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.

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ProcedureCash priceGross charge× Medicare
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 on-body injector for timed subq injection (96377) $601.90 $926 13.4×
Assessment of aphasia (96105) $341.25 $525 3.5×
Behavioral and qualitative analysis of voice and resonance (92524) $313.95 $483 2.9×
Biofeedback training any modality (90901) $167.05 $257 4.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $598 $920 1.7×
Canalith Repositioning (95992) $248.30 $382 6.1×
Cardiac Stress Tst,Tracing Only (93017) $1,133.60 $1,744 5.5×
Cardiopulmonary resuscitation (92950) $1,130.02 $1,738.50 5.4×
Cardioversion (92960) $3,400.15 $5,231 5.3×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $12,083.50 $18,590 3.9×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $12,097.80 $18,612 3.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $14,284.40 $21,976 4.6×
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 Hormon Antineopl Sq/Im (96402) $194.35 $299 2.8×
Chemo IV push addl drug (96411) $273 $420 3.9×
Chemo Iv Push Sngl Drug (96409) $292.50 $450 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $396.50 $610 1.2×
Chemother, IV infusion, 1 hr (96413) $654.55 $1,007 2.1×
Chemother, IV infusion, ea add hr (96415) $432.90 $666 6.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $274.95 $423 4.0×
Chemotherapy, unspecified procedure (96549) $403.65 $621 9.0×
Chemotx Admn Cns Req Spinal Puncture (96450) $783.25 $1,205 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $380.25 $585 5.5×
Chronic care mgmt svcs staff 1st 20 min cal mo (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×
Continuous Glucose Monitoring (95250) $570.05 $877 4.5×
Coronary artery angio s&i (93454) $10,693.15 $16,451 3.4×
Cpap initiation and management (94660) $396.50 $610 1.9×
Cpt initial (94667) $151.45 $233 1.2×
Critical care (99291) $1,967.55 $3,027 2.5×
Debridement Open Wound 20 Sq Cm< (97597) $328.90 $506 1.7×
Demo &/or eval,pt use,aerosol device (94664) $357.50 $550 1.7×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $845.65 $1,301 2.1×
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) $497.25 $765 4.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,226.55 $1,887 5.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $549.90 $846 5.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,086.80 $1,672 10.8×
Duplex hemodialysis access (93990) $728.65 $1,121 7.2×
Duplex scan extracranial art compl bi study (93880) $814.45 $1,253 3.5×
Echo Heart Xthoracic,Limited (93308) $803.40 $1,236 3.5×
Echo transesophageal (93312) $2,640.95 $4,063 5.0×
Echo Transthoracic - Congenital Tte Complete (93303) $1,890.20 $2,908 3.6×
EEG awake asleep (95819) $1,457.95 $2,243 7.0×
EKG (93005) $209.30 $322 3.7×
EKG rhythm strip (93041) $245.05 $377 4.3×
Endomyocardial biopsy (93505) $5,769.40 $8,876 1.9×
Er level 1 (99281) $209.95 $323 2.6×
Er level ii (99282) $339.30 $522 2.3×
Er level iii (99283) $658.45 $1,013 2.5×
Er level IV (99284) $1,485.90 $2,286 3.7×
Er level v (99285) $3,142.72 $4,834.95 5.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $289.25 $445 2.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $327.60 $504 4.6×
Evaluation of speech fluency (92521) $313.95 $483 2.4×
Evaluation of speech sound production (92522) $313.95 $483 2.8×
Evaluation of swallowing function (92610) $283.40 $436 3.3×
Evaluation with prescription of speech-generating alternative (92607) $215.15 $331 1.8×
Flow volume loop (94375) $741.65 $1,141 3.6×
Group Therapeutic Procedures (97150) $93.92 $144.50 5.2×
Health Behavior Assessment/Re-Assessment (96156) $198.90 $306 2.0×
Hemodialysis (90935) $1,127.75 $1,735 1.7×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $46.80 $72 1.2×
Immunization Admin (90471) $122.85 $189 1.8×
Injection intra arterial (96373) $284.05 $437 1.4×
Ins swan ganz bedside (93503) $4,052.10 $6,234 2.7×
Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (bat) modulation system… (93146) $11,445.20 $17,608 92.5×
Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (bat) modulation system… (93145) $11,445.20 $17,608 92.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $176.80 $272 2.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $176.80 $272 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $213.85 $329 4.7×
IV push initial (96374) $302.90 $466 1.5×
Manual therapy 15 min (97140) $78.65 $121 2.8×
Massage 15 min (97124) $57.85 $89 1.9×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $426.72 $656.50 4.7×
Multiple Family Group Psychotherapy (90849) $192.40 $296 1.1×
Multiple sleep latency test (95805) $2,871.05 $4,417 3.5×
Neg press wnd tx </=50 sq cm (97607) $815.10 $1,254 2.1×
Neg press wound tx >50 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×
Neurological procedure unlisted (95999) $101.40 $156 0.8×
