CMS Price Transparency Data

Blood transfusion

Facility: Tulsa Spine & Specialty Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $473
Cash Discount Price: $288
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Tulsa Spine & Specialty Hospital is $473. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.05x the Medicare baseline. Located in 6901 South Olympia Avenue, Tulsa, OK.

Cash / Self-Pay

$288

Average discount available for prompt cash payment at this facility.

Insurance Median

$473

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: $288 (64%)

Insurance Median: $473 (105%)

Cash: $288 (64% of Medicare)

Ins. Median: $473 (105% 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
Black Lung [6055]	$288	64%
Healthcare Highways [2210]	$288 - $473	64%
Lucent Health [6000]	$288	64%
Oncology Patient Assistance Programs [2295]	$288	64%
Oscar Insurance Company [7005]	$288	64%
Osma Health Network [2345]	$288	64%
Healthscope Benefits [2290]	$298	66%
UnitedHealthcare	$298	66%
Resource One Administrators [2815]	$473	105%
Universal Fidelity [2085]	$473	105%
Web Tpa [2115]	$473	105%
Aetna	$506	112%
Allied Benefit Systems Inc [1030]	$506	112%
Coresource [1315]	$506	112%
Coventry Healthcare [1320]	$506	112%
Meritain Health [1655]	$506	112%
The Kempton Group Administrators [2905]	$519	115%
First Health [1375]	$712	158%
Medica [2910]	$712	158%
Multiplan [1680]	$712	158%
Cigna	$749	166%
National Association Of Letter Carriers [1695]	$749	166%
Pba [1775]	$749	166%

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 $288.
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 Tulsa Spine & Specialty Hospital 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.