Mercy Hospital Ardmore, Inc — procedure prices

Published prices for 259 procedures at Mercy Hospital Ardmore, Inc (Ardmore, OK), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $83 $127 $76 $51
Abdominal fluid drain (paracentesis) $1,123 $1,728 $1,032 $284
Abdominal ultrasound $1,073 $1,651 $239 $100
Abscess incision and drainage $1,950 $3,001 $1,376 $174
ACL knee reconstruction $21,924 $33,730 $7,139 $889
Albumin blood test $18 $27 $9 $5
Aldosterone test $174 $268 $62 $41
Alkaline phosphatase test $44 $67 $9 $5
Alpha-fetoprotein (AFP) test $38 $58 $25 $17
ALT liver enzyme test $42 $64 $10 $5
Ammonia blood test $39 $60 $25 $15
Amniocentesis $1,425 $2,193 $1,316 $120
Amylase test $192 $295 $14 $6
Antinuclear antibody (ANA) test $43 $66 $23 $12
Arterial blood gas (ABG) $41 $63 $35 $26
AST liver enzyme test $34 $52 $9 $5
Barium swallow study $419 $644 $275 $107
Basic metabolic panel $19 $29 $13 $8
Benign skin lesion removal $1,065 $1,639 $983 $171
Bilirubin blood test $18 $28 $9 $5
Bladder function test (urodynamics) $2,404 $3,698 $1,424 $345
Bladder scope (cystoscopy) $9,158 $14,089 $2,153 $216
Bladder tumor removal (TURBT) $8,276 $12,733 $3,447 $236
Blood clotting test (PT/INR) $121 $186 $7 $4
Blood crossmatch $45 $69 $69
Blood glucose test $20 $30 $8 $5
Blood transfusion $2,042 $3,141 $449 $47
Blood type and screen $299 $460 $78 $10
Blood type test $137 $211 $106 $3
BNP (heart failure) test $157 $242 $65 $39
Bone density scan (DEXA) $582 $895 $343 $39
Bone marrow biopsy $1,969 $3,029 $1,856 $172
Bone scan (nuclear) $6,239 $9,598 $409 $259
Botox for migraine $94 $145 $295 $157
Breast biopsy $4,873 $7,497 $4,635 $478
Breast MRI $2,181 $3,356 $638 $216
Breast ultrasound $654 $1,007 $227 $92
Breathing tube insertion (intubation) $1,319 $2,029 $510 $133
Bronchoscopy $11,233 $17,281 $3,685 $303
Burn treatment $192 $296 $159 $129
C-reactive protein (CRP) $25 $38 $11 $5
CA 19-9 tumor marker test $35 $54 $28 $21
CA-125 ovarian marker test $35 $54 $28 $21
Calcium blood test $14 $21 $9 $5
Capsule endoscopy $1,702 $2,618 $1,361 $802
Cardiac catheterization $8,851 $13,618 $6,082 $1,049
Cardiac rehabilitation $328 $504 $195 $26
Cardiac stress test $1,170 $1,800 $662 $39
Cardioversion $1,107 $1,703 $900 $155
Carotid artery ultrasound $505 $777 $328 $156
Carpal tunnel release $3,290 $5,061 $1,952 $483
CEA tumor marker test $192 $295 $32 $19
Celiac disease test $96 $148 $22 $12
Central line placement $1,489 $2,290 $1,374 $238
Cervical LEEP procedure $6,553 $10,082 $3,178 $325
Chemotherapy infusion $331 $510 $301 $81
Chest fluid drain (thoracentesis) $3,719 $5,722 $623 $311
Chest tube insertion $757 $1,165 $699 $143
Chest X-ray $391 $602 $199 $37
Circumcision $3,495 $5,378 $710 $167
CK-MB heart enzyme test $145 $223 $19 $12
Clotting time test (PTT) $163 $250 $10 $6
Colonoscopy $2,955 $4,546 $1,178 $480
