Visits & medical services prices at Mercy Hospital Ardmore, Inc
Ardmore, OK · every code in this section with a posted price and a Medicare benchmark.
204 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) | $89.05 | $137 | 2.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $31.20 | $48 | 0.8× |
| 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) range across 6 matching MRF lines |
$113.10–$287.95 | $174–$443 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$57.20–$121.55 | $88–$187 | varies |
| Application on-body injector (96377) | $107.90 | $166 | 2.4× |
| Assessment of aphasia per hr (96105) | $642.20 | $988 | 6.6× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$196.95–$429 | $303–$660 | varies |
| Biofeedback training any modality (90901) | $167.05 | $257 | 4.1× |
| Bioimpedance Cv Analysis (93701) | $214.50 | $330 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $598 | $920 | 1.7× |
| Canalith repositioning proc (95992) | $117 | $180 | 2.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,170 | $1,800 | 5.6× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$560.95–$1,606.80 | $863–$2,472 | varies |
| Cardioversion (92960) | $1,106.95 | $1,703 | 1.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,928.40 | $13,736 | 2.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,498.10 | $13,074 | 2.7× |
| Cbt 1st hour (94644) | $90.35 | $139 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $201.50 | $310 | 2.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $110.50 | $170 | 1.6× |
| Chemo IV infusion addl hr (96415) | $300.95 | $463 | 4.3× |
| Chemo IV push addl drug (96411) | $237.25 | $365 | 3.4× |
| Chemother Prolong Infuse W/Pump (96416) | $960.05 | $1,477 | 3.0× |
| Chemotherapy Into Cns (96450) | $453.70 | $698 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $300.95 | $463 | 4.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $361.40 | $556 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $317.85 | $489 | 1.0× |
| Chest Wall Manipulation (94668) range across 5 matching MRF lines |
$83.20–$261.30 | $128–$402 | varies |
| Color/duplex Doppler, complete (93975) | $1,663.35 | $2,559 | 7.2× |
| Color/duplex Doppler, limited (93976) | $1,142.70 | $1,758 | 11.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $52 | $80 | 1.6× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$224.90–$551.85 | $346–$849 | varies |
| Coronary Art/Grft Angio S&I (93455) | $7,096.05 | $10,917 | 2.3× |
| Coronary Artery Angio S&I (93454) | $7,764.90 | $11,946 | 2.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$178.75–$445.90 | $275–$686 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$78–$372.45 | $120–$573 | varies |
| Critical care first hour (99291) | $2,490.15 | $3,831 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$196.95–$476.45 | $303–$733 | varies |
| Dialysis One Evaluation (90945) range across 7 matching MRF lines |
$614.25–$1,103.05 | $945–$1,697 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $848.90 | $1,306 | 3.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $579.80 | $892 | 5.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $941.85 | $1,449 | 4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$489.45–$514.15 | $753–$791 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $996.45 | $1,533 | 4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $826.80 | $1,272 | 8.2× |
| Duplex Scan Hemodialysis Access (93990) | $271.70 | $418 | 2.7× |
| Duplex up extrem art bilat (93930) | $542.75 | $835 | 2.4× |
| Duplex up extrem art unilat/ltd (93931) | $484.25 | $745 | 4.8× |
| Echo Congenital Complete (93303) | $1,681.55 | $2,587 | 3.2× |
| Echo Heart Xthoracic,Limited (93308) | $489.45 | $753 | 2.1× |
| Echo transesophageal (93312) | $1,350.70 | $2,078 | 2.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,585.35 | $2,439 | 3.0× |
| Eeg 41-60 Minutes (95812) | $649.35 | $999 | 3.1× |
| EEG awake drowsy (95816) | $541.45 | $833 | 2.6× |
| EEG cerebral death evaluation (95824) | $1,535.30 | $2,362 | 4.3× |
| EEG cont rec w/video by tech min 8 channels (95700) | $683.15 | $1,051 | 3.3× |
| EEG extended monitoring 61-119 minutes (95813) | $680.55 | $1,047 | 3.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$61.10–$115.05 | $94–$177 | varies |
| Electrocardiogram Tracing (93005) | $219.05 | $337 | 3.9× |
| Electrophysiology Evaluation (93642) | $4,776.85 | $7,349 | 4.1× |
| Emergency Dept Visit Level 2 (99282) | $403 | $620 | 2.7× |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$1,339–$1,706.25 | $2,060–$2,625 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$1,833–$2,726.10 | $2,820–$4,194 | varies |
| Endomyocardial Biopsy (93505) | $5,769.40 | $8,876 | 1.9× |
