CMS Price Transparency Data

Blood transfusion

Facility: Duncan Regional Hospital, Inc

Billing Code: 36430 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,012

about 2.2× the $451 Medicare rate · typically $274–$1,830

modeled estimate · not a bill or quote

Medicare pays $451 Fair price $1,012 Cash price $891 Hospital's list price $2,471

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$1,680	373%
Blue Cross Blue Shieldmajor	$3,503 - $5,500	777%
Aetnamajor	$2,100	466%
Cignamajor	$2,224	493%
Humanamajor	$446	99%
Friday Health	$1,136	252%
Health Net	$1,977	439%
Healthcare Highways	$1,087 - $1,606	241%
Medica	$1,038	230%
+ 2 smaller / regional plans	$2,224 - $2,273

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 891), 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 Duncan Regional Hospital, Inc 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 Duncan Regional Hospital, Inc

Compare: Blood transfusion at other OK hospitals

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