CMS Price Transparency Data

Blood transfusion

Facility: McGehee Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $330
Cash Discount Price: $563
vs. Medicare Baseline: 0.73x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at McGehee Hospital is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $563. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.73x the Medicare baseline. Located in 900 South Third Street, McGehee, AR.

Cash / Self-Pay

$563

Average discount available for prompt cash payment at this facility.

Insurance Median

$330

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: $563 (125%)

Insurance Median: $330 (73%)

Cash: $563 (125% of Medicare)

Ins. Median: $330 (73% 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
Humana	$40 - $1,204	9%
Medicare (plans)	$40 - $1,232	9%
Vantage Health/Primewell Mcr Adv Ar Ms Only	$40 - $1,192	9%
Wellcare Health Plan Inc Mcr Adv	$40 - $1,192	9%
Allwell Mcr Adv	$41 - $1,228	9%
Municipal Health Benefit Fund	$248 - $1,014	55%
Arkansas Total Care	$250	55%
Medicaid / KanCare	$250	55%
UnitedHealthcare	$307 - $1,257	68%
Blue Cross Blue Shield	$330 - $568	73%
Qual Choice Of Arkansas	$330 - $1,352	73%

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 $563.
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 McGehee 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.