CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mercy Hospital Healdton, Inc.

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$79
about 0.6× the $136 Medicare rate · typically $69–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
About the fair price
about $2 over the fair price · 0.6× Medicare
Medicare pays $136 Fair price $79 This hospital $81 Cash price $178 Hospital's list price $274

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 $79 (about 0.6× the $136 Medicare rate). Mercy Hospital Healdton, Inc. charges insurers about $81, or about $178 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 $72 - $256 53%
Blue Cross Blue Shieldmajor $72 - $120 53%
Aetnamajor $72 - $195 53%
Cignamajor $74 - $214 55%
Humanamajor $72 - $113 53%
Ambetter (Centene) $79 - $111 58%
Healthcare Highways $197 - $214 145%
HealthLink $224 - $256 165%
Independent Health $72 - $81 53%
Medica $100 - $112 74%
+ 38 smaller / regional plans $72 - $256
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