CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mercy Hospital Healdton, Inc.

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$60
about 0.6× the $95 Medicare rate · typically $50–$77
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
About the fair price
about $5 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $60 This hospital $55 Cash price $135 Hospital's list price $208

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 $60 (about 0.6× the $95 Medicare rate). Mercy Hospital Healdton, Inc. charges insurers about $55, or about $135 in cash — about the fair price. Located in Healdton, 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 - $190 58%
Blue Cross Blue Shieldmajor $55 - $89 58%
Aetnamajor $55 - $144 58%
Cignamajor $56 - $158 59%
Humanamajor $55 - $80 58%
Ambetter (Centene) $62 - $75 65%
Healthcare Highways $154 - $158 162%
HealthLink $174 - $190 183%
Independent Health $55 - $56 58%
Medica $76 - $78 80%
+ 38 smaller / regional plans $55 - $190
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3462 Hospital Rd, Healdton, OK 73438
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals