CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,796
  • Cash Discount Price: $2,288
  • vs. Medicare Baseline: 10.02x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Hospital Kingfisher, Inc is $1,796. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,288. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.02x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$2,288

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,796

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $2,288 (1277%)
Insurance Median: $1,796 (1002%)
Cash: $2,288 (1277% of Medicare)
Ins. Median: $1,796 (1002% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 1002% of the Medicare baseline (a markup of 902%). 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 $99 - $2,408 55%
Humana $99 - $1,485 55%
Medicaid / KanCare $99 - $1,056 55%
Health Choice Contracted [320166] $490 273%
Ambetter / Centene $1,056 589%
Home State Health Plan Contracted [320187] $1,056 589%
Novasys Contracted [320285] $1,056 589%
Blue Cross Blue Shield $1,162 - $1,936 648%
Webtpa Contracted [320417] $1,478 825%
Cherokee Nation Health Serv Contracted [320066] $1,485 829%
Cross Timbers Hospice [20098] $1,485 829%
Dept Of Veteran Affairs Contracted [320106] $1,485 829%
Elara Caring Aspire Hospice Contracted [320433] $1,485 829%
Elara Caring Aspire Hospice [20433] $1,485 829%
Halo Hcr Inc Hospice Contracted [320432] $1,485 829%
Halo Hcr Inc Hospice [20432] $1,485 829%
Independent Health [20197] $1,485 829%
Indian Health Service Contracted [320198] $1,485 829%
Kindful Hospice Contracted [320434] $1,485 829%
Kindful Hospice [20434] $1,485 829%
Medical Associates Health [20444] $1,485 829%
Medicare (plans) $1,485 - $2,499 829%
Mercy Hospice Okc [20252] $1,485 829%
Provider Partners Health Plans Contracted [320450] $1,485 829%
Qual Choice Contracted [320325] $1,485 829%
Tricare $1,485 829%
UnitedHealthcare $1,485 - $2,457 829%
Globalhealth Contracted [320145] $1,515 845%
Cigna $1,529 - $2,394 853%
Aither Health Contracted [320449] $2,112 - $2,992 1179%
Mercy Benefit Admin Contracted [320251] $2,112 - $2,992 1179%
Quik Trip Contracted [320447] $2,112 1179%
Show-Me Health Administrators Contracted [320483] $2,112 1179%
Benefit Management Contracted [320052] $2,288 - $2,640 1277%
United Medical Resources Contracted [320454] $2,457 1371%
Osma Health Contracted [320292] $2,464 1375%
Medica Contracted [320239] $2,499 1395%
Healthcare Highways Plus Contracted [320175] $2,640 1473%
First Health Contracted [320128] $2,753 1536%
Auxiant Contracted [320462] $2,992 1670%
Ebms Contracted [320493] $2,992 1670%
Healthlink Contracted [320179] $2,992 1670%
Imagine 360 Contracted [320494] $2,992 1670%
Reflect Health Contracted [320492] $2,992 1670%
Yuzu Health Contracted [320521] $2,992 1670%

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