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MERCY HOSPITAL TISHOMINGO INC

Tishomingo, OK · CCN 371304 · Rates published

1,357 distinct procedures filed
79 distinct payers
62,162 rate rows
2026-06-11 last MRF observed

60,188 of 62,162 rate rows are consumer-grade (96.8%)

1,974 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
per-diem day rate — not a per-procedure price 1,968
exceeds 10× this hospital's gross charge — excluded from medians 4
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 · 2026-10-01
Content fingerprint 1cc96460f008cd17… · 2,785,682 bytes · first seen 2026-07-31

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
871
MS_DRG
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 1 $25,116.53 $25,116.53 $25,116.53 nat. median
$14,442

1.7× median
377
MS_DRG
Gastrointestinal Hemorrhage With Mcc 1 $23,636.04 $23,636.04 $23,636.04 nat. median
$13,124

1.8× median
193
MS_DRG
Simple Pneumonia And Pleurisy With Mcc 1 $16,995.19 $16,995.19 $16,995.19 nat. median
$9,802

1.7× median
291
MS_DRG
Heart Failure And Shock With Mcc 1 $16,599.53 $16,599.53 $16,599.53 nat. median
$9,572

1.7× median
J3101
HCPCS
Tenecteplase 50 Mg Intravenous Solution 78 $8,121.50 $30,616.89 $16,155.51 nat. median
$498

outlier · 32.5×
949
MS_DRG
Aftercare With Cc/mcc 1 $15,382.82 $15,382.82 $15,382.82 nat. median
$8,367

1.8× median
872
MS_DRG
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 $13,231.27 $13,231.27 $13,231.27 nat. median
$7,744

1.7× median
92
MS_DRG
Other Disorders Of Nervous System With Cc 1 $13,227.39 $13,227.39 $13,227.39 nat. median
$7,741

1.7× median
202
MS_DRG
Bronchitis And Asthma With Cc/mcc 1 $12,557.62 $12,557.62 $12,557.62 nat. median
$7,228

1.7× median
552
MS_DRG
Medical Back Problems Without Mcc 1 $12,429.61 $12,429.61 $12,429.61 nat. median
$7,205

1.7× median
897
MS_DRG
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 $11,414.60 $11,414.60 $11,414.60 nat. median
$5,898

1.9× median
603
MS_DRG
Cellulitis Without Mcc 1 $11,260.74 $11,260.74 $11,260.74 nat. median
$6,621

1.7× median
392
MS_DRG
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 1 $10,080.23 $10,080.23 $10,080.23 nat. median
$5,890

1.7× median
149
MS_DRG
Dysequilibrium 1 $9,718.19 $9,718.19 $9,718.19 nat. median
$5,582

1.7× median
538
MS_DRG
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/mcc 1 $9,313.48 $9,313.48 $9,313.48 nat. median
$5,055

1.8× median
J7165
HCPCS
Human Prothrombin Cmpx(pcc)-lans 1,000 Unit (800-1,280 Unit) IV Solution 77 $1,575.00 $11,623.50 $5,488.88 nat. median
$5

outlier · 1185.5×
J3424
HCPCS
Hydroxocobalamin 5 Gram Intravenous Solution 73 $2,358.00 $7,074.00 $3,772.80 nat. median
$991

outlier · 3.8×
J0875
HCPCS
Dalbavancin 500 Mg Intravenous Solution 78 $1,560.00 $6,565.00 $3,464.13 nat. median
$49

outlier · 70.1×
J0881
HCPCS
Darbepoetin Alfa 100 Mcg/0.5 Ml In Polysorbate Injection Syringe 78 $178.20 $14,280.30 $2,697.39 nat. median
$899

outlier · 3.0×
J0485
HCPCS
Belatacept 250 Mg Intravenous Solution 78 $982.50 $3,937.01 $2,075.05 nat. median
$7

outlier · 306.5×
J2690
HCPCS
Procainamide 100 Mg/ml Injection Solution 77 $486.28 $4,050.00 $1,912.50 nat. median
$345

outlier · 5.6×
81408
CPT
Dmd Musc Dystrophy Mol Path Level 9 4 $1,778.97 $1,778.97 $1,778.97 nat. median
$2,000

0.9× median
J0714
HCPCS
Ceftazidime-avibactam 2.5 Gram Intravenous Solution 78 $402.92 $2,943.90 $1,553.40 nat. median
$376

outlier · 4.1×
36569
CPT
Picc Plc Wo Sq Port Without Img >5 Yrs 5 $1,383.36 $3,216.50 $1,383.36 nat. median
$1,664

