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 |
|---|---|---|---|---|
| Tobramycin peak therapeutic drug level CPT 80200 | $91.65 | $141.00 | $14.35 – $35.60 | 59 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $3,890.64 | $5,985.60 | $5.42 – $1,252.80 | 59 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $161.85 | $249.00 | $11.17 – $136.00 | 54 |
| Tomosynthesis breast screen bilateral CPT 77063 | $117.65 | $181.00 | $19.99 – $158.00 | 55 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $416.00 | $640.00 | $46.49 – $238.80 | 8 |
| Total tau CPT 84394 | $538.85 | $829.00 | $126.47 – $284.57 | 51 |
| Toxoplasma antibody igg CPT 86777 | $79.30 | $122.00 | $12.80 – $31.76 | 59 |
| Toxoplasma antibody igm CPT 86778 | $79.30 | $122.00 | $12.82 – $31.81 | 59 |
| Tpmt gene com vrnts CPT 81335 | $399.75 | $615.00 | $155.49 – $385.86 | 57 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $81.25 | $125.00 | $48.23 – $117.30 | 54 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $102.37 | $157.50 | $6.00 – $6.00 | 1 |
| Transcath biopsy CPT 37200 | $3,524.30 | $5,422.00 | not published | 0 |
| Transferrin CPT 84466 | $83.85 | $129.00 | $11.35 – $28.17 | 59 |
| Transfusion blood/blood component(s) CPT 36430 | $2,305.55 | $3,547.00 | $42.92 – $1,003.07 | 56 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,564.88 | $7,022.89 | $72.03 – $3,117.15 | 59 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $11,145.43 | $17,146.81 | $55.31 – $6,405.84 | 59 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $9,925.41 | $15,269.86 | $10.23 – $365.87 | 59 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $5,079.10 | $7,814.00 | $1,346.88 – $3,030.56 | 48 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $6,004.76 | $9,238.10 | $263.98 – $7,360.06 | 58 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $90.35 | $139.00 | $49.66 – $302.50 | 56 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $113.10 | $174.00 | $13.58 – $13.58 | 4 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $287.95 | $443.00 | $6.64 – $497.88 | 56 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $5,491.11 | $8,447.86 | $330.05 – $7,360.06 | 58 |
| Treatment radiation delivery level 2 CPT 77407 | $37,216.40 | $57,256.00 | $281.00 – $886.61 | 57 |
| Treponema pallidum antibody CPT 86780 | $94.90 | $146.00 | $11.78 – $29.22 | 58 |
| Trg gene rearrangement anal CPT 81342 | $481.65 | $741.00 | $179.23 – $444.77 | 58 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $220.01 | $338.48 | $0.90 – $2.52 | 8 |
| Trichinella antibody CPT 86784 | $95.55 | $147.00 | $11.17 – $27.72 | 56 |
| Trichomonas assay w/optic CPT 87808 | $70.85 | $109.00 | $13.60 – $33.75 | 56 |
| Triglycerides CPT 84478 | $215.15 | $331.00 | $5.11 – $12.67 | 58 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $14,737.45 | $22,673.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $5,233.80 | $8,052.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $9,365.20 | $14,408.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $8,305.70 | $12,778.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $17,467.45 | $26,873.00 | not published | 0 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $4,969.90 | $7,646.00 | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $6,217.25 | $9,565.00 | not published | 0 |
| Troponin quantitative CPT 84484 | $145.60 | $224.00 | $11.09 – $27.53 | 58 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,463.80 | $2,252.00 | $792.14 – $1,782.35 | 52 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,907.10 | $2,934.00 | $792.14 – $1,782.35 | 48 |
| Ua w/micro/comp poc CPT 81000 | $16.90 | $26.00 | $3.58 – $8.87 | 59 |
| Ugt1a1 gene analy common variants CPT 81350 | $651.95 | $1,003.00 | $229.55 – $516.51 | 53 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $501.80 | $772.00 | $67.46 – $240.32 | 57 |
| Ultrasound breast complete CPT 76641 | $910.65 | $1,401.00 | $56.90 – $240.32 | 58 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $596.05 | $917.00 | $44.13 – $200.05 | 58 |
| Ultrasound chest CPT 76604 | $930.15 | $1,431.00 | $25.25 – $240.32 | 59 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $778.70 | $1,198.00 | $17.75 – $240.32 | 57 |
| Ultrasound encephalogram CPT 76506 | $613.60 | $944.00 | $68.57 – $240.32 | 59 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $403.00 | $620.00 | $41.33 – $240.32 | 59 |
| Ultrasound guidance for vascular access CPT 76937 | $464.10 | $714.00 | $20.53 – $73.94 | 6 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,246.70 | $1,918.00 | $23.58 – $132.81 | 7 |
