78/100
#403 nationally
Mercy Hospital Ada
430 North Monte Vista, Ada, OK 74820 · (580) 332-2323
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Mercy Hospital Ada billed $3.12 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.1x
- volume-weighted across all its priced work
- Procedures priced
- 42
- inpatient and outpatient combined
- Rank in OK
- #10
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 75% of U.S. hospitals.
Better than 79% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 74% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
288 | $41,439 | $14,273 | -36% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
230 | $14,860 | $3,195 | -28% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
110 | $13,747 | $2,489 | -29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
73 | $25,871 | $9,771 | -40% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
70 | $28,301 | $12,238 | -49% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
56 | $20,880 | $5,324 | -41% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
51 | $5,400 | $1,458 | -46% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
47 | $42,383 | $12,127 | -32% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
41 | $24,104 | $8,053 | -39% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
40 | $29,150 | $9,939 | -37% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$13,060 | $1,478 | +52% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$37,585 | $6,017 | -5% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$19,971 | $2,865 | -21% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$15,765 | $2,987 | -23% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$17,277 | $3,192 | -26% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$14,860 | $3,195 | -28% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$13,747 | $2,489 | -29% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$13,367 | $2,941 | -30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$66,333 | $34,431 | -63% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$20,591 | $9,863 | -58% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$40,333 | $14,892 | -52% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$29,962 | $11,512 | -51% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$18,109 | $7,021 | -51% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$28,301 | $12,238 | -49% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$23,871 | $8,554 | -48% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$21,378 | $8,776 | -48% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.