CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $222
  • Cash Discount Price: $283
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Mercy Hospital Kingfisher, Inc is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $283. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.22x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$283

Average discount available for prompt cash payment at this facility.

Insurance Median
$222

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $283 (156%)
Insurance Median: $222 (122%)
Cash: $283 (156% of Medicare)
Ins. Median: $222 (122% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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.

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 $94 - $298 52%
Humana $94 - $183 52%
Medicaid / KanCare $94 - $130 52%
Ambetter / Centene $130 72%
Home State Health Plan Contracted [320187] $130 72%
Novasys Contracted [320285] $130 72%
Blue Cross Blue Shield $183 - $239 101%
Cherokee Nation Health Serv Contracted [320066] $183 101%
Cross Timbers Hospice [20098] $183 101%
Dept Of Veteran Affairs Contracted [320106] $183 101%
Elara Caring Aspire Hospice Contracted [320433] $183 101%
Elara Caring Aspire Hospice [20433] $183 101%
Halo Hcr Inc Hospice Contracted [320432] $183 101%
Halo Hcr Inc Hospice [20432] $183 101%
Independent Health [20197] $183 101%
Indian Health Service Contracted [320198] $183 101%
Kindful Hospice Contracted [320434] $183 101%
Kindful Hospice [20434] $183 101%
Medical Associates Health [20444] $183 101%
Medicare (plans) $183 - $309 101%
Mercy Hospice Okc [20252] $183 101%
Provider Partners Health Plans Contracted [320450] $183 101%
Qual Choice Contracted [320325] $183 101%
Tricare $183 101%
UnitedHealthcare $183 - $304 101%
Webtpa Contracted [320417] $183 101%
Globalhealth Contracted [320145] $187 103%
Cigna $189 - $296 104%
Aither Health Contracted [320449] $261 - $370 144%
Mercy Benefit Admin Contracted [320251] $261 - $370 144%
Quik Trip Contracted [320447] $261 144%
Show-Me Health Administrators Contracted [320483] $261 144%
Benefit Management Contracted [320052] $283 - $326 156%
Osma Health Contracted [320292] $304 168%
United Medical Resources Contracted [320454] $304 168%
Medica Contracted [320239] $309 170%
Health Choice Contracted [320166] $321 177%
Healthcare Highways Plus Contracted [320175] $326 180%
First Health Contracted [320128] $340 187%
Auxiant Contracted [320462] $370 204%
Ebms Contracted [320493] $370 204%
Healthlink Contracted [320179] $370 204%
Imagine 360 Contracted [320494] $370 204%
Reflect Health Contracted [320492] $370 204%
Yuzu Health Contracted [320521] $370 204%

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