CPT 36224 | $19,394.05 | $29,837.00 | not published | 0 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $10,015.20 | $15,408.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $9,594.65 | $14,761.00 | not published | 0 |
| Place slctv cath subclavian art CPT 36225 | $4,707.95 | $7,243.00 | not published | 0 |
| Place slctv cath vertebral art uni CPT 36226 | $8,130.85 | $12,509.00 | not published | 0 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $202.80 | $312.00 | $50.67 – $312.17 | 52 |
| Platelet aggregation each agent teg CPT 85576 | $145.60 | $224.00 | $22.16 – $54.98 | 59 |
| Platelet automated CPT 85049 | $43.55 | $67.00 | $3.98 – $9.89 | 59 |
| Platelet pheresis each unit HCPCS P9034 | $2,317.90 | $3,566.00 | $324.61 – $730.39 | 52 |
| Platelet pheresis irr ea HCPCS P9036 | $1,042.60 | $1,604.00 | $275.03 – $2,243.76 | 52 |
| Platelets each unit HCPCS P9019 | $619.45 | $953.00 | $39.69 – $125.69 | 56 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,631.85 | $4,049.00 | $468.14 – $1,673.87 | 56 |
| Platelets irradiated ea unit HCPCS P9032 | $1,118.00 | $1,720.00 | $73.05 – $928.99 | 52 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,272.05 | $1,957.00 | $71.17 – $341.03 | 56 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $1,097.85 | $1,689.00 | $127.09 – $448.19 | 56 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,633.45 | $2,513.00 | $263.18 – $592.16 | 52 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $6,048.90 | $9,306.00 | $459.47 – $1,190.17 | 56 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,605.50 | $2,470.00 | $389.81 – $1,209.41 | 56 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,011.10 | $3,094.00 | $483.98 – $1,608.97 | 56 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,968.85 | $3,029.00 | $607.43 – $1,435.98 | 52 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $5,689.45 | $8,753.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $5,958.55 | $9,167.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $6,022.90 | $9,266.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,474.85 | $2,269.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,229.15 | $1,891.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,104.35 | $1,699.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $382.85 | $589.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $502.45 | $773.00 | $47.46 – $848.43 | 56 |
| Plmt nephroureteral catheter CPT 50433 | $2,128.10 | $3,274.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | $7,364.50 | $11,330.00 | not published | 0 |
| #pnh-flow cytometry interp CPT 88187 | $152.75 | $235.00 | $31.60 – $77.42 | 55 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $332.15 | $511.00 | $23.19 – $57.54 | 58 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $57,711.17 | $88,786.41 | $134.62 – $54,373.20 | 59 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $5,461.95 | $8,403.00 | $849.88 – $1,952.47 | 56 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,678.40 | $8,736.00 | $551.66 – $1,952.47 | 56 |
| Potassium 24 hour urine CPT 84133 | $45.50 | $70.00 | $4.21 – $10.44 | 58 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $42.25 | $65.00 | $0.50 – $1.80 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | $40.30 | $62.00 | $4.23 – $10.51 | 58 |
| Pq biliary strict dil s&i CPT 74363 | $1,827.15 | $2,811.00 | $127.16 – $529.12 | 7 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,384.50 | $2,130.00 | $48.30 – $172.88 | 8 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $19,589.70 | $30,138.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $1,042.60 | $1,604.00 | not published | 0 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $422.66 | $650.25 | $91.90 – $129.18 | 5 |
| Pr biopsy skin punch single lesion CPT 11104 | $1,134.25 | $1,745.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $35.75 | $55.00 | $10.49 – $85.19 | 56 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $8,019.13 | $12,337.13 | $135.24 – $8,014.54 | 58 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $476.45 | $733.00 | $29.80 – $348.47 | 56 |
| Prealbumin CPT 84134 | $32.50 | $50.00 | $12.98 – $32.20 | 58 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.87 | $7.50 | $1.71 – $6.30 | 8 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.87 | $7.50 | $0.01 – $0.03 | 8 |
| Pregabalin - sendout CPT 80366 | $113.75 | $175.00 | $32.17 – $32.17 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $4,524.53 | $6,960.81 | $172.35 – $4,362.91 | 58 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $747.50 | $1,150.00 | $94.70 – $240.32 | 59 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $732.55 | $1,127.00 | $59.13 – $240.32 | 58 |
| Prep skin to 100cm2 other CPT 15004 | $2,360.15 | $3,631.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $3,589.30 | $5,522.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $78.00 | $120.00 | $130.02 – $292.56 | 52 |
| Pressure velocity wire add ves CPT 93572 | $1,205.75 | $1,855.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $170.95 | $263.00 | $11.24 – $387.36 | 61 |
| Pretreat rbc absorption reference CPT 86978 | $234.00 | $360.00 | $18.72 – $134.13 | 61 |
| Pretreat rbc density gradient separation reference CPT 86972 | $229.45 | $353.00 | $43.63 – $387.36 | 57 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $135.85 | $209.00 | $18.72 – $134.13 | 61 |
| Pretreat rbc w enzyme reference CPT 86971 | $183.30 | $282.00 | $25.22 – $387.36 | 57 |
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.