CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mercy Hospital Tishomingo Inc

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 0.6× the $95 Medicare rate · typically $48–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$80
Above the fair price
about $27 over the fair price · 0.8× Medicare
Medicare pays $95 Fair price $53 This hospital $80 Cash price $133 Hospital's list price $205

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $44 Priciest $80

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

A fair price for a Office visit, established patient (20-29 min) is about $53 (about 0.6× the $95 Medicare rate). Mercy Hospital Tishomingo Inc charges insurers about $80, or about $133 in cash — above the fair price. Located in Tishomingo, OK.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $53. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $99 - $162 104%
Blue Cross Blue Shieldmajor $66 - $99 69%
Aetnamajor $80 - $136 84%
Cignamajor $102 - $154 107%
Humanamajor $80 - $164 84%
Ambetter (Centene) $62 65%
Healthcare Highways $154 162%
HealthLink $174 183%
Independent Health $99 104%
Medica $131 138%
+ 31 smaller / regional plans $62 - $184
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1000 South Byrd St, Tishomingo, OK 73460
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals