CMS Price Transparency Data

Blood transfusion

Facility: Hillcrest Hospital Cushing

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $2,167
Cash Discount Price: $1,049
vs. Medicare Baseline: 4.81x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Hillcrest Hospital Cushing is $2,167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,049. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 4.81x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$1,049

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,167

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: $1,049 (233%)

Insurance Median: $2,167 (481%)

Cash: $1,049 (233% of Medicare)

Ins. Median: $2,167 (481% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 481% of the Medicare baseline (a markup of 381%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Black Lung [6055]	$874	194%
Healthcare Highways [2210]	$874 - $1,045	194%
Hooray Health [8000]	$874	194%
Lucent Health [6000]	$874	194%
Oncology Patient Assistance Programs [2295]	$874	194%
Oscar Insurance Company [7005]	$874	194%
Healthscope Benefits [2290]	$950	211%
UnitedHealthcare	$950 - $1,730	211%
Web Tpa [2115]	$1,045 - $1,534	232%
Aetna	$1,534	340%
Coresource [1315]	$1,534	340%
Coventry Healthcare [1320]	$1,534	340%
Meritain Health [1655]	$1,534	340%
Cigna	$1,709	379%
Healthpartners [1500]	$1,709	379%
National Association Of Letter Carriers [1695]	$1,709	379%
Pba [1775]	$1,709	379%
Global Health [1430]	$2,167	481%
First Health [1375]	$2,422 - $3,076	537%
Multiplan [1680]	$2,422 - $3,076	537%
Healthcare Solutions [1485]	$2,481	550%
Community Care [1290]	$2,901	644%
Fmh Benefit Services [1390]	$2,901	644%
Group Resources [1455]	$2,901	644%
Phcs [1780]	$2,901 - $3,076	644%
Healthsmart [1505]	$2,971	659%
Administrative Concepts [1005]	$3,076	682%
Allied Benefit Systems Inc [1030]	$3,076	682%
Allied National Global Care [1035]	$3,076	682%
Gilsbar [1425]	$3,076	682%
Healthnet [1495]	$3,076	682%
Mutual Of Omaha [1685]	$3,076	682%
New Era Life Insurance Company [1705]	$3,076	682%
Pan American Life Insurance Co [1770]	$3,076	682%
Trustmark [2030]	$3,076	682%
Universal Fidelity [2085]	$3,076	682%
Pending Ssi [1616]	$3,495	775%

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 $1,049.
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 Hillcrest Hospital Cushing 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.