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 |
|---|---|---|---|---|
| X-ray thoracic spine 3 views CPT 72072 | $317.20 | $488.00 | $24.14 – $240.32 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $273.00 | $420.00 | $20.53 – $200.05 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $319.15 | $491.00 | $25.25 – $200.05 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $350.35 | $539.00 | $46.07 – $240.32 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $199.55 | $307.00 | $19.97 – $200.05 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $100.10 | $154.00 | $19.14 – $200.05 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $494.65 | $761.00 | $70.79 – $403.20 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | $261.30 | $402.00 | $21.64 – $200.05 | 5 |
| Zika virus dna/rna amp probe CPT 87662 | $276.90 | $426.00 | $45.64 – $45.64 | 4 |
| Zika virus igm antibody CPT 86794 | $188.50 | $290.00 | $14.99 – $14.99 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $266.50 | $410.00 | $28.00 – $191.45 | 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.