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 |
|---|---|---|---|---|
| St evaluate speech sound production CPT 92522 | $465.40 | $716.00 | $99.10 – $236.53 | 53 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $459.55 | $707.00 | $202.75 – $478.96 | 53 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $477.75 | $735.00 | $81.03 – $191.24 | 53 |
| St evaluation swallow function CPT 92610 | $403.00 | $620.00 | $55.42 – $136.63 | 53 |
| Strep a ag ia CPT 87430 | $91.00 | $140.00 | $14.95 – $37.10 | 59 |
| Strep b dna amp probe CPT 87653 | $79.30 | $122.00 | $34.42 – $77.45 | 54 |
| Stress test pulmonary CPT 94618 | $168.35 | $259.00 | $29.88 – $302.50 | 56 |
| Stress tte complete CPT 93351 | $1,585.35 | $2,439.00 | $138.03 – $1,242.35 | 56 |
| Str markers specimen anal CPT 81265 | $1,086.15 | $1,671.00 | $207.31 – $514.46 | 57 |
| St treatment speech individual CPT 92507 | $324.35 | $499.00 | $67.94 – $161.09 | 53 |
| St treatment swallow dysfunction/oral CPT 92526 | $338.00 | $520.00 | $75.02 – $177.27 | 53 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.15 | $11.00 | $0.63 – $1.21 | 6 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $177.84 | $273.60 | $4.80 – $8.64 | 3 |
| Sulfonylurea screen qn-sendout CPT 80377 | $92.95 | $143.00 | $32.17 – $32.17 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $53.62 | $82.50 | $6.42 – $93.50 | 6 |
| Surg dx exam anorectal CPT 45990 | $4,788.76 | $7,367.32 | $95.33 – $6,310.86 | 58 |
| Surgical pathology level 1 gross examination only CPT 88300 | $4,312.09 | $6,633.99 | $10.87 – $65.76 | 61 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $16,299.04 | $25,075.44 | $23.29 – $84.92 | 61 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $9,826.17 | $15,117.18 | $27.84 – $118.48 | 61 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $3,350.46 | $5,154.55 | $31.79 – $118.48 | 61 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $15,457.58 | $23,780.89 | $182.59 – $814.98 | 61 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $20,587.81 | $31,673.56 | $252.85 – $1,831.83 | 61 |
| Susceptibility agar dilution per agent CPT 87181 | $40.30 | $62.00 | $2.41 – $13.30 | 58 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $35.75 | $55.00 | $2.41 – $11.10 | 58 |
| Susceptibility mic per plate CPT 87186 | $91.00 | $140.00 | $7.69 – $19.09 | 58 |
| Svc venogram s&i CPT 75827 | $2,166.45 | $3,333.00 | $54.96 – $3,579.06 | 58 |
| Sweat collection by iontophoresis CPT 89230 | $108.55 | $167.00 | $2.37 – $118.48 | 55 |
| Synvisc or synvisc-one HCPCS J7325 | $3,650.04 | $5,615.45 | $6.83 – $315.36 | 59 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $54.60 | $84.00 | $3.91 – $10.94 | 59 |
| System pacing micra av HCPCS C1786 | $14,625.00 | $22,500.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $15,886.00 | $24,440.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $60.45 | $93.00 | $15.07 – $37.82 | 58 |
| T3 (triiodothyronine) total CPT 84480 | $74.75 | $115.00 | $12.61 – $31.30 | 58 |
| T4 (thyroxine) free CPT 84439 | $48.10 | $74.00 | $8.02 – $19.91 | 58 |
| T4 (thyroxine) total CPT 84436 | $53.30 | $82.00 | $6.11 – $15.16 | 59 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $107.75 | $165.77 | $0.18 – $0.66 | 8 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,280.56 | $1,970.10 | $254.67 – $735.72 | 55 |
| Tacrolimus therapeutic drug level CPT 80197 | $163.80 | $252.00 | $12.21 – $30.31 | 59 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $4,171.70 | $6,418.00 | $13.90 – $4,008.00 | 59 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $35.75 | $55.00 | $0.30 – $0.43 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,644.85 | $4,069.00 | $675.59 – $1,676.51 | 57 |
| Target gsa panel organ neop CPT 81445 | $2,379.00 | $3,660.00 | $531.83 – $1,319.77 | 55 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $45,197.75 | $69,535.00 | $1,537.93 – $44,369.40 | 58 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,065.71 | $1,639.56 | $0.24 – $207.00 | 59 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $170.30 | $262.00 | $88.95 – $220.73 | 59 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $166.40 | $256.00 | $55.13 – $136.81 | 58 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,815.80 | $4,332.00 | $916.38 – $2,061.91 | 56 |
| Tc-99m labeled rbc HCPCS A9560 | $257.40 | $396.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $135.85 | $209.00 | $31.50 – $31.50 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $444.60 | $684.00 | $59.33 – $59.33 | 1 |
