Observation/inpatient hospital care hi severity 99236 at Mercy Hospital Tishomingo
1000 S. Byrd Street, Tishomingo, OK · Mercy · · NPI 1932404431
$643.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$990.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$184.31 with GLOBALHEALTH CONTRACTED [320145] vs $334.98 with CIGNA HEALTHCARE CONTRACTED [320071] — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| GLOBALHEALTH CONTRACTED [320145] | HB TISH GLOBALHEALTH MCR 102% W/SEQ | $184.31 | ↓ -71% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB TISH BCBS OF OK NATIVEBLUE MCR 103% (NO SEQ) | $184.31 | ↓ -71% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB TISH CIGNA MCR W/SEQ 103% | $184.31 | ↓ -71% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB TISH CIGNA MCR W/SEQ 103% | $184.31 | ↓ -71% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB TISH DEVOTED HEALTH MCR 104% W/O SEQ | $184.31 | ↓ -71% |
| AETNA MEDICAID CONTRACTED [320009] | HB TISH OK MEDICAID (SOONERCARE) | $185.45 | ↓ -71% |
| HUMANA MEDICAID CONTRACTED [320486] | HB TISH OK MEDICAID (SOONERCARE) | $185.45 | ↓ -71% |
| MEDICAID [20240] | HB TISH OK MEDICAID (SOONERCARE) | $185.45 | ↓ -71% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB TISH OK MEDICAID (SOONERCARE) | $185.45 | ↓ -71% |
| HEALTH CHOICE CONTRACTED [320166] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCHOICE (OSEEGIB) | $194.85 | ↓ -70% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB TISH CIGNA | $334.98 | ↓ -48% |
Visitor-reported prices
Comments
Observation/inpatient hospital care hi severity 99236 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $990.00 | $180.81 – $189.84 |
| Mercy Hospital Healdton | Healdton | $643.50 | $184.31 – $297.71 |
| Mercy Hospital Kingfisher | Kingfisher | $707.85 | $184.31 – $297.71 |
| Mercy Hospital Logan County | Guthrie | $707.85 | $184.31 – $194.85 |
| Mercy Hospital Watonga | Watonga | $707.85 | $184.31 – $194.85 |
| Mercy Health Love County Rural Health Clinic | MARIETTA | $245.00 | $245.00 – $245.00 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $241.71 – $420.33 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $241.71 – $257.13 |