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 |
|---|---|---|---|---|
| Bone marrow interpretation CPT 85097 | $113.10 | $174.00 | $38.60 – $1,831.83 | 61 |
| Boot j walker l HCPCS L4386 | $301.60 | $464.00 | $342.79 – $342.79 | 1 |
| Boot mlti podous univ xlg HCPCS L4396 | $448.50 | $690.00 | $362.95 – $362.95 | 1 |
| Boot softgait shrt m HCPCS L4387 | $67.60 | $104.00 | $342.79 – $342.79 | 1 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $325.00 | $500.00 | $556.82 – $556.82 | 1 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $80.60 | $124.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $219.70 | $338.00 | $15.15 – $37.59 | 58 |
| Borrelia miyamotoi amp prb CPT 87478 | $378.30 | $582.00 | $34.42 – $77.45 | 54 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $4,695.27 | $7,223.50 | $77.70 – $223.65 | 8 |
| Bowel imaging CPT 78290 | $1,679.60 | $2,584.00 | $224.24 – $918.97 | 57 |
| Brace afo lg left 6607 HCPCS L1930 | $137.15 | $211.00 | $634.29 – $634.29 | 1 |
| Brace back epic tslo 456 HCPCS L0457 | $280.80 | $432.00 | $981.61 – $2,208.67 | 50 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,243.45 | $1,913.00 | $888.79 – $888.79 | 1 |
| Brace back t-lso custom HCPCS L0486 | $1,584.70 | $2,438.00 | $3,856.32 – $3,856.32 | 1 |
| Brace knee extender plus 22-30in HCPCS L1832 | $733.85 | $1,129.00 | $1,222.60 – $1,222.60 | 1 |
| Brace knee postop tscope xl HCPCS L1845 | $858.65 | $1,321.00 | $1,883.56 – $1,883.56 | 1 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $1,365.65 | $2,101.00 | $2,626.79 – $2,626.79 | 1 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $120.25 | $185.00 | $492.05 – $492.05 | 1 |
| Brace tlso flex cust HCPCS L0450 | $346.45 | $533.00 | $169.13 – $380.56 | 48 |
| Brace wrist classic lft sm HCPCS L3908 | $50.05 | $77.00 | $117.90 – $117.90 | 1 |
| Brach/thor cath 1st CPT 36215 | $1,508.00 | $2,320.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $1,633.45 | $2,513.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $2,278.90 | $3,506.00 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $81.25 | $125.00 | $37.05 – $83.36 | 48 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $195.00 | $300.00 | $357.49 – $845.11 | 51 |
| Braf gene CPT 81210 | $469.95 | $723.00 | $156.02 – $387.16 | 57 |
| Brain flow imaging only CPT 78610 | $1,860.95 | $2,863.00 | $123.48 – $1,234.52 | 51 |
| Brain image w/flow < 4 views CPT 78601 | $1,777.10 | $2,734.00 | $147.36 – $908.94 | 51 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,029.00 | $4,660.00 | $224.84 – $1,902.52 | 59 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,578.55 | $3,967.00 | $147.94 – $962.22 | 59 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,074.15 | $3,191.00 | $137.94 – $962.22 | 59 |
| Brain MRI (with and without contrast) CPT 70553 | $3,652.35 | $5,619.00 | $183.49 – $2,158.33 | 59 |
| Brain MRI (with contrast) CPT 70552 | $2,536.95 | $3,903.00 | $162.10 – $1,164.82 | 59 |
| Brain MRI (without contrast) CPT 70551 | $2,285.40 | $3,516.00 | $110.20 – $972.36 | 59 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $5,161.00 | $7,940.00 | not published | 0 |
| Breast punct aspir cyst, bil CPT 19000 | $334.75 | $515.00 | not published | 0 |
| Bronchial challenge CPT 94070 | $919.75 | $1,415.00 | $37.19 – $848.43 | 56 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $13,051.50 | $20,079.23 | $155.22 – $8,476.92 | 58 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $10,549.40 | $16,229.85 | $137.41 – $8,476.92 | 58 |
| Bronch thermoplsty 1 lobe CPT 31660 | $12,964.78 | $19,945.81 | $118.05 – $4,046.85 | 58 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $7,166.90 | $11,026.00 | $175.75 – $16,046.13 | 54 |
| Br punct aspir ea add, l CPT 19001 | $166.40 | $256.00 | not published | 0 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $7.15 | $11.00 | $0.58 – $1.35 | 8 |
| Bundled special stain group 1 microorganisms CPT 88312 | $4,860.10 | $7,477.08 | $52.66 – $118.48 | 61 |
| Bundled special stain group 2 CPT 88313 | $7,291.55 | $11,217.77 | $43.21 – $302.50 | 61 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $17.31 | $26.63 | $0.12 – $0.36 | 8 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $3.25 | $5.00 | $1.33 – $10.58 | 5 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $3.25 | $5.00 | $3.99 – $17.34 | 5 |
| Buprenorphine and metabolite - sendout CPT 80348 | $191.75 | $295.00 | not published | 0 |
