CMS Price Transparency Data

Blood transfusion

Facility: Mangum Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $770
Cash Discount Price: $630
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Mangum Regional Medical Center is $770. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $630. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.71x the Medicare baseline. Located in 1 Wickersham Drive, Mangum, OK.

Cash / Self-Pay

$630

Average discount available for prompt cash payment at this facility.

Insurance Median

$770

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: $630 (140%)

Insurance Median: $770 (171%)

Cash: $630 (140% of Medicare)

Ins. Median: $770 (171% 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
UnitedHealthcare	$194 - $1,006	43%
Tricare	$219 - $804	49%
Aetna	$274 - $2,095	61%
Blue Cross Blue Shield	$274 - $1,781	61%
Ok Cmplte Wellcare	$274 - $1,006	61%
Humana	$277 - $2,095	61%
Hs Technology - All Plans	$308 - $1,131	68%
Ambetter / Centene	$397 - $1,458	88%
Cigna	$400 - $1,466	89%
Preferred Community Ppo Ip/Op Only- All Plans	$457 - $1,676	101%
Ok Cmplte Soonerselect Mcaid	$571 - $2,095	127%
Healthchoice Ip/Op Only- All Plans	$776	172%

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 $630.
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 Mangum Regional Medical Center 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.