healthcosts.net

Mercy Hospital Tishomingo

1000 S. Byrd Street, Tishomingo, OK · Mercy · · NPI 1932404431

Source: hospital's published price file ↗ · Published Jun 11, 2026 · Ingested Sep 8, 2026

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
Infect ag eia influenza a or b ea CPT 87400 $91.65 $141.00 $12.57 – $17.66 5
Infect ag ia direct hiv-1 antgn CPT 87806 $89.70 $138.00 $40.96 – $40.96 1
Infect ag ia optc obs influenza CPT 87804 $63.05 $97.00 $14.72 – $20.69 5
Infect ag if varicella zoster CPT 87290 $75.40 $116.00 $11.94 – $11.94 4
Infect ag na hpv high-risk types CPT 87624 $117.65 $181.00 $31.21 – $43.86 5
Infect ag na influenza r/amp 1st 2 types CPT 87502 $185.90 $286.00 $85.21 – $119.75 5
Infect ag na orthopoxvirus amp prb each CPT 87593 $143.65 $221.00 $45.64 – $45.64 4
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $112.45 $173.00 $10.66 – $14.98 5
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 $65.00 $100.00 $11.94 – $11.94 4
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $69.55 $107.00 $12.29 – $17.28 5
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $73.45 $113.00 $10.66 – $14.98 5
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $146.90 $226.00 $12.79 – $19.41 6
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $66.95 $103.00 $9.19 – $12.91 6
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $72.80 $112.00 $9.19 – $9.19 4
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $71.50 $110.00 $21.42 – $32.51 8
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $120.90 $186.00 $10.66 – $14.98 7
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $104.65 $161.00 $10.66 – $19.77 52
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 $53.95 $83.00 $10.66 – $14.98 7
Infectious agent nucleic acid amplified probe CPT 87798 $262.60 $404.00 $31.21 – $47.37 8
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $156.00 $240.00 $31.21 – $47.37 7
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $154.05 $237.00 $33.15 – $46.59 8
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $700.70 $1,078.00 $520.98 – $520.98 1
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $161.85 $249.00 $31.21 – $47.37 7
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $110.50 $170.00 $31.21 – $43.86 5
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $156.00 $240.00 $31.21 – $47.37 7
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $143.65 $221.00 $45.64 – $84.66 50
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $243.75 $375.00 $126.87 – $235.34 50
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $332.80 $512.00 $126.87 – $235.34 50
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $84.50 $130.00 $43.86 – $43.86 1
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $157.30 $242.00 $31.21 – $57.90 51
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 $210.60 $324.00 $68.85 – $115.80 47
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $602.55 $927.00 $408.86 – $566.82 8
Infectious agent nucleic acid quantification bk virus CPT 87799 $381.55 $587.00 $38.11 – $57.83 6
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $298.35 $459.00 $38.11 – $70.69 51
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $367.25 $565.00 $38.11 – $53.55 8
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $215.80 $332.00 $75.70 – $140.42 52
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $285.35 $439.00 $126.87 – $126.87 4
Initial nursing facility care/day 35 minutes CPT 99305 $194.35 $299.00 $113.69 – $191.22 50
Initial nursing facility care/day 45 minutes CPT 99306 $254.15 $391.00 $155.25 – $261.13 50
Initial nursing facility care/day low severity 99304 CPT 99304 $145.60 $224.00 $67.58 – $113.67 50
Initiation & management bipap/cpap initial day CPT 94660 $767.65 $1,181.00 $447.44 – $447.44 1
Inj, daptomycin (hospira) HCPCS J0877 $243.75 $375.00 $14.00 – $21.00 5
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $317.20 $488.00 $36.12 – $1,442.34 51
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 $103.35 $159.00 $41.09 – $81.33 5
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $103.35 $159.00 $38.12 – $38.12 1
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 $103.35 $159.00 $187.62 – $369.43 5
