CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Mercy Hospital Ardmore, Inc

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$152
about 0.7× the $224 Medicare rate · typically $55–$246
modeled estimate · not a bill or quote
What this hospital charges insurers
$203
Above the fair price
about $51 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $152 This hospital $203 Cash price $201 Hospital's list price $309

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $203

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $152 (about 0.7× the $224 Medicare rate). Mercy Hospital Ardmore, Inc charges insurers about $203, or about $201 in cash — above the fair price. Located in Ardmore, OK.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $152. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $67 - $288 30%
Blue Cross Blue Shieldmajor $203 91%
Aetnamajor $7 - $282 3%
Cignamajor $106 - $269 47%
Humanamajor $7 - $306 3%
Ambetter (Centene) $280 125%
Healthcare Highways $68 - $266 30%
HealthLink $104 - $288 46%
Independent Health $203 91%
Medica $67 - $443 30%
+ 38 smaller / regional plans $78 - $457
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1011 14Th Ave Nw, Ardmore, OK 73401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals