Home › Hospitals › Mercy Hospital Kingfisher, Inc Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $1,318.20
$2,028
13.1×
MRI brain without contrast (70551) $2,132.65
$3,281
9.3×
MRI brain with contrast (70552) $2,474.55
$3,807
7.4×
MRI brain without and with contrast (70553) $2,572.05
$3,957
7.7×
X-ray lower spine, 4+ views (72110) $520
$800
5.2×
MRI lumbar spine without contrast (72148) $2,262
$3,480
9.9×
CT pelvis with contrast (72193) $2,007.20
$3,088
11.9×
MRI lower-extremity joint without contrast (73721) $2,200.90
$3,386
9.6×
CT abdomen and pelvis with contrast (74177) $2,589.60
$3,984
7.7×
Ultrasound, abdomen complete (76700) $792.35
$1,219
7.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $566.80
$872
5.6×
Ultrasound, transvaginal (76830) $533.65
$821
5.3×
Mammography, one breast (diagnostic) (77065) $236.60
$364
2.7×
Mammography, both breasts (diagnostic) (77066) $297.70
$458
2.7×
Mammography, screening (bilateral) (77067) $234
$360
2.6×
Basic metabolic panel (80048) $126.10
$194
14.9×
Comprehensive metabolic panel (80053) $172.90
$266
16.4×
Lipid panel (80061) $105.95
$163
7.9×
Renal function panel (80069) $124.80
$192
14.4×
Hepatic function panel (80076) $109.20
$168
13.4×
Urinalysis, non-automated, without microscopy (81002) $27.62
$42.50
7.9×
PSA, total (84153) $96.20
$148
5.2×
Thyroid stimulating hormone (TSH) (84443) $54.60
$84
3.2×
CBC with automated differential (85025) $66.95
$103
8.6×
CBC, automated (85027) $58.50
$90
9.0×
Prothrombin time (PT) (85610) $51.35
$79
12.0×
Partial thromboplastin time (PTT) (85730) $72.15
$111
12.0×
Psychotherapy, 30 minutes (90832) $232.70
$358
1.4×
Psychotherapy, 45 minutes (90834) $282.75
$435
1.7×
Psychotherapy, 60 minutes (90837) $319.80
$492
1.9×
Family psychotherapy, without patient (50 min) (90846) $294.45
$453
1.7×
Family psychotherapy, with patient (50 min) (90847) $330.85
$509
1.9×
Group psychotherapy (90853) $274.95
$423
2.8×
Sleep study (attended polysomnography) (95810) $3,745.30
$5,762
4.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $75.40
$116
2.6×
Office visit, new patient (low complexity, ~30 min) (99203) $198.90
$306
1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204) $268.45
$413
2.1×
Office visit, new patient (high complexity, ~60 min) (99205) $298.35
$459
2.3×
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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