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 |
|---|---|---|---|---|
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $35.75 | $55.00 | $3.32 – $7.71 | 8 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $78.00 | $120.00 | $11.00 – $24.00 | 3 |
| Drainage of kidney lesion CPT 50390 | $1,080.30 | $1,662.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $241.80 | $372.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $3,302.65 | $5,081.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $1,116.05 | $1,717.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $2,104.70 | $3,238.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $229.45 | $353.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $154.70 | $238.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $319.80 | $492.00 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $47.19 | $72.60 | $3.40 – $20.43 | 8 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $299.65 | $461.00 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $35.10 | $54.00 | $11.30 – $359.82 | 57 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $48.10 | $74.00 | $124.72 – $359.82 | 49 |
| Drug admin & hemodynmic meas CPT 93463 | $912.60 | $1,404.00 | $81.69 – $85.83 | 5 |
| Drug assay caffeine CPT 80155 | $99.45 | $153.00 | $34.31 – $85.14 | 55 |
| Drug assay posaconazole CPT 80187 | $144.95 | $223.00 | $24.11 – $59.84 | 55 |
| Drug assay voriconazole CPT 80285 | $166.40 | $256.00 | $24.11 – $59.84 | 57 |
| Drug of abuse screen urine CPT 80305 | $58.50 | $90.00 | $11.21 – $27.81 | 58 |
| Drug test prsmv instrmnt CPT 80306 | $102.05 | $157.00 | $15.25 – $37.83 | 57 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $248.30 | $382.00 | $55.27 – $137.16 | 57 |
| Drvvt confirm - quest CPT 85597 | $144.30 | $222.00 | $15.99 – $39.69 | 56 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,254.81 | $5,007.40 | $113.10 – $4,439.80 | 58 |
| Ductogram sgl duct CPT 77053 | $600.60 | $924.00 | $30.80 – $548.48 | 57 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $271.70 | $418.00 | $105.24 – $237.70 | 56 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $576.55 | $887.00 | $128.38 – $490.93 | 56 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $542.75 | $835.00 | $167.40 – $542.50 | 56 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $3,096.74 | $4,764.21 | $84.51 – $2,925.72 | 59 |
| Dxa bone density axl vrt fx CPT 77085 | $464.10 | $714.00 | $32.72 – $240.32 | 58 |
| Dx bronchoscope/brush 31623 CPT 31623 | $10,984.88 | $16,899.82 | $116.54 – $8,476.92 | 58 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $10,641.45 | $16,371.46 | $118.05 – $8,476.92 | 58 |
| Dx bronchoscope/wash 31622 CPT 31622 | $5,818.15 | $8,951.00 | $116.89 – $4,046.85 | 58 |
| Ecg 12 lead tracing only CPT 93005 | $219.05 | $337.00 | $5.25 – $134.13 | 56 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $246.35 | $379.00 | $5.25 – $134.13 | 56 |
| Ecg external < 48 hours recording CPT 93225 | $452.40 | $696.00 | $15.25 – $302.50 | 56 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $553.80 | $852.00 | $29.69 – $134.13 | 56 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,135.90 | $3,286.00 | $168.33 – $1,242.35 | 56 |
| Echocardiography doppler color flow mapping CPT 93325 | $435.50 | $670.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $3,081.65 | $4,741.00 | $792.14 – $1,782.35 | 52 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $489.45 | $753.00 | $215.26 – $542.50 | 56 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $825.50 | $1,270.00 | $352.53 – $793.21 | 52 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $347.10 | $534.00 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $1,186.90 | $1,826.00 | $83.54 – $240.32 | 58 |
| Echo guidance radiotherapy CPT 76965 | $1,322.10 | $2,034.00 | $23.02 – $482.17 | 8 |
| Echo guide for amniocentesis CPT 76946 | $598.00 | $920.00 | $12.75 – $132.81 | 8 |
| Echo stress CPT 93350 | $1,198.60 | $1,844.00 | $106.90 – $1,242.35 | 56 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,350.70 | $2,078.00 | $488.27 – $1,242.35 | 56 |
| Echo transthoracic CPT 93303 | $1,681.55 | $2,587.00 | $145.35 – $1,242.35 | 56 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,478.75 | $2,275.00 | $85.99 – $542.50 | 56 |
