CMS Price Transparency Data

Blood transfusion

Facility: Mat-Su Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $4,022
  • Cash Discount Price: $2,215
  • vs. Medicare Baseline: 8.92x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Mat-Su Regional Medical Center is $4,022. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,215. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 8.92x the Medicare baseline. Located in 2500 South Woodworth Loop, Palmer, AK.
Cash / Self-Pay
$2,215

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,022

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: $2,215 (491%)
Insurance Median: $4,022 (892%)
Cash: $2,215 (491% of Medicare)
Ins. Median: $4,022 (892% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 892% of the Medicare baseline (a markup of 792%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Veterans Eval Services $45 10%
Medicaid / KanCare $475 - $4,796 105%
Medicare (plans) $516 114%
Node Champva $516 114%
Tricare $516 114%
Node Non Par Hospice Agree $524 116%
Node Triwest $524 116%
Node Va $524 116%
Node Us Dept Of Labor $655 145%
Self Pay $1,329 - $13,422 295%
Ak Dept Of Corrections $2,436 - $24,607 540%
Blue Cross Blue Shield $2,485 - $27,291 551%
Hccmca $2,657 - $26,844 589%
Aetna $2,835 - $28,633 629%
Multiplan Phcs $3,366 - $34,002 747%
Moda Assurance $3,499 - $35,344 776%
Cigna $3,508 - $35,434 778%
Carlie Trans Grp $3,765 - $38,029 835%
UnitedHealthcare $3,765 - $38,029 835%
First Choice Health $3,986 - $40,266 884%
Multiplan Mpi $4,030 - $40,713 894%
Plan Vista Solutions $4,119 - $41,608 914%
Multiplan Wc $4,208 - $42,503 934%
One Health $4,208 - $42,503 934%
First Health Group $4,252 - $42,950 943%
Medical Control Network Solutions $4,252 - $42,950 943%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2500 South Woodworth Loop, Palmer, AK 99645
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals