Visits & medical services prices at Mercy Hospital Tishomingo
Tishomingo, OK · every code in this section with a posted price and a Medicare benchmark.
113 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $42.90 | $66 | 1.1× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$110.50–$130 | $170–$200 | varies |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$89.05–$102.70 | $137–$158 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $82.55 | $127 | 5.7× |
| Assessment of aphasia per hr (96105) | $280.15 | $431 | 2.9× |
| Bioimpedance Cv Analysis (93701) | $119.60 | $184 | 0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$34.45–$449.15 | $53–$691 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$585–$774.15 | $900–$1,191 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$447.85–$787.80 | $689–$1,212 | varies |
| Cbt 1st hour (94644) | $102.70 | $158 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $177.45 | $273 | 2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $168.35 | $259 | 2.4× |
| Chemo IV infusion addl hr (96415) | $414.70 | $638 | 6.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $414.70 | $638 | 1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $328.90 | $506 | 1.0× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$93.60–$107.90 | $144–$166 | varies |
| Color/duplex Doppler, complete (93975) | $966.55 | $1,487 | 4.2× |
| Color/duplex Doppler, limited (93976) | $630.50 | $970 | 6.3× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$272.35–$377 | $419–$580 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$450.45–$767.65 | $693–$1,181 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$110.50–$126.75 | $170–$195 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$563.55–$1,123.85 | $867–$1,729 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$114.40–$286 | $176–$440 | varies |
| Dialysis One Evaluation (90945) | $978.90 | $1,506 | 2.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $822.25 | $1,265 | 3.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $530.40 | $816 | 5.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $458.25 | $705 | 2.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $381.55 | $587 | 3.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $468.65 | $721 | 2.0× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$363.35–$1,038.05 | $559–$1,597 | varies |
| Duplex up extrem art bilat (93930) | $702 | $1,080 | 3.1× |
| Duplex up extrem art unilat/ltd (93931) | $370.50 | $570 | 3.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$146.90–$594.10 | $226–$914 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $86.45 | $133 | 5.9× |
| Electrocardiogram Tracing (93005) | $126.10 | $194 | 2.2× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$116.35–$405.60 | $179–$624 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$188.50–$761.15 | $290–$1,171 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$289.90–$1,111.50 | $446–$1,710 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$83.85–$294.45 | $129–$453 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$419.25–$2,888.27 | $645–$4,443.50 | varies |
| Evaluate pt use of inhaler (94664) | $147.55 | $227 | 0.7× |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$179.40–$430.30 | $276–$662 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$175.50–$426.40 | $270–$656 | varies |
| Exercise test for bronchospasm (94617) | $239.20 | $368 | 1.9× |
| Extracranial Bilat Study (93880) | $404.30 | $622 | 1.8× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$57.20–$100.10 | $88–$154 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,717.30 | $2,642 | 2.6× |
| Immunization administration (90471) | $70.20 | $108 | 1.0× |
| IV infusion hydration each additional hour (96361) | $139.75 | $215 | 3.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $139.75 | $215 | 0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $150.80 | $232 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $150.80 | $232 | 3.3× |
| IV push initial (96374) | $103.35 | $159 | 0.5× |
| Lung Function Test (Mbc/Mvv) (94200) | $131.30 | $202 | 2.3× |
| Mechanical chest wall oscillation per session (94669) | $147.55 | $227 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $39.65 | $61 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $42.90 | $66 | 1.2× |
| Methacholine challenge (94070) | $845 | $1,300 | 2.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$274.95–$302.25 | $423–$465 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$347.10–$382.85 | $534–$589 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $297.05 | $457 | 1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $382.85 | $589 | 1.0× |
| Neuromuscular Reeducation (97112) | $91 | $140 | 2.8× |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$104–$254.80 | $160–$392 | varies |
| Oral Speech Device Eval (92597) range across 6 matching MRF lines |
$272.35–$362.05 | $419–$557 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $109.20 | $168 | 2.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $56.55 | $87 | 4.0× |
| Ot eval high complexity (97167) range across 16 matching MRF lines |
$175.50–$605.15 | $270–$931 | varies |
| Ot Eval Low Complex (97165) range across 16 matching MRF lines |
$122.20–$551.85 | $188–$849 | varies |
| Ot Eval Moderate Complexity (97166) range across 16 matching MRF lines |
$146.90–$576.55 | $226–$887 | varies |
| Ot manual therapy 15 min (97140) | $103.35 | $159 | 3.7× |
| Ot Re-Eval Est Plan Care (97168) range across 16 matching MRF lines |
$93.60–$523.25 | $144–$805 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $286.65 | $441 | 5.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $226.20 | $348 | 4.0× |
| Plethysmography (94726) range across 2 matching MRF lines |
$496.60–$954.85 | $764–$1,469 | varies |
| Pt Eval High Complex (97163) range across 10 matching MRF lines |
$175.50–$433.55 | $270–$667 | varies |
| Pt eval low complex 20 min (97161) range across 10 matching MRF lines |
$122.20–$380.25 | $188–$585 | varies |
| Pt Eval Mod Complex (97162) range across 10 matching MRF lines |
$146.90–$404.95 | $226–$623 | varies |
| Pt gait training 15 min (97116) | $67.60 | $104 | 2.3× |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$93.60–$351.65 | $144–$541 | varies |
| Pulm function test by gas (94727) | $354.90 | $546 | 1.7× |
| Pulmonary service/procedure (94799) | $113.10 | $174 | 0.9× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$89.05–$243.10 | $137–$374 | varies |
| Respiratory flow volume loop (94375) | $275.60 | $424 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $189.15 | $291 | 1.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $56.55 | $87 | 2.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $321.75 | $495 | 2.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $103.35 | $159 | 2.2× |
| Self Care Mngment Training (97535) | $90.35 | $139 | 2.8× |
| Sensory Integration Ea 15 Min (97533) | $79.30 | $122 | 1.3× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$186.55–$437.45 | $287–$673 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$48.75–$252.85 | $75–$389 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $87.75 | $135 | 3.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $27.30 | $42 | 1.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $79.30 | $122 | 2.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 6 matching MRF lines |
$111.15–$218.40 | $171–$336 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $66.95 | $103 | 0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $66.95 | $103 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $150.80 | $232 | 0.7× |
| Therapeutic Activities (97530) | $85.80 | $132 | 2.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$42.90–$50.70 | $66–$78 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$26.65–$39.65 | $41–$61 | varies |
| Tte w/doppler, complete (93306) | $1,541.15 | $2,371 | 2.9× |
| Tte W/O Doppler Complete (93307) | $1,380.60 | $2,124 | 6.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 20 matching MRF lines |
$125.45–$670.15 | $193–$1,031 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $103.35 | $159 | 2.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $406.90 | $626 | 3.2× |
| Vasopneumatic device (97016) | $71.50 | $110 | 5.9× |
| Vent Mgmt Inpat Init Day (94002) | $1,174.55 | $1,807 | 2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $722.80 | $1,112 | 1.2× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$31.20–$139.10 | $48–$214 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $71.50 | $110 | 2.3× |
| Whirlpool Therapy (97022) | $101.40 | $156 | 6.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.