CMS Price Transparency Data

Blood transfusion

Facility: Adventist Health Delano

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $408
Cash Discount Price: $109
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Adventist Health Delano is $408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.91x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$408

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: $109 (24%)

Insurance Median: $408 (91%)

Cash: $109 (24% of Medicare)

Ins. Median: $408 (91% 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
Blue Cross Blue Shield	$23 - $485	5%
Blue Shield Epn - All Other Plans	$51 - $128	11%
Coventry- All Plans	$141 - $350	31%
Blue Shield Non-Epn	$153 - $379	34%
Healthnet- All Other Plans	$158 - $392	35%
UnitedHealthcare	$161 - $567	36%
County Of Kern Network - All Plans	$164 - $408	36%
Gem Care- All Plans	$164 - $408	36%
Aetna	$173 - $430	38%
Foundation For Medical Care Of Kern County - All P	$176 - $437	39%
Cigna	$188 - $466	42%
Western Growers - All Plans	$190 - $472	42%
Dignty Hlth Mcal Op Only	$235 - $583	52%
Kaiser Medi-Cal Ip/Op Only	$235 - $583	52%
Medi-Cal	$235 - $583	52%
Universal Care Mcal	$235 - $583	52%
Healthnet Medi-Cal	$280 - $694	62%
Kern Health System Mcal	$303 - $752	67%
Cirugia Sin Fornteras (Csf) - All Plans	$500	111%
Bakersfield Fam Med Grp-All Plans	$567	126%
Healthnet Mcr Adv	$567	126%
Kern Mcr Adv Dual Dnsp-All Other Plans	$567	126%
Medicare (plans)	$567 - $908	126%
Tricare	$567	126%
Universal Care Mcr- All Other Plans	$567	126%
Kaiser Comm Ip/Op Only- All Other Plans	$976	217%
Ah Employee Health Plan - All Plans	$1,021	227%
Centivo - All Plans	$1,277	283%

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 $109.
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 Adventist Health Delano 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.