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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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MERCY HOSPITAL TISHOMINGO INC

Tishomingo, OK · CCN 371304 · Rates published

1,503 distinct procedures filed
74 distinct payers
221,012 rate rows
2026-03-16 last MRF observed

216,474 of 221,012 rate rows are consumer-grade (97.9%)

4,538 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,179
per-diem day rate — not a per-procedure price 1,835
percent-of-charges filed in the dollar field — excluded from medians 517
exceeds 10× this hospital's gross charge — excluded from medians 5
placeholder amount (≤ $0.02) — excluded from medians 2
↓ Download audit trail (JSON)
Source MRF file https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/274433830_mercy-hospital-tishomingo_standardcharges.zip
Found on page https://www.mercy.net/forms/items-and-services-files/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
Content fingerprint 476f8e4e100ae5f5… · 21,351,831 bytes · first seen 2026-05-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
808
MS_DRG
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 5 $13,882.63 $17,538.26 $17,538.26 nat. median
$22,208

0.8× median
J3101
HCPCS
Tenecteplase Injection Kit For Acute Ischemic Stroke (kit) 73 $8,121.50 $30,616.89 $16,352.82 nat. median
$5,957

outlier · 2.7×
559
MS_DRG
Aftercare, Musculoskeletal System And Connective Tissue With Mcc 5 $11,725.95 $24,113.16 $14,103.58 nat. median
$19,047

0.7× median
289
MS_DRG
Acute And Subacute Endocarditis With Cc 4 $10,627.42 $10,732.49 $10,627.42 nat. median
$17,041

0.6× median
871
MS_DRG
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 7 $250.16 $25,116.53 $9,141.82 nat. median
$19,634

outlier · 0.5×
377
MS_DRG
Gastrointestinal Hemorrhage With Mcc 5 $9,107.81 $23,636.04 $9,107.81 nat. median
$18,249

outlier · 0.5×
291
MS_DRG
Heart Failure And Shock With Mcc 7 $1,047.13 $16,599.53 $8,883.41 nat. median
$13,521

0.7× median
949
MS_DRG
Aftercare With Cc/mcc 5 $7,480.49 $15,382.82 $8,334.15 nat. median
$12,475

0.7× median
682
MS_DRG
Renal Failure With Mcc 5 $7,008.47 $9,312.10 $7,008.47 nat. median
$15,223

outlier · 0.5×
560
MS_DRG
Aftercare, Musculoskeletal System And Connective Tissue With Cc 4 $6,770.95 $7,080.59 $6,770.95 nat. median
$12,148

0.6× median
602
MS_DRG
Cellulitis With Mcc 7 $120.37 $18,377.41 $6,718.75 nat. median
$14,837

outlier · 0.5×
637
MS_DRG
Diabetes With Mcc 6 $238.48 $9,033.55 $6,707.39 nat. median
$14,787

outlier · 0.5×
947
MS_DRG
Signs And Symptoms With Mcc 4 $6,258.73 $7,981.62 $6,258.73 nat. median
$12,688

outlier · 0.5×
57
MS_DRG
Degenerative Nervous System Disorders Without Mcc 5 $6,083.85 $8,146.36 $6,083.85 nat. median
$13,201

outlier · 0.5×
689
MS_DRG
Kidney And Urinary Tract Infections With Mcc 7 $405.36 $15,002.68 $5,732.74 nat. median
$12,152

outlier · 0.5×
189
MS_DRG
Pulmonary Edema And Respiratory Failure 6 $3,149.16 $7,767.84 $5,563.72 nat. median
$13,017

outlier · 0.4×
J7165
HCPCS
Human Prothrombin Cmpx(pcc)-lans 1,000 Unit (800-1,280 Unit) IV Solution 72 $1,575.00 $11,623.50 $5,488.88 nat. median
$492

outlier · 11.1×
190
MS_DRG
Chronic Obstructive Pulmonary Disease With Mcc 6 $185.11 $6,964.90 $5,404.57 nat. median
$11,699

outlier · 0.5×
554
MS_DRG
Bone Diseases And Arthropathies Without Mcc 7 $5,219.43 $10,733.19 $5,308.21 nat. median
$9,260

