CMS Price Transparency Data

Blood transfusion

Facility: Carnegie Tri-County Municipal Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $664
Cash Discount Price: $504
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Carnegie Tri-County Municipal Hospital is $664. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $504. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.47x the Medicare baseline. Located in 102 North Broadway, Carnegie, OK.

Cash / Self-Pay

$504

Average discount available for prompt cash payment at this facility.

Insurance Median

$664

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: $504 (112%)

Insurance Median: $664 (147%)

Cash: $504 (112% of Medicare)

Ins. Median: $664 (147% 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	$139 - $1,349	31%
Aetna	$324 - $2,545	72%
Blue Cross Blue Shield	$343 - $2,613	76%
Global Health Mcr Adv	$343 - $1,349	76%
Humana	$343 - $2,545	76%
Wellcare Mcr Adv - All Plans	$343 - $1,349	76%
Ambetter / Centene	$446 - $1,754	99%
Community Care Comm Ip/Op Only - All Plans	$518 - $2,036	115%
Preferred Comm Ppo - All Plans	$518 - $2,036	115%
Global Health Ip/Op Only - All Other Plans	$551 - $2,163	122%
First Health - All Plans	$583 - $2,291	129%
Multiplan - All Plans	$596 - $2,342	132%
Soonerselect Mcaid - All Plans	$648 - $2,545	144%
Health Choice - 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 $504.
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 Carnegie Tri-County 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.