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 |
|---|---|---|---|---|
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $60.40 | $92.93 | $1.20 – $2.40 | 8 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,731.30 | $4,202.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,069.25 | $1,645.00 | $179.58 – $918.97 | 57 |
| Rpl tun-cvad w subq port CPT 36582 | $7,939.10 | $12,214.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $6,474.00 | $9,960.00 | not published | 0 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $18,776.91 | $28,887.55 | $674.83 – $14,719.15 | 58 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $19,024.82 | $29,268.96 | $653.20 – $13,745.36 | 58 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $18,091.21 | $27,832.63 | $502.44 – $14,719.15 | 58 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $8,080.66 | $12,431.79 | $301.62 – $8,140.55 | 58 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $16,991.02 | $26,140.03 | $417.85 – $13,745.36 | 58 |
| Rsv assay w/optic CPT 87807 | $167.70 | $258.00 | $11.65 – $93.86 | 59 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $211.90 | $326.00 | $134.53 – $302.70 | 48 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $69.55 | $107.00 | $37.71 – $84.86 | 48 |
| Rubella antibody igg CPT 86762 | $86.45 | $133.00 | $12.80 – $31.76 | 58 |
| Rubeola antibody igg CPT 86765 | $100.75 | $155.00 | $11.46 – $28.43 | 59 |
| Russell viper venom diluted CPT 85613 | $94.25 | $145.00 | $8.52 – $21.15 | 59 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $7,654.71 | $11,776.47 | $36.10 – $7,497.36 | 59 |
| Sarscov coronavirus ag ia CPT 87426 | $65.00 | $100.00 | $31.43 – $112.61 | 58 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $138.45 | $213.00 | $38.68 – $155.15 | 58 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,663.35 | $2,559.00 | $223.84 – $542.50 | 56 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,142.70 | $1,758.00 | $94.70 – $237.70 | 56 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $848.90 | $1,306.00 | $152.64 – $542.50 | 56 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $579.80 | $892.00 | $84.77 – $237.70 | 56 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $355.55 | $547.00 | $105.36 – $237.70 | 55 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $826.80 | $1,272.00 | $94.70 – $237.70 | 56 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $941.85 | $1,449.00 | $202.67 – $542.50 | 56 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $514.15 | $791.00 | $105.04 – $237.70 | 56 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $484.25 | $745.00 | $104.56 – $237.70 | 56 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,599.65 | $2,461.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $971.75 | $1,495.00 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $103.35 | $159.00 | $25.99 – $58.47 | 52 |
| Screening Mammogram CPT 77067 | $378.95 | $583.00 | $76.90 – $264.60 | 54 |
| Screening prostate cancer PSA HCPCS G0103 | $144.30 | $222.00 | $17.18 – $42.62 | 56 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $9,668.10 | $14,874.00 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $21,678.15 | $33,351.00 | not published | 0 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $105.30 | $162.00 | $48.03 – $48.03 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $12.35 | $19.00 | $2.40 – $8.60 | 58 |
| Semen analysis presence/motility CPT 89321 | $97.50 | $150.00 | $11.82 – $35.30 | 55 |
| Serial casting application 97139app CPT 97139 | $52.00 | $80.00 | not published | 0 |
| Sertraline (zoloft) - sendout CPT 80332 | $167.05 | $257.00 | $32.17 – $32.17 | 1 |
| Set radiation therapy field CPT 77280 | $34,757.45 | $53,473.00 | $135.82 – $308.97 | 57 |
| Set radiation therapy field CPT 77285 | $1,387.75 | $2,135.00 | $320.42 – $860.72 | 57 |
| Set radiation therapy field CPT 77290 | $34,758.54 | $53,474.68 | $304.84 – $860.72 | 57 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $15,968.34 | $24,566.67 | $487.54 – $7,439.36 | 57 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $16,325.78 | $25,116.58 | $529.12 – $16,498.03 | 57 |
| Shoe post-op mens m HCPCS L3260 | $83.85 | $129.00 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $20,328.18 | $31,274.13 | $929.02 – $16,498.03 | 57 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,520.10 | $6,954.00 | $247.64 – $2,119.58 | 59 |
