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 |
|---|---|---|---|---|
| Warde erythropoietin CPT 82668 | $117.65 | $181.00 | $16.71 – $23.49 | 6 |
| Warde estrogen fractionated CPT 82671 | $123.50 | $190.00 | $28.73 – $40.38 | 6 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $130.00 | $200.00 | $10.75 – $10.75 | 4 |
| Warde folic acid rbc CPT 82747 | $111.15 | $171.00 | $15.70 – $15.70 | 4 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $68.90 | $106.00 | $8.63 – $16.01 | 52 |
| Warde gastrin CPT 82941 | $114.40 | $176.00 | $15.68 – $22.04 | 5 |
| Warde growth hormone (hgh) CPT 83003 | $87.10 | $134.00 | $14.83 – $20.84 | 5 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $139.10 | $214.00 | $11.45 – $16.09 | 5 |
| Warde hepatitis a antibody CPT 86708 | $117.65 | $181.00 | $11.02 – $15.49 | 7 |
| Warde hepatitis be antibody CPT 86707 | $66.95 | $103.00 | $10.29 – $15.62 | 6 |
| Warde hepatitis delta agent antibody CPT 86692 | $105.30 | $162.00 | $15.26 – $28.31 | 52 |
| Warde immunofixation electrophoresis urine CPT 86335 | $134.55 | $207.00 | $26.11 – $36.69 | 5 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $66.30 | $102.00 | $10.26 – $15.57 | 6 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $752.70 | $1,158.00 | $229.00 – $347.56 | 8 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $343.20 | $528.00 | $20.97 – $29.46 | 6 |
| Warde lipoprotein (a) CPT 83695 | $85.80 | $132.00 | $12.74 – $17.90 | 5 |
| Warde mitochondrial antibody each CPT 86381 | $35.10 | $54.00 | $22.64 – $34.36 | 6 |
| Warde neutralization rabies CPT 86382 | $104.00 | $160.00 | $15.04 – $21.14 | 5 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $144.30 | $222.00 | $11.79 – $16.56 | 5 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $123.50 | $190.00 | $20.43 – $28.71 | 6 |
| Warde protein c antigen CPT 85302 | $157.95 | $243.00 | $10.68 – $10.68 | 4 |
| Warde sex hormone binding globulin CPT 84270 | $84.50 | $130.00 | $19.33 – $29.34 | 6 |
| Warde somatomedin CPT 84305 | $145.60 | $224.00 | $18.91 – $26.58 | 5 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $53.30 | $82.00 | $4.89 – $6.88 | 5 |
| Warde topiramate therapeutic drug level CPT 80201 | $113.75 | $175.00 | $10.60 – $14.90 | 5 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $190.45 | $293.00 | $23.19 – $43.02 | 52 |
| Warde viscosity CPT 85810 | $72.80 | $112.00 | $10.38 – $14.59 | 5 |
| Warde vitamin a CPT 84590 | $83.20 | $128.00 | $10.33 – $14.51 | 5 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $133.90 | $206.00 | $18.88 – $35.03 | 48 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $127.40 | $196.00 | $24.99 – $35.13 | 6 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $61.75 | $95.00 | $8.80 – $12.36 | 5 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $210.60 | $324.00 | $34.25 – $48.13 | 5 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $90.35 | $139.00 | $12.61 – $17.73 | 5 |
| Warde zinc CPT 84630 | $69.55 | $107.00 | $10.13 – $14.24 | 5 |
| Wbc automated CPT 85048 | $32.50 | $50.00 | $2.26 – $2.26 | 4 |
| Western blot test CPT 84181 | $146.90 | $226.00 | $15.15 – $15.15 | 4 |
| Wound closure by adhesive HCPCS G0168 | $170.95 | $263.00 | $13.14 – $102.55 | 50 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $302.25 | $465.00 | $706.04 – $706.04 | 1 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $382.85 | $589.00 | $706.04 – $706.04 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $297.05 | $457.00 | $348.47 – $348.47 | 1 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $382.85 | $589.00 | $706.04 – $706.04 | 1 |
| Wrist X-ray CPT 73110 | $285.35 | $439.00 | $27.47 – $200.05 | 5 |
| X-ray abdomen 1 view CPT 74018 | $90.35 | $139.00 | $18.03 – $200.05 | 5 |
| X-ray abdomen 2 views CPT 74019 | $136.50 | $210.00 | $21.64 – $240.32 | 5 |
| X-ray abdomen >=3 views CPT 74021 | $177.45 | $273.00 | $25.25 – $240.32 | 5 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $181.35 | $279.00 | $29.13 – $240.32 | 5 |
| X-ray ankle 2 views (both sides) CPT 73600 | $133.90 | $206.00 | $20.53 – $200.05 | 5 |
| X-ray bone survey complete CPT 77075 | $891.80 | $1,372.00 | $94.70 – $240.32 | 5 |
| X-ray bone survey infant CPT 77076 | $358.15 | $551.00 | $94.70 – $240.32 | 5 |
| X-ray cervical spine 2-3 views CPT 72040 | $291.20 | $448.00 | $24.14 – $200.05 | 5 |
