CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $406
  • Cash Discount Price: $507
  • vs. Medicare Baseline: 3.80x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mercy Hospital Kingfisher, Inc is $406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $507. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.80x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$507

Average discount available for prompt cash payment at this facility.

Insurance Median
$406

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: $507 (475%)
Insurance Median: $406 (380%)
Cash: $507 (475% of Medicare)
Ins. Median: $406 (380% 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 380% of the Medicare baseline (a markup of 280%). 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 $50 - $534 47%
Humana $50 - $329 47%
Medicaid / KanCare $50 - $234 47%
Ambetter / Centene $234 219%
Home State Health Plan Contracted [320187] $234 219%
Novasys Contracted [320285] $234 219%
Health Choice Contracted [320166] $239 224%
Webtpa Contracted [320417] $328 307%
Blue Cross Blue Shield $329 - $429 308%
Cherokee Nation Health Serv Contracted [320066] $329 308%
Cross Timbers Hospice [20098] $329 308%
Dept Of Veteran Affairs Contracted [320106] $329 308%
Elara Caring Aspire Hospice Contracted [320433] $329 308%
Elara Caring Aspire Hospice [20433] $329 308%
Halo Hcr Inc Hospice Contracted [320432] $329 308%
Halo Hcr Inc Hospice [20432] $329 308%
Independent Health [20197] $329 308%
Indian Health Service Contracted [320198] $329 308%
Kindful Hospice Contracted [320434] $329 308%
Kindful Hospice [20434] $329 308%
Medical Associates Health [20444] $329 308%
Medicare (plans) $329 - $554 308%
Mercy Hospice Okc [20252] $329 308%
Provider Partners Health Plans Contracted [320450] $329 308%
Qual Choice Contracted [320325] $329 308%
Tricare $329 308%
UnitedHealthcare $329 - $544 308%
Globalhealth Contracted [320145] $336 315%
Cigna $339 - $530 317%
Aither Health Contracted [320449] $468 - $663 438%
Mercy Benefit Admin Contracted [320251] $468 - $663 438%
Quik Trip Contracted [320447] $468 438%
Show-Me Health Administrators Contracted [320483] $468 438%
Benefit Management Contracted [320052] $507 - $585 475%
United Medical Resources Contracted [320454] $544 509%
Osma Health Contracted [320292] $546 511%
Medica Contracted [320239] $554 519%
Healthcare Highways Plus Contracted [320175] $585 548%
First Health Contracted [320128] $610 571%
Auxiant Contracted [320462] $663 621%
Ebms Contracted [320493] $663 621%
Healthlink Contracted [320179] $663 621%
Imagine 360 Contracted [320494] $663 621%
Reflect Health Contracted [320492] $663 621%
Yuzu Health Contracted [320521] $663 621%

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