Newborn resuscitation (99465) $418.60 $644 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $571.35 $879 4.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $761.80 $1,172 3.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $281.45 $433 2.3×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $300.30 $462 0.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $52 $80 1.6×
Ot eval high complex 60 min (97167) $338 $520 3.4×
Ot eval low complex 30 min (97165) $283.40 $436 2.8×
Ot eval mod complex 45 min (97166) $310.70 $478 3.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $117 $180 2.3×
Ot Prosthetic Training, Each 15 Min (97761) $101.40 $156 2.5×
Ot Range Motion Measure,Each Extrem (95851) $196.30 $302 7.5×
Ot re-eval est plan care (97168) $262.92 $404.50 3.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $308.10 $474 2.5×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $157.30 $242 1.3×
Paraffin bath (97018) $89.70 $138 14.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $443.95 $683 2.1×
Peripheral arterial disease rehab per session (93668) $146.25 $225 2.6×
Phy/qhp op pulm rhb w/mntr (94626) $165.75 $255 2.9×
Phy/qhp op pulm rhb w/o mntr (94625) $184.60 $284 3.3×
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 revasc chronic 1vsl (92943) $18,866.25 $29,025 1.7×
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 tcat plmt ntrac st 2+les (92930)
likely a partial charge, not the full procedure
$3,615.95 $5,563 0.2×
Prq trl rvs ch occ ant&rtrgr (92945) $8,375.25 $12,885 0.8×
Prq trluml coronary angio/atherect one art/brnch (92924) $14,998.10 $23,074 1.4×
Prq trluml coronary angioplasty one art/branch (92920) $8,213.40 $12,636 1.5×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $8,089.25 $12,445 0.7×
Pt Electric Current Therapy (97033) $157.30 $242 8.3×
Pt Electrical Stimulation (97032) $95.55 $147 6.5×
Pt eval high complex 45 min (97163) $276.58 $425.50 2.8×
Pt eval low complex 20 min (97161) $221.98 $341.50 2.3×
Pt Gait Training Therapy (97116) $55.25 $85 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $135.85 $209 4.2×
Pt Physical Performance Test (97750) $100.10 $154 3.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $249.28 $383.50 2.5×
Pt re-evaluation (97164) $201.50 $310 3.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $104.65 $161 3.2×
Pt Ultrasound Therapy (97035) $110.50 $170 7.7×
Pulm function test by gas (94727) $323.70 $498 1.6×
Pulmonary stress testing (94618) $169.65 $261 1.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $11,482.90 $17,666 3.7×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $13,806 $21,240 4.4×
R hrt art/grft angio (93457) $9,037.60 $13,904 2.9×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $15,023.45 $23,113 4.8×
Refill/Maint Pump/Resvr Syst (96522) $564.20 $868 2.8×
Refill/maint, portable pump (96521) $367.90 $566 1.8×
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 hand w/wo comparison normal sid (95852) $50.05 $77 2.3×
Rt Chest Wall Manipulation,Subsequent (94668) $154.70 $238 1.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $94.25 $145 2.0×
Sc Ther Infusion Reset Pump (96371) $222.30 $342 3.2×
Sensory Integration Ea 15 Min (97533) $91 $140 1.5×
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 group therapy (92508) $65 $100 2.7×
Speech sound lang comprehen (92523) $313.95 $483 1.4×
Spirometry (94010) $349.70 $538 1.7×
Standardized Cognitive Performance Testing (96125) $375.05 $577 3.6×
Stress echo (93350) $1,346.80 $2,072 2.6×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $159.25 $245 3.5×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $383.50 $590 1.9×
Temp transcutaneous pacing (92953) $744.90 $1,146 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $65 $100 2.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $87.10 $134 4.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $167.38 $257.50 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $137.80 $212 2.0×
Therapeutic Activities (97530) $101.40 $156 2.9×
Therapeutic phlebotomy (99195) $137.80 $212 1.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,934.10 $4,514 5.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,586.65 $2,441 6.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $392.60 $604 5.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $168.68 $259.50 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $227.50 $350 5.1×
Ultraviolet Light Therapy (96900) $130.65 $201 3.6×
Unlisted Cardiovascular Service/Procedure (93799) $3,419 $5,260 27.6×
Unlisted pulmonary service/procedure (94799) $118.30 $182 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,128.40 $1,736 4.9×
Ventilation assist & mgmt inpatient 1st day (94002) $3,125.85 $4,809 5.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,141.10 $3,294 3.6×
Vital capacity total (94150) $356.20 $548 2.9×
Wheelchair Mgmt Ea 15 Min (97542) $48.10 $74 1.5×