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 |
|---|---|---|---|---|
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $7,181.35 | $11,048.23 | $127.48 – $7,355.40 | 59 |
| Crotalidae poly immune fab HCPCS J0840 | $8,522.67 | $13,111.80 | $1,779.64 – $5,210.43 | 55 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $50.70 | $78.00 | $12.58 – $31.21 | 56 |
| Cryoprecipitate each unit HCPCS P9012 | $237.25 | $365.00 | $39.75 – $170.09 | 56 |
| Cryptosporidium antigen CPT 87272 | $143.00 | $220.00 | $10.66 – $26.44 | 56 |
| Crystal identification light microscopy CPT 89060 | $31.85 | $49.00 | $6.52 – $29.64 | 58 |
| CT 3d report other modality w/workstation CPT 76377 | $1,155.70 | $1,778.00 | $33.83 – $161.24 | 7 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,614.30 | $4,022.00 | $142.90 – $726.60 | 59 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,414.45 | $5,253.00 | $143.14 – $726.60 | 59 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,097.25 | $4,765.00 | $143.14 – $636.96 | 59 |
| Cta neck without &/or w/contrast CPT 70498 | $3,065.40 | $4,716.00 | $143.14 – $613.40 | 59 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,948.40 | $4,536.00 | $239.84 – $801.97 | 57 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,195.05 | $3,377.00 | $143.19 – $756.21 | 59 |
| CT Angiogram of the Head CPT 70496 | $3,498.95 | $5,383.00 | $143.14 – $613.40 | 59 |
| CT angio pelvis CPT 72191 | $2,367.95 | $3,643.00 | $158.53 – $726.60 | 59 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,307.50 | $3,550.00 | $142.90 – $636.96 | 59 |
| CT bone density axial CPT 77078 | $828.10 | $1,274.00 | $70.12 – $200.05 | 57 |
| CT guidance for needle placement CPT 77012 | $1,748.50 | $2,690.00 | $58.85 – $287.33 | 6 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,266.85 | $1,949.00 | $47.46 – $273.24 | 7 |
| CT guid parench tis ablat CPT 77013 | $1,643.20 | $2,528.00 | $191.31 – $703.86 | 6 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $32.50 | $50.00 | $31.00 – $197.86 | 57 |
| CT limited or localized follow-up study CPT 76380 | $1,752.40 | $2,696.00 | $70.12 – $304.10 | 58 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,752.75 | $4,235.00 | $97.15 – $511.77 | 59 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,590.55 | $2,447.00 | $71.62 – $430.14 | 59 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,537.30 | $5,442.00 | $119.64 – $643.74 | 59 |
| CT neck soft tissue w/contrast CPT 70491 | $2,335.45 | $3,593.00 | $103.53 – $490.20 | 59 |
| CT neck soft tissue without contrast CPT 70490 | $1,946.10 | $2,994.00 | $78.01 – $409.85 | 59 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,557.10 | $3,934.00 | $158.53 – $612.87 | 59 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,733.55 | $2,667.00 | $130.75 – $612.87 | 59 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,138.15 | $1,751.00 | $110.20 – $490.20 | 59 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,007.50 | $1,550.00 | $85.48 – $409.85 | 59 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,087.55 | $7,827.00 | $212.92 – $801.97 | 58 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,124.90 | $6,346.00 | $188.51 – $801.97 | 58 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,697.50 | $4,150.00 | $88.54 – $548.48 | 58 |
| CT thoracic spine w/contrast CPT 72129 | $1,415.70 | $2,178.00 | $158.53 – $612.87 | 59 |
| CT thoracic spine without contrast CPT 72128 | $1,212.90 | $1,866.00 | $71.90 – $511.77 | 59 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $431.60 | $664.00 | $75.21 – $240.32 | 57 |
| CT t-spine w /wo contrast CPT 72130 | $2,020.85 | $3,109.00 | $120.20 – $766.38 | 59 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,667.60 | $4,104.00 | $126.31 – $801.97 | 59 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,137.85 | $3,289.00 | $85.22 – $430.14 | 59 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,826.20 | $4,348.00 | $143.16 – $643.74 | 59 |
| Culture aerobic additional method definitive id each CPT 87077 | $80.60 | $124.00 | $7.19 – $17.83 | 58 |
| Culture afb any source CPT 87116 | $191.10 | $294.00 | $9.61 – $23.84 | 58 |
| Culture anaerobic additional method definitive id each CPT 87076 | $109.85 | $169.00 | $7.19 – $21.68 | 58 |
| Culture anaerobic except blood CPT 87075 | $302.25 | $465.00 | $8.42 – $20.90 | 58 |
| Culture bact stool aero addl path ea CPT 87046 | $33.80 | $52.00 | $8.40 – $20.84 | 58 |
| Culture body fluid CPT 87070 | $284.70 | $438.00 | $7.67 – $19.03 | 58 |
| Culture fungi definitive id mold CPT 87107 | $61.10 | $94.00 | $9.18 – $22.78 | 58 |