| Er level 1 (99281) | $254.80 | $392 | 3.1× |
| Er level v (99285) range across 2 matching MRF lines |
$2,216.50–$6,297.07 | $3,410–$9,687.80 | varies |
| Ergonovine provocation test (93024) | $807.95 | $1,243 | 1.9× |
| Evaluate pt use of inhaler (94664) | $182 | $280 | 0.9× |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$187.85–$465.40 | $289–$716 | 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 |
$152.75–$363.35 | $235–$559 | varies |
| Exercise test for bronchospasm (94617) | $447.20 | $688 | 3.5× |
| External Ecg Scanning Analysis Report (93226) | $553.80 | $852 | 9.8× |
| Extracranial Bilat Study (93880) | $654.55 | $1,007 | 2.9× |
| Extracranial Uni/Ltd Study (93882) | $355.55 | $547 | 3.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,374.10 | $2,114 | 1.7× |
| Gi tract capsule endoscopy (91110) | $1,701.70 | $2,618 | 2.0× |
| Group Therapeutic Procedures (97150) range across 16 matching MRF lines |
$35.10–$185.90 | $54–$286 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $6,702.15 | $10,311 | 2.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$980.20–$1,531.40 | $1,508–$2,356 | varies |
| Holter monitor recording (93225) | $452.40 | $696 | 3.5× |
| Immunization administration (90471) range across 3 matching MRF lines |
$92.95–$100.75 | $143–$155 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $863.85 | $1,329 | 2.4× |
| Insert/Place Heart Catheter (93503) | $4,052.10 | $6,234 | 2.7× |
| Interrog eval crtd sins bat modulj sys ip w/ (93146) | $7,385.95 | $11,363 | 59.7× |
| Interrog eval crtd sins bat modulj sys ip wo (93145) | $7,385.95 | $11,363 | 59.7× |
| Intra-atrial pacing (93610) | $8,708.05 | $13,397 | 1.2× |
| Intra-atrial recording (93602) | $8,594.95 | $13,223 | 1.1× |
| Intraventricular pacing (93612) | $7,718.10 | $11,874 | 1.0× |
| Iontophoresis 15 min (97033) | $159.90 | $246 | 8.4× |
| Irrig Drug Delivery Device (96523) | $123.50 | $190 | 2.2× |
| IV infusion hydration each additional hour (96361) | $176.15 | $271 | 3.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $170.95 | $263 | 0.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $176.80 | $272 | 2.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $176.80 | $272 | 3.9× |
| IV push initial (96374) | $321.10 | $494 | 1.6× |
| L Hrt Art/Grft Angio (93459) | $9,204.65 | $14,161 | 3.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $306.80 | $472 | 5.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $576.55 | $887 | 2.8× |
| Mechanical chest wall oscillation per session (94669) | $81.25 | $125 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $78 | $120 | 2.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $83.20 | $128 | 2.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $55.25 | $85 | 3.2× |
| Methacholine challenge (94070) | $919.75 | $1,415 | 2.6× |
| Motility study esophagus (91010) | $1,125.15 | $1,731 | 3.1× |
| Motion Fluoroscopy/Swallow (92611) range across 8 matching MRF lines |
$239.20–$477.75 | $368–$735 | varies |
| Multiple Sleep Latency Test (95805) | $2,432.95 | $3,743 | 2.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $224.25 | $345 | 0.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $284.70 | $438 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $305.50 | $470 | 1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $227.50 | $350 | 0.6× |
| Neuromuscular Reeducation (97112) | $89.05 | $137 | 2.7× |
| Newborn resuscitation (99465) | $914.55 | $1,407 | 1.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $300.30 | $462 | 0.8× |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$146.90–$338 | $226–$520 | varies |
| Oral Speech Device Eval (92597) range across 5 matching MRF lines |
$286.65–$395.85 | $441–$609 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $122.85 | $189 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $155.35 | $239 | 3.4× |
| 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 |
$151.45–$172.90 | $233–$266 | varies |
| Ot paraffin bath (97018) | $68.90 | $106 | 11.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $102.05 | $157 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) range across 16 matching MRF lines |
$109.20–$416.65 | $168–$641 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $327.60 | $504 | 2.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $130.65 | $201 | 1.1× |
| 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) | $6,844.50 | $10,530 | 1.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $20,873.45 | $32,113 | 1.9× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$218.40–$226.20 | $336–$348 | varies |
| 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) | $126.10 | $194 | 3.7× |
