Visits & medical services prices at Mercy Hospital Ada
Ada, OK · every code in this section with a posted price and a Medicare benchmark.
181 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $130.65 | $201 | 3.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $46.80 | $72 | 1.2× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $760.50 | $1,170 | 3.7× |
| Aep neurodiagnostic i&r (92653) | $941.20 | $1,448 | 4.5× |
| Aep threshold estimation mlt frequencies i&r (92652) | $929.50 | $1,430 | 4.5× |
| Airway Inhalation Treatment (94640) | $113.10 | $174 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $110.50 | $170 | 7.7× |
| Application on-body injector (96377) | $601.90 | $926 | 13.4× |
| Assessment of aphasia per hr (96105) | $341.25 | $525 | 3.5× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$194.35–$433.55 | $299–$667 | varies |
| Biofeedback training any modality (90901) | $167.05 | $257 | 4.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $598 | $920 | 1.7× |
| Canalith repositioning proc (95992) | $248.30 | $382 | 6.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,133.60 | $1,744 | 5.5× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$778.70–$4,165.20 | $1,198–$6,408 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,517.10–$5,283.20 | $2,334–$8,128 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $13,806 | $21,240 | 4.4× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,989.50 | $13,830 | 2.9× |
| Cbt 1st hour (94644) | $90.35 | $139 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $274.95 | $423 | 4.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $194.35 | $299 | 2.8× |
| Chemo IV infusion addl hr (96415) | $432.90 | $666 | 6.3× |
| Chemo IV push addl drug (96411) | $273 | $420 | 3.9× |
| Chemother Prolong Infuse W/Pump (96416) | $396.50 | $610 | 1.2× |
| Chemotherapy Into Cns (96450) | $783.25 | $1,205 | 2.5× |
| Chemotherapy Unspecified (96549) | $403.65 | $621 | 9.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $380.25 | $585 | 5.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $654.55 | $1,007 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $292.50 | $450 | 0.9× |
| Chest Wall Manipulation (94668) range across 5 matching MRF lines |
$73.45–$154.70 | $113–$238 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $111.15 | $171 | 1.1× |
| Color/duplex Doppler, complete (93975) | $1,385.80 | $2,132 | 6.0× |
| Color/duplex Doppler, limited (93976) | $900.90 | $1,386 | 9.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $52 | $80 | 1.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $570.05 | $877 | 4.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$224.90–$338 | $346–$520 | varies |
| Coronary Art/Grft Angio S&I (93455) | $12,083.50 | $18,590 | 3.9× |
| Coronary Artery Angio S&I (93454) | $10,693.15 | $16,451 | 3.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$192.40–$445.90 | $296–$686 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$77.35–$178.10 | $119–$274 | varies |
| Critical care first hour (99291) | $1,967.55 | $3,027 | 2.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $328.90 | $506 | 1.7× |
| Dialysis One Evaluation (90945) range across 4 matching MRF lines |
$631.15–$1,103.05 | $971–$1,697 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $252.85 | $389 | 2.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,511.25 | $2,325 | 6.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$497.25–$1,073.15 | $765–$1,651 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,128.40 | $1,736 | 4.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,086.80 | $1,672 | 10.8× |
| Duplex Scan Hemodialysis Access (93990) | $728.65 | $1,121 | 7.2× |
| Duplex up extrem art bilat (93930) | $1,226.55 | $1,887 | 5.3× |
| Duplex up extrem art unilat/ltd (93931) | $549.90 | $846 | 5.5× |
| Echo Congenital Complete (93303) | $1,890.20 | $2,908 | 3.6× |
| Echo Heart Xthoracic,Limited (93308) | $803.40 | $1,236 | 3.5× |
| Echo transesophageal (93312) | $2,640.95 | $4,063 | 5.0× |
| EEG awake and asleep (95819) | $1,457.95 | $2,243 | 7.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$35.10–$97.50 | $54–$150 | varies |
| Electrocardiogram Tracing (93005) | $209.30 | $322 | 3.7× |
| Emergency Dept Visit Level 2 (99282) | $339.30 | $522 | 2.3× |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$537.55–$779.35 | $827–$1,199 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$1,106.30–$1,865.50 | $1,702–$2,870 | varies |
| Endomyocardial Biopsy (93505) | $5,769.40 | $8,876 | 1.9× |
| Er level 1 (99281) | $209.95 | $323 | 2.6× |
