CMS Price Transparency Data

X-ray, ankle

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $307
  • Cash Discount Price: $384
  • vs. Medicare Baseline: 3.45x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Mercy Hospital Kingfisher, Inc is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $384. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.45x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$384

Average discount available for prompt cash payment at this facility.

Insurance Median
$307

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $384 (432%)
Insurance Median: $307 (345%)
Cash: $384 (432% of Medicare)
Ins. Median: $307 (345% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 345% of the Medicare baseline (a markup of 245%). 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 $24 - $497 27%
Humana $24 - $307 27%
Medicaid / KanCare $24 - $218 27%
Ambetter / Centene $137 - $218 154%
Home State Health Plan Contracted [320187] $137 - $218 154%
Novasys Contracted [320285] $137 - $218 154%
Blue Cross Blue Shield $150 - $400 169%
Cherokee Nation Health Serv Contracted [320066] $192 - $307 216%
Cross Timbers Hospice [20098] $192 - $307 216%
Dept Of Veteran Affairs Contracted [320106] $192 - $307 216%
Elara Caring Aspire Hospice Contracted [320433] $192 - $307 216%
Elara Caring Aspire Hospice [20433] $192 - $307 216%
Halo Hcr Inc Hospice Contracted [320432] $192 - $307 216%
Halo Hcr Inc Hospice [20432] $192 - $307 216%
Independent Health [20197] $192 - $307 216%
Indian Health Service Contracted [320198] $192 - $307 216%
Kindful Hospice Contracted [320434] $192 - $307 216%
Kindful Hospice [20434] $192 - $307 216%
Medical Associates Health [20444] $192 - $307 216%
Medicare (plans) $192 - $516 216%
Mercy Hospice Okc [20252] $192 - $307 216%
Provider Partners Health Plans Contracted [320450] $192 - $307 216%
Qual Choice Contracted [320325] $192 - $307 216%
Tricare $192 - $307 216%
UnitedHealthcare $192 - $507 216%
Webtpa Contracted [320417] $192 - $305 216%
Globalhealth Contracted [320145] $196 - $313 220%
Cigna $198 - $494 223%
Health Choice Contracted [320166] $198 223%
Aither Health Contracted [320449] $274 - $618 308%
Mercy Benefit Admin Contracted [320251] $274 - $618 308%
Quik Trip Contracted [320447] $274 - $436 308%
Show-Me Health Administrators Contracted [320483] $274 - $436 308%
Benefit Management Contracted [320052] $296 - $545 333%
United Medical Resources Contracted [320454] $318 - $507 358%
Osma Health Contracted [320292] $319 - $509 359%
Medica Contracted [320239] $324 - $516 364%
Healthcare Highways Plus Contracted [320175] $342 - $545 385%
First Health Contracted [320128] $357 - $569 402%
Auxiant Contracted [320462] $388 - $618 436%
Ebms Contracted [320493] $388 - $618 436%
Healthlink Contracted [320179] $388 - $618 436%
Imagine 360 Contracted [320494] $388 - $618 436%
Reflect Health Contracted [320492] $388 - $618 436%
Yuzu Health Contracted [320521] $388 - $618 436%

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