| Plethysmography (94726) | $502.45 | $773 | 1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,678.40 | $8,736 | 6.9× |
| Polysom <6 yrs 4/> paramtrs (95782) | $5,128.50 | $7,890 | 6.2× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $5,461.95 | $8,403 | 6.6× |
| Prq Card Angio/Athrect 1 Art (92924) | $14,528.15 | $22,351 | 1.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $16,628.95 | $25,583 | 1.5× |
| 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× |
| 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) | $85.80 | $132 | 3.0× |
| Pt mechanical traction (97012) | $93.60 | $144 | 6.5× |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$83.20–$223.60 | $128–$344 | varies |
| Pulm function test by gas (94727) | $495.95 | $763 | 2.4× |
| Pulmonary service/procedure (94799) | $78 | $120 | 0.6× |
| Pulmonary Stress Testing (94618) | $168.35 | $259 | 1.3× |
| R Hrt Art/Grft Angio (93457) | $10,874.50 | $16,730 | 3.5× |
| R hrt coronary artery angio (93456) | $12,601.55 | $19,387 | 4.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $11,592.10 | $17,834 | 3.7× |
| Refill/Maint Portable Pump (96521) | $319.80 | $492 | 1.6× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $69.55 | $107 | 1.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $182 | $280 | 5.1× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $211.90 | $326 | 1.7× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) range across 3 matching MRF lines |
$61.10–$70.85 | $94–$109 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) range across 3 matching MRF lines |
$81.90–$96.20 | $126–$148 | varies |
| Respiratory flow volume loop (94375) | $215.15 | $331 | 1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $246.35 | $379 | 4.3× |
| Right Heart Cath (93451) | $4,131.40 | $6,356 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$340.60–$494.65 | $524–$761 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $196.30 | $302 | 7.5× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $50.70 | $78 | 1.4× |
| Self Care Mngment Training (97535) | $58.50 | $90 | 1.8× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$59.80–$119.60 | $92–$184 | varies |
| Sleep study unattended (95806) | $1,271.40 | $1,956 | 6.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,179.10 | $1,814 | 5.7× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$178.10–$459.55 | $274–$707 | varies |
| Spirometry (94010) | $324.35 | $499 | 1.6× |
| Standardized Cognitive Performance Testing (96125) | $533 | $820 | 5.2× |
| Stress Tte Only (93350) | $1,198.60 | $1,844 | 2.3× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$521.30–$842.40 | $802–$1,296 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$73.45–$81.90 | $113–$126 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$20.80–$83.85 | $32–$129 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $139.10 | $214 | 4.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 4 matching MRF lines |
$116.35–$177.45 | $179–$273 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $135.85 | $209 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $381.55 | $587 | 1.9× |
| Therapeutic Activities (97530) | $57.20 | $88 | 1.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,200.55 | $1,847 | 3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$16.25–$98.15 | $25–$151 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$7.80–$35.75 | $12–$55 | varies |
| Tte w/doppler, complete (93306) | $2,135.90 | $3,286 | 4.1× |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$1,039.35–$1,478.75 | $1,599–$2,275 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 8 matching MRF lines |
$133.25–$324.35 | $205–$499 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 8 matching MRF lines |
$57.85–$92.30 | $89–$142 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $163.80 | $252 | 3.6× |
| Unlis neurological/neuromuscular dx px (95999) | $152.10 | $234 | 1.2× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$2,343.90–$5,248.75 | $3,606–$8,075 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $250.25 | $385 | 2.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $757.90 | $1,166 | 3.6× |
| Veeg 2-12 hr intmt mntr (95712) | $2,811.90 | $4,326 | 7.8× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,991.60 | $3,064 | 5.5× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$681.85–$1,748.50 | $1,049–$2,690 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $558.35 | $859 | 0.9× |
| Vital capacity, total (94150) | $590.85 | $909 | 4.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$45.50–$68.90 | $70–$106 | varies |
| Whirlpool Therapy (97022) | $92.30 | $142 | 5.9× |
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.