| Er level v (99285) range across 2 matching MRF lines |
$1,693.90–$4,591.53 | $2,606–$7,063.90 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $289.25 | $445 | 2.3× |
| Evaluate pt use of inhaler (94664) | $357.50 | $550 | 1.7× |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$194.35–$433.55 | $299–$667 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$163.80–$403 | $252–$620 | varies |
| Evaluation of speech fluency (92521) range across 8 matching MRF lines |
$194.35–$433.55 | $299–$667 | varies |
| Extracranial Bilat Study (93880) | $814.45 | $1,253 | 3.5× |
| Group Therapeutic Procedures (97150) range across 16 matching MRF lines |
$57.85–$130 | $89–$200 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $198.90 | $306 | 2.0× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $15,023.45 | $23,113 | 4.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,030.25–$1,225.25 | $1,585–$1,885 | varies |
| Immunization administration (90471) | $122.85 | $189 | 1.8× |
| Insert/Place Heart Catheter (93503) | $4,052.10 | $6,234 | 2.7× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $11,445.20 | $17,608 | 92.5× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $11,445.20 | $17,608 | 92.5× |
| Iontophoresis 15 min (97033) | $157.30 | $242 | 8.3× |
| Irrig Drug Delivery Device (96523) | $170.30 | $262 | 3.0× |
| IV infusion hydration each additional hour (96361) | $201.50 | $310 | 4.5× |
| IV infusion hydration initial 31 min-1 hour (96360) | $375.70 | $578 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $176.80 | $272 | 2.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $213.85 | $329 | 4.7× |
| IV push initial (96374) | $302.90 | $466 | 1.5× |
| L Hrt Art/Grft Angio (93459) | $14,284.40 | $21,976 | 4.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $27.30 | $42 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $31.20 | $48 | 0.8× |
| Motion Fluoroscopy/Swallow (92611) range across 12 matching MRF lines |
$239.20–$614.25 | $368–$945 | varies |
| Multiple Family Group Psychotherapy (90849) | $192.40 | $296 | 1.1× |
| Multiple Sleep Latency Test (95805) | $2,871.05 | $4,417 | 3.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $815.10 | $1,254 | 2.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $751.40 | $1,156 | 1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $207.35 | $319 | 1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $204.75 | $315 | 0.5× |
| Neurobehavioral Status Exam (96116) | $495.30 | $762 | 2.4× |
| Neuromuscular Reeducation (97112) | $135.85 | $209 | 4.2× |
| Newborn resuscitation (99465) | $418.60 | $644 | 0.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $300.30 | $462 | 0.8× |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$89.70–$209.30 | $138–$322 | varies |
| Oral Speech Device Eval (92597) range across 6 matching MRF lines |
$259.35–$395.85 | $399–$609 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $117 | $180 | 2.3× |
| Ot eval high complexity (97167) range across 16 matching MRF lines |
$184.60–$491.40 | $284–$756 | varies |
| Ot Eval Low Complex (97165) range across 16 matching MRF lines |
$130–$436.80 | $200–$672 | varies |
| Ot Eval Moderate Complexity (97166) range across 16 matching MRF lines |
$157.30–$464.10 | $242–$714 | varies |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$78.65–$151.45 | $121–$233 | varies |
| Ot paraffin bath (97018) | $89.70 | $138 | 14.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $101.40 | $156 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) range across 16 matching MRF lines |
$109.20–$416.65 | $168–$641 | varies |
| Ot rom hand (95852) | $50.05 | $77 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 5 matching MRF lines |
$239.85–$342.55 | $369–$527 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 13 matching MRF lines |
$128.70–$185.90 | $198–$286 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $443.95 | $683 | 2.1× |
| Peripheral arterial disease rehab per session (93668) | $146.25 | $225 | 2.6× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) likely a partial charge, not the full procedure |
$3,615.95 | $5,563 | 0.2× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,213.40 | $12,636 | 1.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $18,866.25 | $29,025 | 1.7× |
| Phlebotomy therapeutic (99195) | $137.80 | $212 | 1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $165.75 | $255 | 2.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $184.60 | $284 | 3.3× |
| Physical Performance Test (97750) | $100.10 | $154 | 3.0× |
