Mercy Hospital Tishomingo

1000 S. Byrd Street, Tishomingo, OK · Mercy · · NPI 1932404431

Source: hospital's published price file ↗ · Published Jun 11, 2026 · Ingested Sep 8, 2026

Published prices by procedure

Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.

Procedure Cash price Gross charge Negotiated range Payers
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 $85.80 $132.00 $32.02 – $55.85 5
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 $27.30 $42.00 $19.38 – $34.87 5
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 $87.75 $135.00 $20.28 – $36.94 5
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $82.55 $127.00 $25.94 – $46.78 5
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $91.00 $140.00 $29.72 – $52.67 5
Ot training self care/home management direct contact each 15 minutes CPT 97535 $90.35 $139.00 $28.72 – $51.85 5
Oxytocin 10 unit/ml injection solution HCPCS J2590 $16.82 $25.88 $0.65 – $0.87 5
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 $8.29 $12.75 $1.98 – $5.08 5
Parathormone (pth) intact CPT 83970 $120.90 $186.00 $36.72 – $68.11 44
Pdgfra gene CPT 81314 $570.70 $878.00 $293.09 – $411.89 5
Pelvic CT scan (with and without contrast) CPT 72194 $2,295.15 $3,531.00 $143.16 – $403.20 5
Pelvic CT scan (with contrast) CPT 72193 $2,121.60 $3,264.00 $158.53 – $492.80 5
Pelvic CT scan (without contrast) CPT 72192 $1,738.10 $2,674.00 $71.07 – $293.73 5
Pelvic Ultrasound (complete) CPT 76856 $636.35 $979.00 $61.07 – $240.32 5
Pelvic Ultrasound (limited) CPT 76857 $298.35 $459.00 $21.91 – $240.32 5
Peng benzathine/procaine inj HCPCS J0558 $592.60 $911.70 $104.22 – $104.22 4
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 $989.48 $1,522.28 $160.92 – $234.12 5
Perq rplcmt g-tube req revsn gstrst trk CPT 43763 $328.90 $506.00 $76.98 – $281.83 50
Ph body fluid CPT 83986 $51.35 $79.00 $3.18 – $4.48 5
Phenobarbital therapeutic drug level CPT 80184 $98.15 $151.00 $13.61 – $19.13 5
Phenylephrine 10 mg/ml injection solution HCPCS J2371 $7.15 $11.00 $0.05 – $0.05 5
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 $7.15 $11.00 $0.94 – $0.94 4
Phenytoin total therapeutic drug level CPT 80185 $107.90 $166.00 $11.79 – $17.89 7
Phosphorus CPT 84100 $44.85 $69.00 $4.22 – $6.40 8
Phosphorus 24 hour urine CPT 84105 $37.05 $57.00 $5.14 – $9.54 51
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 $62.56 $96.24 $6.63 – $11.76 5
Pinworm exam CPT 87172 $28.60 $44.00 $3.80 – $3.80 4
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 $59.77 $91.95 $2.28 – $2.70 5
Platelet automated CPT 85049 $59.80 $92.00 $3.98 – $5.60 5
Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 $1,366.30 $2,102.00 $483.98 – $850.76 5
Platelets pheresis pathogen-reduced each unit HCPCS P9073 $1,046.50 $1,610.00 $753.21 – $753.21 1
Plethysmography lung volumes/airway resistance CPT 94726 $954.85 $1,469.00 $47.46 – $762.48 51
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 $176.80 $272.00 $23.19 – $32.59 5
Potassium 24 hour urine CPT 84133 $50.70 $78.00 $4.21 – $5.91 6
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 $42.25 $65.00 $1.00 – $1.60 5
Potassium serum/plasma/whole blood CPT 84132 $35.10 $54.00 $4.23 – $5.95 5
Pr application of long arm splint CPT 29105 $226.20 $348.00 $35.33 – $332.04 51
Pr application splint static short arm CPT 29125 $189.80 $292.00 $37.55 – $271.86 51
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $39.65 $61.00 $10.18 – $76.56 51
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $286.00 $440.00 $29.80 – $348.47 51
Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 $131.95 $203.00 $70.70 – $111.30 33
Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 $189.80 $292.00 $102.72 – $163.85 11
Prealbumin CPT 84134 $101.40 $156.00 $12.98 – $18.24 5
Pr ecg 12 lead report only CPT 93010 $39.65 $61.00 $7.22 – $13.20 11
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 $4.87 $7.50 $1.71 – $2.76 5
Prednisone 1 mg tablet HCPCS J7512 $4.87 $7.50 $0.10 – $0.10 5
Pregnancy Ultrasound (first trimester) CPT 76801 $541.45 $833.00 $59.13 – $240.32 5
Pressure max expiratory/inspiratory CPT 94799 $113.10 $174.00 $262.92 – $262.92 1
Pr hospital ip/obs care initial high level per day CPT 99223 $337.35 $519.00 $151.77 – $311.68 11