| Ultrasound guide intraoperative CPT 76998 | $581.10 | $894.00 | $122.88 – $286.84 | 6 |
| Ultrasound guide tissue ablation CPT 76940 | $1,005.55 | $1,547.00 | $47.21 – $237.21 | 6 |
| Ultrasound infant hips ltd without stress CPT 76886 | $404.95 | $623.00 | $58.85 – $200.05 | 58 |
| Ultrasound joint complete left CPT 76881 | $697.45 | $1,073.00 | $9.14 – $240.32 | 58 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $1,116.70 | $1,718.00 | $25.80 – $240.32 | 57 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $473.85 | $729.00 | $34.41 – $363.75 | 8 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $434.20 | $668.00 | $17.50 – $113.46 | 7 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $624.00 | $960.00 | $73.52 – $548.48 | 58 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $278.85 | $429.00 | $58.29 – $240.32 | 58 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $440.05 | $677.00 | $42.19 – $240.32 | 59 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $529.10 | $814.00 | $47.74 – $240.32 | 58 |
| Ultrasound retroperitoneal limited CPT 76775 | $711.75 | $1,095.00 | $27.19 – $240.32 | 59 |
| Ultrasound scrotum and contents CPT 76870 | $964.60 | $1,484.00 | $58.57 – $240.32 | 59 |
| Ultrasound spinal canal and contents CPT 76800 | $861.90 | $1,326.00 | $85.22 – $240.32 | 58 |
| Ultrasound transabd ea addl gest CPT 76812 | $812.50 | $1,250.00 | $89.93 – $358.84 | 7 |
| Ultrasound transvaginal non obstetric CPT 76830 | $898.95 | $1,383.00 | $72.43 – $240.32 | 59 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $12,696.07 | $19,532.41 | $599.95 – $13,745.36 | 57 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $14,986.80 | $23,056.61 | $5,195.58 – $13,745.36 | 57 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $12,312.88 | $18,942.90 | $61.52 – $13,745.36 | 57 |
| Unlisted laps px appendix CPT 44979 | $12,312.88 | $18,942.90 | $61.52 – $13,745.36 | 57 |
| Unlisted laps px ovidct ovry CPT 58679 | $8,238.28 | $12,674.27 | $620.69 – $13,745.36 | 57 |
| Unlisted laps px ureter CPT 50949 | $22,421.15 | $34,494.08 | $841.50 – $13,745.36 | 57 |
| Unlisted neurological dx px CPT 95999 | $152.10 | $234.00 | $130.02 – $292.56 | 51 |
| Unlisted procedure microbiology CPT 87999 | $72.80 | $112.00 | $16.20 – $16.20 | 1 |
| Unlisted px arthroscopy CPT 29999 | $31,179.63 | $47,968.66 | $393.21 – $16,498.03 | 57 |
| Unlisted px palate uvula CPT 42299 | $12,031.97 | $18,510.72 | $407.28 – $13,459.57 | 57 |
| Unlisted transfusion med px CPT 86999 | $178.75 | $275.00 | $29.23 – $65.76 | 54 |
| Unlisted ultrasound procedure CPT 76999 | $313.30 | $482.00 | $87.94 – $200.05 | 53 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $980.20 | $1,508.00 | $693.51 – $1,560.43 | 52 |
| Upgrade pm system CPT 33214 | $25,624.30 | $39,422.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,978.00 | $6,120.00 | $185.15 – $2,158.33 | 59 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,215.55 | $4,947.00 | $164.33 – $1,164.82 | 59 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,796.95 | $4,303.00 | $105.20 – $1,078.95 | 59 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,963.48 | $4,559.20 | $106.77 – $3,047.00 | 54 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,990.38 | $4,600.58 | $119.53 – $3,261.00 | 54 |
| Urea nitrogen CPT 84520 | $45.50 | $70.00 | $3.51 – $9.68 | 59 |
| Urea nitrogen 24 hour urine CPT 84540 | $37.70 | $58.00 | $4.95 – $12.27 | 59 |
| Ureteral reflux study CPT 78740 | $940.55 | $1,447.00 | $153.47 – $908.94 | 51 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $985.40 | $1,516.00 | $127.33 – $548.48 | 58 |
| Urethrocystography void s&i CPT 74455 | $525.20 | $808.00 | $73.84 – $548.48 | 58 |
| Uric acid blood CPT 84550 | $16.25 | $25.00 | $4.02 – $9.98 | 58 |
| Uric acid urine CPT 84560 | $76.05 | $117.00 | $4.52 – $11.21 | 59 |
| Urinalysis microscopic only CPT 81015 | $16.25 | $25.00 | $2.71 – $6.73 | 59 |
| Urinalysis (with microscopy) CPT 81001 | $11.05 | $17.00 | $2.82 – $7.93 | 58 |
| Urinalysis (without microscopy) CPT 81003 | $160.55 | $247.00 | $2.00 – $4.97 | 58 |
| Urine Culture Test CPT 87086 | $28.60 | $44.00 | $7.18 – $17.81 | 58 |
| Urine pregnancy test CPT 81025 | $137.80 | $212.00 | $7.66 – $19.00 | 58 |
| Urography, antegrade CPT 74425 | $665.60 | $1,024.00 | $99.97 – $801.97 | 58 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $10,536.54 | $16,210.06 | $11.40 – $8,556.60 | 59 |
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.