CMS Price Transparency Data

Blood transfusion

Facility: Okeene Municipal Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $701
Cash Discount Price: $772
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Okeene Municipal Hospital is $701. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.56x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$772

Average discount available for prompt cash payment at this facility.

Insurance Median

$701

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: $772 (171%)

Insurance Median: $701 (156%)

Cash: $772 (171% of Medicare)

Ins. Median: $701 (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
Pref Community Choice Ppo-All Plans	$145	32%
Blue Cross Blue Shield	$550 - $2,381	122%
Coventry Mcr Adv	$550	122%
Global Health Mcr Adv	$550	122%
Humana	$550 - $965	122%
Medicare (plans)	$550	122%
UnitedHealthcare	$550 - $686	122%
Cigna	$591	131%
Ihs-All Plans	$625	139%
Ok Complete Health Comm-All Other Plans	$671	149%
Aetna	$676 - $965	150%
Healthchoice Ip Only-All Plans	$676	150%
Global Health-All Other Plans	$715	159%
Healthcare Highways-All Plans	$724	161%
Phcs Savility/Multiplan - All Plans	$724	161%
Medica Commercial-All Other Plans	$743	165%
Community Care Hmo-All Plans	$868	193%
Ok Complete Health Mcaid	$965	214%

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 $772.
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 Okeene Municipal 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.