CMS Price Transparency Data

Blood transfusion

Facility: Glenn Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $469
Cash Discount Price: $312
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Glenn Medical Center is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.04x the Medicare baseline. Located in 1133 W Sycamore St, Willows, CA.

Cash / Self-Pay

$312

Average discount available for prompt cash payment at this facility.

Insurance Median

$469

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: $312 (69%)

Insurance Median: $469 (104%)

Cash: $312 (69% of Medicare)

Ins. Median: $469 (104% 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
UnitedHealthcare	$156 - $417	35%
Humana	$203	45%
Blue Cross Blue Shield	$205 - $469	45%
Blue Shield Exch	$422	94%
Cigna	$443	98%
First Health - All Plans	$443	98%
Healthnet - All Plans	$443	98%
Beech Street - All Plans	$469	104%
Blue Shield Ppo/Hmo - All Other Plans	$469	104%
Dept Of Corrections - All Plans	$469	104%
Galaxy Health Network - All Plans	$469	104%
Interplan - All Plans	$469	104%
Pacific Health Alliance - All Plans	$469	104%
Pponext - All Plans	$469	104%
Superior Ca Ppo - All Plans	$469	104%
Integrated Hp - All Plans	$484	107%
Health Mgmt Network - All Plans	$495	110%
Networks By Design - All Plans	$495	110%
Three Rivers - All Plans	$495	110%
Medi-Cal	$521	116%
Ca Health And Wellness - All Plans	$578	128%

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 $312.
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 Glenn 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.