Supplies, drugs & other prices at Mercy Hospital Ardmore, Inc
Ardmore, OK · every code in this section with a posted price and a Medicare benchmark.
76 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × 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,co (C8923) | $996.45 | $1,533 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $825.50 | $1,270 | 2.5× |
| Adm tocilizu covid-19 1st (M0249) | $631.80 | $972 | 1.5× |
| Adm tocilizu covid-19 2nd (M0250) | $631.80 | $972 | 1.5× |
| Admin hepatitis b vaccine (G0010) | $70.20 | $108 | 1.6× |
| Admin influenza virus vac (G0008) | $48.75 | $75 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $52.65 | $81 | 1.2× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $71.50 | $110 | 2.3× |
| Catheterize for urine spec (P9612) | $52 | $80 | 5.6× |
| Chemo extend iv infus w/pump (G0498) | $609.70 | $938 | 1.9× |
| CT breast w/3d rendering uni with contrast (0634T) | $1,454.70 | $2,238 | 8.6× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) | $2,273.05 | $3,497 | 13.5× |
| Cyp1a2 gene analysis common variants (0031U) | $573.30 | $882 | 3.3× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $726.70 | $1,118 | 1.1× |
| Diab manage trn per indiv (G0108) | $81.25 | $125 | 1.5× |
| Diab manage trn ind/group (G0109) | $40.95 | $63 | 2.6× |
| Direct refer hospital observ (G0379) | $911.30 | $1,402 | 1.6× |
| Ekg tracing for initial prev (G0404) | $125.45 | $193 | 4.5× |
| Fern test (Q0114) range across 2 matching MRF lines |
$47.45–$59.15 | $73–$91 | varies |
| Hbot, full body chamber, 30m (G0277) | $387.40 | $596 | 2.9× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $152.75 | $235 | 3.5× |
| Initial preventive exam (G0402) | $116.35 | $179 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$902.20–$1,353.30 | $1,388–$2,082 | varies |
| 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) | $394.55 | $607 | 3.2× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $502.45 | $773 | 1.0× |
| Mra w/o cont, abd (C8901) | $2,052.05 | $3,157 | 8.9× |
| Mra w/o fol w/cont, abd (C8902) | $2,929.55 | $4,507 | 8.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $4,776.20 | $7,348 | 14.2× |
| Mri w/o fol w/cont, breast, (C8908) | $3,213.60 | $4,944 | 9.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,610.40 | $4,016 | 7.8× |
| Neuro csf prion prtn qual (0035U) | $274.95 | $423 | 0.5× |
| Oth resp proc, group (G0239) | $94.25 | $145 | 2.6× |
| Oth resp proc, indiv (G0238) | $99.45 | $153 | 3.6× |
| Pathogen test for platelets (P9100) | $71.50 | $110 | 1.3× |
| Perc d-e cor revasc chro sin (C9607) | $20,873.45 | $32,113 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $24,226.15 | $37,271 | 2.2× |
| Perc d-e cor stent ather s (C9602) | $12,359.10 | $19,014 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $13,245.70 | $20,378 | 1.2× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $14,389.70 | $22,138 | 1.3× |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) | $11,723.40 | $18,036 | 0.7× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $123.50 | $190 | 3.4× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $125.45 | $193 | 3.5× |
| Prolonged iv inf, req pump (C8957) | $795.60 | $1,224 | 3.9× |
| Psa screening (G0103) | $144.30 | $222 | 7.5× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $642.85 | $989 | 0.9× |
| Revasc intra lithotrip-ather (C9766) | $26,274.95 | $40,423 | 1.5× |
| Revasc intra lithotrip-stent (C9765) | $25,469.60 | $39,184 | 1.4× |
| Revasc intravasc lithotripsy (C9764) | $9,451 | $14,540 | 0.9× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $103.35 | $159 | 3.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $17,116.45 | $26,333 | 0.9× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $21,620.95 | $33,263 | 1.2× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $17,116.45 | $26,333 | 0.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $21,620.95 | $33,263 | 1.2× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $3,817.45 | $5,873 | 1.3× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $1,997.45 | $3,073 | 0.7× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $1,997.45 | $3,073 | 0.7× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $1,682.20 | $2,588 | 0.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $17,116.45 | $26,333 | 0.9× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) likely a partial charge, not the full procedure |
$2,523.30 | $3,882 | 0.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) likely a partial charge, not the full procedure |
$1,997.45 | $3,073 | 0.1× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) likely a partial charge, not the full procedure |
$1,997.45 | $3,073 | 0.1× |
| Therapeutic procd strg endur (G0237) | $118.30 | $182 | 4.3× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$139.75–$161.85 | $215–$249 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $469.95 | $723 | 1.0× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$4,687.15–$5,079.10 | $7,211–$7,814 | varies |
| Trluml perip athrc abd aorta (0236T) | $22,865.70 | $35,178 | 2.1× |
| Trluml Perip Athrc Brchiocph (0237T) | $23,125.70 | $35,578 | 2.1× |
| Trluml Perip Athrc Iliac Art (0238T) | $12,569.05 | $19,337 | 0.7× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $16,810.95 | $25,863 | 1.5× |
| Tte w or w/o contr, cont ecg (C8930) | $1,463.80 | $2,252 | 1.9× |
| Tte w or w/o fol w/con,stres (C8928) | $1,907.10 | $2,934 | 2.5× |
| Tte w or wo fol wcon,doppler (C8929) | $3,081.65 | $4,741 | 4.1× |
| Unsched dialysis esrd pt hos (G0257) | $980.20 | $1,508 | 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.