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 |
|---|---|---|---|---|
| Warde pancreatic elastase fecal quantitative CPT 82653 | $124.80 | $192.00 | $20.43 – $50.70 | 58 |
| Warde protein c antigen CPT 85302 | $122.85 | $189.00 | $10.68 – $26.51 | 56 |
| Warde sex hormone binding globulin CPT 84270 | $87.75 | $135.00 | $19.33 – $47.96 | 59 |
| Warde somatomedin CPT 84305 | $139.75 | $215.00 | $18.91 – $46.93 | 59 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $40.30 | $62.00 | $4.89 – $12.14 | 59 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $113.10 | $174.00 | $14.02 – $36.93 | 59 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $291.20 | $448.00 | $45.24 – $112.26 | 59 |
| Warde topiramate therapeutic drug level CPT 80201 | $131.30 | $202.00 | $10.60 – $27.34 | 59 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $197.60 | $304.00 | $23.19 – $57.54 | 59 |
| Warde viscosity CPT 85810 | $98.80 | $152.00 | $10.38 – $25.76 | 59 |
| Warde vitamin a CPT 84590 | $87.75 | $135.00 | $10.33 – $26.38 | 59 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $76.05 | $117.00 | $18.88 – $46.86 | 58 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $155.35 | $239.00 | $24.99 – $62.03 | 59 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $67.60 | $104.00 | $8.80 – $22.54 | 59 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $174.20 | $268.00 | $34.25 – $84.98 | 59 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $50.70 | $78.00 | $12.61 – $31.30 | 59 |
| Warde zinc CPT 84630 | $70.85 | $109.00 | $10.13 – $25.14 | 59 |
| Wbc automated CPT 85048 | $27.95 | $43.00 | $2.26 – $5.61 | 56 |
| Western blot test CPT 84181 | $116.35 | $179.00 | $15.15 – $37.59 | 56 |
| Whole blood for transfusion HCPCS P9010 | $1,247.35 | $1,919.00 | $92.98 – $92.98 | 4 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $1,269.45 | $1,953.00 | $221.07 – $626.91 | 56 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $574.60 | $884.00 | $138.18 – $358.34 | 56 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $224.25 | $345.00 | $18.19 – $924.27 | 52 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $284.70 | $438.00 | $21.02 – $924.27 | 52 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $305.50 | $470.00 | $202.74 – $456.17 | 52 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $227.50 | $350.00 | $410.78 – $924.27 | 52 |
| Wrist X-ray CPT 73110 | $588.90 | $906.00 | $27.47 – $200.05 | 59 |
| Xm archive tissue molec anal CPT 88363 | $7,367.33 | $11,334.35 | $15.17 – $1,142.00 | 62 |
| X-ray abdomen 1 view CPT 74018 | $317.20 | $488.00 | $18.03 – $200.05 | 57 |
| X-ray abdomen 2 views CPT 74019 | $347.10 | $534.00 | $21.64 – $240.32 | 57 |
| X-ray abdomen >=3 views CPT 74021 | $453.70 | $698.00 | $25.25 – $240.32 | 57 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $391.30 | $602.00 | $29.13 – $240.32 | 59 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $200.85 | $309.00 | $16.64 – $200.05 | 59 |
| X-ray ankle 2 views (both sides) CPT 73600 | $244.40 | $376.00 | $20.53 – $200.05 | 59 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,238.25 | $1,905.00 | $87.73 – $801.97 | 58 |
| X-ray bone age studies CPT 77072 | $359.45 | $553.00 | $62.00 – $240.32 | 58 |
| X-ray bone length studies CPT 77073 | $249.60 | $384.00 | $30.27 – $240.32 | 58 |
| X-ray bone survey complete CPT 77075 | $614.25 | $945.00 | $94.70 – $240.32 | 57 |
| X-ray bone survey infant CPT 77076 | $318.50 | $490.00 | $65.68 – $240.32 | 57 |
| X-ray cervical spine 2-3 views CPT 72040 | $427.70 | $658.00 | $24.14 – $200.05 | 59 |
| X-ray cervical spine 4-5 views CPT 72050 | $440.05 | $677.00 | $34.13 – $240.32 | 59 |
| X-ray cervical spine >= 6 views CPT 72052 | $468.65 | $721.00 | $40.24 – $240.32 | 59 |
| X-ray clavicle complete (both sides) CPT 73000 | $540.80 | $832.00 | $20.53 – $200.05 | 59 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $451.75 | $695.00 | $87.45 – $403.20 | 59 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $564.85 | $869.00 | $133.80 – $403.20 | 59 |
| X-ray elbow 2 views (both sides) CPT 73070 | $497.25 | $765.00 | $17.75 – $200.05 | 59 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $539.50 | $830.00 | $20.53 – $200.05 | 59 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $536.90 | $826.00 | $57.74 – $403.20 | 59 |
| X-ray exam of arm infant CPT 73092 | $291.85 | $449.00 | $19.97 – $240.32 | 59 |
| X-ray exam of eye sockets CPT 70200 | $201.50 | $310.00 | $28.86 – $240.32 | 59 |
| X-ray exam of femur 1 CPT 73551 | $245.05 | $377.00 | $17.75 – $200.05 | 57 |
