CMS Price Transparency Data

Blood transfusion

Facility: Banner Goldfield Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $668
  • Cash Discount Price: $265
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Banner Goldfield Medical Center is $668. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $265. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.48x the Medicare baseline. Located in 2050 West Southern Avenue, Apache Junction, AZ.
Cash / Self-Pay
$265

Average discount available for prompt cash payment at this facility.

Insurance Median
$668

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: $265 (59%)
Insurance Median: $668 (148%)
Cash: $265 (59% of Medicare)
Ins. Median: $668 (148% 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.

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
Arizona Physicians Ipa $288 - $466 64%
Banner University Health Plan $288 - $466 64%
Health Choice Arizona, Inc. $288 - $699 64%
Health Net $288 - $690 64%
Mercy Care $288 - $466 64%
UnitedHealthcare $325 - $652 72%
Aetna $419 - $1,080 93%
Hospice Of The Valley $436 - $655 97%
Banner Health $466 103%
Blue Cross Blue Shield $466 - $882 103%
Care 1St $466 103%
Cigna $466 - $1,285 103%
Gila River Health Care Corporation $466 103%
Humana $466 - $480 103%
Kaiser Foundation Health Plan $466 103%
Triwest Healthcare Alliance Corp - Va Ccn $466 103%
Upmc Health Plan $466 103%
Wellpoint $466 103%
Carelon $489 108%
Devoted Health Services $489 108%
Arizona Priority Care $513 114%
Gold Kidney Health Plan $513 114%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $561 - $842 124%
Plotkin Health $561 - $842 124%
Quiktrip Corporation $673 - $1,010 149%
Oscar Health Plan $699 155%
Arizona Medical Network $873 - $1,310 194%
Provider Network Of America $935 - $1,403 207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2050 West Southern Avenue, Apache Junction, AZ 85120
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals