Mercy Hospital Tishomingo
1000 S. Byrd Street, Tishomingo, OK · Mercy · · NPI 1932404431
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 |
|---|---|---|---|---|
| Thyroglobulin antibody CPT 86800 | $81.25 | $125.00 | $14.15 – $19.89 | 5 |
| Thyroid (TSH) Test CPT 84443 | $120.90 | $186.00 | $14.94 – $21.00 | 5 |
| Thyroid Ultrasound CPT 76536 | $198.25 | $305.00 | $69.96 – $240.32 | 5 |
| Thyroxine binding globulin (tbg) CPT 84442 | $75.40 | $116.00 | $13.15 – $18.48 | 5 |
| Tissue culture placenta CPT 88235 | $462.80 | $712.00 | $133.69 – $187.88 | 5 |
| Tissue culture skin/biopsy CPT 88233 | $295.10 | $454.00 | $125.18 – $125.18 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | $55.90 | $86.00 | $3.80 – $5.34 | 5 |
| Tissue transglutaminase iga CPT 86364 | $93.60 | $144.00 | $10.26 – $14.41 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $131.30 | $202.00 | $14.35 – $20.16 | 5 |
| Toxoplasma antibody igg CPT 86777 | $85.80 | $132.00 | $12.80 – $17.99 | 6 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $102.37 | $157.50 | $6.00 – $6.00 | 1 |
| Transferrin CPT 84466 | $96.85 | $149.00 | $11.35 – $15.95 | 7 |
| Transfusion blood/blood component(s) CPT 36430 | $5,621.85 | $8,649.00 | $389.32 – $901.46 | 5 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $102.70 | $158.00 | $49.66 – $271.86 | 5 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $89.05 | $137.00 | $13.58 – $13.58 | 4 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $102.70 | $158.00 | $6.64 – $447.44 | 5 |
| Treatment of ankle fracture 27786 CPT 27786 | $574.60 | $884.00 | $266.77 – $448.70 | 50 |
| Treatment of toe fracture 28510 CPT 28510 | $239.85 | $369.00 | $108.05 – $190.77 | 50 |
| Treat thigh fracture CPT 27238 | $1,055.60 | $1,624.00 | $418.31 – $1,425.19 | 50 |
| Treat ulnar fracture CPT 24675 | $802.10 | $1,234.00 | $386.18 – $1,425.19 | 50 |
| Treponema pallidum antibody CPT 86780 | $80.60 | $124.00 | $11.78 – $16.55 | 6 |
| Trg gene rearrangement anal CPT 81342 | $474.50 | $730.00 | $179.23 – $251.88 | 7 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $41.44 | $63.75 | $3.60 – $4.48 | 5 |
| Triglycerides CPT 84478 | $53.95 | $83.00 | $5.11 – $7.18 | 5 |
| Troponin quantitative CPT 84484 | $135.20 | $208.00 | $11.09 – $15.59 | 5 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $394.55 | $607.00 | $67.46 – $240.32 | 5 |
| Ultrasound breast complete CPT 76641 | $397.80 | $612.00 | $56.90 – $240.32 | 5 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $331.50 | $510.00 | $44.13 – $200.05 | 5 |
| Ultrasound chest CPT 76604 | $244.40 | $376.00 | $25.25 – $240.32 | 5 |
| Ultrasound joint complete left CPT 76881 | $542.10 | $834.00 | $9.14 – $240.32 | 5 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $448.50 | $690.00 | $25.80 – $240.32 | 5 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $328.25 | $505.00 | $58.29 – $240.32 | 5 |
| Ultrasound retroperitoneal limited CPT 76775 | $241.80 | $372.00 | $27.19 – $240.32 | 5 |
| Ultrasound scrotum and contents CPT 76870 | $331.50 | $510.00 | $58.57 – $240.32 | 5 |
| Ultrasound transvaginal non obstetric CPT 76830 | $532.35 | $819.00 | $72.43 – $240.32 | 5 |
| Urea nitrogen CPT 84520 | $37.05 | $57.00 | $3.51 – $4.94 | 5 |
| Urea nitrogen 24 hour urine CPT 84540 | $55.90 | $86.00 | $4.95 – $9.17 | 50 |
| Uric acid blood CPT 84550 | $38.35 | $59.00 | $4.02 – $6.10 | 9 |
| Uric acid urine CPT 84560 | $40.95 | $63.00 | $4.52 – $6.35 | 5 |
| Urinalysis microscopic only CPT 81015 | $28.60 | $44.00 | $2.71 – $3.81 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $56.55 | $87.00 | $2.82 – $3.96 | 5 |
| Urinalysis (without microscopy) CPT 81003 | $48.75 | $75.00 | $2.00 – $2.81 | 5 |
| Urine Culture Test CPT 87086 | $91.00 | $140.00 | $7.18 – $10.09 | 5 |
| Urine pregnancy test CPT 81025 | $68.90 | $106.00 | $7.66 – $10.76 | 6 |
| Vaccine dtap < 7 years im CPT 90700 | $142.69 | $219.53 | $26.35 – $32.22 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $362.46 | $557.63 | $65.89 – $93.19 | 6 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $416.71 | $641.10 | $65.26 – $121.72 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $466.73 | $718.05 | $92.95 – $102.89 | 5 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $570.77 | $878.11 | $124.97 – $165.50 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,500.91 | $2,309.10 | $279.05 – $388.00 | 5 |
