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 |
|---|---|---|---|---|
| Assay of thiocyanate CPT 84430 | $67.60 | $104.00 | $10.34 – $25.67 | 56 |
| Assay of tyrosine CPT 84510 | $85.15 | $131.00 | $9.46 – $23.46 | 59 |
| Assay of urine sulfate CPT 84392 | $45.50 | $70.00 | $4.88 – $12.12 | 59 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $642.20 | $988.00 | $85.75 – $205.99 | 54 |
| Assess cyst contrast inject CPT 49424 | $523.25 | $805.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $35.75 | $55.00 | $3.80 – $9.44 | 59 |
| Ast/sgot CPT 84450 | $33.80 | $52.00 | $4.61 – $11.43 | 59 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $24,447.63 | $37,611.74 | $92.21 – $22,347.36 | 59 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $25.04 | $38.52 | $5.50 – $15.00 | 8 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $1,010.10 | $1,554.00 | $68.95 – $68.95 | 4 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $8,661.25 | $13,325.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $16,952.00 | $26,080.00 | not published | 0 |
| Autologous blood process CPT 86890 | $347.10 | $534.00 | $106.14 – $387.36 | 54 |
| Automated diff wbc count CPT 85004 | $81.25 | $125.00 | $5.75 – $14.28 | 56 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,315.26 | $9,715.78 | $103.54 – $5,974.20 | 59 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $3,089.45 | $4,753.00 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $4.87 | $7.50 | $0.09 – $6.79 | 8 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $30.22 | $46.50 | $2.13 – $5.49 | 8 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $175.89 | $270.60 | $20.70 – $64.80 | 8 |
| Baclofen eval charges CPT 97750 | $126.10 | $194.00 | $31.24 – $70.30 | 51 |
| Bacterial meningitis antigen CPT 86403 | $68.25 | $105.00 | $10.26 – $25.47 | 59 |
| Bacterial vaginosis pcr CPT 87801 | $256.10 | $394.00 | $62.44 – $154.95 | 58 |
| #bac vag cand-c. albicans naa CPT 87481 | $89.05 | $137.00 | $31.21 – $77.45 | 58 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $1.95 | $3.00 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $4,220.56 | $6,493.17 | $156.85 – $7,360.06 | 58 |
| Bausch health Ultrasound surg HCPCS V2788 | $1,072.50 | $1,650.00 | not published | 0 |
| B cells total count CPT 86355 | $117.65 | $181.00 | $33.56 – $83.28 | 59 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $2,843.40 | $4,374.46 | $3.82 – $2,752.50 | 59 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $6,444.93 | $9,915.27 | $56.10 – $1,942.20 | 59 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $1,030.25 | $1,585.00 | $2.12 – $342.33 | 59 |
| #_benzodiazconfur CPT 80346 | $78.65 | $121.00 | $32.17 – $32.17 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $114.56 | $176.25 | $16.89 – $38.25 | 7 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $134.55 | $207.00 | $22.64 – $57.97 | 59 |
| Beta-2 microglobulin CPT 82232 | $75.40 | $116.00 | $14.39 – $37.56 | 59 |
| Beta-amyloid 1-40 CPT 82233 | $365.95 | $563.00 | $126.47 – $284.57 | 52 |
| Beta-amyloid 1-42 CPT 82234 | $390.65 | $601.00 | $126.47 – $284.57 | 52 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $16.10 | $24.77 | $7.51 – $19.74 | 8 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $9,330.70 | $14,354.92 | $72.94 – $2,104.50 | 59 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $8,169.88 | $12,569.04 | $23.28 – $543.60 | 59 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $7,183.28 | $11,051.20 | $25.36 – $607.20 | 59 |
| B-hexosaminidase ea assay CPT 83080 | $180.70 | $278.00 | $15.01 – $37.24 | 56 |
| Bilateral n block inj occipital 64405 CPT 64405 | $2,193.48 | $3,374.58 | $65.70 – $3,047.00 | 58 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,145.95 | $1,763.00 | $44.86 – $3,047.00 | 58 |
| Bilicheck CPT 88720 | $39.00 | $60.00 | $4.47 – $11.08 | 59 |
| Bilirubin direct CPT 82248 | $18.20 | $28.00 | $4.47 – $11.08 | 58 |
| Bilirubin total CPT 82247 | $18.20 | $28.00 | $4.47 – $11.08 | 58 |
| Biofeedback, pt CPT 90901 | $167.05 | $257.00 | $15.81 – $35.58 | 49 |
