CMS Price Transparency Data

Blood transfusion

Facility: Kingman Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $105
Cash Discount Price: $38
vs. Medicare Baseline: 0.23x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Kingman Regional Medical Center is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.23x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $38 (8%)

Insurance Median: $105 (23%)

Cash: $38 (8% of Medicare)

Ins. Median: $105 (23% 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	$37 - $973	8%
Apipa - Ahcccs-All Other Plans	$44 - $1,420	10%
Health Choice Az	$44 - $1,420	10%
UnitedHealthcare	$44 - $1,177	10%
Care 1St Mcaid	$46 - $1,491	10%
Health Choice Generations	$46 - $1,420	10%
Hpn Sierra Nevada Mcr Adv	$46 - $471	10%
Medicare (plans)	$46 - $471	10%
Triwest - All Plans	$46 - $471	10%
Care 1St Mcr Adv-All Other Plans	$48 - $494	11%
Mercy Care Ahcccs Ddd	$48 - $1,562	11%
Mercy Care Adv Snp-All Other Plans	$50 - $518	11%
Blue Cross Blue Shield	$53 - $809	12%
Cigna	$53 - $1,278	12%
Geo Group Chc Az State Prison-All Plans	$69 - $706	15%
Aetna	$71 - $876	16%
Health Plan Of Nevada-All Other Plans	$71 - $856	16%
Three Rivers-All Plans	$71 - $1,306	16%
America'S Choice Provider Network-All Plans	$73 - $1,349	16%
Az Foundation-All Plans	$77 - $1,420	17%
Mediversal-All Plans	$77 - $1,420	17%
One Health Plan-All Plans	$77 - $1,420	17%
Universal Health-All Plans	$77 - $1,420	17%
Health Choice Hie Exchange	$78 - $1,136	17%
Multiplan-All Plans	$78 - $1,136	17%
Health Choice- All Other Plans	$115 - $1,177	26%

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 $38.
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 Kingman Regional Medical Center 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.