Bilateral n block inj trigeminal 64400 at Mercy Hospital Kingfisher

1000 Hospital Drive, Kingfisher, OK · Mercy · · NPI 1083048417

Source: hospital's published price file ↗ · Published Jun 11, 2026 · Ingested Sep 8, 2026

$453.70

Cash price

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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.

$698.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$43.53 with TRICARE [20380] vs $627.20 with HEALTH CHOICE CONTRACTED [320166] — 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 →

Payer
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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
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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
TRICARE [20380] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
AETNA MEDICARE ADVANTAGE CONTRACTED [320010] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
BCBS MEDICARE ADVANTAGE CONTRACTED [320047] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
KINDFUL HOSPICE CONTRACTED [320434] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
KINDFUL HOSPICE [20434] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
MEDICAL ASSOCIATES HEALTH [20444] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
MENTAL HEALTH NETWORK MEDICARE [20250] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
MERCY HOSPICE OKC [20252] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
TRICARE CONTRACTED [320380] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
UNITED HEALTHCARE CONTRACTED [320396] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
WINDSOR MEDICARE [20424] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
BCBS MEDICARE ADVANTAGE [20047] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
CHEROKEE NATION HEALTH SERV CONTRACTED [320066] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
DEPT OF VETERAN AFFAIRS CONTRACTED [320106] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
MEDICARE [20244] HB KGFER MEDICARE $43.53 ↓ -90%
NHC ADVANTAGE MEDICARE CONTRACTED [320282] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
QUAL CHOICE CONTRACTED [320325] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
CROSS TIMBERS HOSPICE [20098] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
ELARA CARING ASPIRE HOSPICE [20433] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
HALO HCR INC HOSPICE CONTRACTED [320432] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
HALO HCR INC HOSPICE [20432] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
HEALTH FIRST HEALTH PLANS MEDICARE [20170] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
HORIZONS MEDICARE [20190] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
INDEPENDENT HEALTH [20197] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
INDIAN HEALTH SERVICE CONTRACTED [320198] HB KGFER MANAGED MEDICARE 100% W/SEQ $43.53 ↓ -90%
MEDICA MEDICARE ADVANTAGE [20477] HB KGFER MEDICA MEDICARE NEW 031523 $44.37 ↓ -90%
MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] HB KGFER MEDICA MEDICARE NEW 031523 $44.37 ↓ -90%
GLOBALHEALTH CONTRACTED [320145] HB KGFER GLOBALHEALTH MCR 102% W/SEQ $44.40 ↓ -90%
DEVOTED HEALTH MEDICARE CONTRACTED [320500] HB KGFER DEVOTED HEALTH MCR 104% W/O SEQ $44.40 ↓ -90%
HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] HB KGFER CIGNA MCR 103% W/SEQ $44.86 ↓ -90%
CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] HB KGFER CIGNA MCR 103% W/SEQ $44.86 ↓ -90%
BLUE CROSS AND BLUE SHIELD [20053] HB KGFER BCBS OF OK NATIVEBLUE MCR 103% (NO SEQ) $45.70 ↓ -90%
AMBETTER CONTRACTED [320452] HB KGFER AMBETTER EXCHANGE MEDICARE $59.90 ↓ -87%
SUNFLOWER HEALTH PLAN CONTRACTED [320369] HB KGFER AMBETTER EXCHANGE MEDICARE $59.90 ↓ -87%
NOVASYS CONTRACTED [320285] HB KGFER AMBETTER EXCHANGE MEDICARE $59.90 ↓ -87%
HOME STATE HEALTH PLAN CONTRACTED [320187] HB KGFER AMBETTER EXCHANGE MEDICARE $59.90 ↓ -87%
MEDICA CONTRACTED [320239] HB KGFER MEDICA EXHANGE 136% MCR NO SEQ $60.34 ↓ -87%
MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] HB KGFER MEDICA EXHANGE 136% MCR NO SEQ $60.34 ↓ -87%
CENTIVO CONTRACTED [320505] HB KGFER CENTIVO MCR 165% $73.21 ↓ -84%
MEDICAID [20240] HB KGFER OK MEDICAID (SOONERCARE) $97.01 ↓ -79%
OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] HB KGFER OK MEDICAID (SOONERCARE) $97.01 ↓ -79%
HUMANA MEDICAID CONTRACTED [320486] HB KGFER OK MEDICAID (SOONERCARE) $97.01 ↓ -79%
AETNA MEDICAID CONTRACTED [320009] HB KGFER OK MEDICAID (SOONERCARE) $97.01 ↓ -79%
HEALTH CHOICE CONTRACTED [320166] HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCHOICE (OSEEGIB) $627.20 ↑ +38%

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Bilateral n block inj trigeminal 64400 at other Oklahoma hospitals

Hospital City Cash price Negotiated range
Mercy Hospital Ardmore Northwest Ardmore $1,145.95 $44.86 – $3,047.00
Mercy Hospital Healdton Healdton $447.85 $43.53 – $627.20
Mercy Hospital Logan County Guthrie $466.05 $43.53 – $627.20
Mercy Hospital Oklahoma City Oklahoma City $1,608.10 $44.86 – $638.60
Mercy Hospital Watonga Watonga $453.70 $43.53 – $627.20
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa $455.66 $72.04 – $1,123.16
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks $455.66 $72.04 – $79.15
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso $455.66 $72.04 – $631.78

All Oklahoma hospitals for this procedure →