CMS Price Transparency Data

X-ray, chest (two views)

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $216
  • Cash Discount Price: $275
  • vs. Medicare Baseline: 2.43x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mercy Hospital Kingfisher, Inc is $216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.43x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$275

Average discount available for prompt cash payment at this facility.

Insurance Median
$216

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: $275 (309%)
Insurance Median: $216 (243%)
Cash: $275 (309% of Medicare)
Ins. Median: $216 (243% 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 243% of the Medicare baseline (a markup of 143%). 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 $19 - $289 21%
Humana $19 - $178 21%
Medicaid / KanCare $19 - $127 21%
Ambetter / Centene $127 143%
Home State Health Plan Contracted [320187] $127 143%
Novasys Contracted [320285] $127 143%
Blue Cross Blue Shield $140 - $233 157%
Cherokee Nation Health Serv Contracted [320066] $178 200%
Cross Timbers Hospice [20098] $178 200%
Dept Of Veteran Affairs Contracted [320106] $178 200%
Elara Caring Aspire Hospice Contracted [320433] $178 200%
Elara Caring Aspire Hospice [20433] $178 200%
Halo Hcr Inc Hospice Contracted [320432] $178 200%
Halo Hcr Inc Hospice [20432] $178 200%
Independent Health [20197] $178 200%
Indian Health Service Contracted [320198] $178 200%
Kindful Hospice Contracted [320434] $178 200%
Kindful Hospice [20434] $178 200%
Medical Associates Health [20444] $178 200%
Medicare (plans) $178 - $300 200%
Mercy Hospice Okc [20252] $178 200%
Provider Partners Health Plans Contracted [320450] $178 200%
Qual Choice Contracted [320325] $178 200%
Tricare $178 200%
UnitedHealthcare $178 - $295 200%
Webtpa Contracted [320417] $178 200%
Globalhealth Contracted [320145] $182 205%
Cigna $184 - $288 207%
Health Choice Contracted [320166] $198 223%
Aither Health Contracted [320449] $254 - $360 286%
Mercy Benefit Admin Contracted [320251] $254 - $360 286%
Quik Trip Contracted [320447] $254 286%
Show-Me Health Administrators Contracted [320483] $254 286%
Benefit Management Contracted [320052] $275 - $317 309%
United Medical Resources Contracted [320454] $295 332%
Osma Health Contracted [320292] $296 333%
Medica Contracted [320239] $300 337%
Healthcare Highways Plus Contracted [320175] $317 357%
First Health Contracted [320128] $331 372%
Auxiant Contracted [320462] $360 405%
Ebms Contracted [320493] $360 405%
Healthlink Contracted [320179] $360 405%
Imagine 360 Contracted [320494] $360 405%
Reflect Health Contracted [320492] $360 405%
Yuzu Health Contracted [320521] $360 405%

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