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 |
|---|---|---|---|---|
| Mayo proinsulin CPT 84206 | $126.10 | $194.00 | $23.74 – $44.04 | 51 |
| Mayo psaft prostate specific antigen free CPT 84154 | $105.30 | $162.00 | $16.36 – $22.99 | 5 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $414.70 | $638.00 | $16.37 – $23.00 | 5 |
| Mayo renin CPT 84244 | $124.80 | $192.00 | $19.56 – $27.49 | 5 |
| Mayo repu protein electrophoresis urine CPT 84166 | $102.70 | $158.00 | $15.86 – $22.29 | 5 |
| Mayo selenium CPT 84255 | $78.00 | $120.00 | $22.71 – $31.91 | 5 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $158.60 | $244.00 | $19.38 – $19.38 | 1 |
| Mayo serotonin CPT 84260 | $187.20 | $288.00 | $27.56 – $38.73 | 5 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $90.35 | $139.00 | $17.21 – $26.12 | 6 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $152.75 | $235.00 | $12.21 – $17.16 | 5 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $105.95 | $163.00 | $208.00 – $208.00 | 1 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $48.75 | $75.00 | $3.80 – $5.76 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $456.30 | $702.00 | $185.83 – $261.15 | 7 |
| Mayo tgrp testosterone free CPT 84402 | $120.90 | $186.00 | $22.66 – $34.38 | 7 |
| Mayo tgrp testosterone total CPT 84403 | $141.05 | $217.00 | $22.96 – $32.26 | 5 |
| Mayo thyroglobulin CPT 84432 | $109.85 | $169.00 | $14.29 – $20.08 | 5 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $97.50 | $150.00 | $9.05 – $16.80 | 49 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $79.30 | $122.00 | $11.02 – $15.49 | 5 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $98.80 | $152.00 | $45.61 – $45.61 | 4 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $84.50 | $130.00 | $12.04 – $16.93 | 5 |
| Mayo vasoactive intestinal peptide CPT 84586 | $167.70 | $258.00 | $31.43 – $31.43 | 4 |
| Mayo vitamin b3 (niacin) CPT 84591 | $107.90 | $166.00 | $15.17 – $21.33 | 5 |
| Mayo vitamin k CPT 84597 | $163.15 | $251.00 | $12.20 – $17.15 | 5 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $111.15 | $171.00 | $11.79 – $16.56 | 5 |
| Measurement post void urine by ultrasound CPT 51798 | $234.00 | $360.00 | $9.42 – $120.54 | 5 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $6.60 | $10.16 | $0.29 – $0.29 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $70.93 | $109.13 | $1.95 – $2.30 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $86.45 | $133.00 | $7.53 – $10.58 | 5 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $120.25 | $185.00 | $9.39 – $17.42 | 50 |
| Methotrexate therapeutic drug level CPT 80204 | $130.00 | $200.00 | $34.31 – $48.21 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $96.13 | $147.90 | $4.80 – $5.60 | 5 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $335.98 | $516.90 | $2.40 – $2.40 | 5 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $7.15 | $11.00 | $0.32 – $0.32 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $11.21 | $17.25 | $1.50 – $2.00 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | $415.35 | $639.00 | $110.87 – $110.87 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $258.72 | $398.03 | $28.00 – $32.00 | 5 |
| Microdissection laser CPT 88380 | $688.35 | $1,059.00 | $107.36 – $136.00 | 5 |
| Microdissection manual CPT 88381 | $198.90 | $306.00 | $169.41 – $211.61 | 5 |
| Microsatellite instability CPT 81301 | $611.00 | $940.00 | $292.05 – $580.01 | 7 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $13.00 | $20.00 | $0.65 – $1.05 | 5 |
| Mlh1 gene CPT 81288 | $441.35 | $679.00 | $171.07 – $261.56 | 8 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $560.30 | $862.00 | $33.56 – $33.56 | 4 |
| Mopath procedure level 5 CPT 81404 | $748.80 | $1,152.00 | $244.46 – $244.46 | 4 |
| Mopath procedure level 6 CPT 81405 | $1,020.50 | $1,570.00 | $268.05 – $268.05 | 4 |
| Mopath procedure level 7 CPT 81406 | $1,332.50 | $2,050.00 | $251.62 – $251.62 | 4 |
| Mopath procedure level 9 CPT 81408 | $844.35 | $1,299.00 | $1,778.97 – $1,778.97 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $63.61 | $97.86 | $4.58 – $5.52 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $378.95 | $583.00 | $102.60 – $640.87 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $328.25 | $505.00 | $103.09 – $304.61 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $304.20 | $468.00 | $58.32 – $73.34 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $416.65 | $641.00 | $304.61 – $334.01 | 5 |