Complete blood count (CBC) $45 $69 $12 $7
Comprehensive metabolic panel $23 $36 $16 $11
Copper blood test $83 $128 $24 $12
Cortisol test $66 $102 $30 $16
COVID-19 PCR test $130 $200 $84 $51
CPAP titration study $446 $686 $207 $69
Creatine kinase (CK) test $23 $36 $14 $7
CT angiography of the chest $2,195 $3,377 $439 $281
CT angiography of the head $3,499 $5,383 $439 $274
CT scan of the abdomen $2,596 $3,994 $470 $230
CT scan of the abdomen and pelvis $4,125 $6,346 $641 $300
CT scan of the arm $2,668 $4,104 $491 $199
CT scan of the chest $1,919 $2,953 $470 $167
CT scan of the head $1,830 $2,815 $439 $148
CT scan of the leg $2,753 $4,235 $435 $166
CT scan of the lower back (lumbar spine) $1,907 $2,934 $501 $169
CT scan of the neck $2,335 $3,593 $439 $183
CT scan of the neck (cervical spine) $2,388 $3,674 $512 $168
CT scan of the pelvis $1,645 $2,530 $439 $226
CT scan of the sinuses $2,396 $3,686 $439 $152
D-dimer test $244 $375 $17 $10
Defibrillator (ICD) implant $18,693 $28,758 $32,042 $798
DHEA-sulfate test $124 $191 $37 $22
Diagnostic mammogram $356 $548 $189 $140
Drug screen (urine) $102 $157 $84 $17
Echocardiogram $1,039 $1,599 $548 $138
Electrocardiogram (EKG) $219 $337 $124 $8
Electroencephalogram (EEG) $541 $833 $428 $448
Electrolyte panel $62 $96 $12 $7
Emergency department visit $1,707 $2,626 $403 $69
Epidural steroid injection $2,407 $3,702 $1,342 $275
ERCP (bile duct endoscopy) $4,012 $6,172 $3,703 $311
Esophageal dilation $1,685 $2,592 $1,555 $522
Estradiol (estrogen) test $75 $115 $46 $28
Facet joint injection (spine) $2,162 $3,326 $1,474 $99
Fallopian tube X-ray (HSG) $896 $1,379 $242 $164
Fecal occult blood (stool) test $37 $57 $21 $10
Feeding tube (PEG) placement $2,891 $4,447 $2,609 $178
Ferritin (iron) test $49 $75 $23 $14
Fibrinogen test $23 $35 $15 $10
Flexible sigmoidoscopy $3,616 $5,563 $929 $323
Flu test $127 $196 $25 $17
Folate (folic acid) test $53 $81 $32 $15
Free T4 thyroid test $48 $74 $15 $9
FSH hormone test $66 $102 $35 $19
Gallbladder removal (laparoscopic) $10,843 $16,682 $5,831 $658
Gallbladder scan (HIDA) $2,484 $3,822 $538 $334
GGT liver test $20 $30 $12 $7
Glucose tolerance test $69 $106 $17 $8
H. pylori test $204 $314 $111 $67
HDL cholesterol test $49 $76 $15 $8
Hematocrit test $36 $55 $4 $2
Hemodialysis $980 $1,508 $905 $75
Hemoglobin A1c (diabetes test) $34 $53 $17 $10
Hemorrhoid removal $2,503 $3,851 $927 $338
Hepatitis B test $37 $57 $18 $10
Hepatitis C test $51 $78 $25 $14
HIV test $49 $75 $33 $19
Holter heart monitor $503 $774 $309 $26
Home sleep apnea test $1,179 $1,814 $332 $123
Hydrocele repair $9,108 $14,012 $3,527 $315
Hysterectomy $15,861 $24,402 $10,405 $933
Hysteroscopy $5,629 $8,660 $3,178 $1,270
Inguinal hernia repair $9,209 $14,168 $3,527 $538
Iron blood test $18 $27 $11 $6
IV infusion therapy $279 $430 $202 $44
