CMS Price Transparency Data

Blood transfusion

Facility: Copper Queen Community Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $261
  • Cash Discount Price: $726
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Copper Queen Community Hospital is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $726. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.58x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.
Cash / Self-Pay
$726

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

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: $726 (161%)
Insurance Median: $261 (58%)
Cash: $726 (161% of Medicare)
Ins. Median: $261 (58% 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
Allwell $139 - $288 31%
Amerigroup $139 - $153 31%
Azch Complete $139 - $288 31%
Banner Uc Health $139 - $288 31%
Humana $139 - $153 31%
Triwest $139 - $153 31%
UnitedHealthcare $156 - $559 35%
Copperpoint $214 - $237 47%
Bisbee Police $225 - $249 50%
Aetna $242 - $862 54%
Health Net Of Az $242 - $575 54%
Ahcccs $288 64%
Mercy Care $288 64%
Apipa $323 - $358 72%
Blue Cross Blue Shield $589 - $651 131%
Cigna $606 - $671 134%
Self Pay $693 - $766 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Cole Avenue, Bisbee, AZ 85603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals