CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $1,706
  • Cash Discount Price: $2,133
  • vs. Medicare Baseline: 7.00x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mercy Hospital Kingfisher, Inc is $1,706. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,133. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.00x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$2,133

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,706

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,133 (875%)
Insurance Median: $1,706 (700%)
Cash: $2,133 (875% of Medicare)
Ins. Median: $1,706 (700% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 700% of the Medicare baseline (a markup of 600%). 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 $110 - $2,244 45%
Humana $110 - $1,384 45%
Medicaid / KanCare $110 - $984 45%
Health Choice Contracted [320166] $665 273%
Ambetter / Centene $984 404%
Home State Health Plan Contracted [320187] $984 404%
Novasys Contracted [320285] $984 404%
Webtpa Contracted [320417] $1,378 565%
Blue Cross Blue Shield $1,384 - $1,805 568%
Cherokee Nation Health Serv Contracted [320066] $1,384 568%
Cross Timbers Hospice [20098] $1,384 568%
Dept Of Veteran Affairs Contracted [320106] $1,384 568%
Elara Caring Aspire Hospice Contracted [320433] $1,384 568%
Elara Caring Aspire Hospice [20433] $1,384 568%
Halo Hcr Inc Hospice Contracted [320432] $1,384 568%
Halo Hcr Inc Hospice [20432] $1,384 568%
Independent Health [20197] $1,384 568%
Indian Health Service Contracted [320198] $1,384 568%
Kindful Hospice Contracted [320434] $1,384 568%
Kindful Hospice [20434] $1,384 568%
Medical Associates Health [20444] $1,384 568%
Medicare (plans) $1,384 - $2,330 568%
Mercy Hospice Okc [20252] $1,384 568%
Provider Partners Health Plans Contracted [320450] $1,384 568%
Qual Choice Contracted [320325] $1,384 568%
Tricare $1,384 568%
UnitedHealthcare $1,384 - $2,290 568%
Globalhealth Contracted [320145] $1,412 579%
Cigna $1,426 - $2,231 585%
Aither Health Contracted [320449] $1,969 - $2,789 808%
Mercy Benefit Admin Contracted [320251] $1,969 - $2,789 808%
Quik Trip Contracted [320447] $1,969 808%
Show-Me Health Administrators Contracted [320483] $1,969 808%
Benefit Management Contracted [320052] $2,133 - $2,461 875%
United Medical Resources Contracted [320454] $2,290 939%
Osma Health Contracted [320292] $2,297 942%
Medica Contracted [320239] $2,330 956%
Healthcare Highways Plus Contracted [320175] $2,461 1010%
First Health Contracted [320128] $2,566 1053%
Auxiant Contracted [320462] $2,789 1144%
Ebms Contracted [320493] $2,789 1144%
Healthlink Contracted [320179] $2,789 1144%
Imagine 360 Contracted [320494] $2,789 1144%
Reflect Health Contracted [320492] $2,789 1144%
Yuzu Health Contracted [320521] $2,789 1144%

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