| Culture fungi definitive id yeast CPT 87106 | $37.05 | $57.00 | $9.18 – $22.78 | 58 |
| Culture fungi other (except blood) CPT 87102 | $248.30 | $382.00 | $7.48 – $18.56 | 58 |
| Culture fungi skin/hair/nail CPT 87101 | $95.55 | $147.00 | $6.86 – $17.92 | 59 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $67.60 | $104.00 | $13.00 – $32.25 | 59 |
| Culture mycoplasma any source CPT 87109 | $237.25 | $365.00 | $13.69 – $33.97 | 56 |
| Culture quantitative aerobic other source CPT 87071 | $52.00 | $80.00 | $8.80 – $21.83 | 59 |
| Culture screening strep group a CPT 87081 | $298.35 | $459.00 | $5.90 – $14.63 | 58 |
| Culture typing added method CPT 87158 | $74.75 | $115.00 | $6.88 – $17.08 | 56 |
| Culture typing immunologic CPT 87147 | $50.05 | $77.00 | $4.61 – $23.59 | 58 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $755.95 | $1,163.00 | $193.96 – $481.32 | 58 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $22.10 | $34.00 | $31.21 – $77.45 | 59 |
| Culture urine each isolate CPT 87088 | $94.90 | $146.00 | $7.20 – $17.86 | 59 |
| Cutter lead HCPCS C1773 | $1,920.10 | $2,954.00 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $3,829.15 | $5,891.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $85.80 | $132.00 | $12.74 – $31.61 | 56 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.15 | $11.00 | $0.83 – $2.15 | 8 |
| Cyclic citrullinated peptide antibody CPT 86200 | $92.95 | $143.00 | $11.52 – $28.58 | 59 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,983.36 | $3,051.33 | $0.76 – $219.00 | 58 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $35.75 | $55.00 | $0.84 – $4.68 | 8 |
| Cyclosporine 2 hour CPT 80158 | $239.20 | $368.00 | $16.06 – $39.84 | 59 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $10.01 | $15.40 | $0.78 – $1.77 | 8 |
| Cyclosporine oral 100 mg HCPCS J7502 | $39.95 | $61.46 | $2.20 – $4.05 | 7 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $13,988.00 | $21,520.00 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $731.25 | $1,125.00 | $285.82 – $643.12 | 51 |
| Cyp3a4 gene common variants CPT 81230 | $481.65 | $741.00 | $171.49 – $385.86 | 51 |
| Cystatin c CPT 82610 | $79.95 | $123.00 | $16.47 – $40.88 | 59 |
| Cystic fibrosis cftr CPT 81223 | $1,499.55 | $2,307.00 | $443.85 – $1,101.44 | 55 |
| Cystine urine quantitative CPT 82131 | $84.50 | $130.00 | $20.44 – $50.72 | 59 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $458.90 | $706.00 | $21.91 – $801.97 | 59 |
| Cysto rx balo cath urtl strx CPT 52284 | $12,776.67 | $19,656.41 | $141.86 – $12,190.80 | 58 |
| Cystoscopy and treatment CPT 52224 | $7,092.49 | $10,911.53 | $171.82 – $8,014.54 | 58 |
| Cystoscopy and treatment CPT 52234 | $8,606.99 | $13,241.52 | $210.78 – $8,014.54 | 58 |
| Cystoscopy and treatment CPT 52235 | $8,788.09 | $13,520.14 | $247.49 – $8,014.54 | 58 |
| Cystoscopy and treatment CPT 52260 | $8,754.45 | $13,468.39 | $180.32 – $8,014.54 | 58 |
| Cystoscopy and treatment CPT 52276 | $12,776.67 | $19,656.41 | $227.08 – $12,190.80 | 58 |
| Cystoscopy and treatment CPT 52310 | $11,347.24 | $17,457.29 | $130.66 – $8,014.54 | 58 |
| Cystoscopy and treatment CPT 52315 | $7,841.96 | $12,064.56 | $235.80 – $4,752.78 | 58 |
| Cystoscopy and treatment CPT 52320 | $8,227.84 | $12,658.21 | $210.69 – $8,014.54 | 58 |
| Cystoscopy and treatment CPT 52330 | $13,760.95 | $21,170.70 | $225.07 – $8,465.00 | 58 |
| Cystoscopy (Bladder Scope) CPT 52000 | $7,708.64 | $11,859.45 | $69.17 – $13,745.36 | 57 |
| Cystoscopy chemodenervation CPT 52287 | $8,047.62 | $12,380.95 | $144.80 – $4,869.00 | 58 |
| Cystoscopy & ureter catheter CPT 52005 | $6,034.65 | $9,284.08 | $115.74 – $4,752.78 | 58 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $6,202.53 | $9,542.36 | $261.29 – $4,752.78 | 58 |
| Cystouretero & or pyeloscope CPT 52351 | $6,318.95 | $9,721.46 | $259.41 – $8,014.54 | 58 |
| Cysto/uretero stricture tx CPT 52344 | $7,283.66 | $11,205.63 | $316.01 – $8,014.54 | 58 |
| Cystouretero w/biopsy CPT 52354 | $10,303.88 | $15,852.13 | $356.76 – $12,190.80 | 58 |
| Cysto/uretero w/lithotripsy CPT 52356 | $14,369.17 | $22,106.41 | $355.55 – $12,190.80 | 58 |
| Cystouretero w/stone remove CPT 52352 | $8,003.60 | $12,313.23 | $303.30 – $8,014.54 | 58 |
| Cystourethro cut ejacul duct CPT 52402 | $6,541.54 | $10,063.91 | $225.51 – $8,014.54 | 58 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $6,935.81 | $10,670.47 | $132.26 – $4,752.78 | 58 |
| Cysto w/up stricture tx CPT 52342 | $6,255.24 | $9,623.44 | $264.81 – $8,014.54 | 58 |
| Cysto w/ureter stricture tx CPT 52341 | $8,227.84 | $12,658.21 | $243.65 – $8,014.54 | 58 |
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.