Oklahoma / Mercy Hospital Ada
CMS certification 370020 · Ada, OK · 3 entries in CMS's price-transparency list
Mercy Hospital Ada: charges and Medicare payments
Mercy Hospital Ada reported 940 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 2.82 times what it was paid — among the lower ratios in Oklahoma, number 37 of 49 hospitals with at least 100 stays (state median 4.03×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 288 stays at an average charge of $41,439, 54% below the national average. It also billed 658 outpatient services, charging 5.3 times what Medicare paid.
- 1Medicare inpatient stays 940
- 2Charge ÷ paid, inpatient 2.82×
- 3Rank in OK (highest ratio = 1) 37 of 49
- 4CMS price-transparency actions 3
Inpatient stays
For the 27 DRGs that can be compared with the national average, Mercy Hospital Ada charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 288 | $41,439 | -54% | $14,273 |
| 291 Heart Failure and Shock with MCC | 73 | $25,871 | -54% | $9,771 |
| 177 Respiratory Infections and Inflammations with MCC | 70 | $28,301 | -60% | $12,238 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $24,104 | -51% | $8,053 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $29,150 | -51% | $9,939 |
| 690 Kidney and Urinary Tract Infections without MCC | 35 | $20,216 | -47% | $6,603 |
| 683 Renal Failure with CC | 33 | $19,917 | -51% | $7,272 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $21,378 | -58% | $8,776 |
| 682 Renal Failure with MCC | 30 | $32,691 | -50% | $11,000 |
| 189 Pulmonary Edema and Respiratory Failure | 29 | $26,557 | -54% | $9,465 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $36,596 | -50% | $12,064 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $40,333 | -60% | $14,892 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $19,986 | -46% | $6,325 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $37,460 | -56% | $13,053 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $22,304 | -44% | $6,678 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $18,319 | -52% | $6,940 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $20,591 | -66% | $9,863 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $67,066 | -41% | $14,210 |
| 312 Syncope and Collapse | 15 | $18,109 | -60% | $7,021 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $26,960 | -44% | $8,217 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $49,990 | -51% | $15,132 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $66,333 | -71% | $34,431 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $23,981 | -53% | $8,428 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $23,871 | -57% | $8,554 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $29,962 | -60% | $11,512 |
| 638 Diabetes with CC | 12 | $23,378 | -44% | $7,139 |
| 603 Cellulitis without MCC | 11 | $20,084 | -46% | $6,997 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 4 Urology and Related Services | 230 | $14,860 | $3,195 |
| Comprehensive Observation Services | 110 | $13,747 | $2,489 |
| Level 1 Laparoscopy and Related Services | 56 | $20,880 | $5,324 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 51 | $5,400 | $1,458 |
| Level 5 Musculoskeletal Procedures | 47 | $42,383 | $12,127 |
| Level 3 Vascular Procedures | 31 | $13,367 | $2,941 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 22 | $10,407 | $2,622 |
| Level 4 Musculoskeletal Procedures | 17 | $26,321 | $6,601 |
| Level 2 Upper GI Procedures | 16 | $6,855 | $1,756 |
| Level 6 Musculoskeletal Procedures | 14 | $56,263 | $17,159 |
| Level 1 Endovascular Procedures | 14 | $19,971 | $2,865 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $17,277 | $3,192 |
| Level 3 Musculoskeletal Procedures | 13 | $15,765 | $2,987 |
| Level 2 Vascular Procedures | 12 | $13,060 | $1,478 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 11 | $37,585 | $6,017 |
Against the Oklahoma average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Hospital Ada charged $41,439 on average, 41% less than the Oklahoma average of $70,534, and was paid $14,273 against a state average of $14,967. For Heart Failure and Shock with MCC (DRG 291), Mercy Hospital Ada charged $25,871 on average, 42% less than the Oklahoma average of $44,578, and was paid $9,771 against a state average of $10,006. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Hospital Ada charged $28,301 on average, 52% less than the Oklahoma average of $59,296, and was paid $12,238 against a state average of $12,691. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mercy Hospital Ada charged $24,104 on average, 34% less than the Oklahoma average of $36,566, and was paid $8,053 against a state average of $8,657. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $14,860 was 45% below the state average of $26,898. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,747 was 27% below the state average of $18,889. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $20,880 was 42% below the state average of $36,047. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,400 was 52% below the state average of $11,193.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercy Hospital Ada in Ada, OK, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-08-16 (CMS case 2536)
- Closure Notice — 2024-11-20 (CMS case 2536)
- Met Requirements — 2025-07-30 (CMS case 6042)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.