CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $2,658
Cash Discount Price: $10,156
vs. Medicare Baseline: 0.47x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Mercy Hospital Kingfisher, Inc is $2,658. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,156. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 0.47x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.

Cash / Self-Pay

$10,156

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,658

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)

Cash / Self-Pay: $10,156 (179%)

Insurance Median: $2,658 (47%)

Cash: $10,156 (179% of Medicare)

Ins. Median: $2,658 (47% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 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.

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicare (plans)	$2,226 - $3,086	39%
Aetna	$2,658 - $3,373	47%
Blue Cross Blue Shield	$2,658 - $16,278	47%
Cherokee Nation Health Serv Contracted [320066]	$2,658	47%
Cross Timbers Hospice [20098]	$2,658	47%
Dept Of Veteran Affairs Contracted [320106]	$2,658	47%
Elara Caring Aspire Hospice Contracted [320433]	$2,658	47%
Elara Caring Aspire Hospice [20433]	$2,658	47%
Halo Hcr Inc Hospice Contracted [320432]	$2,658	47%
Halo Hcr Inc Hospice [20432]	$2,658	47%
Humana	$2,658 - $3,373	47%
Independent Health [20197]	$2,658	47%
Indian Health Service Contracted [320198]	$2,658	47%
Kindful Hospice Contracted [320434]	$2,658	47%
Kindful Hospice [20434]	$2,658	47%
Medical Associates Health [20444]	$2,658	47%
Mercy Hospice Okc [20252]	$2,658	47%
Provider Partners Health Plans Contracted [320450]	$2,658	47%
Qual Choice Contracted [320325]	$2,658	47%
Tricare	$2,658	47%
UnitedHealthcare	$2,658	47%
Ambetter / Centene	$2,691	47%
Home State Health Plan Contracted [320187]	$2,691	47%
Medicaid / KanCare	$2,691 - $3,373	47%
Novasys Contracted [320285]	$2,691	47%
Globalhealth Contracted [320145]	$2,711	48%
Cigna	$2,737	48%
Medica Contracted [320239]	$3,086	54%
Workers Comp [20426]	$4,902	86%
Health Choice Contracted [320166]	$10,080	178%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $10,156.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Hospital Kingfisher, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.