CMS Price Transparency Data

Blood transfusion

Facility: Seiling Municipal Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $817
Cash Discount Price: $475
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Seiling Municipal Hospital is $817. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $475. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.81x the Medicare baseline. Located in 809 Ne Highway 60, Seiling, OK.

Cash / Self-Pay

$475

Average discount available for prompt cash payment at this facility.

Insurance Median

$817

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: $475 (105%)

Insurance Median: $817 (181%)

Cash: $475 (105% of Medicare)

Ins. Median: $817 (181% 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 - $536	43%
Aetna	$413 - $1,246	92%
Blue Cross Blue Shield	$413 - $1,059	92%
Wellcare Mcr Adv - All Plans	$413 - $536	92%
Humana	$417 - $1,246	93%
Coventry Comm - All Plans	$673 - $872	149%
Cigna	$761 - $987	169%
Multiplan Ip/Op Only - All Plans	$769 - $997	171%
Healthchoice Ip/Op Only - All Plans	$776	172%
Ambetter / Centene	$806 - $1,045	179%
Community Choice Ppo Ip/Op Only - All Plans	$817 - $1,059	181%
Preferred Comm Ip/Op Only - All Plans	$817 - $1,059	181%
Soonerselect Mcaid - All Plans	$961 - $1,246	213%

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 $475.
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 Seiling 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.