CMS Price Transparency Data

Neurobehavioral status check

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$201

about 0.9× the $221 Medicare rate · typically $75–$569

modeled estimate · not a bill or quote

What this hospital charges insurers

$83

Below the fair price — a good deal

about $118 under the fair price · 0.4× Medicare

Medicare pays $221 Fair price $201 This hospital $83 Cash price $276 Hospital's list price $425

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Lowest price of the 9 OK hospitals we have prices for — a strong deal.

Cheapest $83 Priciest $305

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Neurobehavioral status check is about $201 (about 0.9× the $221 Medicare rate). Mercy Hospital Kingfisher, Inc charges insurers about $83, or about $276 in cash — below the fair price — a good deal. Located in Kingfisher, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$179 - $297	81%
Blue Cross Blue Shieldmajor	$179 - $225	81%
Aetnamajor	$83 - $291	38%
Cignamajor	$185 - $289	84%
Humanamajor	$83 - $179	38%
Ambetter (Centene)	$128	58%
Healthcare Highways	$319	145%
HealthLink	$361	164%
Independent Health	$179	81%
Medica	$302	137%
+ 28 smaller / regional plans	$128 - $623

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 276), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Kingfisher, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Kingfisher, Inc

Compare: Neurobehavioral status check at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.