Pr hospital ip/obs care initial moderate level per day CPT 99222 $274.95 $423.00 $111.21 – $210.52 33
Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 $180.05 $277.00 $70.59 – $118.73 50
Pr hospital ip/obs care subsequent high level per day CPT 99233 $189.80 $292.00 $101.87 – $171.34 50
Pr hospital ip/obs care subsequent moderate level per day CPT 99232 $133.90 $206.00 $67.19 – $111.11 33
Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 $75.40 $116.00 $42.04 – $59.98 33
Pr incision & drainage abscess complicated/multiple CPT 10061 $384.80 $592.00 $159.78 – $830.64 51
Pr incision & drainage abscess simple/single CPT 10060 $221.00 $340.00 $92.21 – $409.96 51
Pr incision & drainage abscess vulva/perineal CPT 56405 $351.65 $541.00 $107.04 – $622.66 51
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 $281.45 $433.00 $93.64 – $830.64 51
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $180.70 $278.00 $10.47 – $79.41 51
Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 $2,925.00 $4,500.00 $486.28 – $486.28 4
Procalcitonin CPT 84145 $153.40 $236.00 $24.21 – $44.91 48
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $35.35 $54.39 $2.95 – $4.13 5
Progesterone CPT 84144 $98.15 $151.00 $18.55 – $26.08 5
Prolactin CPT 84146 $118.95 $183.00 $17.24 – $31.98 48
Promethazine hcl injection HCPCS J2550 $9.01 $13.86 $3.57 – $4.14 5
Propofol infusion 10 mg/ml HCPCS J2704 $105.30 $162.00 $11.00 – $11.00 1
Protamine 10 mg/ml intravenous solution HCPCS J2720 $43.00 $66.15 $3.42 – $6.21 5
Protein c activity CPT 85303 $146.90 $226.00 $12.31 – $17.30 5
Protein electrophoretic fractionation & quantitation serum CPT 84165 $97.50 $150.00 $9.55 – $13.43 6
Protein total 24 hour urine CPT 84156 $46.15 $71.00 $3.26 – $4.59 5
Protein total body fluid CPT 84157 $53.95 $83.00 $3.56 – $6.60 42
Protein total serum plasma whole blood CPT 84155 $32.50 $50.00 $3.26 – $4.95 7
Prothrombin time substitution plasma fractions each CPT 85611 $37.05 $57.00 $3.50 – $3.50 4
Pr planning advance care 1st 30 minutes CPT 99497 $130.00 $200.00 $62.87 – $207.58 47
Pr removal foreign body external auditory canal without anesthesia CPT 69200 $200.85 $309.00 $38.98 – $271.86 51
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 $403.00 $620.00 $152.94 – $830.64 51
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 $298.35 $459.00 $50.72 – $409.96 51
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 $282.75 $435.00 $52.27 – $409.96 51
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 $270.40 $416.00 $41.02 – $409.96 51
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 $321.10 $494.00 $53.57 – $409.96 51
Pr tube thoracostomy w/connection to drainage open CPT 32551 $631.15 $971.00 $134.19 – $3,216.50 51
PSA (Prostate) Test CPT 84153 $119.60 $184.00 $16.36 – $24.83 10
Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 $86.45 $133.00 $23.77 – $23.77 1
Pt application of modality >=1 area hot/cold packs CPT 97010 $27.95 $43.00 $5.81 – $5.81 1
Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 $82.55 $127.00 $23.02 – $23.02 1
Pt evaluation high complexity patient/family CPT 97163 $433.55 $667.00 $88.72 – $158.37 5
Pt evaluation low complexity patient/family CPT 97161 $380.25 $585.00 $88.72 – $158.37 5
Pt evaluation moderate complexity patient/family CPT 97162 $404.95 $623.00 $88.72 – $158.37 5
Pt re-evaluation patient/family CPT 97164 $351.65 $541.00 $61.23 – $108.19 5
Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 $67.60 $104.00 $25.94 – $46.78 5
Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 $79.30 $122.00 $26.44 – $47.19 5
Pt wheelchair management each 15 minutes CPT 97542 $71.50 $110.00 $27.99 – $50.51 5
Pulse ox continuous overnight monitoring CPT 94762 $377.00 $580.00 $21.08 – $262.92 5
Pulse ox multiple CPT 94761 $169.65 $261.00 $3.31 – $6.53 5
Pulse ox single CPT 94760 $101.40 $156.00 $6.02 – $6.02 1
Puncture arterial withdrawal blood for diagnosis CPT 36600 $79.95 $123.00 $23.81 – $271.86 5
Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 $215.15 $331.00 $84.26 – $830.64 51
Pyruvate CPT 84210 $70.20 $108.00 $12.88 – $18.10 5
Quest t3 uptake CPT 84479 $65.00 $100.00 $5.75 – $8.09 5
Rapid Strep Test CPT 87880 $80.60 $124.00 $14.70 – $20.66 5

A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.