| Shoulder MRI (with contrast) CPT 73222 | $4,248.40 | $6,536.00 | $204.87 – $1,802.03 | 59 |
| Shoulder MRI (without contrast) CPT 73221 | $4,181.45 | $6,433.00 | $120.75 – $965.08 | 59 |
| Shoulder X-ray CPT 73030 | $577.85 | $889.00 | $21.64 – $200.05 | 59 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,535.00 | $3,900.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $274.95 | $423.00 | $49.41 – $240.32 | 58 |
| Sialography s&i CPT 70390 | $583.70 | $898.00 | $81.62 – $548.48 | 58 |
| Sickling rbc CPT 85660 | $60.45 | $93.00 | $4.90 – $12.16 | 58 |
| Sigmoidoscopy and biopsy CPT 45331 | $3,423.52 | $5,266.96 | $64.09 – $3,047.00 | 54 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $2,340.13 | $3,600.20 | $105.07 – $3,047.00 | 54 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $4.87 | $7.50 | $0.28 – $0.40 | 2 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $605.14 | $930.98 | $134.17 – $306.24 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,614.95 | $4,023.00 | $107.98 – $612.87 | 59 |
| Sinus CT scan (with contrast) CPT 70487 | $2,395.90 | $3,686.00 | $86.04 – $492.80 | 59 |
| Sinus CT scan (without contrast) CPT 70486 | $2,171.00 | $3,340.00 | $76.07 – $409.85 | 59 |
| Sinus/juglr venogram s&i CPT 75860 | $3,022.50 | $4,650.00 | $69.02 – $7,178.98 | 58 |
| Skin Biopsy CPT 11102 | $336.70 | $518.00 | $29.36 – $924.27 | 58 |
| Sleep Study (Polysomnography) CPT 95810 | $5,136.95 | $7,903.00 | $527.77 – $1,952.47 | 56 |
| Sleep study unattended CPT 95806 | $1,271.40 | $1,956.00 | $81.63 – $490.93 | 56 |
| Sling suprapubic suburetheral HCPCS C1771 | $7,410.00 | $11,400.00 | not published | 0 |
| Small bowel endoscopy br/wa CPT 44380 | $1,735.50 | $2,670.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $97.50 | $150.00 | $4.79 – $13.24 | 58 |
| Smear gram stain CPT 87205 | $79.95 | $123.00 | $3.80 – $9.44 | 58 |
| Smear nasal eosinophil CPT 89190 | $65.65 | $101.00 | $5.15 – $12.78 | 56 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $98.80 | $152.00 | $5.33 – $22.97 | 59 |
| Smear wet mount CPT 87210 | $79.30 | $122.00 | $5.18 – $12.85 | 58 |
| Snrpn/ube3a gene CPT 81331 | $490.10 | $754.00 | $45.43 – $112.73 | 58 |
| Sodium 24 hour urine CPT 84300 | $45.50 | $70.00 | $4.50 – $11.17 | 58 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $42.25 | $65.00 | $2.50 – $6.18 | 8 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $42.25 | $65.00 | $1.25 – $3.84 | 8 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $42.25 | $65.00 | $0.63 – $1.98 | 8 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $42.25 | $65.00 | $8.00 – $19.00 | 6 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $155.02 | $238.50 | $10.95 – $33.90 | 8 |
| Sodium serum/plasma/whole blood CPT 84295 | $40.30 | $62.00 | $4.28 – $10.62 | 58 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $14.04 | $21.60 | $0.87 – $3.27 | 52 |
| Special physics consult CPT 77370 | $32,664.45 | $50,253.00 | $118.23 – $308.97 | 57 |
| Special radiation dosimetry CPT 77331 | $906.75 | $1,395.00 | $16.08 – $308.97 | 57 |
| Special radiation treatment CPT 77470 | $37,642.68 | $57,911.82 | $29.94 – $1,270.15 | 57 |
| Special teletx port plan CPT 77321 | $21,500.70 | $33,078.00 | $37.19 – $860.72 | 57 |
| Specific gravity body fluid CPT 84315 | $29.90 | $46.00 | $2.92 – $7.24 | 56 |
| Specimen fat stain CPT 89125 | $58.50 | $90.00 | $5.23 – $12.98 | 56 |
| Speech evaluation complex CPT 70371 | $642.85 | $989.00 | $56.90 – $542.50 | 52 |
| Sperm antibody test CPT 89325 | $146.25 | $225.00 | $10.47 – $23.55 | 52 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,102.45 | $4,773.00 | $72.10 – $3,047.00 | 58 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $598.00 | $920.00 | $33.19 – $848.43 | 56 |
| Splint func pos polyflex ii med HCPCS L3999 | $455.00 | $700.00 | not published | 0 |
| Split blood or products CPT 86985 | $100.75 | $155.00 | $18.72 – $387.36 | 58 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $429.00 | $660.00 | $97.72 – $231.99 | 54 |
| Staph a dna amp probe CPT 87640 | $74.75 | $115.00 | $34.42 – $77.45 | 54 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $533.00 | $820.00 | $90.88 – $216.93 | 54 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $8,447.40 | $12,996.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $3,445.00 | $5,300.00 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $3,270.80 | $5,032.00 | 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.