IVC filter placement $3,912 $6,018 $3,611 $1,885
Joint aspiration (small/intermediate) $295 $455 $272 $57
Kidney biopsy $2,820 $4,338 $2,228 $492
Kidney scan (nuclear) $1,643 $2,528 $548 $172
Kidney stone shock-wave (lithotripsy) $11,380 $17,507 $3,447 $760
Kidney ultrasound $597 $918 $239 $84
Knee arthroscopy $7,255 $11,161 $3,243 $524
Lactate test $118 $182 $20 $12
Laminectomy (spine) $11,831 $18,201 $7,139 $1,157
Laryngoscopy $320 $492 $258 $189
LDH test $21 $33 $11 $6
LDL cholesterol test $21 $33 $14 $11
Leg artery angiogram $2,347 $3,610 $2,744 $149
Leg artery angioplasty $20,632 $31,742 $11,334
Leg vein ultrasound (Doppler) $912 $1,403 $371 $150
LH hormone test $66 $102 $37 $19
Lipase test $17 $26 $11 $7
Lipid (cholesterol) panel $48 $74 $23 $13
Liver biopsy $4,649 $7,152 $1,412 $288
Liver function panel $22 $34 $13 $8
Lumbar discectomy $9,787 $15,058 $7,139 $898
Lung function test (PFT) $461 $710 $311 $37
Lung scan (V/Q) $7,867 $12,103 $554 $291
Magnesium blood test $60 $92 $13 $7
Meniscus repair (knee) $9,179 $14,121 $3,243 $714
MRA of the brain $2,579 $3,967 $803 $226
MRA of the neck $2,421 $3,725 $803 $245
MRI of the abdomen $4,142 $6,373 $768 $300
MRI of the ankle $3,442 $5,296 $803 $261
MRI of the brain $2,537 $3,903 $803 $269
MRI of the chest $3,228 $4,966 $1,087 $371
MRI of the knee $4,388 $6,750 $1,048 $315
MRI of the lower back (lumbar spine) $3,130 $4,815 $803 $270
MRI of the mid-back (thoracic spine) $3,216 $4,947 $803 $271
MRI of the neck (cervical spine) $2,952 $4,541 $803 $274
MRI of the pelvis $3,121 $4,801 $803 $268
MRI of the shoulder $4,181 $6,433 $1,087 $313
MRI of the wrist $3,468 $5,336 $804 $330
Nebulizer breathing treatment $288 $443 $203 $9
Nuclear cardiac stress test $6,618 $10,181 $1,330 $428
Occupational therapy evaluation $280 $431 $140 $101
Office visit (established patient) $267 $411 $88 $115
Office visit (new patient) $121 $186 $121 $177
Pap smear (cervical screening) $66 $101 $40 $20
Parathyroid hormone (PTH) test $220 $338 $71 $41
Pelvic ultrasound $783 $1,205 $239 $78
PET scan $7,361 $11,324 $1,486
Phosphorus blood test $17 $26 $9 $5
Physical therapy evaluation $280 $431 $132 $98
Platelet count $44 $67 $8 $4
Pregnancy blood test (hCG) $27 $41 $16 $8
Pregnancy ultrasound $740 $1,139 $239 $126
Procalcitonin test $152 $234 $45 $27
Prolactin test $226 $348 $37 $19
Prostate biopsy $8,496 $13,071 $2,047
Prostate removal (prostatectomy) $35,729 $54,968 $10,405 $1,063
Prostate surgery (TURP) $9,394 $14,452 $5,081 $526
Prostate test (PSA) $100 $154 $32 $18
Pulmonary rehabilitation $185 $284 $131 $87
Radiofrequency nerve ablation $3,938 $6,058 $1,834 $462
Rheumatoid factor test $86 $132 $11 $6
Rotator cuff repair $20,773 $31,958 $7,139 $792
Scoliosis spine X-ray $335 $516 $198 $58
Screening mammogram $379 $583 $176 $126
Scrotal ultrasound $965 $1,484 $239 $99
