New Patient Office Visit (level 3) at Mercy Hospital Healdton
3462 Hospital Road, Healdton, OK · Mercy · · NPI 1578710406
$205.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$316.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$67.95 with KINDFUL HOSPICE CONTRACTED [320434] vs $245.70 with TRI STATE HEALTHCARE COALITION CONTRACTED [320379] — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| KINDFUL HOSPICE CONTRACTED [320434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| HUMANA CONTRACTED [320193] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| HORIZONS MEDICARE [20190] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| MEDICAL ASSOCIATES HEALTH [20444] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| INDEPENDENT HEALTH [20197] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| KINDFUL HOSPICE [20434] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| TRICARE [20380] | HB HMH TRICARE | $67.95 | ↓ -67% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| WINDSOR MEDICARE [20424] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| ARKANSAS COMMUNITY CARE MEDICARE [20035] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| QUAL CHOICE CONTRACTED [320325] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| TRICARE CONTRACTED [320380] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| BCBS MEDICARE ADVANTAGE [20047] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| MERCY HOSPICE OKC [20252] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| CROSS TIMBERS HOSPICE [20098] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| MEDICARE [20244] | HB HMH MEDICARE | $67.95 | ↓ -67% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| HALO HCR INC HOSPICE [20432] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| MENTAL HEALTH NETWORK MEDICARE [20250] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB HMH MANAGED MEDICARE 100% W/SEQ | $67.95 | ↓ -67% |
| MEDICA MEDICARE ADVANTAGE [20477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $69.27 | ↓ -66% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB HMH MEDICA MEDICARE W/SEQ NEW 031523 | $69.27 | ↓ -66% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB HMH DEVOTED HEALTH MCR 104% W/O SEQ | $69.31 | ↓ -66% |
| GLOBALHEALTH CONTRACTED [320145] | HB HMH GLOBALHEALTH MCR 102% W/SEQ | $69.31 | ↓ -66% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB HMH CIGNA MCR 103% | $70.03 | ↓ -66% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB HMH CIGNA MCR 103% | $70.03 | ↓ -66% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BCBS OF OK NATIVEBLUE MCR 103% (NO SEQ) | $71.35 | ↓ -65% |
| NOVASYS CONTRACTED [320285] | HB HMH AMBETTER EXCHANGE MEDICARE | $81.90 | ↓ -60% |
| AMBETTER CONTRACTED [320452] | HB HMH AMBETTER EXCHANGE MEDICARE | $81.90 | ↓ -60% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB HMH AMBETTER EXCHANGE MEDICARE | $81.90 | ↓ -60% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB HMH AMBETTER EXCHANGE MEDICARE | $81.90 | ↓ -60% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB HMH UHC MEDICARE NEW 040122 W/SEQ 98.1% | $88.37 | ↓ -57% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB HMH MEDICA EXCHANGE 136% MCR NO SEQ | $94.21 | ↓ -54% |
| MEDICA CONTRACTED [320239] | HB HMH MEDICA EXCHANGE 136% MCR NO SEQ | $94.21 | ↓ -54% |
| MEDICAID [20240] | HB HMH OK MEDICAID (SOONERCARE) | $98.08 | ↓ -52% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB HMH OK MEDICAID (SOONERCARE) | $98.08 | ↓ -52% |
