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Mercy Hospital Ada

430 North Monte Vista, Ada, OK 74820 · (580) 332-2323

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Ada, OK metroPart of Mercy Health · 28 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-06-11

7,531 price rows for 57 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $19

$19
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $3,546

$3,546
cash
CT scan of the head, no contrast

CPT 70450 · metro median $1,210

$1,210
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,904

$1,904
cash
Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $11,868

$11,868
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $157

$157
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $1,595

$1,595
cash
Colonoscopy with biopsy

CPT 45380 · metro median $3,506

$3,506
cash
Colonoscopy with polyp removal

CPT 45385 · metro median $3,228

$3,228
cash
$18
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $23

$23
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $207

$207
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $216

$216
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $317

$317
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $281

$281
cash
Gallbladder removal (laparoscopic)

CPT 47562 · metro median $12,082

$12,082
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $159

$159
cash
Group psychotherapy

CPT 90853 · metro median $553

$553
cash
Hip or knee replacement, no major complications

MS-DRG 470 · metro median $36,247

$36,247
cash
$13,371
cash
$23,035
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $10,778

$10,778
cash
Knee arthroscopy with meniscus repair

CPT 29881 · metro median $8,711

$8,711
cash
Left heart catheterization

CPT 93452 · metro median $10,087

$10,087
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $48

$48
cash
Liver function panel

CPT 80076 · metro median $22

$22
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $3,631

$3,631
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 3 lines · metro median $1,685

$1,685
cash
$2,640
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,692

$2,692
cash
$2,509
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $221

$221
cash
New patient office visit (about 45 minutes)

CPT 99204 · metro median $293

$293
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $352

$352
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $66

$66
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $27

$27
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $129

$129
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $345

$345
cash
Prostate biopsy

CPT 55700 · metro median $11,316

$11,316
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 3 lines · metro median $14

$14
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $223

$223
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $270

$270
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 3 lines · metro median $307

$307
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $191

$191
cash
Shoulder arthroscopy with decompression

CPT 29826 · metro median $22,561

$22,561
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $4,530

$4,530
cash
$8,193
cash
$2,695
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $11

$11
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $5,168

$5,168
cash
Transvaginal ultrasound

CPT 76830 · metro median $710

$710
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $673

$673
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $1,142

$1,142
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $3,780

$3,780
cash
Urinalysis with microscope

CPT 81001 · metro median $11

$11
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $8,678

$8,678
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $497

$497
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.