CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $1,810
  • Cash Discount Price: $2,262
  • vs. Medicare Baseline: 7.43x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mercy Hospital Kingfisher, Inc is $1,810. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,262. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.43x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$2,262

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,810

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: $2,262 (928%)
Insurance Median: $1,810 (743%)
Cash: $2,262 (928% of Medicare)
Ins. Median: $1,810 (743% 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 743% of the Medicare baseline (a markup of 643%). 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 $106 - $2,380 43%
Humana $106 - $1,468 43%
Medicaid / KanCare $106 - $1,044 43%
Health Choice Contracted [320166] $665 273%
Ambetter / Centene $1,044 428%
Home State Health Plan Contracted [320187] $1,044 428%
Novasys Contracted [320285] $1,044 428%
Webtpa Contracted [320417] $1,462 600%
Blue Cross Blue Shield $1,468 - $1,914 602%
Cherokee Nation Health Serv Contracted [320066] $1,468 602%
Cross Timbers Hospice [20098] $1,468 602%
Dept Of Veteran Affairs Contracted [320106] $1,468 602%
Elara Caring Aspire Hospice Contracted [320433] $1,468 602%
Elara Caring Aspire Hospice [20433] $1,468 602%
Halo Hcr Inc Hospice Contracted [320432] $1,468 602%
Halo Hcr Inc Hospice [20432] $1,468 602%
Independent Health [20197] $1,468 602%
Indian Health Service Contracted [320198] $1,468 602%
Kindful Hospice Contracted [320434] $1,468 602%
Kindful Hospice [20434] $1,468 602%
Medical Associates Health [20444] $1,468 602%
Medicare (plans) $1,468 - $2,471 602%
Mercy Hospice Okc [20252] $1,468 602%
Provider Partners Health Plans Contracted [320450] $1,468 602%
Qual Choice Contracted [320325] $1,468 602%
Tricare $1,468 602%
UnitedHealthcare $1,468 - $2,429 602%
Globalhealth Contracted [320145] $1,497 614%
Cigna $1,512 - $2,366 620%
Aither Health Contracted [320449] $2,088 - $2,958 857%
Mercy Benefit Admin Contracted [320251] $2,088 - $2,958 857%
Quik Trip Contracted [320447] $2,088 857%
Show-Me Health Administrators Contracted [320483] $2,088 857%
Benefit Management Contracted [320052] $2,262 - $2,610 928%
United Medical Resources Contracted [320454] $2,429 996%
Osma Health Contracted [320292] $2,436 999%
Medica Contracted [320239] $2,471 1014%
Healthcare Highways Plus Contracted [320175] $2,610 1071%
First Health Contracted [320128] $2,721 1116%
Auxiant Contracted [320462] $2,958 1213%
Ebms Contracted [320493] $2,958 1213%
Healthlink Contracted [320179] $2,958 1213%
Imagine 360 Contracted [320494] $2,958 1213%
Reflect Health Contracted [320492] $2,958 1213%
Yuzu Health Contracted [320521] $2,958 1213%

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