CMS Price Transparency Data

Blood transfusion

Facility: Jefferson County Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,711
Cash Discount Price: $795
vs. Medicare Baseline: 3.80x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Jefferson County Hospital is $1,711. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $795. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.80x the Medicare baseline. Located in Intersection Hyws 81 & 70, Waurika, OK.

Cash / Self-Pay

$795

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,711

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: $795 (176%)

Insurance Median: $1,711 (380%)

Cash: $795 (176% of Medicare)

Ins. Median: $1,711 (380% 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 380% of the Medicare baseline (a markup of 280%). 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
Medica	$797 - $1,106	177%
Healthcare Highways	$835 - $1,711	185%
Humana	$1,025 - $1,422	227%
Friday Health Plan	$1,107 - $1,536	246%
UnitedHealthcare	$1,291 - $1,790	286%
Oklahoma Health Network (Ohn)	$1,518 - $2,106	337%
Aetna	$1,613 - $2,238	358%
Coventry	$1,613 - $2,238	358%
Cigna	$1,708 - $2,370	379%
First Health	$1,708 - $2,370	379%
Osma Health	$1,708 - $2,370	379%
Preferred Community Choice	$1,746 - $2,422	387%
Healthsmart	$1,784 - $2,475	396%
Blue Cross Blue Shield	$3,503 - $5,500	777%

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 $795.
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 Jefferson County 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.