CMS Price Transparency Data

X-ray, foot

Facility: Mercy Hospital Kingfisher, Inc

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $352
  • Cash Discount Price: $421
  • vs. Medicare Baseline: 3.96x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Mercy Hospital Kingfisher, Inc is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $421. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.96x the Medicare baseline. Located in 1000 Hospital Drive, Kingfisher, OK.
Cash / Self-Pay
$421

Average discount available for prompt cash payment at this facility.

Insurance Median
$352

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: $421 (474%)
Insurance Median: $352 (396%)
Cash: $421 (474% of Medicare)
Ins. Median: $352 (396% 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 396% of the Medicare baseline (a markup of 296%). 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 $22 - $570 25%
Humana $22 - $352 25%
Medicaid / KanCare $22 - $250 25%
Ambetter / Centene $138 - $250 155%
Home State Health Plan Contracted [320187] $138 - $250 155%
Novasys Contracted [320285] $138 - $250 155%
Blue Cross Blue Shield $152 - $459 171%
Webtpa Contracted [320417] $193 - $350 217%
Cherokee Nation Health Serv Contracted [320066] $194 - $352 218%
Cross Timbers Hospice [20098] $194 - $352 218%
Dept Of Veteran Affairs Contracted [320106] $194 - $352 218%
Elara Caring Aspire Hospice Contracted [320433] $194 - $352 218%
Elara Caring Aspire Hospice [20433] $194 - $352 218%
Halo Hcr Inc Hospice Contracted [320432] $194 - $352 218%
Halo Hcr Inc Hospice [20432] $194 - $352 218%
Independent Health [20197] $194 - $352 218%
Indian Health Service Contracted [320198] $194 - $352 218%
Kindful Hospice Contracted [320434] $194 - $352 218%
Kindful Hospice [20434] $194 - $352 218%
Medical Associates Health [20444] $194 - $352 218%
Medicare (plans) $194 - $592 218%
Mercy Hospice Okc [20252] $194 - $352 218%
Provider Partners Health Plans Contracted [320450] $194 - $352 218%
Qual Choice Contracted [320325] $194 - $352 218%
Tricare $194 - $352 218%
UnitedHealthcare $194 - $582 218%
Globalhealth Contracted [320145] $198 - $359 223%
Health Choice Contracted [320166] $198 223%
Cigna $200 - $567 225%
Aither Health Contracted [320449] $276 - $709 310%
Mercy Benefit Admin Contracted [320251] $276 - $709 310%
Quik Trip Contracted [320447] $276 - $500 310%
Show-Me Health Administrators Contracted [320483] $276 - $500 310%
Benefit Management Contracted [320052] $299 - $626 336%
United Medical Resources Contracted [320454] $321 - $582 361%
Osma Health Contracted [320292] $322 - $584 362%
Medica Contracted [320239] $327 - $592 368%
Healthcare Highways Plus Contracted [320175] $345 - $626 388%
First Health Contracted [320128] $360 - $652 405%
Auxiant Contracted [320462] $391 - $709 440%
Ebms Contracted [320493] $391 - $709 440%
Healthlink Contracted [320179] $391 - $709 440%
Imagine 360 Contracted [320494] $391 - $709 440%
Reflect Health Contracted [320492] $391 - $709 440%
Yuzu Health Contracted [320521] $391 - $709 440%

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