| Biopsy abdominal mass CPT 49180 | $3,532.33 | $5,434.35 | $69.98 – $3,755.14 | 58 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,151.80 | $1,772.00 | not published | 0 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $5,770.10 | $8,877.07 | $65.54 – $3,047.00 | 54 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $5,287.28 | $8,134.27 | $61.25 – $6,604.28 | 58 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,283.75 | $1,975.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $4,585.75 | $7,055.00 | $74.58 – $3,755.14 | 59 |
| Biopsy needle lymph node superficial CPT 38505 | $9,917.50 | $15,257.70 | $72.84 – $6,604.28 | 59 |
| Biopsy of heart lining CPT 93505 | $5,769.40 | $8,876.00 | $389.95 – $7,178.98 | 56 |
| Biopsy of prostate CPT 55700 | $8,508.44 | $13,089.91 | $52.66 – $3,261.00 | 51 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $5,651.21 | $8,694.17 | $285.50 – $6,310.86 | 58 |
| Biopsy/removal lymph nodes CPT 38525 | $20,693.71 | $31,836.48 | $407.07 – $15,097.36 | 58 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $8,910.04 | $13,707.75 | $107.49 – $3,755.14 | 59 |
| Biopsy skin incisional single lesion CPT 11106 | $3,935.75 | $6,055.00 | not published | 0 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $3,557.45 | $5,473.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $96.85 | $149.00 | $15.01 – $37.24 | 58 |
| Bivalirudin HCPCS J0583 | $108.60 | $167.08 | $37.50 – $90.00 | 8 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $557.70 | $858.00 | $25.51 – $568.07 | 56 |
| Bld prd mix CPT 86965 | $115.70 | $178.00 | $9.37 – $387.36 | 53 |
| Bld push tfuj 2 yr/< CPT 36440 | $526.50 | $810.00 | $445.80 – $1,003.07 | 47 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $4,485.00 | $6,900.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $493.35 | $759.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $826.15 | $1,271.00 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,211.00 | $4,940.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $8,854.30 | $13,622.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $3,848.65 | $5,921.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $6,448.00 | $9,920.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $120.90 | $186.00 | $3.82 – $9.47 | 58 |
| Blood Clotting (PTT) Test CPT 85730 | $162.50 | $250.00 | $5.35 – $13.27 | 58 |
| Blood Count (CBC) Test CPT 85025 | $17.55 | $27.00 | $6.91 – $18.27 | 58 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $72.15 | $111.00 | $5.75 – $16.43 | 58 |
| Blood count spun microhematocrit CPT 85013 | $20.80 | $32.00 | $3.87 – $15.45 | 56 |
| Blood Culture Test CPT 87040 | $175.50 | $270.00 | $9.18 – $22.78 | 58 |
| Blood draw capillary 36416 CPT 36416 | $10,072.56 | $15,496.25 | $2.67 – $12,190.80 | 61 |
| Blood gases o2 saturation direct measurement CPT 82805 | $102.70 | $158.00 | $46.34 – $173.87 | 59 |
| Blood gases ph venous CPT 82800 | $172.25 | $265.00 | $9.78 – $24.28 | 59 |
| Blood, l/r, irradiated HCPCS P9056 | $817.05 | $1,257.00 | $88.83 – $199.88 | 52 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $61.10 | $94.00 | $14.16 – $35.14 | 59 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $22.75 | $35.00 | $3.76 – $9.34 | 59 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $22.75 | $35.00 | $3.90 – $9.67 | 59 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $38.35 | $59.00 | $4.73 – $11.74 | 56 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $39.00 | $60.00 | $3.38 – $8.39 | 59 |
| Blood split unit HCPCS P9011 | $676.00 | $1,040.00 | $68.23 – $368.41 | 56 |
| Blood typing abo CPT 86900 | $104.65 | $161.00 | $2.66 – $302.50 | 61 |
| Blood typing ag donor ea ag CPT 86902 | $13.65 | $21.00 | $5.65 – $814.98 | 61 |
| Blood typing patient serum CPT 86904 | $20.80 | $32.00 | $14.53 – $134.13 | 61 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $63.05 | $97.00 | $3.41 – $814.98 | 61 |
| Blood typing rh (d) CPT 86901 | $169.65 | $261.00 | $2.66 – $84.92 | 61 |
| Blood typing rh phenotype complete reference CPT 86906 | $149.50 | $230.00 | $6.89 – $84.92 | 61 |
| Bone Density Scan (DEXA) CPT 77080 | $581.75 | $895.00 | $94.70 – $240.32 | 58 |
| Bone/joint imaging ltd area CPT 78300 | $1,684.80 | $2,592.00 | $148.22 – $918.97 | 57 |
| Bone marrow;aspiration only 38220 CPT 38220 | $2,384.20 | $3,668.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,939.60 | $2,984.00 | not published | 0 |
| Bone marrow imaging ltd CPT 78102 | $4,070.30 | $6,262.00 | $113.20 – $918.97 | 57 |
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.