| X-ray cervical spine 4-5 views CPT 72050 | $356.85 | $549.00 | $34.13 – $240.32 | 5 |
| X-ray cervical spine >= 6 views CPT 72052 | $449.15 | $691.00 | $40.24 – $240.32 | 5 |
| X-ray clavicle complete (both sides) CPT 73000 | $263.25 | $405.00 | $20.53 – $200.05 | 5 |
| X-ray elbow 2 views (both sides) CPT 73070 | $233.35 | $359.00 | $17.75 – $200.05 | 5 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $292.50 | $450.00 | $20.53 – $200.05 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $610.35 | $939.00 | $51.91 – $240.32 | 5 |
| X-ray exam entire spi 6/> vw CPT 72084 | $692.90 | $1,066.00 | $65.77 – $240.32 | 5 |
| X-ray exam of eye sockets CPT 70200 | $338.00 | $520.00 | $28.86 – $240.32 | 5 |
| X-ray exam of femur 1 CPT 73551 | $241.80 | $372.00 | $17.75 – $200.05 | 5 |
| X-ray exam of jaw joint CPT 70328 | $185.25 | $285.00 | $21.64 – $200.05 | 5 |
| X-ray exam of sinuses CPT 70210 | $236.60 | $364.00 | $19.97 – $200.05 | 5 |
| X-ray exam si joints CPT 72200 | $228.80 | $352.00 | $21.08 – $240.32 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $429.00 | $660.00 | $27.47 – $240.32 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $270.40 | $416.00 | $29.13 – $240.32 | 5 |
| X-ray femur >=2 views (both sides) CPT 73552 | $460.20 | $708.00 | $22.47 – $200.05 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $107.90 | $166.00 | $26.36 – $200.05 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | $287.95 | $443.00 | $17.75 – $200.05 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | $475.80 | $732.00 | $18.03 – $200.05 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | $369.20 | $568.00 | $19.69 – $240.32 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $219.05 | $337.00 | $39.13 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $209.30 | $322.00 | $25.52 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $310.05 | $477.00 | $33.30 – $240.32 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $384.80 | $592.00 | $39.13 – $240.32 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $120.90 | $186.00 | $19.97 – $200.05 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | $390.00 | $600.00 | $20.25 – $200.05 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $180.05 | $277.00 | $21.91 – $200.05 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | $223.60 | $344.00 | $26.63 – $200.05 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $358.15 | $551.00 | $33.02 – $240.32 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $563.55 | $867.00 | $39.13 – $240.32 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $373.10 | $574.00 | $26.63 – $240.32 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $255.45 | $393.00 | $25.25 – $200.05 | 5 |
| X-ray nasal bones complete > 3 views CPT 70160 | $208.65 | $321.00 | $24.69 – $200.05 | 5 |
| X-ray neck soft tissue CPT 70360 | $105.30 | $162.00 | $18.86 – $200.05 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $224.25 | $345.00 | $17.47 – $200.05 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $105.30 | $162.00 | $16.36 – $240.32 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $152.10 | $234.00 | $25.25 – $240.32 | 5 |
| X-ray ribs 2 views left CPT 71100 | $123.50 | $190.00 | $21.91 – $200.05 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $386.10 | $594.00 | $25.25 – $240.32 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $325.65 | $501.00 | $24.69 – $240.32 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $441.35 | $679.00 | $31.08 – $240.32 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $306.15 | $471.00 | $23.86 – $240.32 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $261.95 | $403.00 | $20.25 – $200.05 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $267.80 | $412.00 | $12.75 – $240.32 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $212.55 | $327.00 | $11.92 – $200.05 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $330.20 | $508.00 | $22.75 – $200.05 | 5 |
| X-ray skull < 4 views CPT 70250 | $189.80 | $292.00 | $22.75 – $240.32 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $286.00 | $440.00 | $26.08 – $240.32 | 5 |
| X-ray spine single view CPT 72020 | $213.85 | $329.00 | $13.86 – $200.05 | 5 |
| X-ray sternum > 2 views CPT 71120 | $122.85 | $189.00 | $20.25 – $200.05 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $286.65 | $441.00 | $19.41 – $240.32 | 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.