| X-ray exam of jaw joint CPT 70328 | $154.70 | $238.00 | $21.64 – $200.05 | 59 |
| X-ray exam of jaw joint CPT 70332 | $1,652.30 | $2,542.00 | $47.74 – $548.48 | 58 |
| X-ray exam of penis CPT 74445 | $533.65 | $821.00 | $94.70 – $237.70 | 53 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $142.35 | $219.00 | $20.25 – $200.05 | 59 |
| X-ray facial bones complete > 3 views CPT 70150 | $224.90 | $346.00 | $29.13 – $240.32 | 59 |
| X-ray femur >=2 views (both sides) CPT 73552 | $411.45 | $633.00 | $22.47 – $200.05 | 57 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $460.20 | $708.00 | $26.36 – $200.05 | 59 |
| X-ray foot 2 views (both sides) CPT 73620 | $307.45 | $473.00 | $17.75 – $200.05 | 59 |
| X-ray forearm 2 views (both sides) CPT 73090 | $544.70 | $838.00 | $18.03 – $200.05 | 59 |
| X-ray hand 2 views (both sides) CPT 73120 | $371.80 | $572.00 | $19.69 – $240.32 | 59 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $243.10 | $374.00 | $17.47 – $200.05 | 59 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $487.50 | $750.00 | $39.13 – $240.32 | 57 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $399.75 | $615.00 | $25.52 – $240.32 | 57 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $457.60 | $704.00 | $33.30 – $240.32 | 57 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $495.30 | $762.00 | $39.13 – $240.32 | 57 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $140.40 | $216.00 | $19.97 – $200.05 | 57 |
| X-ray humerus >= 2 views left CPT 73060 | $438.75 | $675.00 | $20.25 – $200.05 | 59 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $574.60 | $884.00 | $21.91 – $200.05 | 59 |
| X-ray knee 3 views (both sides) CPT 73562 | $600.60 | $924.00 | $26.63 – $200.05 | 59 |
| X-ray knee ap standing bilateral CPT 73565 | $234.00 | $360.00 | $26.63 – $200.05 | 59 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $323.05 | $497.00 | $19.97 – $200.05 | 59 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $512.20 | $788.00 | $24.97 – $240.32 | 59 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $600.60 | $924.00 | $33.02 – $240.32 | 59 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $661.70 | $1,018.00 | $39.13 – $240.32 | 59 |
| X-ray mandible complete > 4 views CPT 70110 | $229.45 | $353.00 | $26.63 – $240.32 | 59 |
| X-ray nasal bones complete > 3 views CPT 70160 | $248.95 | $383.00 | $24.69 – $200.05 | 59 |
| X-ray neck soft tissue CPT 70360 | $294.45 | $453.00 | $18.86 – $200.05 | 59 |
| X-ray nose to rectum for foreign body child CPT 76010 | $314.60 | $484.00 | $17.47 – $200.05 | 59 |
| X-ray of mammary ducts CPT 77054 | $1,032.20 | $1,588.00 | $215.26 – $542.50 | 51 |
| X-ray pelvis 1-2 views CPT 72170 | $154.70 | $238.00 | $16.36 – $240.32 | 59 |
| X-ray pelvis complete > 3 views CPT 72190 | $300.95 | $463.00 | $25.25 – $240.32 | 59 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,593.80 | $2,452.00 | $51.18 – $801.97 | 58 |
| X-ray ribs 2 views left CPT 71100 | $224.25 | $345.00 | $21.91 – $200.05 | 59 |
| X-ray ribs 3 views bilateral CPT 71110 | $534.95 | $823.00 | $25.25 – $240.32 | 59 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $476.45 | $733.00 | $24.69 – $240.32 | 59 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $351.65 | $541.00 | $31.08 – $240.32 | 59 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $300.95 | $463.00 | $23.86 – $240.32 | 59 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $393.25 | $605.00 | $20.25 – $200.05 | 59 |
| X-ray scapula complete (both sides) CPT 73010 | $473.85 | $729.00 | $12.75 – $240.32 | 59 |
| X-ray sella turcica CPT 70240 | $205.40 | $316.00 | $19.97 – $197.86 | 52 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $271.70 | $418.00 | $11.92 – $200.05 | 59 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $211.25 | $325.00 | $22.75 – $200.05 | 59 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $895.70 | $1,378.00 | $29.41 – $1,256.06 | 59 |
| X-ray skull < 4 views CPT 70250 | $325.00 | $500.00 | $22.75 – $240.32 | 59 |
| X-ray skull > 4 views complete CPT 70260 | $552.50 | $850.00 | $26.08 – $240.32 | 59 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $811.20 | $1,248.00 | $51.63 – $240.32 | 58 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $687.70 | $1,058.00 | $69.96 – $403.20 | 59 |
| X-ray small intestine follow-through study CPT 74248 | $692.90 | $1,066.00 | $41.35 – $170.20 | 5 |
| X-ray spine single view CPT 72020 | $245.70 | $378.00 | $13.86 – $200.05 | 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.