CMS Price Transparency Data

Blood transfusion

Facility: Saint Francis Hospital, Inc

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $780
Cash Discount Price: $799
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Saint Francis Hospital, Inc is $780. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $799. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.73x the Medicare baseline. Located in 6161 South Yale, Tulsa, OK.

Cash / Self-Pay

$799

Average discount available for prompt cash payment at this facility.

Insurance Median

$780

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)

Cash / Self-Pay: $799 (177%)

Insurance Median: $780 (173%)

Cash: $799 (177% of Medicare)

Ins. Median: $780 (173% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $450.73 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Community Care	$424 - $1,018	94%
Blue Cross Blue Shield	$437	97%
UnitedHealthcare	$774	172%
Healthchoice	$787	175%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $799.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Saint Francis Hospital, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.