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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercy Hospital Ada

Mercy Health (MO) · Ada, OK

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

4 of 5

CMS star rating

148

Beds

4,636

Inpatient discharges a year

$143.9M

Net patient revenue a year

38

In-network payers

About this hospital

Mercy Hospital Ada is a 148-bed voluntary non-profit - private hospital in Ada, OK, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 168 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
370020
NPI
1952643306
Website
mercy.net
Health system
Mercy Health (MO)
Teaching
No Medicare-funded residents
County
Pontotoc County
Metro area
Ada, OK MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services Mercy Hospital Ada most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,413 - $6,836

from 2 insurers · median $6,624

UnitedHealthcare$6,413
Insurer A*$6,836

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$7,839 - $9,872

from 2 insurers · median $8,855

UnitedHealthcare$7,839
Insurer A*$9,872

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Urology

Shock-wave treatment of kidney stones

CPT 50590

$1,009 - $12,607

from 3 insurers · median $3,500

UnitedHealthcare$3,500
Insurer A*$1,009
Insurer B*$12,607
Medicare $3,487Nearby hospitals $7,80655% below nearby hospitals

230 Medicare claims in Level 4 Urology and Related Services (CMS 2024)

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$1,800 - $10,880

from 2 insurers · median $6,340

Blue Cross$10,880
Insurer A*$1,800
Medicare $5,980Nearby hospitals $9,71435% below nearby hospitals

56 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Mercy Hospital Ada

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
235%
125
Insurer B*11
118%
36
Insurer C*11
76%
05

How we chose these services: 6 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercy Hospital Ada, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 137 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.71%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 35 services, including trauma care
    • 312 affiliated clinicians
    See doctors and services
  • Finances

    $143.9M net patient revenue

    • Operating margin on patient care 5.7%
    • $6.8M unreimbursed and uncompensated care
    • $10.5M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health

    • Private (not for profit)
    • Brian Day, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Mercy Hospital Ada in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
46-2288155Mercy Hospital Ada INC56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more1952643306 Mercy Hospital Ada Inc1013250109 Mercy Hospital Ada Inc1831533728 Mercy Hospital Ada Incand 16 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

430 North Monte Vista, Ada, OK 74820

(580) 332-2323

Get directions

Frequently asked questions

About Mercy Hospital Ada's rates and hospital price transparency.

How much does an MRI cost at Mercy Hospital Ada?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital Ada range from $420 to $893 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $792. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mercy Hospital Ada?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital Ada range from $415 to $691 across 2 insurers. Aetna's rate is $415. The median at nearby comparable hospitals is $495. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercy Hospital Ada?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Hospital Ada range from $6,413 to $6,836 across 2 insurers. UnitedHealthcare's rate is $6,413. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercy Hospital Ada?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital Ada range from $307 to $364 across 2 insurers. Aetna's rate is $307. The median at nearby comparable hospitals is $374. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mercy Hospital Ada?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercy Hospital Ada range from $23,814 to $23,814 across 1 insurers. Blue Cross Blue Shield's rate is $23,814. The median at nearby comparable hospitals is $26,778. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercy Hospital Ada's CMS star rating?

Mercy Hospital Ada has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Mercy Hospital Ada a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mercy Hospital Ada for fiscal year 2027.

Does Medicare penalize Mercy Hospital Ada for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercy Hospital Ada's base inpatient payments by an estimated 0.71% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mercy Hospital Ada?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (288 discharges), heart failure and shock with mcc (73 discharges), respiratory infections and inflammations with mcc (70 discharges).

What is Mercy Hospital Ada's case mix index?

Mercy Hospital Ada's Medicare case mix index is 1.62 for fiscal year 2027, higher than 43% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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