CMS Price Transparency Data
Blood transfusion
Facility: Mercy Hospital Logan County
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $461
- Cash Discount Price: $728
- vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Mercy Hospital Logan County is $461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $728. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.02x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.
Cash / Self-Pay
$728
Average discount available for prompt cash payment at this facility.
Insurance Median
$461
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: $728 (162%)
Insurance Median: $461 (102%)
Cash: $728 (162% of Medicare)
Ins. Median: $461 (102% 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.
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 |
|---|---|---|
| Tricare | $175 - $381 | 39% |
| Aetna | $180 - $902 | 40% |
| Blue Cross Blue Shield | $180 - $507 | 40% |
| Cherokee Nation Health Serv Contracted [320066] | $180 - $392 | 40% |
| Cross Timbers Hospice [20098] | $180 - $392 | 40% |
| Dept Of Veteran Affairs Contracted [320106] | $180 - $392 | 40% |
| Elara Caring Aspire Hospice Contracted [320433] | $180 - $392 | 40% |
| Elara Caring Aspire Hospice [20433] | $180 - $392 | 40% |
| Halo Hcr Inc Hospice Contracted [320432] | $180 - $392 | 40% |
| Halo Hcr Inc Hospice [20432] | $180 - $392 | 40% |
| Humana | $180 - $1,229 | 40% |
| Independent Health [20197] | $180 - $392 | 40% |
| Indian Health Service Contracted [320198] | $180 - $392 | 40% |
| Kindful Hospice Contracted [320434] | $180 - $392 | 40% |
| Kindful Hospice [20434] | $180 - $392 | 40% |
| Medical Associates Health [20444] | $180 - $392 | 40% |
| Medicare (plans) | $180 - $768 | 40% |
| Mercy Hospice Okc [20252] | $180 - $392 | 40% |
| Provider Partners Health Plans Contracted [320450] | $180 - $392 | 40% |
| Qual Choice Contracted [320325] | $180 - $392 | 40% |
| Tribute Health Plan Mcr Contracted [320338] | $180 - $392 | 40% |
| UnitedHealthcare | $180 - $1,075 | 40% |
| Globalhealth Contracted [320145] | $183 - $400 | 41% |
| Cigna | $185 - $1,306 | 41% |
| Ambetter / Centene | $212 - $461 | 47% |
| Home State Health Plan Contracted [320187] | $212 - $461 | 47% |
| Medicaid / KanCare | $212 - $461 | 47% |
| Novasys Contracted [320285] | $212 - $461 | 47% |
| Webtpa Contracted [320417] | $296 - $645 | 66% |
| Medica Contracted [320239] | $352 - $768 | 78% |
| Aither Health Contracted [320449] | $423 - $1,306 | 94% |
| Auxiant Contracted [320462] | $423 - $1,306 | 94% |
| Federal Medical Center Contracted [320127] | $423 - $922 | 94% |
| Healthlink Contracted [320179] | $423 - $1,306 | 94% |
| Healthscope Contracted [320182] | $423 - $922 | 94% |
| Mercy Benefit Admin Contracted [320251] | $423 - $1,306 | 94% |
| Point C Contracted [320238] | $423 - $922 | 94% |
| Preferred Health Plan Contracted [320522] | $423 - $922 | 94% |
| Quik Trip Contracted [320447] | $423 - $922 | 94% |
| Show-Me Health Administrators Contracted [320483] | $423 - $922 | 94% |
| United Medical Resources Contracted [320454] | $423 - $1,075 | 94% |
| Osma Health Contracted [320292] | $494 - $1,075 | 110% |
| United Behavioral Health Contracted [320390] | $494 - $1,075 | 110% |
| Benefit Management Contracted [320052] | $529 - $1,382 | 117% |
| Globalhealth Contracted [320144] | $529 - $1,152 | 117% |
| Healthcare Highways Plus Contracted [320175] | $529 - $1,152 | 117% |
| Private Health Care Systems Contracted [320320] | $529 - $1,229 | 117% |
| First Health Contracted [320128] | $551 - $1,201 | 122% |
| Multiplan Contracted [320270] | $564 - $1,382 | 125% |
| Ebms Contracted [320493] | $599 - $1,306 | 133% |
| Imagine 360 Contracted [320494] | $599 - $1,306 | 133% |
| Preferred Community Choice Contracted [320311] | $599 - $1,306 | 133% |
| Reflect Health Contracted [320492] | $599 - $1,306 | 133% |
| Yuzu Health Contracted [320521] | $599 - $1,306 | 133% |
| Community Care Contracted [320080] | $630 | 140% |
| Health Choice Contracted [320166] | $874 | 194% |