CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $634
  • Cash Discount Price: $792
  • vs. Medicare Baseline: 5.94x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercy Hospital Kingfisher, Inc is $634. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $792. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.94x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$792

Average discount available for prompt cash payment at this facility.

Insurance Median
$634

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $792 (742%)
Insurance Median: $634 (594%)
Cash: $792 (742% of Medicare)
Ins. Median: $634 (594% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 594% of the Medicare baseline (a markup of 494%). 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 $65 - $834 61%
Humana $65 - $514 61%
Medicaid / KanCare $65 - $366 61%
Health Choice Contracted [320166] $239 224%
Ambetter / Centene $366 343%
Home State Health Plan Contracted [320187] $366 343%
Novasys Contracted [320285] $366 343%
Webtpa Contracted [320417] $512 479%
Blue Cross Blue Shield $514 - $670 481%
Cherokee Nation Health Serv Contracted [320066] $514 481%
Cross Timbers Hospice [20098] $514 481%
Dept Of Veteran Affairs Contracted [320106] $514 481%
Elara Caring Aspire Hospice Contracted [320433] $514 481%
Elara Caring Aspire Hospice [20433] $514 481%
Halo Hcr Inc Hospice Contracted [320432] $514 481%
Halo Hcr Inc Hospice [20432] $514 481%
Independent Health [20197] $514 481%
Indian Health Service Contracted [320198] $514 481%
Kindful Hospice Contracted [320434] $514 481%
Kindful Hospice [20434] $514 481%
Medical Associates Health [20444] $514 481%
Medicare (plans) $514 - $865 481%
Mercy Hospice Okc [20252] $514 481%
Provider Partners Health Plans Contracted [320450] $514 481%
Qual Choice Contracted [320325] $514 481%
Tricare $514 481%
UnitedHealthcare $514 - $851 481%
Globalhealth Contracted [320145] $525 492%
Cigna $530 - $829 496%
Aither Health Contracted [320449] $731 - $1,036 684%
Mercy Benefit Admin Contracted [320251] $731 - $1,036 684%
Quik Trip Contracted [320447] $731 684%
Show-Me Health Administrators Contracted [320483] $731 684%
Benefit Management Contracted [320052] $792 - $914 742%
United Medical Resources Contracted [320454] $851 797%
Osma Health Contracted [320292] $853 799%
Medica Contracted [320239] $865 810%
Healthcare Highways Plus Contracted [320175] $914 856%
First Health Contracted [320128] $953 892%
Auxiant Contracted [320462] $1,036 970%
Ebms Contracted [320493] $1,036 970%
Healthlink Contracted [320179] $1,036 970%
Imagine 360 Contracted [320494] $1,036 970%
Reflect Health Contracted [320492] $1,036 970%
Yuzu Health Contracted [320521] $1,036 970%

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