| Plethysmography (94726) | $273 | $420 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $6,646.90 | $10,226 | 8.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $14,998.10 | $23,074 | 1.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $15,481.05 | $23,817 | 1.4× |
| Prq Card Stent/Ath/Angio (92933) | $20,988.50 | $32,290 | 1.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $34,103.55 | $52,467 | 3.1× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $8,375.25 | $12,885 | 0.8× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $8,089.25 | $12,445 | 0.7× |
| Pt Eval High Complex (97163) range across 10 matching MRF lines |
$184.60–$368.55 | $284–$567 | varies |
| Pt eval low complex 20 min (97161) range across 10 matching MRF lines |
$130–$313.95 | $200–$483 | varies |
| Pt Eval Mod Complex (97162) range across 10 matching MRF lines |
$157.30–$341.25 | $242–$525 | varies |
| Pt gait training 15 min (97116) | $55.25 | $85 | 1.9× |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$109.20–$293.80 | $168–$452 | varies |
| Pulm function test by gas (94727) | $323.70 | $498 | 1.6× |
| Pulmonary service/procedure (94799) | $118.30 | $182 | 1.0× |
| Pulmonary Stress Testing (94618) | $169.65 | $261 | 1.3× |
| R Hrt Art/Grft Angio (93457) | $9,037.60 | $13,904 | 2.9× |
| R hrt coronary artery angio (93456) | $12,097.80 | $18,612 | 3.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $11,482.90 | $17,666 | 3.7× |
| Refill/Maint Portable Pump (96521) | $367.90 | $566 | 1.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $564.20 | $868 | 2.8× |
| Respiratory flow volume loop (94375) | $741.65 | $1,141 | 3.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $245.05 | $377 | 4.3× |
| Right Heart Cath (93451) | $10,291.45 | $15,833 | 3.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $281.45 | $433 | 1.5× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $196.30 | $302 | 7.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $215.15 | $331 | 1.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $94.25 | $145 | 2.0× |
| Self Care Mngment Training (97535) | $104.65 | $161 | 3.2× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$62.40–$119.60 | $96–$184 | varies |
| Sleep study unattended (95806) | $1,771.25 | $2,725 | 8.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,349.40 | $2,076 | 6.5× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$201.50–$433.55 | $310–$667 | varies |
| Spirometry (94010) | $349.70 | $538 | 1.7× |
| Standardized Cognitive Performance Testing (96125) | $375.05 | $577 | 3.6× |
| Stress Tte Only (93350) | $1,346.80 | $2,072 | 2.6× |
| Subcutaneous Infusion Each Additional Hour (96370) | $159.25 | $245 | 3.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $383.50 | $590 | 1.9× |
| Subq Infusion Additional Pump Infusion Site (96371) | $222.30 | $342 | 3.2× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$647.40–$842.40 | $996–$1,296 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $65 | $100 | 2.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $87.10 | $134 | 4.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $57.85 | $89 | 1.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 6 matching MRF lines |
$116.35–$218.40 | $179–$336 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $284.05 | $437 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $137.80 | $212 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $176.80 | $272 | 0.9× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$101.40–$115.05 | $156–$177 | varies |
| Tte w/doppler, complete (93306) | $2,934.10 | $4,514 | 5.6× |
| Tte W/O Doppler Complete (93307) | $1,586.65 | $2,441 | 6.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 20 matching MRF lines |
$133.25–$651.95 | $205–$1,003 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 3 matching MRF lines |
$57.85–$71.50 | $89–$110 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $227.50 | $350 | 5.1× |
| Unlis neurological/neuromuscular dx px (95999) | $101.40 | $156 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$921.05–$5,248.75 | $1,417–$8,075 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $571.35 | $879 | 4.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$760.50–$763.10 | $1,170–$1,174 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 5 matching MRF lines |
$457.60–$3,125.85 | $704–$4,809 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$416–$2,141.10 | $640–$3,294 | varies |
| Vital capacity, total (94150) | $356.20 | $548 | 2.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $48.10 | $74 | 1.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.