CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $2,348
  • Cash Discount Price: $2,910
  • vs. Medicare Baseline: 9.63x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Mercy Hospital Kingfisher, Inc is $2,348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,910. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.63x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$2,910

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,348

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: $2,910 (1194%)
Insurance Median: $2,348 (963%)
Cash: $2,910 (1194% of Medicare)
Ins. Median: $2,348 (963% 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 963% of the Medicare baseline (a markup of 863%). 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 $120 - $3,808 49%
Humana $120 - $2,348 49%
Medicaid / KanCare $120 - $1,670 49%
Health Choice Contracted [320166] $544 223%
Ambetter / Centene $1,016 - $1,670 417%
Home State Health Plan Contracted [320187] $1,016 - $1,670 417%
Novasys Contracted [320285] $1,016 - $1,670 417%
Webtpa Contracted [320417] $1,422 - $2,338 583%
Blue Cross Blue Shield $1,428 - $3,062 586%
Cherokee Nation Health Serv Contracted [320066] $1,428 - $2,348 586%
Cross Timbers Hospice [20098] $1,428 - $2,348 586%
Dept Of Veteran Affairs Contracted [320106] $1,428 - $2,348 586%
Elara Caring Aspire Hospice Contracted [320433] $1,428 - $2,348 586%
Elara Caring Aspire Hospice [20433] $1,428 - $2,348 586%
Halo Hcr Inc Hospice Contracted [320432] $1,428 - $2,348 586%
Halo Hcr Inc Hospice [20432] $1,428 - $2,348 586%
Independent Health [20197] $1,428 - $2,348 586%
Indian Health Service Contracted [320198] $1,428 - $2,348 586%
Kindful Hospice Contracted [320434] $1,428 - $2,348 586%
Kindful Hospice [20434] $1,428 - $2,348 586%
Medical Associates Health [20444] $1,428 - $2,348 586%
Medicare (plans) $1,428 - $3,953 586%
Mercy Hospice Okc [20252] $1,428 - $2,348 586%
Provider Partners Health Plans Contracted [320450] $1,428 - $2,348 586%
Qual Choice Contracted [320325] $1,428 - $2,348 586%
Tricare $1,428 - $2,348 586%
UnitedHealthcare $1,428 - $3,886 586%
Globalhealth Contracted [320145] $1,457 - $2,395 598%
Cigna $1,471 - $3,786 603%
Aither Health Contracted [320449] $2,032 - $4,732 834%
Mercy Benefit Admin Contracted [320251] $2,032 - $4,732 834%
Quik Trip Contracted [320447] $2,032 - $3,340 834%
Show-Me Health Administrators Contracted [320483] $2,032 - $3,340 834%
Benefit Management Contracted [320052] $2,201 - $4,175 903%
United Medical Resources Contracted [320454] $2,363 - $3,886 969%
Osma Health Contracted [320292] $2,370 - $3,897 972%
Medica Contracted [320239] $2,404 - $3,953 986%
Healthcare Highways Plus Contracted [320175] $2,540 - $4,175 1042%
First Health Contracted [320128] $2,648 - $4,353 1086%
Auxiant Contracted [320462] $2,878 - $4,732 1181%
Ebms Contracted [320493] $2,878 - $4,732 1181%
Healthlink Contracted [320179] $2,878 - $4,732 1181%
Imagine 360 Contracted [320494] $2,878 - $4,732 1181%
Reflect Health Contracted [320492] $2,878 - $4,732 1181%
Yuzu Health Contracted [320521] $2,878 - $4,732 1181%

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