Mercy Hospital Tishomingo Inc
Mercy Hospital Tishomingo Inc in Tishomingo, OK publishes cash prices for 26 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1000 S. Byrd Street Tishomingo OK 73460 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis With Contrast | $2,871.05 | $4,417.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Cont | $1,446.25 | $2,225.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont | $2,121.60 | $3,264.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $532.35 | $819.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $282.75 | $435.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views | $358.15 | $551.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $86.45 | $133.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $104.65 | $161.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $104.65 | $161.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $71.50 | $110.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Automated WO Diff | $59.15 | $91.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $120.25 | $185.00 | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $155.35 | $239.00 | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $146.25 | $225.00 | 35% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $228.80 | $352.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $105.30 | $162.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $101.40 | $156.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $119.60 | $184.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Partial Thromboplastin Time | $84.50 | $130.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $46.15 | $71.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Newborn | $15.60 | $24.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Thyroid Stimulating Hormone | $120.90 | $186.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $56.55 | $87.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $44.20 | $68.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $44.20 | $68.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $48.75 | $75.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $48.75 | $75.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $22.10 | $34.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $22.10 | $34.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 OP Visit Level III New Pt | $177.45 | $273.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 OP Visit Level IV New Pt | $225.55 | $347.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 OP Visit Level V New Pt | $295.10 | $454.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot Ther Exer 1 or > Area Ea 15m | $82.55 | $127.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt Ther Exer 1 or > Area Ea 15m | $82.55 | $127.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 St Ther Exer 1 or > Areas Ea 15m | $82.55 | $127.00 | 35% |