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 |
|---|---|---|---|---|
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $223.60 | $344.00 | $25.80 – $200.05 | 59 |
| X-ray sternum > 2 views CPT 71120 | $245.70 | $378.00 | $20.25 – $200.05 | 59 |
| X-ray surgical specimen CPT 76098 | $697.45 | $1,073.00 | $23.02 – $1,256.06 | 58 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $300.30 | $462.00 | $83.01 – $403.20 | 59 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $254.80 | $392.00 | $34.69 – $200.05 | 59 |
| X-ray thoracic spine 2 views CPT 72070 | $365.30 | $562.00 | $19.41 – $240.32 | 59 |
| X-ray thoracic spine 3 views CPT 72072 | $403.00 | $620.00 | $24.14 – $240.32 | 59 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $552.50 | $850.00 | $20.53 – $200.05 | 59 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $278.20 | $428.00 | $25.25 – $200.05 | 57 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $392.60 | $604.00 | $46.07 – $240.32 | 57 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $419.25 | $645.00 | $19.97 – $200.05 | 59 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $295.75 | $455.00 | $19.14 – $200.05 | 59 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $479.05 | $737.00 | $80.79 – $403.20 | 59 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $874.25 | $1,345.00 | $70.79 – $403.20 | 59 |
| X-ray wrist 2 views (both sides) CPT 73100 | $487.50 | $750.00 | $21.64 – $200.05 | 59 |
| Zidovudine, oral, 100 mg HCPCS S0104 | $4.87 | $7.50 | $6.75 – $6.75 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $420.55 | $647.00 | $45.64 – $113.26 | 55 |
| Zika virus igm antibody CPT 86794 | $240.50 | $370.00 | $14.99 – $37.19 | 57 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $229.12 | $352.50 | $14.38 – $33.24 | 7 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $9,366.50 | $14,410.00 | $8.44 – $2,436.00 | 59 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $295.81 | $455.10 | $22.40 – $349.56 | 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.