CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,034
  • Cash Discount Price: $1,318
  • vs. Medicare Baseline: 9.68x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercy Hospital Kingfisher, Inc is $1,034. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,318. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.68x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$1,318

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,034

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: $1,318 (1234%)
Insurance Median: $1,034 (968%)
Cash: $1,318 (1234% of Medicare)
Ins. Median: $1,034 (968% 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 968% of the Medicare baseline (a markup of 868%). 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 $57 - $1,387 53%
Humana $57 - $855 53%
Medicaid / KanCare $57 - $608 53%
Health Choice Contracted [320166] $292 273%
Ambetter / Centene $608 569%
Home State Health Plan Contracted [320187] $608 569%
Novasys Contracted [320285] $608 569%
Blue Cross Blue Shield $669 - $1,115 626%
Webtpa Contracted [320417] $852 798%
Cherokee Nation Health Serv Contracted [320066] $855 800%
Cross Timbers Hospice [20098] $855 800%
Dept Of Veteran Affairs Contracted [320106] $855 800%
Elara Caring Aspire Hospice Contracted [320433] $855 800%
Elara Caring Aspire Hospice [20433] $855 800%
Halo Hcr Inc Hospice Contracted [320432] $855 800%
Halo Hcr Inc Hospice [20432] $855 800%
Independent Health [20197] $855 800%
Indian Health Service Contracted [320198] $855 800%
Kindful Hospice Contracted [320434] $855 800%
Kindful Hospice [20434] $855 800%
Medical Associates Health [20444] $855 800%
Medicare (plans) $855 - $1,440 800%
Mercy Hospice Okc [20252] $855 800%
Provider Partners Health Plans Contracted [320450] $855 800%
Qual Choice Contracted [320325] $855 800%
Tricare $855 800%
UnitedHealthcare $855 - $1,416 800%
Globalhealth Contracted [320145] $873 817%
Cigna $881 - $1,379 825%
Aither Health Contracted [320449] $1,217 - $1,724 1139%
Mercy Benefit Admin Contracted [320251] $1,217 - $1,724 1139%
Quik Trip Contracted [320447] $1,217 1139%
Show-Me Health Administrators Contracted [320483] $1,217 1139%
Benefit Management Contracted [320052] $1,318 - $1,521 1234%
United Medical Resources Contracted [320454] $1,416 1326%
Osma Health Contracted [320292] $1,420 1329%
Medica Contracted [320239] $1,440 1348%
Healthcare Highways Plus Contracted [320175] $1,521 1424%
First Health Contracted [320128] $1,586 1485%
Auxiant Contracted [320462] $1,724 1614%
Ebms Contracted [320493] $1,724 1614%
Healthlink Contracted [320179] $1,724 1614%
Imagine 360 Contracted [320494] $1,724 1614%
Reflect Health Contracted [320492] $1,724 1614%
Yuzu Health Contracted [320521] $1,724 1614%

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