| Tc-99m medronate HCPCS A9503 | $392.60 | $604.00 | $13.65 – $37.83 | 5 |
| Tc-99m mertiatide HCPCS A9562 | $1,360.45 | $2,093.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $117.00 | $180.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $16.90 | $26.00 | $1.81 – $1.81 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $207.35 | $319.00 | $67.25 – $67.25 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $341.90 | $526.00 | $113.95 – $119.65 | 5 |
| Tc-99m sulfur colloid HCPCS A9541 | $709.80 | $1,092.00 | $77.24 – $280.74 | 5 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $1,118.65 | $1,721.00 | $89.53 – $112.08 | 5 |
| Tc-99m tilmanocept diag HCPCS A9520 | $572.65 | $881.00 | $694.65 – $694.65 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $179.40 | $276.00 | $41.79 – $103.70 | 59 |
| T cells absolute cd 4 count CPT 86361 | $171.60 | $264.00 | $23.82 – $59.11 | 56 |
| T cells total count CPT 86359 | $91.00 | $140.00 | $33.56 – $83.28 | 59 |
| Telehealth original site facility fee HCPCS Q3014 | $24.05 | $37.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $39,087.10 | $60,134.00 | $113.48 – $860.72 | 57 |
| Telethx isodose plan simple CPT 77306 | $1,119.30 | $1,722.00 | $62.71 – $860.72 | 57 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $3,779.43 | $5,814.51 | $29.51 – $2,128.50 | 59 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $22,775.57 | $35,039.34 | $193.69 – $27,940.50 | 59 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $19.50 | $30.00 | $2.14 – $11.61 | 8 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $71.50 | $110.00 | $59.61 – $134.13 | 50 |
| Test stress cardiovascular tracing only CPT 93017 | $1,170.00 | $1,800.00 | $31.33 – $490.93 | 56 |
| Tetanus immune globulin inj HCPCS J1670 | $3,196.34 | $4,917.45 | $547.51 – $1,579.59 | 59 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $13,424.68 | $20,653.35 | $17.25 – $10,451.70 | 59 |
| Theophylline therapeutic drug level CPT 80198 | $76.05 | $117.00 | $12.58 – $31.21 | 59 |
| Therapeutic procd strg endur HCPCS G0237 | $118.30 | $182.00 | $11.47 – $65.76 | 52 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $83.20 | $128.00 | $25.06 – $58.94 | 53 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $78.00 | $120.00 | $20.95 – $50.85 | 54 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $7.56 | $11.63 | $1.76 – $4.41 | 8 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,719.30 | $5,722.00 | $92.31 – $3,047.00 | 59 |
| Thrombectmy crnry perq mechanical CPT 92973 | $3,903.25 | $6,005.00 | $152.36 – $152.36 | 4 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $8,395.40 | $12,916.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $14,759.55 | $22,707.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $21,513.05 | $33,097.00 | not published | 0 |
| Thrombin time CPT 85670 | $48.10 | $74.00 | $4.41 – $12.91 | 59 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $76.05 | $117.00 | $5.75 – $14.62 | 59 |
| Thyroglobulin antibody CPT 86800 | $29.25 | $45.00 | $14.15 – $35.12 | 58 |
| Thyroid imaging CPT 78013 | $429.65 | $661.00 | $128.48 – $918.97 | 57 |
| Thyroid mets imag whole body CPT 78018 | $7,498.12 | $11,535.57 | $204.82 – $1,248.14 | 57 |
| Thyroid (TSH) Test CPT 84443 | $59.80 | $92.00 | $14.94 – $37.08 | 58 |
| Thyroid Ultrasound CPT 76536 | $559.65 | $861.00 | $69.96 – $240.32 | 59 |
| Thyroxine binding globulin (tbg) CPT 84442 | $96.85 | $149.00 | $13.15 – $32.62 | 59 |
| Tilt table study CPT 93660 | $1,200.55 | $1,847.00 | $71.10 – $848.43 | 56 |
| Tissue culture placenta CPT 88235 | $596.70 | $918.00 | $133.69 – $331.76 | 59 |
| Tissue culture skin/biopsy CPT 88233 | $606.45 | $933.00 | $125.18 – $310.63 | 57 |
| Tissue exam koh skin/hair/nails CPT 87220 | $56.55 | $87.00 | $3.80 – $10.37 | 59 |
| Tissue transglutaminase iga CPT 86364 | $40.95 | $63.00 | $10.26 – $25.45 | 58 |
| Tl-201 thallium diag per mci HCPCS A9505 | $217.10 | $334.00 | $27.56 – $34.29 | 5 |
| Tlh uterus 250 g or less CPT 58570 | $15,462.32 | $23,788.18 | $697.31 – $24,168.43 | 57 |
| Tlh w/t/o 250 g or less CPT 58571 | $17,583.00 | $27,050.77 | $793.31 – $24,168.43 | 57 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $21,804.07 | $33,544.72 | $1,060.62 – $24,168.43 | 57 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $375.37 | $577.50 | $1.97 – $5.70 | 8 |
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.