CMS Price Transparency Data

Blood transfusion

Facility: Ascension St John Jane Phillips

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$412

about 0.9× the $451 Medicare rate · typically $109–$624

modeled estimate · not a bill or quote

What this hospital charges insurers

$459

About the fair price

about $47 over the fair price · 1.0× Medicare

Medicare pays $451 Fair price $412 This hospital $459 Cash price $393 Hospital's list price $1,063

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $68 Priciest $459

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $412 (about 0.9× the $451 Medicare rate). Ascension St John Jane Phillips charges insurers about $459, or about $393 in cash — about the fair price. Located in Bartlesville, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$445 - $459	99%
Blue Cross Blue Shieldmajor	$68 - $468	15%
Aetnamajor	$36 - $53	8%
Humanamajor	$450	100%
+ 11 smaller / regional plans	$445 - $1,069

Government programs also on file: Medicare, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 393), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Ascension St John Jane Phillips is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ascension St John Jane Phillips

Compare: Blood transfusion at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.