Observation/inpatient hospital care mod severity 99235 at Mercy Hospital Watonga
500 N. Clarence Nash Boulevard, Watonga, OK · Mercy · · NPI 1497017529
$482.30
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.
$742.00
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.
$136.32 with KINDFUL HOSPICE CONTRACTED [320434] vs $568.80 with MULTIPLAN CONTRACTED [320270] — 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 WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| INDEPENDENT HEALTH [20197] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| KINDFUL HOSPICE [20434] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| HUMANA CONTRACTED [320193] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| TRIBUTE HEALTH PLAN MCR CONTRACTED [320338] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| QUAL CHOICE CONTRACTED [320325] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| BCBS MEDICARE ADVANTAGE [20047] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| WINDSOR MEDICARE [20424] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| TRICARE CONTRACTED [320380] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| MERCY HOSPICE OKC [20252] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| CROSS TIMBERS HOSPICE [20098] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| ELARA CARING ASPIRE HOSPICE CONTRACTED [320433] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| MEDICARE [20244] | HB WTGA MEDICARE | $136.32 | ↓ -72% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| HALO HCR INC HOSPICE [20432] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| HEALTH FIRST HEALTH PLANS MEDICARE [20170] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| MENTAL HEALTH NETWORK MEDICARE [20250] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| MEDICAL ASSOCIATES HEALTH [20444] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| HORIZONS MEDICARE [20190] | HB WTGA MANAGED MEDICARE 100% W/SEQ | $136.32 | ↓ -72% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB WTGA MEDICA MEDICARE NEW 031523 | $138.96 | ↓ -71% |
| MEDICA MEDICARE ADVANTAGE [20477] | HB WTGA MEDICA MEDICARE NEW 031523 | $138.96 | ↓ -71% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB WTGA DEVOTED HEALTH MCR 104% W/O SEQ | $139.04 | ↓ -71% |
| GLOBALHEALTH CONTRACTED [320145] | HB WTGA GLOBALHEALTH MCR 102% W/SEQ | $139.04 | ↓ -71% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB WTGA CIGNA MCR 103% | $140.49 | ↓ -71% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB WTGA CIGNA MCR 103% | $140.49 | ↓ -71% |
| HUMANA MEDICAID CONTRACTED [320486] | HB WTGA OK MEDICAID (SOONERCARE) | $141.78 | ↓ -71% |
| AETNA MEDICAID CONTRACTED [320009] | HB WTGA OK MEDICAID (SOONERCARE) | $141.78 | ↓ -71% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB WTGA OK MEDICAID (SOONERCARE) | $141.78 | ↓ -71% |
| MEDICAID [20240] | HB WTGA OK MEDICAID (SOONERCARE) | $141.78 | ↓ -71% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB WTGA BCBS OF OK NATIVEBLUE MCR 103% (NO SEQ) | $143.13 | ↓ -70% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB WTGA AMBETTER EXCHANGE MEDICARE | $187.60 | ↓ -61% |
| AMBETTER CONTRACTED [320452] | HB WTGA AMBETTER EXCHANGE MEDICARE | $187.60 | ↓ -61% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB WTGA AMBETTER EXCHANGE MEDICARE | $187.60 | ↓ -61% |
| NOVASYS CONTRACTED [320285] | HB WTGA AMBETTER EXCHANGE MEDICARE | $187.60 | ↓ -61% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB WTGA MEDICA EXCHANGE 136% MCR NO SEQ | $188.99 | ↓ -61% |
| MEDICA CONTRACTED [320239] | HB WTGA MEDICA EXCHANGE 136% MCR NO SEQ | $188.99 | ↓ -61% |
| CENTIVO CONTRACTED [320505] | HB WTGA CENTIVO MCR 165% | $229.28 | ↓ -52% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB WTGA UHC MEDICARE NEW 040122 W/SEQ 98.1% | $241.80 | ↓ -50% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB WTGA BLUE CROSS ADVANTAGE PPO | $252.80 | ↓ -48% |
| WEBTPA CONTRACTED [320417] | HB OKLC HEART HOSPITAL EMPLOYER | $265.44 | ↓ -45% |
| MC GENERIC ANTHEM [20456] | HB WTGA BLUE CROSS CHOICE | $271.76 | ↓ -44% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB WTGA BLUE CROSS CHOICE | $271.76 | ↓ -44% |
| MC ANTHEM [20455] | HB WTGA BLUE CROSS CHOICE | $271.76 | ↓ -44% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB WTGA BLUE CROSS PREFERRED | $316.00 | ↓ -34% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB WTGA BLUE CROSS TRADITIONAL | $316.00 | ↓ -34% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB WTGA BLUE LINCS | $316.00 | ↓ -34% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA DEC HERMANN AREA DISTRICT HOSPITAL | $379.20 | ↓ -21% |
