CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $251
  • Cash Discount Price: $320
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Mercy Hospital Kingfisher, Inc is $251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.38x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$320

Average discount available for prompt cash payment at this facility.

Insurance Median
$251

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: $320 (176%)
Insurance Median: $251 (138%)
Cash: $320 (176% of Medicare)
Ins. Median: $251 (138% 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 $138 - $337 76%
Humana $138 - $208 76%
Medicaid / KanCare $138 - $148 76%
Ambetter / Centene $148 82%
Home State Health Plan Contracted [320187] $148 82%
Novasys Contracted [320285] $148 82%
Webtpa Contracted [320417] $207 114%
Blue Cross Blue Shield $208 - $271 115%
Cherokee Nation Health Serv Contracted [320066] $208 115%
Cross Timbers Hospice [20098] $208 115%
Dept Of Veteran Affairs Contracted [320106] $208 115%
Elara Caring Aspire Hospice Contracted [320433] $208 115%
Elara Caring Aspire Hospice [20433] $208 115%
Halo Hcr Inc Hospice Contracted [320432] $208 115%
Halo Hcr Inc Hospice [20432] $208 115%
Independent Health [20197] $208 115%
Indian Health Service Contracted [320198] $208 115%
Kindful Hospice Contracted [320434] $208 115%
Kindful Hospice [20434] $208 115%
Medical Associates Health [20444] $208 115%
Medicare (plans) $208 - $349 115%
Mercy Hospice Okc [20252] $208 115%
Provider Partners Health Plans Contracted [320450] $208 115%
Qual Choice Contracted [320325] $208 115%
Tricare $208 115%
UnitedHealthcare $208 - $343 115%
Globalhealth Contracted [320145] $212 117%
Cigna $214 - $335 118%
Aither Health Contracted [320449] $295 - $418 163%
Mercy Benefit Admin Contracted [320251] $295 - $418 163%
Quik Trip Contracted [320447] $295 163%
Show-Me Health Administrators Contracted [320483] $295 163%
Benefit Management Contracted [320052] $320 - $369 176%
Health Choice Contracted [320166] $321 177%
United Medical Resources Contracted [320454] $343 189%
Osma Health Contracted [320292] $344 190%
Medica Contracted [320239] $349 192%
Healthcare Highways Plus Contracted [320175] $369 203%
First Health Contracted [320128] $385 212%
Auxiant Contracted [320462] $418 231%
Ebms Contracted [320493] $418 231%
Healthlink Contracted [320179] $418 231%
Imagine 360 Contracted [320494] $418 231%
Reflect Health Contracted [320492] $418 231%
Yuzu Health Contracted [320521] $418 231%

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