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.

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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) $107.90 $166 2.4×
Assessment of aphasia (96105) $642.20 $988 6.6×
Behavioral and qualitative analysis of voice and resonance (92524) $312 $480 2.8×
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) $117 $180 2.9×
Capsule endoscopy (91110) $1,701.70 $2,618 2.0×
Cardiac Stress Tst,Tracing Only (93017) $1,170 $1,800 5.6×
Cardiopulmonary resuscitation (92950) $1,606.80 $2,472 7.7×
Cardioversion (92960) $1,106.95 $1,703 1.7×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $7,096.05 $10,917 2.3×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $12,601.55 $19,387 4.0×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $9,204.65 $14,161 3.0×
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 Hormon Antineopl Sq/Im (96402) $110.50 $170 1.6×
Chemo IV push addl drug (96411) $237.25 $365 3.4×
Chemo Iv Push Sngl Drug (96409) $317.85 $489 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $960.05 $1,477 3.0×
Chemother, IV infusion, 1 hr (96413) $361.40 $556 1.1×
Chemother, IV infusion, ea add hr (96415) $300.95 $463 4.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $201.50 $310 2.9×
Chemotx Admn Cns Req Spinal Puncture (96450) $453.70 $698 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $300.95 $463 4.3×
Color/duplex Doppler, complete (93975) $1,663.35 $2,559 7.2×
Color/duplex Doppler, limited (93976) $1,142.70 $1,758 11.4×
Coronary artery angio s&i (93454) $7,764.90 $11,946 2.5×
Cpap initiation and management (94660) $365.95 $563 1.7×
Cpt initial (94667) $78 $120 0.6×
Critical care (99291) $2,490.15 $3,831 3.1×
Debridement Open Wound 20 Sq Cm< (97597) $476.45 $733 2.5×
Demo &/or eval,pt use,aerosol device (94664) $182 $280 0.9×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $789.10 $1,214 2.0×
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) $501.80 $772 5.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $542.75 $835 2.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $484.25 $745 4.8×
Dup-scan xtr veins unilateral/limited study (93971) $826.80 $1,272 8.2×
Duplex hemodialysis access (93990) $271.70 $418 2.7×
Duplex scan extracranial art compl bi study (93880) $654.55 $1,007 2.9×
Echo Heart Xthoracic,Limited (93308) $489.45 $753 2.1×
Echo transesophageal (93312) $1,350.70 $2,078 2.6×
Echo Transthoracic - Congenital Tte Complete (93303) $1,681.55 $2,587 3.2×
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×
EKG (93005) $219.05 $337 3.9×
EKG rhythm strip (93041) $246.35 $379 4.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $649.35 $999 3.1×
Endomyocardial biopsy (93505) $5,769.40 $8,876 1.9×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $4,776.85 $7,349 4.1×
Er level 1 (99281) $254.80 $392 3.1×
Er level ii (99282) $403 $620 2.7×
Er level iii (99283) $1,522.62 $2,342.50 5.8×
Er level IV (99284) $2,279.55 $3,507 5.7×
Er level v (99285) $4,256.78 $6,548.90 7.4×
Ergonovine provocation test (93024) $807.95 $1,243 1.9×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $341.25 $525 4.8×
Evaluation of speech fluency (92521) $242.12 $372.50 1.8×
Evaluation of speech sound production (92522) $340.28 $523.50 3.0×
Evaluation of swallowing function (92610) $283.40 $436 3.3×
Exercise tst brncspsm (94617) $447.20 $688 3.5×
External Ecg Scanning Analysis Report (93226) $553.80 $852 9.8×
Flow volume loop (94375) $215.15 $331 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,374.10 $2,114 1.7×
Group Therapeutic Procedures (97150) $84.18 $129.50 4.7×
Hemodialysis (90935) $1,255.80 $1,932 1.9×
Holter Monitor Recording (93225) $452.40 $696 3.5×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $31.20 $48 0.8×
Immunization Admin (90471) $92.95 $143 1.3×
Ingestion challenge test initial 120 minutes (95076) $863.85 $1,329 2.4×
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) $7,385.95 $11,363 59.7×
Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (bat) modulation system… (93145) $7,385.95 $11,363 59.7×
Intra Atrial Recording (93602) $8,594.95 $13,223 1.1×
Intra-atrial pacing (93610) $8,708.05 $13,397 1.2×
Intraventricular pacing (93612) $7,718.10 $11,874 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $176.80 $272 2.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $381.55 $587 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $176.80 $272 3.9×
IV push initial (96374) $321.10 $494 1.6×
Manual therapy 15 min (97140) $172.90 $266 6.2×
Massage 15 min (97124) $139.10 $214 4.7×
Maximum voluntary ventilation (94200) $306.80 $472 5.4×
Measurement of heart blood flow and respiration (93701) $214.50 $330 1.7×
Mechanical chest wall oscillation (94669) $81.25 $125 0.4×
Mechanical traction (97012) $93.60 $144 6.5×
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×
Methacholine challenge (94070) $919.75 $1,415 2.6×
Mnt Group Ea 30 Min (97804) $55.25 $85 3.2×
