Mercy Hospital Tishomingo

Tishomingo, OK · Critical Access Hospital

Posts prices for 23 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.

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ProcedureCash priceGross charge× Medicare
CT head/brain without contrast (70450) $1,446.25 $2,225 14.4×
X-ray lower spine, 4+ views (72110) $358.15 $551 3.6×
CT pelvis with contrast (72193) $2,121.60 $3,264 12.6×
CT abdomen and pelvis with contrast (74177) $2,871.05 $4,417 8.6×
Ultrasound, abdomen complete (76700) $282.75 $435 2.8×
Ultrasound, transvaginal (76830) $532.35 $819 5.3×
Basic metabolic panel (80048) $86.45 $133 10.2×
Comprehensive metabolic panel (80053) $120.25 $185 11.4×
Obstetric panel (80055) $228.80 $352 4.8×
Lipid panel (80061) $104.65 $161 7.8×
Renal function panel (80069) $155.35 $239 17.9×
Hepatic function panel (80076) $146.25 $225 17.9×
Urinalysis, non-automated, without microscopy (81002) $22.10 $34 6.4×
PSA, total (84153) $110.50 $170 6.0×
Thyroid stimulating hormone (TSH) (84443) $68.25 $105 4.1×
CBC with automated differential (85025) $71.50 $110 9.2×
CBC, automated (85027) $59.15 $91 9.1×
Prothrombin time (PT) (85610) $46.15 $71 10.8×
Partial thromboplastin time (PTT) (85730) $84.50 $130 14.1×
Physical therapy, therapeutic exercise (per 15 min) (97110) $82.55 $127 2.8×
Office visit, new patient (low complexity, ~30 min) (99203) $177.45 $273 1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $225.55 $347 1.8×
Office visit, new patient (high complexity, ~60 min) (99205) $295.10 $454 2.3×

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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