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 |
|---|---|---|---|---|
| Ghs ot sensory integrative tech/15min CPT 97533 | $79.30 | $122.00 | $53.54 – $95.13 | 5 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $44.85 | $69.00 | $20.85 – $20.85 | 4 |
| Ghs plngl fx pm cl CPT 26725 | $586.95 | $903.00 | $292.67 – $492.26 | 50 |
| Ghs ppd (tb intradermal) CPT 86580 | $36.40 | $56.00 | $8.58 – $51.71 | 5 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $56.55 | $87.00 | $8.59 – $8.59 | 4 |
| Ghs protoporphyrins fract CPT 84202 | $72.15 | $111.00 | $12.76 – $12.76 | 4 |
| Ghs pr without cont pulse ox CPT 94625 | $226.20 | $348.00 | $120.54 – $120.54 | 1 |
| Ghs removal intranasal foreign body CPT 30300 | $317.20 | $488.00 | $104.87 – $179.38 | 50 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $136.50 | $210.00 | $12.37 – $17.39 | 5 |
| Ghs sedimentation rate CPT 85651 | $52.00 | $80.00 | $3.80 – $5.34 | 5 |
| Ghs sensitivity (per antimicro) CPT 87184 | $76.05 | $117.00 | $6.65 – $9.35 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $390.00 | $600.00 | $84.23 – $154.01 | 50 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $468.65 | $721.00 | $102.42 – $178.04 | 50 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $339.30 | $522.00 | $67.53 – $123.97 | 50 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $394.55 | $607.00 | $67.19 – $409.96 | 51 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $346.45 | $533.00 | $84.51 – $149.88 | 50 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $103.35 | $159.00 | $42.87 – $42.87 | 4 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $218.40 | $336.00 | $91.09 – $91.09 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $156.00 | $240.00 | $25.99 – $25.99 | 4 |
| Ghs st - re-eval for alt comm CPT 92597 | $362.05 | $557.00 | $64.44 – $115.35 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $464.10 | $714.00 | $164.84 – $1,510.16 | 51 |
| Ghs urine, porphyrins quant CPT 84120 | $83.20 | $128.00 | $13.08 – $18.39 | 5 |
| Gi inhouse confirmation CPT 87045 | $128.70 | $198.00 | $8.40 – $11.80 | 8 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,364.02 | $2,098.50 | $111.91 – $167.40 | 5 |
| Glucagon plasma - sendout CPT 82943 | $91.00 | $140.00 | $12.71 – $12.71 | 4 |
| Glucose 1 hr post dose CPT 82950 | $44.20 | $68.00 | $4.23 – $5.94 | 5 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $18.85 | $29.00 | $2.92 – $2.92 | 4 |
| Glucose blood quantitative CPT 82947 | $42.25 | $65.00 | $3.50 – $5.31 | 7 |
| Glucose body fluid CPT 82945 | $66.30 | $102.00 | $3.50 – $6.48 | 43 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $143.65 | $221.00 | $11.45 – $16.09 | 5 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $40.95 | $63.00 | $3.49 – $4.90 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $115.05 | $177.00 | $16.53 – $23.23 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $100.75 | $155.00 | $16.47 – $23.15 | 6 |
| Great toe with reduction 28495 CPT 28495 | $374.40 | $576.00 | $140.87 – $236.94 | 50 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $17.06 | $26.25 | $0.98 – $1.21 | 5 |
| Hand X-ray CPT 73130 | $271.05 | $417.00 | $24.14 – $200.05 | 5 |
| Haptoglobin quantitative CPT 83010 | $105.30 | $162.00 | $11.19 – $15.73 | 5 |
| Hba1/hba2 full gene sequence CPT 81259 | $500.50 | $770.00 | $533.69 – $533.69 | 4 |
| Hbb full gene sequence CPT 81364 | $481.65 | $741.00 | $288.71 – $405.73 | 5 |
| Hbb gene dup/del variants CPT 81363 | $475.15 | $731.00 | $180.03 – $180.03 | 4 |
| Hcg qualitative CPT 84703 | $115.05 | $177.00 | $6.69 – $9.40 | 5 |
| Hcg quantitative CPT 84702 | $113.75 | $175.00 | $13.39 – $18.81 | 5 |
| Head CT scan (with and without contrast) CPT 70470 | $2,137.85 | $3,289.00 | $98.54 – $492.80 | 5 |
| Head CT scan (with contrast) CPT 70460 | $1,822.60 | $2,804.00 | $82.45 – $492.80 | 5 |
| Head CT scan (without contrast) CPT 70450 | $1,446.25 | $2,225.00 | $57.46 – $293.73 | 5 |
| Helicobacter pylori antibody igm CPT 86677 | $107.90 | $166.00 | $14.99 – $14.99 | 4 |
| Hematocrit CPT 85014 | $31.20 | $48.00 | $2.11 – $2.96 | 5 |
| Hemodialysis one evaluation CPT 90935 | $1,717.30 | $2,642.00 | $63.13 – $1,402.36 | 5 |
| Hemoglobin CPT 85018 | $31.20 | $48.00 | $2.11 – $2.96 | 5 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $48.75 | $75.00 | $7.29 – $10.25 | 5 |
