CMS Price Transparency Data

Blood transfusion

Facility: Alaska Regional Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $2,205
Cash Discount Price: $3,261
vs. Medicare Baseline: 4.89x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Alaska Regional Hospital is $2,205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,261. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 4.89x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$3,261

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,205

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: $3,261 (723%)

Insurance Median: $2,205 (489%)

Cash: $3,261 (723% of Medicare)

Ins. Median: $2,205 (489% 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 489% of the Medicare baseline (a markup of 389%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Union Coalition	$867 - $1,056	192%
Union Coalition Cement Masons	$900 - $1,096	200%
United	$1,088 - $2,704	241%
Premerafirst	$1,455 - $1,773	323%
Geha Ppo Usa	$1,517 - $3,137	337%
Cigna	$1,593 - $1,941	353%
Multiplan	$1,764 - $3,331	391%
Coventry Healthcare	$1,852 - $2,256	411%
First Health	$2,058 - $2,507	457%
Bering Strait School District	$2,205 - $2,686	489%
Nreca Group Benefit Trust	$2,205 - $2,686	489%
Risk & Benefit Management	$2,205 - $2,686	489%
Banner Health	$2,352 - $2,865	522%
Matanuska Telephone	$2,352 - $2,865	522%
Aetna	$2,539 - $6,642	563%

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 $3,261.
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 Alaska Regional 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.