| M/phmtrc alysishquant/semiq CPT 88369 | $381.55 | $587.00 | $109.24 – $147.23 | 5 |
| Mthfr gene analy common variants CPT 81291 | $246.35 | $379.00 | $81.68 – $81.68 | 1 |
| Mumps antibody igg CPT 86735 | $79.95 | $123.00 | $11.61 – $21.53 | 52 |
| Mycoplasma antibody igm CPT 86738 | $92.30 | $142.00 | $11.78 – $16.55 | 5 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $451.75 | $695.00 | $156.02 – $219.25 | 5 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $93.60 | $144.00 | $10.26 – $14.41 | 5 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $140.84 | $216.68 | $6.00 – $23.00 | 5 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $37.81 | $58.17 | $3.43 – $4.24 | 5 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $81.66 | $125.63 | $0.90 – $0.90 | 1 |
| Natriuretic peptide CPT 83880 | $130.00 | $200.00 | $34.92 – $64.78 | 52 |
| Natural killer cells total count CPT 86357 | $106.60 | $164.00 | $33.56 – $47.16 | 5 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,691.65 | $4,141.00 | $119.36 – $403.20 | 5 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,978.60 | $3,044.00 | $318.03 – $801.97 | 5 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,768.65 | $2,721.00 | $72.18 – $240.32 | 5 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $7.15 | $11.00 | $0.74 – $1.70 | 5 |
| New Patient Office Visit (level 2) CPT 99202 | $146.90 | $226.00 | $63.23 – $119.27 | 5 |
| New Patient Office Visit (level 3) CPT 99203 | $177.45 | $273.00 | $98.08 – $187.15 | 5 |
| New Patient Office Visit (level 4) CPT 99204 | $225.55 | $347.00 | $147.66 – $283.46 | 5 |
| New Patient Office Visit (level 5) CPT 99205 | $295.10 | $454.00 | $194.93 – $378.40 | 5 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $396.82 | $610.50 | $16.00 – $18.00 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $109.69 | $168.75 | $14.10 – $20.70 | 5 |
| Npm1 gene CPT 81310 | $516.10 | $794.00 | $219.28 – $406.76 | 52 |
| Nras gene variants exon 2&3 CPT 81311 | $572.65 | $881.00 | $263.10 – $488.05 | 51 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $161.20 | $248.00 | $111.67 – $187.82 | 50 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $119.60 | $184.00 | $69.34 – $116.62 | 50 |
| Observation direct referral from physician office for admission HCPCS G0379 | $444.60 | $684.00 | $1,064.75 – $1,064.75 | 1 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $643.50 | $990.00 | $184.31 – $334.98 | 11 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $287.30 | $442.00 | $83.99 – $141.27 | 50 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $471.90 | $726.00 | $136.32 – $229.28 | 50 |
| Observation per hour HCPCS G0378 | $82.55 | $127.00 | $44.99 – $44.99 | 1 |
| Obstetrics panel CPT 80055 | $228.80 | $352.00 | $42.53 – $42.53 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $12.60 | $19.38 | $1.54 – $1.62 | 5 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $136.84 | $210.53 | $15.00 – $17.60 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.15 | $11.00 | $0.18 – $0.22 | 5 |
| Organic acids total quant ea spec CPT 83918 | $131.95 | $203.00 | $20.99 – $29.50 | 5 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $76.05 | $117.00 | $10.19 – $13.99 | 5 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $13.00 | $20.00 | $1,377.62 – $1,377.62 | 1 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $101.40 | $156.00 | $657.56 – $657.56 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | $147.55 | $227.00 | $447.44 – $447.44 | 1 |
| Osmolality blood CPT 83930 | $79.30 | $122.00 | $5.88 – $8.26 | 5 |
| Osmolality urine CPT 83935 | $71.50 | $110.00 | $6.07 – $8.53 | 6 |
| Ot evaluation high complexity patient/family CPT 97167 | $605.15 | $931.00 | $89.56 – $161.91 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $551.85 | $849.00 | $89.56 – $161.91 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $576.55 | $887.00 | $89.56 – $161.91 | 5 |
| Oth resp proc, group HCPCS G0239 | $53.95 | $83.00 | $10.81 – $66.78 | 5 |
| Oth resp proc, indiv HCPCS G0238 | $68.25 | $105.00 | $8.58 – $51.71 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $109.20 | $168.00 | $41.39 – $72.95 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $103.35 | $159.00 | $23.93 – $44.63 | 5 |
| Ot re-evaluation patient/family CPT 97168 | $523.25 | $805.00 | $61.51 – $109.72 | 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.