Mercy Hospital Ardmore Inc
Mercy Hospital Ardmore Inc in Northwest Ardmore, OK publishes cash prices for 54 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1011 14th Avenue Northwest Ardmore OK 73401 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast | $4,124.90 | $6,346.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont | $1,588.60 | $2,444.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont | $1,644.50 | $2,530.00 | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mamm Diagnostic Bilat W Cad | $431.60 | $664.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Lt W Cad | $280.15 | $431.00 | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 Mamm Diagnostic Unilat Rt W Cad | $280.15 | $431.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Extr Lwr Jt WO Cont Bi | $4,493.45 | $6,913.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Rt | $2,995.85 | $4,609.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Extr Lwr Jt WO Cont Lt | $2,995.85 | $4,609.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Extr Lwr Jt W/WO Cont Bi | $5,516.55 | $8,487.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Rt | $3,677.70 | $5,658.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Extr Lwr Jt W/WO Cont Lt | $3,677.70 | $5,658.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Cont | $2,285.40 | $3,516.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W/WO Cont | $3,652.35 | $5,619.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine WO Cont | $2,766.40 | $4,256.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uter 14 Wks Or> | $747.50 | $1,150.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilateral W Cad | $378.95 | $583.00 | 35% |
| Screening mammogram, both breasts both sides CPT 77067 Mamm Scrn Bilat Implant W Cad | $378.95 | $583.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Left W Cad | $252.85 | $389.00 | 35% |
| Screening mammogram, both breasts one side CPT 77067 Mamm Scrn Right W Cad | $252.85 | $389.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom Attended >3 Chn 6/> Yrs | $5,136.95 | $7,903.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $898.95 | $1,383.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $1,199.25 | $1,845.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views | $600.60 | $924.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $18.85 | $29.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $48.10 | $74.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $128.70 | $198.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $17.55 | $27.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff | $72.15 | $111.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $23.40 | $36.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $31.20 | $48.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $22.10 | $34.00 | 35% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $264.55 | $407.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $80.60 | $124.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $65.65 | $101.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $100.10 | $154.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time | $26.65 | $41.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Mixing | $162.50 | $250.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $14.30 | $22.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Mixing Test | $98.80 | $152.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $120.90 | $186.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn | $11.05 | $17.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone | $59.80 | $92.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $11.05 | $17.00 | 35% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Non Automated W Micro | $16.90 | $26.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $7.80 | $12.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $35.75 | $55.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $53.95 | $83.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $160.55 | $247.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $160.55 | $247.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $23.40 | $36.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated | $23.40 | $36.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $23.40 | $36.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $23.40 | $36.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 GI Colo Biopsy Snare Pf | $2,751.58 | $4,233.20 | 35% |
| Colonoscopy with tissue sample CPT 45380 GI Colo Biopsy Cold Pf | $3,327.84 | $5,119.76 | 35% |
| Colonoscopy, diagnostic CPT 45378 GI Colonoscopy | $2,107.20 | $3,241.84 | 35% |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy Pf | $10,077.24 | $15,503.44 | 35% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rx Ing Hernia,5+Y/O,Reducibl Pf | $9,509.05 | $14,629.31 | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $7,526.10 | $11,578.61 | 35% |
| Left heart catheterization, diagnostic one side CPT 93452 Lt Heart Cath Including Inj Lt Ventriculography, S/I | $14,090.05 | $21,677.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inject Interlaminar Lumbar or Sacral W Imag | $2,589.02 | $3,983.11 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Inj Dx/Tx Epid/Subaracr Lmbr/Sac WO Imag | $3,958.50 | $6,090.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Transforminal Epi/Lumb/Sacral Sngl Level | $6,399.97 | $9,846.11 | 35% |
| Prostate biopsy CPT 55700 Bx Prostate Needle/Punch | $8,508.44 | $13,089.91 | 35% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing | $35,813.43 | $55,097.58 | 35% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $19,177.07 | $29,503.18 | 35% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GI Egd W/Biopsy Pf | $2,990.38 | $4,600.58 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GI Upper Endoscopy Complex | $690.95 | $1,063.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Mlp | $54.60 | $84.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt Pf | $64.35 | $99.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt | $239.20 | $368.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Mlp | $89.05 | $137.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt Pf | $104.65 | $161.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt | $317.20 | $488.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Mlp | $120.90 | $186.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt Pf | $141.70 | $218.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt | $274.95 | $423.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m | $154.70 | $238.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m | $154.70 | $238.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Mlp | $58.50 | $90.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min Pf | $68.90 | $106.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 New/Est Office/OP Cnslt Low 30-39 Min | $104.00 | $160.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Mlp | $89.05 | $137.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min Pf | $104.65 | $161.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 New/Est Office/OP Cnslt Mod 40-54 Min | $129.35 | $199.00 | 35% |