0.8× median
J0248
HCPCS
Remdesivir 100 Mg Intravenous Powder For Solution 78 $635.00 $2,614.85 $1,379.77 nat. median
$79

outlier · 17.6×
81435
CPT
Hereditary Colon Cancer, 5 Or More Genes 5 $1,159.85 $1,629.94 $1,159.85 nat. median
$1,128

1.0× median
J0675
HCPCS
Carboprost Tromethamine 250 Mcg/ml Intramuscular Solution 74 $57.87 $2,153.19 $1,148.37 nat. median
$162

outlier · 7.1×
90677
HCPCS
Pneumococcal 20-valent Conj Vaccine-dip Crm (pf) 0.5 Ml IM Syringe 78 $279.05 $2,078.19 $1,096.59 nat. median
$413

outlier · 2.7×
G0379
HCPCS
Observation Dir Admit Per Encounter 1 $1,064.75 $1,064.75 $1,064.75 nat. median
$609

1.7× median
81229
CPT
Chromosomal Microarray 5 $1,031.80 $1,450.00 $1,031.80 nat. median
$1,230

0.8× median
J1611
HCPCS
Glucagon Hcl 1 Mg Solution For Injection 78 $111.91 $1,888.65 $967.62 nat. median
$273

outlier · 3.5×
J0712
HCPCS
Ceftaroline Fosamil 600 Mg Intravenous Solution 77 $237.00 $1,824.75 $962.86 nat. median
$72

outlier · 13.4×
70471
CPT
CTA Head&Neck +Cont W/Noncontrast Img 1 $801.97 $801.97 $801.97 nat. median
$410

2.0× median
0528U
CPT
Lrt Iad 18bct/8virus&7arg Amp Prb 1 $793.55 $793.55 $793.55 nat. median
$648

1.2× median
P9073
HCPCS
Platelets Pheresis Pathogen Reduced Ea 1 $753.21 $753.21 $753.21 nat. median
$665

1.1× median
J0561
HCPCS
Penicillin G Benzathine 1,200,000 Unit/2 Ml Intramuscular Syringe 78 $160.92 $1,370.05 $722.93 nat. median
$177

outlier · 4.1×
97607
CPT
Neg Press Wnd Tx Disp </=50 Sq Cm 1 $706.04 $706.04 $706.04 nat. median
$419

1.7× median
97606
CPT
Neg Press Wound Tx By Dme > 50 Sqcm 1 $706.04 $706.04 $706.04 nat. median
$370

1.9× median
97608
CPT
Neg Press Wound Tx Disp >50 Cm 1 $706.04 $706.04 $706.04 nat. median
$434

1.6× median
90716
HCPCS
Varicella Virus Vaccine Live (pf) 1,350 Unit/0.5 Ml Subcutaneous Susp 78 $182.25 $1,291.72 $681.60 nat. median
$218

outlier · 3.1×
81450
CPT
Ngs Acute Myeloid Leukemia 5 $675.59 $949.41 $675.59 nat. median
$1,105

0.6× median
81420
CPT
Fetal Chromosomal Aneupoidy 13 18 21 Blood 4 $675.16 $675.16 $675.16 nat. median
$789

0.9× median
L3808
HCPCS
Fa Splint Thumb Spica Lt Lg 1 $657.56 $657.56 $657.56 nat. median
$388

1.7× median
J1442
HCPCS
Filgrastim 300 Mcg/0.5 Ml Injection Syringe 78 $294.00 $1,231.38 $649.76 nat. median
$366

1.8× median
0001U
CPT
DNA Hea 35 Ag 11 Bld Grp 4 $640.43 $640.43 $640.43 nat. median
$742

0.9× median
L4360
HCPCS
Fa Boot Walk Alum Ankl Pneum Med 1 $556.82 $556.82 $556.82 nat. median
$213

outlier · 2.6×
81259
CPT
Hba1/Hba2 Full Gene Sequence 4 $533.69 $533.69 $533.69 nat. median
$612

0.9× median
81445
CPT
Gen Seq Analys Lung 5-50 Genes 4 $531.83 $531.83 $531.83 nat. median
$682

0.8× median
87483
CPT
Inf Agent Dna/Rna Cns Amp Probe Path 12-25 1 $520.98 $520.98 $520.98 nat. median
$448

1.2× median
0202U
CPT
Resp Pathogen Ampl Probe 22, Biofire Rp2.1 1 $520.98 $520.98 $520.98 nat. median
$426

1.2× median

Other procedures at this hospital

Browse this hospital's 1,357 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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