| Hemoglobin plasma CPT 83051 | $79.30 | $122.00 | $6.50 – $9.14 | 5 |
| Hemophilus influenza antibdy CPT 86684 | $134.55 | $207.00 | $14.09 – $19.80 | 5 |
| Heparin assay CPT 85520 | $154.70 | $238.00 | $11.64 – $16.36 | 5 |
| Heparin bolus from bag HCPCS J1644 | $80.44 | $123.75 | $1.00 – $1.35 | 5 |
| Heparin neutralization CPT 85525 | $59.15 | $91.00 | $10.53 – $14.80 | 5 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $7.15 | $11.00 | $0.02 – $0.02 | 1 |
| Hepatitis a antibody igm CPT 86709 | $116.35 | $179.00 | $10.02 – $18.58 | 49 |
| Hepatitis b core antibody igm CPT 86705 | $85.80 | $132.00 | $10.47 – $15.89 | 6 |
| Hepatitis b core antibody total CPT 86704 | $94.90 | $146.00 | $10.72 – $16.27 | 8 |
| Hepatitis b surface antibody CPT 86706 | $100.10 | $154.00 | $9.55 – $13.43 | 5 |
| Hepatitis c antibody CPT 86803 | $91.65 | $141.00 | $12.69 – $19.26 | 7 |
| Hereditary colon ca dsordrs CPT 81435 | $2,642.25 | $4,065.00 | $1,159.85 – $1,629.94 | 5 |
| Herpes simplex type 1 antibody igg CPT 86695 | $73.45 | $113.00 | $11.73 – $17.81 | 6 |
| Herpes simplex type 2 antibody igg CPT 86696 | $113.75 | $175.00 | $17.21 – $26.12 | 6 |
| Heterophile antibodies screening CPT 86308 | $68.90 | $106.00 | $4.61 – $6.48 | 6 |
| Hip X-ray CPT 73502 | $136.50 | $210.00 | $30.80 – $200.05 | 5 |
| Histamine CPT 83088 | $185.90 | $286.00 | $26.27 – $36.91 | 5 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $304.20 | $468.00 | $151.12 – $280.34 | 52 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $65.23 | $100.36 | $8.10 – $8.10 | 1 |
| Homocysteine CPT 83090 | $133.90 | $206.00 | $15.94 – $22.40 | 5 |
| Homogenization tissue CPT 87176 | $41.60 | $64.00 | $5.23 – $7.35 | 6 |
| Hpv types 16 & 18 only CPT 87625 | $91.65 | $141.00 | $36.07 – $66.91 | 50 |
| H pylori (c-13) breath CPT 83013 | $222.30 | $342.00 | $59.92 – $84.20 | 5 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $8,394.75 | $12,915.00 | $1,575.00 – $1,575.00 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $83.07 | $127.80 | $4.08 – $5.32 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | $139.75 | $215.00 | $41.09 – $81.33 | 5 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $139.75 | $215.00 | $187.62 – $369.43 | 5 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $98.04 | $150.83 | $20.94 – $27.45 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $26.40 | $40.61 | $0.27 – $0.36 | 5 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $149.03 | $229.28 | $12.31 – $18.81 | 5 |
| Idh1 common variants CPT 81120 | $417.30 | $642.00 | $142.31 – $321.57 | 7 |
| Idh2 common variants CPT 81121 | $472.55 | $727.00 | $263.10 – $263.10 | 4 |
| Igh gene rearrange amp meth CPT 81261 | $434.20 | $668.00 | $176.11 – $247.49 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | $657.80 | $1,012.00 | $288.92 – $485.96 | 45 |
| Igk rearrangeabn clonal pop CPT 81264 | $389.35 | $599.00 | $153.64 – $215.91 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $204.75 | $315.00 | $77.41 – $107.55 | 5 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $216.45 | $333.00 | $146.69 – $640.87 | 5 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $29.25 | $45.00 | $231.04 – $231.04 | 1 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $50.05 | $77.00 | $110.57 – $110.57 | 1 |
| Immobilizer shldr sling med HCPCS L3660 | $31.85 | $49.00 | $202.25 – $202.25 | 1 |
| Immune complex assay CPT 86332 | $117.00 | $180.00 | $21.68 – $21.68 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $125.45 | $193.00 | $18.51 – $34.34 | 46 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $131.95 | $203.00 | $18.51 – $26.01 | 5 |
| Immunodiffusion nes CPT 86329 | $105.95 | $163.00 | $12.50 – $17.56 | 5 |
| Immunofixation electrophoresis serum CPT 86334 | $157.30 | $242.00 | $19.87 – $27.93 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $148.85 | $229.00 | $96.93 – $121.80 | 5 |
| Immunoglobulin assay CPT 86023 | $165.75 | $255.00 | $11.08 – $15.58 | 5 |
| Impedence cardiogram CPT 93701 | $119.60 | $184.00 | $114.79 – $114.79 | 4 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $280.15 | $431.00 | $106.37 – $3,374.74 | 51 |
| Infect ag drug suscept pheno predict CPT 87900 | $374.40 | $576.00 | $115.94 – $215.08 | 51 |
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.