CMS Price Transparency Data

Blood transfusion

Facility: Parkview Medical Center, Inc

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $668
Cash Discount Price: $534
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Parkview Medical Center, Inc is $668. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $534. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.48x the Medicare baseline. Located in 400 W 16Th St, Pueblo, CO.

Cash / Self-Pay

$534

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: $534 (118%)

Insurance Median: $668 (148%)

Cash: $534 (118% 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.

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	$308 - $2,784	68%
Simplified Benefits Administration	$347 - $361	77%
Aetna	$439 - $8,652	97%
Cms	$439	97%
Humana	$439	97%
Kaiser	$439 - $737	97%
Select Health	$439 - $967	97%
UnitedHealthcare	$439 - $1,691	97%
Cigna	$483 - $4,673	107%
Denver Health Medical Plan	$668	148%
Multiplan/Phcs	$815	181%
Rocky Mountain Health Plans	$882	196%
First Health	$922	205%

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 $534.
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 Parkview Medical Center, Inc 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.