| Buprenorphine oral 1mg HCPCS J0571 | $3.25 | $5.00 | $0.80 – $2.03 | 6 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,803.50 | $7,390.00 | not published | 0 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $103.26 | $158.86 | $4.17 – $17.40 | 7 |
| Bx bone trocar/ndl deep CPT 20225 | $1,487.20 | $2,288.00 | not published | 0 |
| Bx breast 1st lesion strtctc CPT 19081 | $4,585.10 | $7,054.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $1,888.90 | $2,906.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,969.50 | $3,030.00 | not published | 0 |
| Bx breast pq tomo guide CPT 19499 | $989.30 | $1,522.00 | not published | 0 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $10,948.33 | $16,843.59 | $361.92 – $8,902.29 | 58 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $11,349.62 | $17,460.95 | $232.64 – $8,902.29 | 58 |
| Bx pancreas pq ndl CPT 48102 | $2,935.40 | $4,516.00 | not published | 0 |
| Bx perianal mass CPT 46999 | $8,017.35 | $12,334.38 | $673.38 – $2,114.39 | 53 |
| Bx pleura pq ndl CPT 32400 | $1,843.40 | $2,836.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $773.50 | $1,190.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $116.35 | $179.00 | not published | 0 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,133.60 | $1,744.00 | not published | 0 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,687.40 | $2,596.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $552.50 | $850.00 | not published | 0 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $7,102.39 | $10,926.75 | $50.12 – $3,047.00 | 54 |
| C1 esterase inhibitor func - sendout CPT 86161 | $218.40 | $336.00 | $10.67 – $26.49 | 59 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $33,168.51 | $51,028.48 | $226.66 – $39,234.60 | 59 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $12,672.91 | $19,496.78 | $23.72 – $13,686.00 | 59 |
| Cad breast MRI w/r&i HCPCS C8937 | $154.05 | $237.00 | not published | 0 |
| Cadd pump refill CPT 96521 | $319.80 | $492.00 | $187.62 – $483.61 | 51 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $58.50 | $90.00 | $15.24 – $30.57 | 6 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,132.00 | $3,280.00 | $1,044.63 – $1,593.56 | 5 |
| Calcium 24 hour urine CPT 82340 | $44.85 | $69.00 | $5.36 – $13.31 | 59 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $98.57 | $151.65 | $7.50 – $7.50 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $36.56 | $56.25 | $2.00 – $4.50 | 8 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $61.91 | $95.25 | $9.00 – $21.00 | 8 |
| Calcium ionized CPT 82330 | $107.90 | $166.00 | $12.17 – $31.96 | 59 |
| Calcium total CPT 82310 | $55.90 | $86.00 | $4.59 – $11.39 | 58 |
| Calculi urinary-sendout CPT 82360 | $102.05 | $157.00 | $11.45 – $28.41 | 59 |
| Calculus analysis qual CPT 82355 | $81.90 | $126.00 | $10.30 – $26.29 | 59 |
| Calprotectin fecal CPT 83993 | $222.30 | $342.00 | $17.46 – $43.33 | 59 |
| Campylobacter antibody CPT 86625 | $91.00 | $140.00 | $11.67 – $28.96 | 56 |
| Candida dna CPT 87480 | $79.95 | $123.00 | $17.83 – $44.26 | 59 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $8,320.00 | $12,800.00 | not published | 0 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $35.75 | $55.00 | $0.03 – $0.90 | 54 |
| Cap nerve 2x15mm HCPCS C1763 | $1,469.00 | $2,260.00 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | $4,644.17 | $7,144.87 | $3.36 – $5,426.40 | 59 |
| Cap trach decann 15mm HCPCS C1750 | $644.15 | $991.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $52.00 | $80.00 | $12.96 – $32.16 | 58 |
| Carbohydrate deficient transf - sendout CPT 82373 | $118.30 | $182.00 | $16.06 – $39.86 | 59 |
| Carbon dioxide CPT 82374 | $42.25 | $65.00 | $4.34 – $10.77 | 59 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $196.57 | $302.41 | $3.63 – $8.31 | 8 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $1,555.08 | $2,392.43 | $15.26 – $57.87 | 52 |
| Carboxyhemoglobin quantitative CPT 82375 | $78.65 | $121.00 | $10.96 – $29.12 | 59 |
| Carcinoembryonic ag (cea) CPT 82378 | $191.75 | $295.00 | $16.86 – $41.85 | 58 |
| Cardiac drug stress test CPT 93024 | $807.95 | $1,243.00 | $96.83 – $1,015.69 | 51 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $3,073.85 | $4,729.00 | $184.55 – $2,943.57 | 51 |
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.