Sedimentation rate (ESR) test $43 $66 $6 $3
Semen analysis $126 $194 $28 $12
Sex hormone binding globulin test $88 $135 $36 $22
Skin biopsy $1,134 $1,745 $733 $121
Skin cancer lesion removal $3,955 $6,084 $3,650 $240
Sleep study (polysomnography) $5,408 $8,320 $1,968 $691
Soft tissue ultrasound $1,117 $1,718 $239 $64
Speech therapy $161 $247 $123 $76
Spinal cord stimulator $13,327 $20,503 $9,026 $2,388
Spinal tap (lumbar puncture) $513 $789 $473 $165
Spine fracture repair (kyphoplasty) $18,271 $28,109 $17,148 $5,803
Strep throat test $202 $310 $27 $17
Stress echocardiogram $1,392 $2,142 $1,058 $209
Swallow study $369 $567 $145 $85
T3 thyroid test $44 $67 $24 $14
Testosterone test $92 $142 $53 $26
Thyroid removal (thyroidectomy) $12,136 $18,670 $5,831 $1,004
Thyroid test (TSH) $11 $17 $16 $17
Thyroid ultrasound $560 $861 $239 $109
Tilt table test $1,201 $1,847 $811 $168
Total IgE allergy test $44 $68 $27 $16
Total protein test $13 $20 $8 $4
Transesophageal echocardiogram (TEE) $1,351 $2,078 $997 $239
Transvaginal ultrasound $899 $1,383 $239 $118
Trigger point injection $570 $877 $295 $56
Triglycerides test $23 $36 $10 $6
Troponin (heart) test $146 $224 $21 $12
Turning a breech baby (version) $2,855 $4,392 $3,178 $94
Ulnar nerve surgery (elbow) $7,239 $11,137 $1,952 $575
Umbilical hernia repair $7,475 $11,499 $6,583
Upper GI endoscopy (EGD) $3,101 $4,771 $937 $371
Upper GI series (barium) $677 $1,041 $328 $128
Ureteral stent placement $8,017 $12,334 $3,447 $373
Ureteroscopy (stone removal) $15,090 $23,216 $5,081 $365
Uric acid (gout) test $16 $25 $10 $5
Urinalysis $86 $132 $5 $3
Urine microalbumin test $31 $48 $11 $5
Urine pregnancy test $17 $26 $12 $9
Vaccine administration $67 $103 $73 $19
Varicocele repair $8,234 $12,667 $3,447 $327
Varicose vein ablation $8,588 $13,213 $7,341 $1,018
Vitamin B12 test $54 $83 $32 $15
Vitamin D test $106 $163 $64 $30
Wound debridement $641 $987 $635 $186
X-ray of the abdomen $347 $534 $220 $36
X-ray of the ankle $361 $556 $198 $37
X-ray of the collarbone $541 $832 $198 $33
X-ray of the elbow $359 $553 $198 $33
X-ray of the facial bones $225 $346 $149 $39
X-ray of the foot $582 $896 $198 $34
X-ray of the forearm $291 $447 $198 $29
X-ray of the hand $383 $589 $198 $38
X-ray of the hip $306 $470 $130 $49
X-ray of the knee $575 $884 $230 $42
X-ray of the lower back (lumbar spine) $556 $856 $239 $47
X-ray of the lower leg $250 $384 $168 $31
X-ray of the mid-back (thoracic spine) $384 $591 $238 $36
X-ray of the neck (cervical spine) $434 $668 $239 $47
X-ray of the pelvis $228 $351 $143 $36
X-ray of the ribs $476 $733 $198 $42
X-ray of the shoulder $578 $889 $198 $36
X-ray of the skull $439 $675 $222 $40
X-ray of the upper arm $251 $386 $174 $32
X-ray of the wrist $589 $906 $198 $43
Zinc blood test $71 $109 $20 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.