CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $1,313
  • Cash Discount Price: $1,673
  • vs. Medicare Baseline: 12.29x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Mercy Hospital Kingfisher, Inc is $1,313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,673. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.29x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$1,673

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,313

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,673 (1566%)
Insurance Median: $1,313 (1229%)
Cash: $1,673 (1566% of Medicare)
Ins. Median: $1,313 (1229% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1229% of the Medicare baseline (a markup of 1129%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $71 - $1,761 66%
Humana $71 - $1,086 66%
Medicaid / KanCare $71 - $772 66%
Health Choice Contracted [320166] $292 273%
Ambetter / Centene $772 723%
Home State Health Plan Contracted [320187] $772 723%
Novasys Contracted [320285] $772 723%
Blue Cross Blue Shield $849 - $1,416 795%
Webtpa Contracted [320417] $1,081 1012%
Cherokee Nation Health Serv Contracted [320066] $1,086 1017%
Cross Timbers Hospice [20098] $1,086 1017%
Dept Of Veteran Affairs Contracted [320106] $1,086 1017%
Elara Caring Aspire Hospice Contracted [320433] $1,086 1017%
Elara Caring Aspire Hospice [20433] $1,086 1017%
Halo Hcr Inc Hospice Contracted [320432] $1,086 1017%
Halo Hcr Inc Hospice [20432] $1,086 1017%
Independent Health [20197] $1,086 1017%
Indian Health Service Contracted [320198] $1,086 1017%
Kindful Hospice Contracted [320434] $1,086 1017%
Kindful Hospice [20434] $1,086 1017%
Medical Associates Health [20444] $1,086 1017%
Medicare (plans) $1,086 - $1,828 1017%
Mercy Hospice Okc [20252] $1,086 1017%
Provider Partners Health Plans Contracted [320450] $1,086 1017%
Qual Choice Contracted [320325] $1,086 1017%
Tricare $1,086 1017%
UnitedHealthcare $1,086 - $1,797 1017%
Globalhealth Contracted [320145] $1,108 1037%
Cigna $1,118 - $1,750 1047%
Aither Health Contracted [320449] $1,544 - $2,188 1446%
Mercy Benefit Admin Contracted [320251] $1,544 - $2,188 1446%
Quik Trip Contracted [320447] $1,544 1446%
Show-Me Health Administrators Contracted [320483] $1,544 1446%
Benefit Management Contracted [320052] $1,673 - $1,930 1566%
United Medical Resources Contracted [320454] $1,797 1682%
Osma Health Contracted [320292] $1,802 1687%
Medica Contracted [320239] $1,828 1711%
Healthcare Highways Plus Contracted [320175] $1,930 1807%
First Health Contracted [320128] $2,013 1885%
Auxiant Contracted [320462] $2,188 2048%
Ebms Contracted [320493] $2,188 2048%
Healthlink Contracted [320179] $2,188 2048%
Imagine 360 Contracted [320494] $2,188 2048%
Reflect Health Contracted [320492] $2,188 2048%
Yuzu Health Contracted [320521] $2,188 2048%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Hospital Drive, Kingfisher, OK 73750
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals