Supplies, drugs & other prices at Mercy Hospital Ada

Ada, OK · every code in this section with a posted price and a Medicare benchmark.

50 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $3,208.40 $4,936 4.3×
2d tte w or w/o fol w/con,fu (C8924) $1,295.45 $1,993 3.9×
Adm tocilizu covid-19 1st (M0249) $868.40 $1,336 2.0×
Adm tocilizu covid-19 2nd (M0250) $757.90 $1,166 1.8×
Admin influenza virus vac (G0008) $41.60 $64 0.9×
Admin pneumococcal vaccine (G0009) $41.60 $64 0.9×
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) $81.25 $125 2.6×
Catheterize for urine spec (P9612) $48.10 $74 5.1×
Chemo extend iv infus w/pump (G0498) $468 $720 1.5×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $471.25 $725 2.7×
Cyp2d6 gen com&slct rar vrnt (0070U) $613.60 $944 0.9×
Diab manage trn per indiv (G0108) $135.85 $209 2.4×
Diab manage trn ind/group (G0109) $63.05 $97 3.9×
Direct refer hospital observ (G0379) $555.10 $854 1.0×
Fern test (Q0114) $47.45 $73 4.9×
Hbot, full body chamber, 30m (G0277) $832 $1,280 6.3×
Hospital outpt clinic visit (G0463) $240.50 $370 1.9×
Ig paraprotein qual bld/ur (0077U) $120.90 $186 2.8×
Inj for sacroiliac jt anesth (G0260) $2,628.60 $4,044 3.9×
Intens cardiac rehab no exer (G0423) $146.25 $225 1.2×
Intens cardiac rehab w/exerc (G0422) $146.25 $225 1.2×
Intrav inf, toci, first dose (M0237) $868.40 $1,336 2.0×
Intrav inf, toci, second dos (M0238) $947.70 $1,458 2.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $500.50 $770 4.1×
Liver dis 10 assays w/nash (0003M) $346.45 $533 0.7×
Mri w/o fol w/cont, breast, (C8908) $2,794.35 $4,299 8.3×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $227.50 $350 0.4×
Oth resp proc, indiv (G0238) $99.45 $153 3.6×
Pathogen test for platelets (P9100) $139.75 $215 2.5×
Perc d-e cor revasc chro sin (C9607) $19,817.20 $30,488 1.1×
Perc d-e cor revasc t cabg s (C9604) $19,381.05 $29,817 1.7×
Perc d-e cor stent ather s (C9602) $12,359.10 $19,014 0.7×
Perc drug-el cor stent sing (C9600) $18,764.85 $28,869 1.7×
Perq Sacral Augmt Bilat Inj (0201T) $7,625.15 $11,731 1.1×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $14,389.70 $22,138 1.3×
Place device/marker, non pro (C9728) $2,128.75 $3,275 1.6×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $123.50 $190 3.4×
Psa screening (G0103) $126.75 $195 6.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $527.80 $812 0.7×
Scr c/v cyto,thinlayer,rescr (G0145) $94.90 $146 3.6×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $17,837.30 $27,442 1.0×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $3,978 $6,120 1.3×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $17,837.30 $27,442 1.0×
Therapeutic procd strg endur (G0237) $127.40 $196 4.6×
Tomosynthesis, mammo (G0279) $87.10 $134 6.9×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $456.30 $702 1.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $20,062.25 $30,865 1.1×
Tte w or w/o contr, cont ecg (C8930) $1,463.80 $2,252 1.9×
Tte w or wo fol wcon,doppler (C8929) $1,586 $2,440 2.1×
Unsched dialysis esrd pt hos (G0257) $1,274 $1,960 1.9×