| Vaccine tdap >=7 years im CPT 90715 | $238.04 | $366.21 | $38.63 – $48.96 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $216.51 | $333.10 | $31.35 – $31.35 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | $932.91 | $1,435.24 | $182.25 – $201.73 | 5 |
| Valproic acid total therapeutic drug level CPT 80164 | $77.35 | $119.00 | $12.04 – $22.34 | 50 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $78.19 | $120.30 | $2.00 – $2.00 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $117.58 | $180.90 | $9.00 – $9.00 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $117.00 | $180.00 | $12.04 – $22.34 | 52 |
| Varicella zoster antibody igg CPT 86787 | $103.35 | $159.00 | $11.46 – $17.39 | 6 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $512.39 | $788.29 | $13.20 – $32.60 | 5 |
| Ventilator each subsequent day CPT 94003 | $722.80 | $1,112.00 | $57.15 – $1,262.34 | 5 |
| Ventilator initial day CPT 94002 | $1,174.55 | $1,807.00 | $81.35 – $1,262.34 | 5 |
| Very long chain fatty acids CPT 82726 | $134.55 | $207.00 | $17.57 – $24.69 | 5 |
| Vital capacity test CPT 94150 | $139.10 | $214.00 | $21.29 – $262.92 | 5 |
| Vitamin b-12 CPT 82607 | $86.45 | $133.00 | $13.41 – $18.85 | 5 |
| Vitamin D Test CPT 82306 | $172.25 | $265.00 | $26.33 – $37.00 | 5 |
| Volume measurement urine timed CPT 81050 | $18.85 | $29.00 | $3.24 – $4.55 | 6 |
| Warde 1003990 aldosterone CPT 82088 | $167.70 | $258.00 | $36.25 – $50.94 | 6 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $94.90 | $146.00 | $24.73 – $34.75 | 5 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $96.20 | $148.00 | $11.47 – $16.13 | 5 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $145.60 | $224.00 | $22.46 – $31.56 | 5 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $89.70 | $138.00 | $13.79 – $19.38 | 5 |
| Warde 1015200 kappa light chain free CPT 83521 | $124.15 | $191.00 | $15.36 – $21.59 | 5 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $53.30 | $82.00 | $7.13 – $10.03 | 5 |
| Warde 3016000 west nile virus antibody CPT 86788 | $81.90 | $126.00 | $14.99 – $21.06 | 5 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $81.90 | $126.00 | $12.80 – $17.99 | 5 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $97.50 | $150.00 | $10.90 – $15.31 | 5 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $81.25 | $125.00 | $7.92 – $14.69 | 48 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $91.65 | $141.00 | $15.99 – $29.67 | 48 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $250.90 | $386.00 | $139.92 – $235.34 | 47 |
| Warde 3400852 arsenic CPT 82175 | $143.65 | $221.00 | $16.87 – $23.71 | 5 |
| Warde 3708165 mercury urine CPT 83825 | $71.50 | $110.00 | $14.46 – $20.33 | 5 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $91.65 | $141.00 | $10.72 – $15.06 | 7 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $118.95 | $183.00 | $7.20 – $10.13 | 5 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $208.65 | $321.00 | $34.35 – $48.28 | 6 |
| Warde aldolase CPT 82085 | $59.80 | $92.00 | $8.64 – $12.14 | 5 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $155.35 | $239.00 | $15.01 – $21.09 | 5 |
| Warde amiodarone therapeutic drug level CPT 80151 | $130.00 | $200.00 | $16.58 – $16.58 | 4 |
| Warde analysis gene hfe common variants CPT 81256 | $274.95 | $423.00 | $58.14 – $107.84 | 49 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $562.90 | $866.00 | $145.84 – $204.95 | 5 |
| Warde apolipoprotein b CPT 82172 | $80.60 | $124.00 | $18.76 – $26.36 | 5 |
| Warde bile acids CPT 82239 | $63.70 | $98.00 | $15.23 – $28.25 | 52 |
| Warde cadmium blood CPT 82300 | $79.95 | $123.00 | $21.03 – $29.55 | 5 |
| Warde calcitonin CPT 82308 | $136.50 | $210.00 | $23.83 – $44.20 | 50 |
| Warde calculus (stone) infrared CPT 82365 | $130.00 | $200.00 | $11.47 – $21.29 | 43 |
| Warde clozapine therapeutic drug level CPT 80159 | $120.25 | $185.00 | $17.92 – $25.19 | 5 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $122.20 | $188.00 | $19.53 – $36.23 | 52 |
| Warde collagen cross links c-telopeptide CPT 82523 | $108.55 | $167.00 | $16.62 – $16.62 | 4 |
| Warde complement total hemolytic CPT 86162 | $114.40 | $176.00 | $18.07 – $25.40 | 5 |
| Warde copper CPT 82525 | $83.20 | $128.00 | $11.04 – $15.51 | 5 |
| Warde cryoglobulin CPT 82595 | $59.15 | $91.00 | $5.75 – $8.09 | 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.