Motility study esophagus (91010) $1,125.15 $1,731 3.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $358.48 $551.50 3.9×
Multiple sleep latency test (95805) $2,432.95 $3,743 2.9×
Neg press wnd tx </=50 sq cm (97607) $224.25 $345 0.6×
Neg press wound tx >50 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×
Neurological procedure unlisted (95999) $152.10 $234 1.2×
Newborn resuscitation (99465) $914.55 $1,407 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $250.25 $385 2.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $757.90 $1,166 3.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $388.38 $597.50 3.1×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $300.30 $462 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $155.35 $239 3.4×
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) $122.85 $189 2.5×
Ot Prosthetic Training, Each 15 Min (97761) $102.05 $157 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) $327.60 $504 2.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $130.65 $201 1.1×
Paraffin bath (97018) $68.90 $106 11.5×
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) $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 revasc chronic 1vsl (92943) $20,873.45 $32,113 1.9×
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 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) $14,528.15 $22,351 1.3×
Prq trluml coronary angioplasty one art/branch (92920) $6,844.50 $10,530 1.3×
Pt Electric Current Therapy (97033) $159.90 $246 8.4×
Pt Electrical Stimulation (97032) $88.08 $135.50 6.0×
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) $85.80 $132 3.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $89.05 $137 2.7×
Pt Physical Performance Test (97750) $126.10 $194 3.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $249.28 $383.50 2.5×
Pt re-evaluation (97164) $153.40 $236 2.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $58.50 $90 1.8×
Pt Ultrasound Therapy (97035) $89.38 $137.50 6.2×
Pt Whirlpool Therapy (97022) $92.30 $142 5.9×
Pulm function test by gas (94727) $495.95 $763 2.4×
Pulmonary stress testing (94618) $168.35 $259 1.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $11,592.10 $17,834 3.7×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $8,928.40 $13,736 2.9×
R hrt art/grft angio (93457) $10,874.50 $16,730 3.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $6,702.15 $10,311 2.1×
Refill/maint, portable pump (96521) $319.80 $492 1.6×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $69.55 $107 1.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $182 $280 5.1×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $96.20 $148 1.8×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $70.85 $109 1.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $211.90 $326 1.7×
Remote Therapeutic Monitoring (Eg, Therapy Adherence, Therapy Response, Digital Therapeutic Intervention); Device(s)… (98985) $50.70 $78 1.4×
Right heart cath (93451) $4,131.40 $6,356 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $494.65 $761 2.6×
Rt Chest Wall Manipulation,Subsequent (94668) $83.20 $128 0.7×
Sensory Integration Ea 15 Min (97533) $89.70 $138 1.5×
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×
Smoking cessation > 10 min (99407) $19.50 $30 0.5×
Speech group therapy (92508) $77.02 $118.50 3.2×
Speech sound lang comprehen (92523) $313.62 $482.50 1.4×
Spirometry (94010) $324.35 $499 1.6×
Standardized Cognitive Performance Testing (96125) $533 $820 5.2×
Stress echo (93350) $1,198.60 $1,844 2.3×
Stress Tte Complete (93351) $1,585.35 $2,439 3.0×
Temp transcutaneous pacing (92953) $681.85 $1,049 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $77.68 $119.50 3.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $52.32 $80.50 2.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $146.90 $226 1.4×
Ther/Proph/Diag Inj Sc/Im (96372) $135.85 $209 2.0×
Therapeutic Activities (97530) $57.20 $88 1.6×
Therapeutic phlebotomy (99195) $222.30 $342 1.7×
Tilt Table Eval (93660) $1,200.55 $1,847 3.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $9.10 $14 0.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,135.90 $3,286 4.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,259.05 $1,937 5.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $228.80 $352 3.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $242.45 $373 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $163.80 $252 3.6×
Ultraviolet Light Therapy (96900) $89.05 $137 2.5×
Unlisted Cardiovascular Service/Procedure (93799) $3,796.32 $5,840.50 30.7×
Unlisted pulmonary service/procedure (94799) $78 $120 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $996.45 $1,533 4.3×
Vasc Duplex Scan Extracranial,Limited (93882) $355.55 $547 3.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $576.55 $887 2.8×
Veeg by tech 2-12 hr intermittent monitoring (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×
Ventilation assist & mgmt inpatient 1st day (94002) $1,215.18 $1,869.50 2.0×
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) $57.20 $88 1.8×