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 |
|---|---|---|---|---|
| Bacterial meningitis antigen CPT 86403 | $75.40 | $116.00 | $10.26 – $14.43 | 5 |
| Bacterial vaginosis pcr CPT 87801 | $221.00 | $340.00 | $62.44 – $87.75 | 5 |
| #bac vag cand-c. albicans naa CPT 87481 | $96.85 | $149.00 | $31.21 – $57.90 | 48 |
| B cells total count CPT 86355 | $134.55 | $207.00 | $33.56 – $47.16 | 5 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $2,843.40 | $4,374.46 | $982.50 – $1,207.50 | 5 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $114.56 | $176.25 | $16.89 – $16.89 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $109.20 | $168.00 | $22.64 – $31.81 | 5 |
| Beta-2 microglobulin CPT 82232 | $100.75 | $155.00 | $14.39 – $20.23 | 5 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $16.10 | $24.77 | $7.51 – $8.64 | 5 |
| B-hexosaminidase ea assay CPT 83080 | $156.00 | $240.00 | $15.01 – $15.01 | 4 |
| Bilirubin direct CPT 82248 | $40.95 | $63.00 | $4.47 – $6.28 | 6 |
| Bilirubin total CPT 82247 | $81.90 | $126.00 | $4.47 – $6.28 | 5 |
| Biotinidase - quest CPT 82261 | $63.05 | $97.00 | $15.01 – $21.09 | 5 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $502.45 | $773.00 | $65.72 – $510.52 | 5 |
| Blood Clotting (PT/INR) Test CPT 85610 | $46.15 | $71.00 | $3.82 – $5.36 | 5 |
| Blood Clotting (PTT) Test CPT 85730 | $84.50 | $130.00 | $5.35 – $7.51 | 5 |
| Blood Count (CBC) Test CPT 85025 | $71.50 | $110.00 | $6.91 – $12.82 | 49 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $59.15 | $91.00 | $5.75 – $8.73 | 7 |
| Blood Culture Test CPT 87040 | $120.90 | $186.00 | $9.18 – $13.93 | 9 |
| Blood draw capillary 36416 CPT 36416 | $85.80 | $132.00 | $2.67 – $6.28 | 5 |
| Blood gases ph venous CPT 82800 | $40.30 | $62.00 | $9.78 – $13.75 | 5 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $48.10 | $74.00 | $14.16 – $19.90 | 5 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $33.15 | $51.00 | $3.76 – $5.71 | 7 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $33.15 | $51.00 | $3.90 – $5.48 | 5 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $40.30 | $62.00 | $4.73 – $4.73 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $33.15 | $51.00 | $3.38 – $4.75 | 5 |
| Blood typing abo CPT 86900 | $65.65 | $101.00 | $2.66 – $237.88 | 5 |
| Blood typing ag donor ea ag CPT 86902 | $131.95 | $203.00 | $5.65 – $640.87 | 5 |
| Blood typing patient serum CPT 86904 | $57.20 | $88.00 | $14.53 – $105.47 | 5 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $59.15 | $91.00 | $3.41 – $640.87 | 5 |
| Blood typing rh (d) CPT 86901 | $57.85 | $89.00 | $2.66 – $66.78 | 5 |
| Blood typing rh phenotype complete reference CPT 86906 | $115.05 | $177.00 | $6.89 – $66.78 | 5 |
| Bone Density Scan (DEXA) CPT 77080 | $333.45 | $513.00 | $35.33 – $240.32 | 51 |
| Boot j walker l HCPCS L4386 | $117.65 | $181.00 | $342.79 – $342.79 | 1 |
| Boot softgait shrt m HCPCS L4387 | $70.85 | $109.00 | $342.79 – $342.79 | 1 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $124.80 | $192.00 | $556.82 – $556.82 | 1 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $133.90 | $206.00 | $15.15 – $28.10 | 46 |
| Borrelia miyamotoi amp prb CPT 87478 | $157.95 | $243.00 | $43.86 – $43.86 | 1 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $27.95 | $43.00 | $492.05 – $492.05 | 1 |
| Brace wrist classic lft sm HCPCS L3908 | $44.85 | $69.00 | $117.90 – $117.90 | 1 |
| Braf gene CPT 81210 | $427.05 | $657.00 | $156.02 – $219.25 | 6 |
| Bronchial challenge CPT 94070 | $845.00 | $1,300.00 | $54.43 – $762.48 | 5 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $7.15 | $11.00 | $0.58 – $0.58 | 5 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $11.17 | $17.18 | $0.50 – $0.50 | 5 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $103.26 | $158.86 | $5.68 – $5.68 | 4 |
| C1 esterase inhibitor func - sendout CPT 86161 | $211.90 | $326.00 | $10.67 – $15.00 | 5 |
| Calcium 24 hour urine CPT 82340 | $55.25 | $85.00 | $5.36 – $7.54 | 6 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $25.60 | $39.38 | $7.50 – $7.50 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $24.37 | $37.50 | $2.00 – $2.00 | 5 |