| QUIK TRIP CONTRACTED [320447] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $379.20 | ↓ -21% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $379.20 | ↓ -21% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP ASI DEC | $379.20 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA SHOW ME BENEFITS | $379.20 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB ADA, ARDM, HMH, KGFER, LGNOK, LHCP, OKLC, TISH, WTGA QUIKTRIP | $379.20 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM HMH KGFER LGNOK TISH WTGA LHCP DEC TOWN AND COUNTRY | $379.20 | ↓ -21% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB OKLC ADA ARDM CLAYCO DEC | $410.80 | ↓ -15% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB ADA, ARDM, KGFER, OKLC, WTGA OZARKS COMMUNITY HOSPITAL | $410.80 | ↓ -15% |
| AETNA CONTRACTED [320008] | HB WTGA AETNA NBD | $432.29 | ↓ -10% |
| HEALTHSMART ACCEL CONTRACTED [320183] | HB WTGA HEALTHSMART ACCEL | $442.40 | ↓ -8% |
| OSMA HEALTH CONTRACTED [320292] | HB HMH, KGFER, LGNOK, LHCP, TISH, WTGA OSMA | $442.40 | ↓ -8% |
| PREFERRED COMMUNITY CHOICE CONTRACTED [320311] | HB WTGA PREFERRED COMMUNITY CHOICE | $474.00 | ↓ -2% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB HMH,KGFER,LGNOK,LHCP,TISH,WTGA COFMC | $474.00 | ↓ -2% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB WTGA PHCS SAVILITY | $474.00 | ↓ -2% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB ADA, HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCARE HIGHWAYS | $474.00 | ↓ -2% |
| HEALTHCARE HIGHWAYS PLUS CONTRACTED [320175] | HB HMH, KGFER, LGNOK, LHCP, TISH, WTGA HEALTHCARE HWY CHICKASAW NATION | $474.00 | ↓ -2% |
| AETNA CONTRACTED [320008] | HB WTGA AETNA | $481.58 | ↓ -0% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB WTGA UHC EXCHANGE | $500.54 | ↑ +4% |
| OPTUM HEALTH BEHAVIORAL SOLUTIONS [520250] | HB WTGA UHC | $500.54 | ↑ +4% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB WTGA UHC | $500.54 | ↑ +4% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB WTGA UHC | $500.54 | ↑ +4% |
| MULTIPLAN CONTRACTED [320270] | HB WTGA PHCS PRIMARY | $505.60 | ↑ +5% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB WTGA PHCS PRIMARY | $505.60 | ↑ +5% |
| FIRST HEALTH CONTRACTED [320128] | HB WTGA FIRST HEALTH | $512.55 | ↑ +6% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB TISH WTGA LGNOK KGFER HMH SCHAEFER / QCG DEC | $537.20 | ↑ +11% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB HMH, KGFER, LGNOK, TISH, WTGA TALL TREE DEC | $537.20 | ↑ +11% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB TISH WTGA LGNOK KGFER HMH LHCP SAPAUGH DEC | $537.20 | ↑ +11% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB TISH WTGA LGNOK KGFER HMH LHCP EASTER SEALS DEC | $537.20 | ↑ +11% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB TISH WTGA LGNOK KGFER HMH LHCP CITY OF JACKSON DEC | $537.20 | ↑ +11% |
| HEALTHLINK CONTRACTED [320179] | HB TISH WTGA LGNOK KGFER HMH LHCP SAPAUGH DEC | $537.20 | ↑ +11% |
| YUZU HEALTH CONTRACTED [320521] | HB HMH KGFER LGNOK TISH WTGA LEVEL HEALTH DEC - NEW 01.01.26 | $537.20 | ↑ +11% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB HMH, KGFER, LGNOK, TISH, WTGA WOODARD DEC | $537.20 | ↑ +11% |
| IMAGINE 360 CONTRACTED [320494] | HB TISH WTGA LGNOK KGFER HMH LHCP ROBINSON CONSTRUCTION DEC | $537.20 | ↑ +11% |
| AITHER HEALTH CONTRACTED [320449] | HB TISH WTGA LGNOK KGFER HMH LHCP LACLEDE CHAIN DEC | $537.20 | ↑ +11% |
| HEALTHSMART PREFERRED CARE CONTRACTED [320184] | HB WTGA HEALTHSMART PPO | $537.20 | ↑ +11% |
| EBMS CONTRACTED [320493] | HB TISH WTGA LGNOK KGFER HMH LHCP CRADER DISTRIBUTING DEC | $537.20 | ↑ +11% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB WTGA CIGNA | $537.20 | ↑ +11% |
| AUXIANT CONTRACTED [320462] | HB TISH WTGA LGNOK KGFER HMH LHCP BUCHHEIT DEC | $537.20 | ↑ +11% |
| AUXIANT CONTRACTED [320462] | HB TISH WTGA LGNOK KGFER HMH LHCP CITY OF JACKSON DEC | $537.20 | ↑ +11% |
| REFLECT HEALTH CONTRACTED [320492] | HB HMH KGFER LGNOK TISH WTGA WW WOOD DEC | $537.20 | ↑ +11% |
| AITHER HEALTH CONTRACTED [320449] | HB HMH, KGFER, LGNOK, TISH, WTGA WOODARD DEC | $537.20 | ↑ +11% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB WTGA PHCS COMPLEMENTARY | $568.80 | ↑ +18% |
| MULTIPLAN CONTRACTED [320270] | HB WTGA PHCS COMPLEMENTARY | $568.80 | ↑ +18% |
Visitor-reported prices
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Observation/inpatient hospital care mod severity 99235 at other Oklahoma hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Love County Health Center | Marietta | $726.00 | $136.32 – $143.13 |
| Mercy Hospital Healdton | Healdton | $471.90 | $136.32 – $229.28 |
| Mercy Hospital Kingfisher | Kingfisher | $482.30 | $136.32 – $229.28 |
| Mercy Hospital Logan County | Guthrie | $482.30 | $136.32 – $229.28 |
| Mercy Hospital Tishomingo | Tishomingo | $471.90 | $136.32 – $229.28 |
| Mercy Health Love County Rural Health Clinic | MARIETTA | $193.00 | $193.00 – $193.00 |
| Ascension St. John Medical Center (St. John Medical Center, Inc.) | Tulsa | not published | $187.47 – $325.03 |
| Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) | Jenks | not published | $187.47 – $206.83 |