CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mercy Hospital Watonga, Inc

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$101

about 0.7× the $136 Medicare rate · typically $72–$248

modeled estimate · not a bill or quote

What this hospital charges insurers

$81

Below the fair price — a good deal

about $20 under the fair price · 0.6× Medicare

Medicare pays $136 Fair price $101 This hospital $81 Cash price $175 Hospital's list price $269

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 $56 Priciest $84

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 (30-39 min) is about $101 (about 0.7× the $136 Medicare rate). Mercy Hospital Watonga, Inc charges insurers about $81, or about $175 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	$81 - $230	60%
Blue Cross Blue Shieldmajor	$81 - $145	60%
Aetnamajor	$81 - $221	60%
Cignamajor	$83 - $246	61%
Humanamajor	$81 - $113	60%
Ambetter (Centene)	$81 - $111	60%
Healthcare Highways	$185 - $218	136%
HealthLink	$210 - $246	155%
Independent Health	$81 - $103	60%
Medica	$112 - $151	83%
+ 31 smaller / regional plans	$81 - $246

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.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 175), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Watonga, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Watonga, Inc

Compare: Office visit, established patient (30-39 min) at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.