| HUMANA MEDICAID CONTRACTED [320486] | HB HMH OK MEDICAID (SOONERCARE) | $98.08 | ↓ -52% |
| AETNA MEDICAID CONTRACTED [320009] | HB HMH OK MEDICAID (SOONERCARE) | $98.08 | ↓ -52% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE CROSS PREFERRED | $101.01 | ↓ -51% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE LINCS | $101.01 | ↓ -51% |
| COMMUNITY CARE CONTRACTED [320080] | HB HMH COMMUNITY CARE STATE 150% MCR W/O SEQ NEW 010123 | $102.38 | ↓ -50% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE CROSS ADVANTAGE PPO | $103.74 | ↓ -49% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE CHOICE PPO | $111.93 | ↓ -46% |
| MC ANTHEM [20455] | HB HMH BLUE CHOICE PPO | $111.93 | ↓ -46% |
| MC GENERIC ANTHEM [20456] | HB HMH BLUE CHOICE PPO | $111.93 | ↓ -46% |
| CENTIVO CONTRACTED [320505] | HB HMH CENTIVO MCR 165% | $114.30 | ↓ -44% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB HMH BLUE TRADITIONAL | $114.66 | ↓ -44% |
| WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $114.66 | ↓ -44% |
| AETNA CONTRACTED [320008] | HB HMH AETNA NBD | $157.52 | ↓ -23% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $163.80 | ↓ -20% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $163.80 | ↓ -20% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC | $163.80 | ↓ -20% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $163.80 | ↓ -20% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL | $163.80 | ↓ -20% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM DEC TOWN AND COUNTRY | $163.80 | ↓ -20% |
| QUIK TRIP CONTRACTED [320447] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $163.80 | ↓ -20% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CLAYCO DEC | $177.45 | ↓ -14% |
| FIRST HEALTH CONTRACTED [320128] | HB HMH FIRST HEALTH | $186.73 | ↓ -9% |
| AETNA CONTRACTED [320008] | HB HMH AETNA | $186.73 | ↓ -9% |
| HEALTH CHOICE CONTRACTED [320166] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCHOICE (OSEEGIB) | $187.15 | ↓ -9% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB HMH LHCP LGNOK UHC EXCHANGE | $191.10 | ↓ -7% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB HMH UHC | $191.10 | ↓ -7% |
| OSMA HEALTH CONTRACTED [320292] | HB HMH, KGFER, LGNOK, LHCP, TISH, WTGA OSMA | $191.10 | ↓ -7% |
| PREFERRED COMMUNITY CHOICE CONTRACTED [320311] | HB HMH PCC | $191.10 | ↓ -7% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB HMH UHC | $191.10 | ↓ -7% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB HMH UHC | $191.10 | ↓ -7% |
| HEALTHSMART ACCEL CONTRACTED [320183] | HB HMH HEALTHSMART ACCEL | $191.10 | ↓ -7% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB HMH PHCS SAVILITY | $204.75 | ↓ -0% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCARE HIGHWAYS | $204.75 | ↓ -0% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB HMH,KGFER,LGNOK,LHCP,TISH,WTGA COFMC | $204.75 | ↓ -0% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCARE HWY CHICKASAW NATION | $204.75 | ↓ -0% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB HMH CIGNA | $204.75 | ↓ -0% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB HMH PHCS PRIMARY | $218.40 | ↑ +6% |
| MULTIPLAN CONTRACTED [320270] | HB HMH PHCS PRIMARY | $218.40 | ↑ +6% |
| AITHER HEALTH CONTRACTED [320449] | HB HMH, KGFER, LGNOK, TISH, WTGA WOODARD DEC | $232.05 | ↑ +13% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB TISH WTGA LGNOK KGFER HMH LHCP CITY OF JACKSON DEC | $232.05 | ↑ +13% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB HMH, KGFER, LGNOK, TISH, WTGA TALL TREE DEC | $232.05 | ↑ +13% |