| Calcium ionized CPT 82330 | $104.00 | $160.00 | $12.17 – $17.10 | 6 |
| Calcium total CPT 82310 | $48.75 | $75.00 | $4.59 – $6.45 | 5 |
| Calprotectin fecal CPT 83993 | $195.65 | $301.00 | $17.46 – $24.54 | 5 |
| Candida dna CPT 87480 | $70.85 | $109.00 | $17.83 – $25.06 | 7 |
| Carbamazepine total therapeutic drug level CPT 80156 | $115.05 | $177.00 | $12.96 – $18.21 | 6 |
| Carbon dioxide CPT 82374 | $37.05 | $57.00 | $4.34 – $6.10 | 5 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $1,555.08 | $2,392.43 | $57.87 – $57.87 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $75.40 | $116.00 | $10.96 – $15.40 | 5 |
| Carcinoembryonic ag (cea) CPT 82378 | $146.90 | $226.00 | $16.86 – $23.70 | 5 |
| Cardiolipin antibody iga CPT 86147 | $84.50 | $130.00 | $22.64 – $31.81 | 5 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $787.80 | $1,212.00 | $89.81 – $1,350.52 | 51 |
| Carotene CPT 82380 | $104.65 | $161.00 | $8.20 – $8.20 | 4 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $404.30 | $622.00 | $215.26 – $487.54 | 5 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $87.75 | $135.00 | $8.09 – $11.68 | 5 |
| Cdna analysis for variants CPT 81403 | $547.30 | $842.00 | $164.73 – $231.50 | 5 |
| Cebpa gene full sequence CPT 81218 | $455.00 | $700.00 | $215.17 – $215.17 | 4 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $28.52 | $43.88 | $1.62 – $2.10 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $23.40 | $36.00 | $2.48 – $3.14 | 5 |
| Cefotaxime sodium injection HCPCS J0698 | $15.79 | $24.30 | $5.03 – $5.03 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,317.87 | $2,027.50 | $237.00 – $237.00 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $46.57 | $71.64 | $3.30 – $3.50 | 5 |
| Ceftazidime and avibactam HCPCS J0714 | $2,126.15 | $3,271.00 | $402.92 – $519.56 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $29.25 | $45.00 | $0.45 – $0.53 | 5 |
| #celiac hla-dq2 CPT 81377 | $271.70 | $418.00 | $84.27 – $84.27 | 4 |
| Cell count body fluid CPT 89050 | $57.85 | $89.00 | $4.20 – $5.90 | 5 |
| Cell count w differential body fluid CPT 89051 | $104.00 | $160.00 | $4.98 – $9.24 | 48 |
| Cell cryopreserve/storage CPT 88240 | $78.00 | $120.00 | $11.63 – $11.63 | 4 |
| Cftr gene dup/delet variants CPT 81222 | $744.25 | $1,145.00 | $386.99 – $386.99 | 4 |
| Change cystostomy tube simple CPT 51705 | $200.85 | $309.00 | $44.11 – $510.52 | 51 |
| Chest 2 vws w oblique CPT 71048 | $307.45 | $473.00 | $26.08 – $240.32 | 5 |
| Chest apical lordotic proj CPT 71047 | $245.70 | $378.00 | $24.41 – $200.05 | 5 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,197.00 | $3,380.00 | $119.08 – $492.80 | 5 |
| Chest CT scan (with contrast) CPT 71260 | $2,067.00 | $3,180.00 | $158.53 – $492.80 | 5 |
| Chest CT scan (without contrast) CPT 71250 | $1,663.35 | $2,559.00 | $71.34 – $293.73 | 5 |
| Chest X-ray CPT 71046 | $105.95 | $163.00 | $19.41 – $200.05 | 5 |
| Chest X-ray (single view) CPT 71045 | $79.30 | $122.00 | $14.42 – $200.05 | 5 |
| Chg pr pul rehab for copd patients CPT 94626 | $286.65 | $441.00 | $120.54 – $120.54 | 1 |
| Chlamydia type CPT 87140 | $38.35 | $59.00 | $4.95 – $4.95 | 4 |
| Chloride CPT 82435 | $40.95 | $63.00 | $4.09 – $5.75 | 5 |
| Chloride 24 hour urine CPT 82436 | $53.30 | $82.00 | $5.11 – $7.19 | 6 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $56.34 | $86.67 | $25.99 – $30.48 | 5 |
| Cholesterol CPT 82465 | $46.15 | $71.00 | $3.87 – $5.44 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $104.65 | $161.00 | $11.91 – $16.74 | 5 |
| Cholinesterase CPT 82480 | $46.15 | $71.00 | $7.00 – $9.84 | 5 |
| Chrom analysis CPT 88273 | $87.75 | $135.00 | $30.96 – $30.96 | 4 |
| Chromatography CPT 83021 | $75.40 | $116.00 | $16.06 – $22.58 | 5 |
| Chromogenic substrate assay CPT 85130 | $209.95 | $323.00 | $10.58 – $14.86 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $585.65 | $901.00 | $111.62 – $156.86 | 5 |
| Chromosome count additional CPT 88285 | $49.40 | $76.00 | $23.94 – $33.64 | 5 |
| Chromosome karyotype study CPT 88280 | $40.95 | $63.00 | $29.77 – $41.84 | 6 |
| Chylomicron screen, bf - sendout CPT 82664 | $147.55 | $227.00 | $54.70 – $54.70 | 4 |
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.