Mercy Health (MO) · Tishomingo, OK
28
In-network payers
196
Disclosed rate categories
25
Beds
Mercy Hospital Tishomingo is a 25-bed voluntary non-profit - church hospital in Tishomingo, OK, affiliated with Mercy Health (MO). Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 196 disclosed rate categories.
CCN (Medicare provider number)
371304
NPI
1932404431
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Church
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Mercy Hospital Tishomingo most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$612 - $3,485
from 4 insurers · median $2,814
Typical for a hospital with this service line
CT imaging
CPT 74176
$691 - $3,068
from 4 insurers · median $2,283
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$600 - $1,871
from 4 insurers · median $1,729
Typical for a hospital with this service line
CT imaging
CPT 71275
$895 - $2,661
from 4 insurers · median $1,804
Typical for a hospital with this service line
CT imaging
CPT 70450
$267 - $1,669
from 4 insurers · median $464
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,189 - $16,254
from 2 insurers · median $10,722
Typical for a hospital with this service line
Gynecology
CPT 58571
$8,112 - $15,790
from 2 insurers · median $11,951
Typical for a hospital with this service line
MRI imaging
CPT 70553
$792 - $2,005
from 2 insurers · median $1,399
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$805 - $4,260
from 3 insurers · median $1,332
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$961 - $6,973
from 2 insurers · median $3,967
Typical for a hospital with this service line
Mammography
CPT 77067
$332
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$68 - $210
from 4 insurers · median $125
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$690 - $1,533
from 3 insurers · median $723
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,192 - $7,014
from 2 insurers · median $4,603
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$5,057 - $15,175
from 2 insurers · median $10,116
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$762 - $1,505
from 3 insurers · median $797
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$3,779 - $7,557
from 2 insurers · median $5,668
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $893
from 3 insurers · median $816
Typical for a hospital with this service line
MRI imaging
CPT 74183
$824 - $1,546
from 3 insurers · median $1,415
Typical for a hospital with this service line
Urology
CPT 50590
$3,500 - $16,067
from 3 insurers · median $8,687
Typical for a hospital with this service line
Ultrasound
CPT 76830
$134 - $614
from 4 insurers · median $449
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$419 - $721
from 4 insurers · median $430
Typical for a hospital with this service line
Ear, nose and throat
CPT 30520
$2,010 - $11,872
from 2 insurers · median $6,941
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $420
from 4 insurers · median $241
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 9 | 575% | 2 | 2 |
| Insurer B* | 23 | 301% | 9 | 6 |
| Insurer C* | 22 | 273% | 11 | 10 |
| Insurer D* | 17 | 159% | 4 | 2 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercy Hospital Tishomingo.
1000 South Byrd Street, Tishomingo, OK 73460
(580) 371-2327
The nearest hospitals of similar type and size. Their rates are compared with Mercy Hospital Tishomingo for the same insurers and services above.
Alliance Health Madill
▲ Rates typically 14% higher than Mercy Hospital Tishomingo (23 services)
Arbuckle Memorial Hospital
▲ Rates typically 8% higher than Mercy Hospital Tishomingo (23 services)
Atoka Memorial Hospital
Rates about the same as Mercy Hospital Tishomingo (23 services)
Coal County
▼ Rates typically 8% lower than Mercy Hospital Tishomingo (22 services)
Tmc Bonham Hospital
Rates about the same as Mercy Hospital Tishomingo (24 services)
Muenster Memorial Hospital
▼ Rates typically 25% lower than Mercy Hospital Tishomingo (24 services)
Mercy Hospital Watonga
Mercy Health/Love County
Mercy Hospital Healdton
Mercy Hospital Logan County
About Mercy Hospital Tishomingo's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy Hospital Tishomingo range from $792 to $2,005 across 2 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $933. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Hospital Tishomingo range from $612 to $3,485 across 4 insurers. Aetna's rate is $2,316. The median at nearby comparable hospitals is $1,482. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Hospital Tishomingo range from $805 to $4,260 across 3 insurers. Blue Cross Blue Shield's rate is $4,260. The median at nearby comparable hospitals is $954. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Hospital Tishomingo range from $332 to $332 across 1 insurers. Aetna's rate is $332. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Hospital Tishomingo has 25 beds. Facility type: Critical Access Hospital.
Mercy Hospital Tishomingo is located at 1000 South Byrd Street, Tishomingo, OK 73460. Its main phone number is (580) 371-2327.
Mercy Hospital Tishomingo's CMS Certification Number (CCN), also called its Medicare provider number, is 371304.
The National Provider Identifier (NPI) on file for Mercy Hospital Tishomingo is 1932404431.
Mercy Hospital Tishomingo is affiliated with Mercy Health (MO).
Mercy Hospital Tishomingo lists 28 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
196 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
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