0.6× median
193
MS_DRG
Simple Pneumonia And Pleurisy With Mcc 6 $221.67 $8,264.57 $5,107.65 nat. median
$13,648

outlier · 0.4×
176
MS_DRG
Pulmonary Embolism Without Mcc 5 $4,362.63 $5,061.61 $4,362.63 nat. median
$9,177

outlier · 0.5×
872
MS_DRG
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 8 $247.27 $13,231.27 $4,344.99 nat. median
$11,103

outlier · 0.4×
191
MS_DRG
Chronic Obstructive Pulmonary Disease With Cc 6 $4,294.48 $5,300.54 $4,294.48 nat. median
$9,406

outlier · 0.5×
194
MS_DRG
Simple Pneumonia And Pleurisy With Cc 4 $4,158.75 $5,067.27 $4,158.75 nat. median
$9,125

outlier · 0.5×
638
MS_DRG
Diabetes With Cc 4 $4,036.78 $5,635.05 $4,036.78 nat. median
$9,824

outlier · 0.4×
305
MS_DRG
Hypertension Without Mcc 7 $3,985.49 $9,763.44 $3,985.49 nat. median
$8,578

outlier · 0.5×
683
MS_DRG
Renal Failure With Cc 6 $305.49 $5,506.78 $3,940.77 nat. median
$9,664

outlier · 0.4×
603
MS_DRG
Cellulitis Without Mcc 5 $3,895.20 $11,260.74 $3,895.20 nat. median
$9,571

outlier · 0.4×
309
MS_DRG
Cardiac Arrhythmia And Conduction Disorders With Cc 6 $3,639.33 $4,625.87 $3,639.33 nat. median
$8,433

outlier · 0.4×
J3424
HCPCS
Hydroxocobalamin 5 Gram Intravenous Solution 68 $2,245.50 $6,736.50 $3,598.04 nat. median
$1,132

outlier · 3.2×
690
MS_DRG
Kidney And Urinary Tract Infections Without Mcc 7 $120.38 $10,466.84 $3,537.18 nat. median
$8,979

outlier · 0.4×
J0875
HCPCS
Dalbavancin 500 Mg Intravenous Solution 73 $1,560.00 $6,565.00 $3,506.44 nat. median
$1,071

outlier · 3.3×
951
MS_DRG
Other Factors Influencing Health Status 5 $3,439.48 $7,189.08 $3,439.48 nat. median
$6,587

0.5× median
392
MS_DRG
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 6 $3,373.09 $4,901.90 $3,373.09 nat. median
$8,728

outlier · 0.4×
641
MS_DRG
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 7 $321.97 $10,062.13 $3,194.05 nat. median
$8,664

outlier · 0.4×
440
MS_DRG
Disorders Of Pancreas Except Malignancy Without Cc/mcc 6 $3,184.53 $3,907.18 $3,184.53 nat. median
$7,343

outlier · 0.4×
74174
CPT
CTA Abd Pelvis Wwo Contrast 73 $239.84 $5,230.80 $2,793.83 nat. median
$959

outlier · 2.9×
J0881
HCPCS
Darbepoetin Alfa 100 Mcg/0.5 Ml In Polysorbate Injection Syringe 73 $178.20 $14,280.30 $2,697.39 nat. median
$751

outlier · 3.6×
74178
CPT
CT Abd Pelvis Wo Cont Then W Cont 73 $212.92 $4,967.10 $2,652.98 nat. median
$979

outlier · 2.7×
75635
CPT
CTA Abd Aorta Bi Iliofem W/wo 73 $143.14 $4,206.60 $2,246.79 nat. median
$706

outlier · 3.2×
74177
CPT
CT Abd Pelvis With Contrast 73 $188.51 $3,975.30 $2,123.25 nat. median
$928

outlier · 2.3×
J0485
HCPCS
Belatacept 250 Mg Intravenous Solution 73 $982.50 $3,937.01 $2,102.80 nat. median
$27

outlier · 77.9×
73700
CPT
CT Extremity Lower Wo Cont Bi 73 $71.62 $4,032.90 $2,076.94 nat. median
$555

outlier · 3.7×
72127
CPT
CT Cervical Spine W/wo Cont 73 $119.36 $3,726.90 $1,990.58 nat. median
$595

outlier · 3.3×
81435
CPT
Hereditary Colon Cancer, 5 Or More Genes 73 $1,097.55 $3,658.50 $1,954.05 nat. median
$1,440

1.4× median
36561
CPT
Insert Tunn Vad W Port > 5 Yrs 69 $400.70 $3,606.30 $1,926.16 nat. median
$3,693

0.5× median
J2690
HCPCS
Procainamide 100 Mg/ml Injection Solution 72 $486.28 $4,050.00 $1,912.50 nat. median
$306

outlier · 6.3×
72133
CPT
CT Lumbar Spine W/wo Cont 73 $119.64 $3,507.30 $1,873.29 nat. median
$616

outlier · 3.0×
74176
CPT
CT Abd Pelvis Without Contrast 73 $88.54 $3,500.10 $1,869.44 nat. median
$685

outlier · 2.7×
74170
CPT
CT Abdomen W/wo Cont 73 $143.16 $3,460.50 $1,848.29 nat. median
$703

outlier · 2.6×

Other procedures at this hospital

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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