| E coli 0157 ag ia CPT 87335 | $85.80 | $132.00 | $11.26 – $27.94 | 56 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $19,086.25 | $29,363.46 | $43.85 – $18,976.50 | 54 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $649.35 | $999.00 | $218.19 – $490.93 | 56 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,535.30 | $2,362.00 | $377.07 – $848.43 | 52 |
| Eeg during surgery CPT 95955 | $1,334.45 | $2,053.00 | $131.19 – $305.80 | 6 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $541.45 | $833.00 | $218.19 – $490.93 | 56 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $680.55 | $1,047.00 | $218.19 – $490.93 | 56 |
| E equine encephalitis igg CPT 86652 | $64.35 | $99.00 | $11.73 – $29.11 | 56 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,475.53 | $28,423.90 | $31.99 – $18,456.00 | 59 |
| Egd control bleeding any CPT 43255 | $3,104.13 | $4,775.58 | $171.69 – $4,362.91 | 58 |
| Egd dilate stricture CPT 43245 | $2,721.74 | $4,187.30 | $151.68 – $4,362.91 | 58 |
| Egd remove lesion snare CPT 43251 | $3,847.93 | $5,919.89 | $167.72 – $4,362.91 | 58 |
| Egd varices ligation CPT 43244 | $2,259.37 | $3,475.95 | $209.20 – $4,362.91 | 58 |
| Egfr gene com variants CPT 81235 | $594.10 | $914.00 | $288.71 – $716.45 | 58 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $472.55 | $727.00 | $34.42 – $77.45 | 54 |
| EKG tracing for initial prev HCPCS G0404 | $125.45 | $193.00 | $29.23 – $65.76 | 47 |
| Electrical stimulation/unattended 97014 CPT 97014 | $68.90 | $106.00 | $11.77 – $20.30 | 7 |
| Electrolyte panel CPT 80051 | $62.40 | $96.00 | $6.24 – $15.47 | 59 |
| Electron microscopy diagnostic CPT 88348 | $9,183.04 | $14,127.75 | $367.86 – $1,831.83 | 62 |
| Electrophysiology evaluation CPT 93641 | $1,583.40 | $2,436.00 | not published | 0 |
| Electrophysiology evaluation CPT 93642 | $4,776.85 | $7,349.00 | $75.64 – $2,768.25 | 56 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,240.02 | $14,215.42 | $7.89 – $6,831.00 | 59 |
| Embolization s&i CPT 75894 | $6,797.05 | $10,457.00 | $87.39 – $2,092.35 | 8 |
| Embo or occlude vascular arterial s&i CPT 37242 | $25,028.90 | $38,506.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $6,895.20 | $10,608.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $17,996.55 | $27,687.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $64.35 | $99.00 | $11.73 – $29.11 | 56 |
| Encephalitis, st louis igg/igm CPT 86653 | $63.70 | $98.00 | $11.73 – $29.11 | 56 |
| Encephalitis, western equine igg/igm CPT 86654 | $64.35 | $99.00 | $11.73 – $29.11 | 56 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $7,257.25 | $11,165.00 | not published | 0 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $9,919.65 | $15,261.00 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $2,400.45 | $3,693.00 | $143.48 – $286.84 | 7 |
| Endo cath panc duct s&i CPT 74329 | $778.70 | $1,198.00 | $214.79 – $273.24 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,912.35 | $6,019.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $4,784.65 | $7,361.00 | not published | 0 |
| Endoscopic injection/implant CPT 51715 | $6,190.74 | $9,524.21 | $171.14 – $8,014.54 | 58 |
| Endovenous laser vein addon 36479 CPT 36479 | $3,375.45 | $5,193.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | $6,648.85 | $10,229.00 | not published | 0 |
| Endovenous rf abl vein addl CPT 36476 | $4,641.00 | $7,140.00 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $8,222.82 | $12,650.50 | $36.01 – $8,311.20 | 59 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $87.75 | $135.00 | $1.68 – $4.59 | 8 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $84.50 | $130.00 | $10.66 – $26.44 | 59 |
| Enzyme histochemistry CPT 88319 | $22,683.82 | $34,898.19 | $91.82 – $14,165.60 | 63 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $8,156.92 | $12,549.11 | $42.95 – $3,047.00 | 54 |
| Epidural lysis on single day 62264 CPT 62264 | $5,846.52 | $8,994.64 | $92.86 – $3,047.00 | 54 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $73.61 | $113.25 | $35.70 – $81.30 | 3 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $11.99 | $18.45 | $3.24 – $7.38 | 3 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $1,096.87 | $1,687.50 | $1.14 – $2.70 | 3 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $16.09 | $24.75 | $3.12 – $7.11 | 3 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $301.18 | $463.36 | $7.73 – $223.20 | 59 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $712.22 | $1,095.73 | $7.17 – $206.70 | 59 |
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.