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 $66.95 $103.00 $63.38 – $125.05 5
Inj meropenem (wg crit care) HCPCS J2183 $23.16 $35.63 $16.50 – $18.40 5
Insertion catheter bladder non indwelling CPT 51701 $173.55 $267.00 $38.74 – $271.86 5
Insertion catheter bladder temporary simple CPT 51702 $194.35 $299.00 $21.45 – $271.86 51
Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 $453.05 $697.00 $73.37 – $6,451.74 51
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 $1,537.25 $2,365.00 $1,383.36 – $3,216.50 5
In situ hybridization per specimen each additional single probe stain CPT 88364 $241.80 $372.00 $113.41 – $144.63 5
Insulin total CPT 83525 $79.30 $122.00 $10.17 – $15.43 6
Intrinsic factor antibody CPT 86340 $85.80 $132.00 $13.41 – $18.85 5
Intubation endotracheal emergency procedure CPT 31500 $572.00 $880.00 $124.95 – $211.13 50
Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 $231.56 $356.25 $1.40 – $1.90 5
Iron CPT 83540 $53.30 $82.00 $5.75 – $8.09 5
Iron binding capacity CPT 83550 $68.25 $105.00 $7.77 – $10.93 5
Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 $292.06 $449.33 $23.00 – $27.00 5
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 $150.80 $232.00 $63.38 – $125.05 5
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 $150.80 $232.00 $16.94 – $32.40 5
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 $150.80 $232.00 $41.09 – $81.33 5
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 $150.80 $232.00 $187.62 – $369.43 5
John cunningham antibody CPT 86711 $1,034.80 $1,592.00 $15.02 – $21.11 5
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 $62.40 $96.00 $7.27 – $10.21 6
Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 $24.33 $37.43 $0.84 – $3.30 5
Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 $282.75 $435.00 $61.35 – $240.32 5
Knee X-ray CPT 73564 $555.75 $855.00 $30.25 – $240.32 5
Kras gene addl variants CPT 81276 $374.40 $576.00 $171.89 – $241.56 5
Kras gene variants exon 2 CPT 81275 $644.80 $992.00 $171.89 – $241.56 5
Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 $7.15 $11.00 $0.58 – $0.64 5
Lactate dehydrogenase (ldh) CPT 83615 $49.40 $76.00 $5.37 – $7.55 7
Lactic acid CPT 83605 $183.30 $282.00 $10.29 – $14.46 6
Lactoferrin fecal qualitative CPT 83630 $53.95 $83.00 $17.52 – $24.63 5
Lead capillary CPT 83655 $65.00 $100.00 $10.77 – $15.14 5
Leg Vein Ultrasound (DVT study, both legs) CPT 93970 $468.65 $721.00 $157.95 – $487.54 5
Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 $14.62 $22.50 $2.00 – $2.50 5
Levetiracetam therapeutic drug level CPT 80177 $115.05 $177.00 $11.79 – $16.56 7
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 $30.71 $47.25 $1.89 – $2.68 5
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 $39.00 $60.00 $10.00 – $10.00 5
Lidocaine therapeutic drug level CPT 80176 $83.85 $129.00 $13.07 – $13.07 4
Lipase CPT 83690 $42.90 $66.00 $6.13 – $11.37 52
Lipoprotein blood high res frac & quant CPT 83701 $70.85 $109.00 $30.12 – $30.12 4
Lipoprotein direct measurement hdl CPT 83718 $48.10 $74.00 $7.28 – $7.28 4
Lipoprotein direct measurement ldl CPT 83721 $45.50 $70.00 $9.34 – $13.13 5
Lithium therapeutic drug level CPT 80178 $71.50 $110.00 $5.88 – $8.26 5
Liver Function Test CPT 80076 $146.25 $225.00 $7.27 – $10.21 5
Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 $97.76 $150.40 $1.35 – $2.06 5
Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 $2,533.05 $3,897.00 $119.64 – $403.20 5
Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 $1,997.45 $3,073.00 $318.03 – $801.97 5
Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 $1,966.90 $3,026.00 $94.70 – $240.32 5
Lower Back (Lumbar Spine) X-ray CPT 72100 $159.90 $246.00 $24.41 – $240.32 5
L/s ratio fetal lung CPT 83661 $179.40 $276.00 $19.56 – $19.56 4
Lung function test (mbc/mvv) CPT 94200 $131.30 $202.00 $12.62 – $120.54 5
Lung Function Test (Spirometry) CPT 94010 $252.85 $389.00 $23.30 – $441.20 51
Macroscopic exam arthropod CPT 87168 $34.45 $53.00 $3.80 – $5.34 5
Macroscopic exam parasite CPT 87169 $34.45 $53.00 $3.83 – $5.39 5
Magnesium CPT 83735 $71.50 $110.00 $5.96 – $8.38 5
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 $45.34 $69.75 $0.98 – $1.06 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.