CMS Price Transparency Data

Blood transfusion

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $705
Cash Discount Price: $1,097
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Oklahoma Heart Hospital South, LLC is $705. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,097. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.56x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$1,097

Average discount available for prompt cash payment at this facility.

Insurance Median

$705

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: $1,097 (243%)

Insurance Median: $705 (156%)

Cash: $1,097 (243% of Medicare)

Ins. Median: $705 (156% 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
Healthcare Highways	$312 - $749	69%
Aetna	$397 - $861	88%
Humana	$397 - $861	88%
Blue Cross Blue Shield	$424 - $5,327	94%
Cigna	$424 - $873	94%
Medicare (plans)	$424 - $437	94%
UnitedHealthcare	$424 - $451	94%
Va Ccn	$424	94%
Geha	$451	100%
Healthscope	$574	127%
Oscar Insurance Company	$574	127%
Webtpa Chickasaw Nation Hch	$586	130%
Ambetter / Centene	$594	132%
Webtpa Hobby Lobby Hch	$661	147%
Global Health	$786	174%
Sana Benefits	$811	180%
Ufcw	$811	180%
Community Care	$849 - $873	188%
First Health Network	$861	191%
Manhattan Life	$861	191%
Phcs	$873	194%
Preferred Community Choice	$948	210%
The Kempton Group	$1,061	235%
Multiplan	$1,123	249%
Coventry	$1,143	254%

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 $1,097.
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 Oklahoma Heart Hospital South, 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.