CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mercy Hospital Watonga, Inc

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$74
about 0.8× the $95 Medicare rate · typically $51–$184
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $19 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $74 This hospital $55 Cash price $146 Hospital's list price $224

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

A typical price — 1 charge more and 4 charge less, among the 9 OK hospitals compared.

Cheapest $44 Priciest $56

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 $74 (about 0.8× the $95 Medicare rate). Mercy Hospital Watonga, Inc charges insurers about $55, or about $146 in cash — below the fair price — a good deal. Located in Watonga, OK.

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 $55 - $197 58%
Blue Cross Blue Shieldmajor $55 - $124 58%
Aetnamajor $55 - $190 58%
Cignamajor $56 - $212 59%
Humanamajor $55 - $95 58%
Ambetter (Centene) $75 79%
Healthcare Highways $143 - $187 150%
HealthLink $162 - $212 170%
Independent Health $55 - $95 58%
Medica $76 - $139 80%
+ 31 smaller / regional plans $55 - $212
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 North Clarence Nash Boulevard, Watonga, OK 73772
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals