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 |
|---|---|---|---|---|
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $116.35 | $179.00 | $134.53 – $302.70 | 47 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $2,664.35 | $4,099.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $7,872.80 | $12,112.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $6,737.90 | $10,366.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $2,982.20 | $4,588.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $918.45 | $1,413.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $744.25 | $1,145.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $161.85 | $249.00 | $42.71 – $79.41 | 5 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $7,331.27 | $11,278.87 | $541.94 – $4,439.80 | 58 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $6,760.00 | $10,400.00 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,925.00 | $4,500.00 | $210.73 – $607.95 | 55 |
| Procalcitonin CPT 84145 | $152.10 | $234.00 | $24.21 – $60.08 | 58 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $35.35 | $54.39 | $2.95 – $9.42 | 8 |
| Progesterone CPT 84144 | $55.90 | $86.00 | $18.55 – $46.04 | 58 |
| Prolactin CPT 84146 | $226.20 | $348.00 | $17.24 – $43.10 | 59 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $54.60 | $84.00 | $13.51 – $13.51 | 1 |
| Prolonged IV inf, req pump HCPCS C8957 | $795.60 | $1,224.00 | $214.93 – $483.61 | 52 |
| Promethazine hcl injection HCPCS J2550 | $12.63 | $19.43 | $3.57 – $9.45 | 8 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $146.25 | $225.00 | $2.20 – $5.40 | 4 |
| _propoxygc/msur CPT 80367 | $104.00 | $160.00 | $32.17 – $32.17 | 1 |
| Prostatectomy (turp) CPT 52601 | $9,692.86 | $14,912.09 | $507.75 – $12,190.80 | 58 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $51.60 | $79.38 | $3.42 – $14.13 | 8 |
| Protein c activity CPT 85303 | $177.45 | $273.00 | $12.31 – $30.55 | 59 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $28.60 | $44.00 | $9.55 – $31.34 | 58 |
| Protein s total CPT 85305 | $193.05 | $297.00 | $10.33 – $25.63 | 59 |
| Protein total 24 hour urine CPT 84156 | $19.50 | $30.00 | $3.26 – $9.67 | 58 |
| Protein total body fluid CPT 84157 | $13.00 | $20.00 | $3.56 – $9.67 | 58 |
| Protein total serum plasma whole blood CPT 84155 | $13.00 | $20.00 | $3.26 – $9.67 | 58 |
| Prothrombin complex kcentra HCPCS J7168 | $7,568.60 | $11,644.00 | $2.01 – $2,287.15 | 53 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $48.10 | $74.00 | $3.50 – $8.70 | 56 |
| Prp i/hern init block >5 yr CPT 49507 | $13,276.52 | $20,425.42 | $538.54 – $8,465.00 | 58 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $52.00 | $80.00 | $26.07 – $58.67 | 48 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $14,308.45 | $22,013.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $17,921.80 | $27,572.00 | $551.64 – $1,241.21 | 51 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $13,772.20 | $21,188.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $34,103.55 | $52,467.00 | $505.01 – $26,247.35 | 56 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $16,628.95 | $25,583.00 | $447.30 – $26,247.35 | 56 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $3,615.95 | $5,563.00 | $18,523.83 – $41,679.57 | 52 |
| Prq trlml c athrc st angiop1 CPT 92933 | $20,988.50 | $32,290.00 | $15,990.73 – $41,679.57 | 51 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $8,375.25 | $12,885.00 | $11,665.22 – $26,247.35 | 48 |
| Prq trluml c angiop 1art&/br CPT 92920 | $6,844.50 | $10,530.00 | $373.28 – $12,940.57 | 56 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $14,528.15 | $22,351.00 | $452.57 – $26,247.35 | 56 |
| Prq trluml revsc ch occ ant CPT 92943 | $20,873.45 | $32,113.00 | $611.39 – $26,247.35 | 56 |
| Pr removal intrauterine device CPT 58301 | $10,530.26 | $16,200.40 | $56.10 – $13,745.36 | 57 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $6,030.20 | $9,277.23 | $157.61 – $924.27 | 54 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $757.25 | $1,165.00 | not published | 0 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $26.65 | $41.00 | $13.73 – $30.90 | 42 |
| PSA (Prostate) Test CPT 84153 | $100.10 | $154.00 | $16.36 – $40.59 | 58 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $115.05 | $177.00 | $13.78 – $31.01 | 50 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $24.05 | $37.00 | $5.81 – $5.81 | 1 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $159.90 | $246.00 | $17.64 – $39.69 | 51 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $121.55 | $187.00 | $13.34 – $30.02 | 50 |
