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 |
|---|---|---|---|---|
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $34.12 | $52.50 | $0.83 – $3.30 | 8 |
| Circum 28 days or older CPT 54161 | $6,703.07 | $10,312.42 | $174.37 – $4,752.78 | 58 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $414.05 | $637.00 | $594.39 – $1,585.40 | 52 |
| Circumcision (newborn) CPT 54150 | $9,118.60 | $14,028.61 | $82.14 – $8,140.55 | 58 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $101.27 | $155.80 | $13.45 – $30.60 | 8 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $584.35 | $899.00 | $293.09 – $727.33 | 58 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,278.87 | $1,967.50 | $8.56 – $246.90 | 59 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $2,613.00 | $4,020.00 | not published | 0 |
| Clearance of airways CPT 31720 | $416.65 | $641.00 | $44.61 – $497.88 | 56 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $70.69 | $108.75 | $2.13 – $5.25 | 8 |
| Clip ligating vesolock lg HCPCS C1760 | $304.85 | $469.00 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $354.90 | $546.00 | $552.42 – $552.42 | 1 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $5,564.00 | $8,560.00 | $10.73 – $637.42 | 55 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $121.87 | $187.50 | $16.74 – $50.73 | 8 |
| Clot factor xii hageman CPT 85280 | $95.55 | $147.00 | $17.21 – $42.71 | 59 |
| Clot factor xiii fibrin scrn CPT 85291 | $138.45 | $213.00 | $8.10 – $20.11 | 56 |
| Clot factor xiii fibrin stab CPT 85290 | $155.35 | $239.00 | $14.53 – $37.46 | 59 |
| Clozapine, 25 mg HCPCS S0136 | $4.87 | $7.50 | $0.79 – $0.97 | 2 |
| Cmbn ant pst colprhy CPT 57260 | $10,105.74 | $15,547.30 | $662.06 – $11,373.78 | 58 |
| #cmvcul-virus inoculation shell CPT 87254 | $170.95 | $263.00 | $17.40 – $43.17 | 59 |
| Cmv pcr-sendout CPT 87496 | $61.75 | $95.00 | $34.42 – $77.45 | 54 |
| Co2 monitor per day CPT 94681 | $300.30 | $462.00 | $36.59 – $848.43 | 56 |
| Coagulation time activated teg CPT 85347 | $93.60 | $144.00 | $3.81 – $9.45 | 58 |
| Cold agglutinin screen (arc) CPT 86156 | $51.35 | $79.00 | $7.18 – $17.81 | 59 |
| Cold agglutinin titer CPT 86157 | $65.65 | $101.00 | $7.17 – $17.79 | 59 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $27.95 | $43.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $26.65 | $41.00 | $283.43 – $283.43 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $824.25 | $1,268.08 | $23.02 – $302.50 | 57 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $284.70 | $438.00 | $9.71 – $302.50 | 59 |
| Collection of venous blood by venipuncture CPT 36415 | $293.15 | $451.00 | $3.57 – $20.62 | 58 |
| Colonoscopy (diagnostic) CPT 45378 | $2,107.20 | $3,241.84 | $159.34 – $3,261.00 | 53 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $2,646.35 | $4,071.31 | $196.58 – $3,261.00 | 54 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $2,169.18 | $3,337.20 | $193.49 – $3,047.00 | 54 |
| Colonoscopy submucous njx CPT 45381 | $3,771.27 | $5,801.95 | $172.17 – $3,261.00 | 54 |
| Colonoscopy thru stoma spx CPT 44388 | $2,086.70 | $3,210.31 | $135.90 – $3,047.00 | 54 |
| Colonoscopy w/band ligation CPT 45398 | $1,733.55 | $2,667.00 | $202.54 – $4,409.00 | 58 |
| Colonoscopy w/fb removal CPT 45379 | $2,987.84 | $4,596.68 | $203.84 – $3,261.00 | 54 |
| Colonoscopy with ablation CPT 44401 | $2,529.99 | $3,892.30 | $206.86 – $4,409.00 | 58 |
| Colonoscopy (with biopsy) CPT 45380 | $3,327.84 | $5,119.76 | $172.17 – $3,261.00 | 54 |
| Colonoscopy (with polyp removal) CPT 45385 | $2,751.58 | $4,233.20 | $216.93 – $3,261.00 | 54 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $7,505.89 | $11,547.52 | $453.80 – $11,373.78 | 57 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $7,488.91 | $11,521.40 | $105.26 – $3,047.00 | 58 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $61.75 | $95.00 | $39.94 – $387.36 | 61 |
| Compatibility test each unit electronic CPT 86923 | $179.40 | $276.00 | $29.95 – $387.36 | 57 |
| Compatibility test each unit immediate spin technique CPT 86920 | $44.85 | $69.00 | $14.05 – $387.36 | 61 |
| Compatibility test incubate CPT 86921 | $44.85 | $69.00 | $18.72 – $387.36 | 61 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $2,403.70 | $3,698.00 | $210.84 – $1,585.40 | 58 |
| Complement antigen each component c3 CPT 86160 | $108.55 | $167.00 | $10.67 – $26.49 | 58 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $451.10 | $694.00 | $6.03 – $564.00 | 58 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $155.35 | $239.00 | $1,430.94 – $1,430.94 | 1 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $3,498.95 | $5,383.00 | $352.53 – $801.97 | 52 |
