Established Patient Office Visit (level 5) at Mercy Hospital Kingfisher
1000 Hospital Drive, Kingfisher, OK · Mercy · · NPI 1083048417
$243.10
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.
?
What you pay up front if you don't use insurance.
$374.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$121.95 with CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] vs $159.49 with OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB KGFER CIGNA MCR 103% W/SEQ | $121.95 | ↓ -50% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB KGFER DEVOTED HEALTH MCR 104% W/O SEQ | $121.95 | ↓ -50% |
| GLOBALHEALTH CONTRACTED [320145] | HB KGFER GLOBALHEALTH MCR 102% W/SEQ | $121.95 | ↓ -50% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB KGFER CIGNA MCR 103% W/SEQ | $121.95 | ↓ -50% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB KGFER BCBS OF OK NATIVEBLUE MCR 103% (NO SEQ) | $121.95 | ↓ -50% |
| HEALTH CHOICE CONTRACTED [320166] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCHOICE (OSEEGIB) | $128.93 | ↓ -47% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB KGFER UHC | $152.73 | ↓ -37% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB KGFER UHC | $152.73 | ↓ -37% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB KGFER UHC | $152.73 | ↓ -37% |
| MEDICAID [20240] | HB KGFER OK MEDICAID (SOONERCARE) | $159.49 | ↓ -34% |
| HUMANA MEDICAID CONTRACTED [320486] | HB KGFER OK MEDICAID (SOONERCARE) | $159.49 | ↓ -34% |
| AETNA MEDICAID CONTRACTED [320009] | HB KGFER OK MEDICAID (SOONERCARE) | $159.49 | ↓ -34% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB KGFER OK MEDICAID (SOONERCARE) | $159.49 | ↓ -34% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $349.00 | $159.49 – $159.49 |
| Mercy Hospital Ardmore | Northwest Ardmore | $344.50 | $119.63 – $307.70 |
| Mercy Hospital Healdton | Healdton | $259.35 | $119.63 – $307.70 |
| Mercy Hospital Logan County | Guthrie | $251.55 | $121.95 – $159.49 |
| Mercy Hospital Oklahoma City | Oklahoma City | $500.50 | $113.54 – $280.55 |
| Mercy Hospital Tishomingo | Tishomingo | $226.85 | $159.49 – $307.70 |
| Mercy Hospital Watonga | Watonga | $243.10 | $119.63 – $307.70 |