| IMAGINE 360 CONTRACTED [320494] | HB TISH WTGA LGNOK KGFER HMH LHCP ROBINSON CONSTRUCTION DEC | $232.05 | ↑ +13% |
| HEALTHLINK CONTRACTED [320179] | HB TISH WTGA LGNOK KGFER HMH LHCP SAPAUGH DEC | $232.05 | ↑ +13% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB TISH WTGA LGNOK KGFER HMH LHCP SAPAUGH DEC | $232.05 | ↑ +13% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB HMH, KGFER, LGNOK, TISH, WTGA WOODARD DEC | $232.05 | ↑ +13% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB TISH WTGA LGNOK KGFER HMH LHCP EASTER SEALS DEC | $232.05 | ↑ +13% |
| EBMS CONTRACTED [320493] | HB TISH WTGA LGNOK KGFER HMH LHCP CRADER DISTRIBUTING DEC | $232.05 | ↑ +13% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB TISH WTGA LGNOK KGFER HMH SCHAEFER / QCG DEC | $232.05 | ↑ +13% |
| AITHER HEALTH CONTRACTED [320449] | HB TISH WTGA LGNOK KGFER HMH LHCP LACLEDE CHAIN DEC | $232.05 | ↑ +13% |
| AUXIANT CONTRACTED [320462] | HB TISH WTGA LGNOK KGFER HMH LHCP BUCHHEIT DEC | $232.05 | ↑ +13% |
| REFLECT HEALTH CONTRACTED [320492] | HB HMH KGFER LGNOK TISH WTGA WW WOOD DEC | $232.05 | ↑ +13% |
| AUXIANT CONTRACTED [320462] | HB TISH WTGA LGNOK KGFER HMH LHCP CITY OF JACKSON DEC | $232.05 | ↑ +13% |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB HMH HEALTHSMART PPO | $232.05 | ↑ +13% |
| YUZU HEALTH CONTRACTED [320521] | HB HMH KGFER LGNOK TISH WTGA LEVEL HEALTH DEC - NEW 01.01.26 | $232.05 | ↑ +13% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB HMH, LHCP NETWORK AFFILIATION AGREEMENT | $245.70 | ↑ +20% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB HMH, LHCP NETWORK AFFILIATION AGREEMENT | $245.70 | ↑ +20% |
| POINT C CONTRACTED [320238] | HB HMH, LHCP NETWORK AFFILIATION AGREEMENT | $245.70 | ↑ +20% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB HMH, LHCP NETWORK AFFILIATION AGREEMENT | $245.70 | ↑ +20% |
| HEALTHSCOPE CONTRACTED [320182] | HB HMH, LHCP NETWORK AFFILIATION AGREEMENT | $245.70 | ↑ +20% |
| HEALTHLINK CONTRACTED [320179] | HB HMH, LHCP NETWORK AFFILIATION AGREEMENT | $245.70 | ↑ +20% |
| FEDERAL MEDICAL CENTER CONTRACTED [320127] | HB HMH, LHCP NETWORK AFFILIATION AGREEMENT | $245.70 | ↑ +20% |
| MULTIPLAN CONTRACTED [320270] | HB HMH PHCS COMPLEMENTARY | $245.70 | ↑ +20% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB HMH PHCS COMPLEMENTARY | $245.70 | ↑ +20% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB HMH, LGNOK, TISH OZARK COMMUNITY HOSPITAL | $245.70 | ↑ +20% |
| AUXIANT CONTRACTED [320462] | HB HMH, LHCP NETWORK AFFILIATION AGREEMENT | $245.70 | ↑ +20% |
| TRI STATE HEALTHCARE COALITION CONTRACTED [320379] | HB HMH, LHCP NETWORK AFFILIATION AGREEMENT | $245.70 | ↑ +20% |
Visitor-reported prices
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New Patient Office Visit (level 3) at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $273.00 | $98.08 – $98.08 |
| Mercy Hospital Ardmore | Northwest Ardmore | $239.20 | $67.95 – $187.15 |
| Mercy Hospital Kingfisher | Kingfisher | $224.25 | $67.95 – $187.15 |
| Mercy Hospital Logan County | Guthrie | $198.90 | $67.95 – $98.08 |
| Mercy Hospital Oklahoma City | Oklahoma City | $298.35 | $64.49 – $170.64 |
| Mercy Hospital Tishomingo | Tishomingo | $177.45 | $98.08 – $187.15 |
| Mercy Hospital Watonga | Watonga | $198.90 | $67.95 – $187.15 |