| Concentration infection agents any type CPT 87015 | $40.95 | $63.00 | $5.94 – $14.74 | 58 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $6,436.66 | $9,902.56 | $220.50 – $7,360.06 | 58 |
| Consultation pathology during surgery CPT 88329 | $119.60 | $184.00 | $27.66 – $134.13 | 61 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $127.40 | $196.00 | $27.84 – $1,831.83 | 61 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $23,893.17 | $36,758.72 | $30.71 – $16,147.46 | 61 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $23,893.17 | $36,758.72 | $53.86 – $16,147.46 | 63 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $6,278.36 | $9,659.01 | $26.93 – $154.36 | 61 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $214.50 | $330.00 | $37.74 – $114.43 | 61 |
| Consult comp w/report rfrd material CPT 88325 | $182.65 | $281.00 | $111.80 – $387.36 | 61 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,973.40 | $3,036.00 | $49.96 – $7,178.98 | 58 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,841.20 | $7,448.00 | $56.88 – $12,651.65 | 58 |
| Contrast x-ray gallbladder CPT 74290 | $657.80 | $1,012.00 | $58.29 – $398.80 | 52 |
| Contrast x-ray of hip CPT 73525 | $992.55 | $1,527.00 | $84.12 – $801.97 | 59 |
| Contrast x-ray of knee joint CPT 73580 | $1,894.10 | $2,914.00 | $66.90 – $801.97 | 58 |
| Contrast x-ray of wrist CPT 73115 | $861.90 | $1,326.00 | $90.23 – $801.97 | 58 |
| Controller infinity pt dbs HCPCS C1787 | $2,535.00 | $3,900.00 | not published | 0 |
| Convert nephrostomy catheter CPT 50434 | $1,442.35 | $2,219.00 | not published | 0 |
| Coombs direct CPT 86880 | $248.30 | $382.00 | $4.79 – $134.13 | 61 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $169.00 | $260.00 | $5.09 – $387.36 | 61 |
| Coombs indirect titer reference CPT 86886 | $94.25 | $145.00 | $4.61 – $387.36 | 61 |
| Core ndl bx lng/med perq CPT 32408 | $4,648.38 | $7,151.35 | $128.42 – $6,315.00 | 58 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $9,204.65 | $14,161.00 | $2,864.26 – $7,370.99 | 56 |
| Coronary angio/lv gram/lt heart CPT 93458 | $8,498.10 | $13,074.00 | $870.51 – $7,370.99 | 56 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $8,928.40 | $13,736.00 | $1,040.16 – $7,370.99 | 56 |
| Coronary art/grft angio s&i CPT 93455 | $7,096.05 | $10,917.00 | $641.67 – $7,370.99 | 56 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $7,764.90 | $11,946.00 | $755.78 – $7,370.99 | 56 |
| Cortisol acth stimulation test - sendout CPT 80400 | $243.10 | $374.00 | $29.02 – $72.00 | 59 |
| Cortisol total am CPT 82533 | $79.30 | $122.00 | $14.50 – $35.98 | 58 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $390.97 | $601.50 | $20.16 – $46.02 | 8 |
| Co-treatment - group 15 mins, st CPT 92508 | $92.30 | $142.00 | $21.37 – $50.17 | 54 |
| Counseling smoke cess interm >10mins CPT 99407 | $98.15 | $151.00 | $21.66 – $85.19 | 56 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $2,028.00 | $3,120.00 | not published | 0 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $31.20 | $48.00 | $37.45 – $92.40 | 56 |
| #covid19rsv-rsv CPT 87634 | $160.55 | $247.00 | $62.44 – $154.95 | 57 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $65.65 | $101.00 | $11.59 – $28.76 | 56 |
| C-peptide CPT 84681 | $55.90 | $86.00 | $18.51 – $45.93 | 58 |
| Crbrospnl fld flw imag cistern CPT 78630 | $2,386.75 | $3,671.93 | $239.18 – $3,047.00 | 58 |
| C-reactive protein CPT 86140 | $24.70 | $38.00 | $4.61 – $14.22 | 58 |
| C-reactive protein high sensitivity CPT 86141 | $101.40 | $156.00 | $11.52 – $109.31 | 58 |
| C-reactive protein, quantitative CPT 86406 | $120.90 | $186.00 | $9.46 – $23.49 | 59 |
| Creatine kinase CPT 82550 | $23.40 | $36.00 | $5.79 – $14.37 | 58 |
| Creatine kinase isoenzymes CPT 82552 | $54.60 | $84.00 | $11.91 – $29.56 | 59 |
| Creatine kinase mb CPT 82553 | $144.95 | $223.00 | $10.27 – $25.49 | 59 |
| Creatinine CPT 82565 | $25.35 | $39.00 | $4.55 – $11.30 | 58 |
| Creatinine 24 hour urine CPT 82570 | $62.40 | $96.00 | $4.61 – $11.43 | 58 |
| Creatinine clearance urine CPT 82575 | $33.80 | $52.00 | $8.41 – $22.54 | 58 |
| #creutz-prot.,western blot CPT 84182 | $206.70 | $318.00 | $25.98 – $64.48 | 59 |
| Critical care 30-74 minutes CPT 99291 | $2,490.15 | $3,831.00 | $750.36 – $1,878.09 | 51 |
| Critical care each additional 30 minutes CPT 99292 | $449.80 | $692.00 | $106.50 – $106.50 | 4 |
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.