CMS Price Transparency Data
Blood transfusion
Facility: Mercy Hospital Berryville
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $318
- Cash Discount Price: $811
- vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Mercy Hospital Berryville is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $811. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.71x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.
Cash / Self-Pay
$811
Average discount available for prompt cash payment at this facility.
Insurance Median
$318
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: $811 (180%)
Insurance Median: $318 (71%)
Cash: $811 (180% of Medicare)
Ins. Median: $318 (71% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Insurance System Inc Contracted [320465] | $40 | 9% |
| Aetna | $87 - $318 | 19% |
| American Health Advantage Of Mo Mcr [20264] | $87 - $318 | 19% |
| Blue Cross Blue Shield | $87 - $373 | 19% |
| Cherokee Nation Health Serv Contracted [320066] | $87 - $318 | 19% |
| Cross Timbers Hospice [20098] | $87 - $318 | 19% |
| Dept Of Veteran Affairs Contracted [320106] | $87 - $318 | 19% |
| Elara Caring Aspire Hospice [20433] | $87 - $318 | 19% |
| Globalhealth Contracted [320145] | $87 - $318 | 19% |
| Halo Hcr Inc Hospice Contracted [320432] | $87 - $318 | 19% |
| Halo Hcr Inc Hospice [20432] | $87 - $318 | 19% |
| Humana | $87 - $1,060 | 19% |
| Independent Health [20197] | $87 - $318 | 19% |
| Indian Health Service Contracted [320198] | $87 - $318 | 19% |
| Indian Health Service [20198] | $87 - $318 | 19% |
| Jordan Valley Senior Care Pace [20515] | $87 - $318 | 19% |
| Kindful Hospice Contracted [320434] | $87 - $318 | 19% |
| Kindful Hospice [20434] | $87 - $318 | 19% |
| Medical Associates Health [20444] | $87 - $318 | 19% |
| Medicare (plans) | $87 - $334 | 19% |
| Mercy Hospice Okc [20252] | $87 - $318 | 19% |
| Mercy Mgd Behavioral Health Contracted [320259] | $87 - $318 | 19% |
| Pace Of The Ozarks [20518] | $87 - $318 | 19% |
| Provider Partners Health Plans Contracted [320450] | $87 - $318 | 19% |
| Qual Choice Contracted [320325] | $87 - $318 | 19% |
| Spina Bifida Hlthcare Benefit [20506] | $87 - $318 | 19% |
| UnitedHealthcare | $87 - $373 | 19% |
| Valir Pace [20503] | $87 - $318 | 19% |
| Wellfirst Health Mcr [20443] | $87 - $318 | 19% |
| Tricare | $89 - $324 | 20% |
| Medicaid / KanCare | $90 - $483 | 20% |
| Cigna | $91 - $334 | 20% |
| Mercy Interfacility [20513] | $99 - $364 | 22% |
| Healthscope Contracted [320182] | $109 - $398 | 24% |
| Ambetter / Centene | $132 - $483 | 29% |
| Home State Health Plan Contracted [320187] | $132 - $483 | 29% |
| Novasys Contracted [320285] | $138 - $505 | 31% |
| Administrative Payor Contracted [320005] | $153 - $561 | 34% |
| Auxiant Contracted [320462] | $205 - $1,122 | 45% |
| Qual Choice Contracted [320324] | $205 - $748 | 45% |
| Healthlink Contracted [320179] | $222 - $1,060 | 49% |
| Mercy Benefit Admin Contracted [320251] | $222 - $1,060 | 49% |
| Personify Health Contracted [320051] | $222 - $811 | 49% |
| Preferred Health Plan Contracted [320522] | $222 - $811 | 49% |
| United Medical Resources Contracted [320454] | $267 - $1,060 | 59% |
| Point C Contracted [320238] | $273 - $998 | 61% |
| Medica Contracted [320239] | $288 - $1,055 | 64% |
| 90 Degree Benefits Contracted [320436] | $290 - $1,060 | 64% |
| Aither Health Contracted [320449] | $290 - $1,060 | 64% |
| Benefit Management Contracted [320052] | $290 - $1,060 | 64% |
| Ebms Contracted [320493] | $290 - $1,060 | 64% |
| Edison Health Solutions Contracted [320502] | $290 - $1,060 | 64% |
| First Health Contracted [320128] | $290 - $1,060 | 64% |
| Healthsmart Preferred Care Contracted [320184] | $290 - $1,060 | 64% |
| Imagine 360 Contracted [320494] | $290 - $1,060 | 64% |
| Ppo Plus Contracted [320310] | $290 - $1,060 | 64% |
| Reflect Health Contracted [320492] | $290 - $1,060 | 64% |
| Show-Me Health Administrators Contracted [320483] | $290 - $1,060 | 64% |
| Multiplan Contracted [320270] | $324 - $1,185 | 72% |
| Private Health Care Systems Contracted [320320] | $324 - $1,185 | 72% |