| Pt application of modality traction mechanical CPT 97012 | $93.60 | $144.00 | $13.45 – $30.26 | 50 |
| Pt evaluation high complexity patient/family CPT 97163 | $368.55 | $567.00 | $88.72 – $205.99 | 55 |
| Pt evaluation low complexity patient/family CPT 97161 | $313.95 | $483.00 | $88.72 – $205.99 | 54 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $341.25 | $525.00 | $88.72 – $205.99 | 54 |
| Pt re-evaluation patient/family CPT 97164 | $223.60 | $344.00 | $61.23 – $141.18 | 54 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $117.00 | $180.00 | $28.66 – $77.84 | 50 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $85.80 | $132.00 | $25.94 – $61.05 | 54 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $139.10 | $214.00 | $26.44 – $61.58 | 55 |
| Pt wheelchair management each 15 minutes CPT 97542 | $68.90 | $106.00 | $27.99 – $65.25 | 55 |
| Pulse ox continuous overnight monitoring CPT 94762 | $551.85 | $849.00 | $21.08 – $292.56 | 56 |
| Pulse ox multiple CPT 94761 | $197.60 | $304.00 | $3.31 – $6.53 | 5 |
| Pulse ox single CPT 94760 | $205.40 | $316.00 | $6.02 – $6.02 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $180.70 | $278.00 | $12.87 – $302.50 | 59 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $445.90 | $686.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $512.85 | $789.00 | not published | 0 |
| Pyruvate CPT 84210 | $76.70 | $118.00 | $12.88 – $31.96 | 59 |
| Quest t3 uptake CPT 84479 | $102.05 | $157.00 | $5.75 – $14.28 | 59 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $9,249.02 | $14,229.26 | $269.95 – $7,788.00 | 55 |
| Radiation handling CPT 77790 | $878.80 | $1,352.00 | $14.95 – $37.21 | 7 |
| Radiation physics consult CPT 77336 | $32,631.95 | $50,203.00 | $83.37 – $308.97 | 57 |
| Radiation therapy dose plan CPT 77300 | $37,642.68 | $57,911.82 | $28.02 – $308.97 | 57 |
| Radiation treatment aid(s) CPT 77332 | $19,136.00 | $29,440.00 | $13.03 – $308.97 | 57 |
| Radiation treatment aid(s) CPT 77333 | $705.90 | $1,086.00 | $81.62 – $308.97 | 57 |
| Radiation treatment aid(s) CPT 77334 | $35,317.33 | $54,334.36 | $54.68 – $860.72 | 57 |
| Radiation treatment delivery CPT 77402 | $5,978.70 | $9,198.00 | $74.47 – $234.54 | 57 |
| Radiation treatment delivery CPT 77412 | $19,136.00 | $29,440.00 | $304.84 – $1,270.15 | 57 |
| Radiology port images(s) CPT 77417 | $25,364.30 | $39,022.00 | $1.04 – $1,414.11 | 57 |
| Radiotherapy dose plan imrt CPT 77301 | $36,562.50 | $56,250.00 | $1,189.65 – $3,181.75 | 57 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,399.80 | $3,692.00 | $204.01 – $2,367.63 | 57 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,076.10 | $3,194.00 | $467.90 – $2,367.63 | 57 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,722.55 | $5,727.00 | $472.43 – $2,943.57 | 52 |
| Radphm quant measure sgl area add-on CPT 78835 | $2,529.80 | $3,892.00 | $56.90 – $183.98 | 6 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $4,462.15 | $6,864.85 | $74.04 – $4,272.00 | 59 |
| Rapid Strep Test CPT 87880 | $211.25 | $325.00 | $14.70 – $36.49 | 59 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $14,898.18 | $22,920.28 | $374.93 – $3,244.95 | 59 |
| Rbc count only automated CPT 85041 | $14.95 | $23.00 | $2.69 – $6.67 | 59 |
| Rbc deglycerolized each unit HCPCS P9039 | $2,332.20 | $3,588.00 | $244.66 – $739.94 | 56 |
| Rbc irradiated each unit HCPCS P9038 | $1,562.60 | $2,404.00 | $97.88 – $343.30 | 52 |
| Rbc serum pretx incubj drugs CPT 86975 | $98.80 | $152.00 | $33.62 – $1,015.69 | 57 |
| Red blood cells each unit HCPCS P9021 | $1,272.05 | $1,957.00 | $93.35 – $355.95 | 56 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $1,142.05 | $1,757.00 | $262.28 – $999.25 | 52 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $2,666.95 | $4,103.00 | $225.26 – $589.59 | 56 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $384.15 | $591.00 | $136.54 – $437.13 | 56 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $881.40 | $1,356.00 | $169.40 – $627.43 | 56 |
| Red blood cells washed each unit HCPCS P9022 | $872.30 | $1,342.00 | $159.69 – $871.33 | 56 |
| Reduction of procidentia 45900 CPT 45900 | $5,452.00 | $8,387.69 | $199.33 – $3,047.00 | 54 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $146.25 | $225.00 | $14.40 – $85.11 | 8 |
| Relocation skin pocket aicd CPT 33223 | $16,246.10 | $24,994.00 | not published | 0 |
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.