CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mercy Hospital Tishomingo Inc

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$4,584

about 0.8× the $5,676 Medicare rate · typically $3,973–$14,061

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,373

Below the fair price — a good deal

about $1,211 under the fair price · 0.6× Medicare

Medicare pays $5,676 Fair price $4,584 This hospital $3,373 Cash price $8,677 Hospital's list price $13,349

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Lowest price of the 9 OK hospitals we have prices for — a strong deal.

Cheapest $3,373 Priciest $5,394

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $4,584 (about 0.8× the $5,676 Medicare rate). Mercy Hospital Tishomingo Inc charges insurers about $3,373, or about $8,677 in cash — below the fair price — a good deal. Located in Tishomingo, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,510	44%
Blue Cross Blue Shieldmajor	$2,171 - $13,601	38%
Aetnamajor	$2,510 - $3,373	44%
Cignamajor	$2,586	46%
Humanamajor	$2,510 - $3,373	44%
Ambetter (Centene)	$2,740	48%
Independent Health	$2,510	44%
Medica	$3,320	58%
+ 18 smaller / regional plans	$2,510 - $2,740

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 8,677), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Tishomingo Inc is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Tishomingo Inc

Compare: Digestive disorders treatment (inpatient stay) at other OK hospitals

Alliancehealth Madill · Madill $3,430
Mercy Hospital Watonga, Inc · Watonga $4,137
Mercy Hospital Kingfisher, Inc · Kingfisher $4,137
Mercy Hospital Logan County · Guthrie $4,328
Oklahoma Spine Hospital · Oklahoma City $5,165
Weatherford Regional Hospital, Inc of Weatherford · Weatherford $5,245
Oklahoma Surgical Hospital, LLC · Tulsa $5,362
Purcell Municipal Hospital · Purcell $5,394

Insurance negotiated median for the same procedure, sorted lowest first.