CMS Price Transparency Data

Blood transfusion

Facility: Mercy Hospital Healdton, Inc.

Billing Code: 36430 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$317

about 0.7× the $451 Medicare rate · typically $35–$518

modeled estimate · not a bill or quote

What this hospital charges insurers

$389

Above the fair price

about $72 over the fair price · 0.9× Medicare

Medicare pays $451 Fair price $317 This hospital $389 Cash price $935 Hospital's list price $1,439

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

One of the lower prices — 0 of 8 other OK hospitals charge more for the same procedure.

Cheapest $68 Priciest $389

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Blood transfusion is about $317 (about 0.7× the $451 Medicare rate). Mercy Hospital Healdton, Inc. charges insurers about $389, or about $935 in cash — above the fair price. Located in Healdton, OK.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $317. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$276 - $1,295	61%
Blue Cross Blue Shieldmajor	$191 - $415	42%
Aetnamajor	$276 - $984	61%
Cignamajor	$285 - $1,079	63%
Humanamajor	$276 - $395	61%
Ambetter (Centene)	$302 - $432	67%
Healthcare Highways	$754 - $1,079	167%
HealthLink	$855 - $1,295	190%
Independent Health	$276 - $395	61%
Medica	$383 - $548	85%
+ 38 smaller / regional plans	$276 - $1,295

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 935), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 36430.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Healdton, Inc. is in-network.
Ask your insurer whether prior approval is required for CPT code 36430.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Healdton, Inc.

Compare: Blood transfusion at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.