CMS Price Transparency Data

Blood transfusion

Facility: Bailey Medical Center, LLC

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,733
Cash Discount Price: $1,022
vs. Medicare Baseline: 3.84x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Bailey Medical Center, LLC is $1,733. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,022. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.84x the Medicare baseline. Located in 10502 North 110Th East Avenue, Owasso, OK.

Cash / Self-Pay

$1,022

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,733

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: $1,022 (227%)

Insurance Median: $1,733 (384%)

Cash: $1,022 (227% of Medicare)

Ins. Median: $1,733 (384% 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 384% of the Medicare baseline (a markup of 284%). 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
Healthcare Highways [2210]	$851 - $936	189%
Hooray Health [8000]	$851	189%
Oncology Patient Assistance Programs [2295]	$851	189%
Oscar Insurance Company [7005]	$851	189%
Osma Health Network [2345]	$851	189%
Healthscope Benefits [2290]	$901	200%
UnitedHealthcare	$901	200%
Resource One Administrators [2815]	$936	208%
Web Tpa [2115]	$936 - $1,495	208%
Aetna	$1,495	332%
Coresource [1315]	$1,495	332%
Coventry Healthcare [1320]	$1,495	332%
Meritain Health [1655]	$1,495	332%
The Kempton Group Administrators [2905]	$1,532	340%
First Health [1375]	$1,723 - $2,792	382%
Medica [2910]	$1,723	382%
Multiplan [1680]	$1,723 - $2,792	382%
Cigna	$1,733	384%
Healthpartners [1500]	$1,733	384%
National Association Of Letter Carriers [1695]	$1,733	384%
Pba [1775]	$1,733	384%
Healthcare Solutions [1485]	$1,941	431%
Community Care [1290]	$2,690	597%
Employee Benefit Management Services [2445]	$2,690	597%
Fmh Benefit Services [1390]	$2,690	597%
Group Resources [1455]	$2,690	597%
Phcs [1780]	$2,690 - $2,792	597%
Gilsbar [1425]	$2,792	619%
Healthcost Solutions [2415]	$2,792	619%
Healthfirst [2395]	$2,792	619%
Healthnet [1495]	$2,792	619%
Hometown Health [2155]	$2,792	619%
Mayo Clinic Health Solutions [2280]	$2,792	619%
Mutual Of Omaha [1685]	$2,792	619%
New Era Life Insurance Company [1705]	$2,792	619%
Pan American Life Insurance Co [1770]	$2,792	619%
Planned Administrators Inc [2360]	$2,792	619%
Trustmark [2030]	$2,792	619%
Universal Fidelity [2085]	$2,792	619%
Healthsmart [1505]	$2,894	642%
Pending Ssi [1616]	$3,405	755%

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 $1,022.
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 Bailey Medical Center, LLC 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.