CMS Price Transparency Data

Blood transfusion

Facility: Uch-Memorial Health System

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $632
Cash Discount Price: $702
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Uch-Memorial Health System is $632. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $702. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.40x the Medicare baseline. Located in 1400 E Boulder St, Colorado Springs, CO.

Cash / Self-Pay

$702

Average discount available for prompt cash payment at this facility.

Insurance Median

$632

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: $702 (156%)

Insurance Median: $632 (140%)

Cash: $702 (156% of Medicare)

Ins. Median: $632 (140% 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
Select Health	$89 - $854	20%
Blue Cross Blue Shield	$237 - $3,452	53%
Kaiser Public Option	$361	80%
Aetna	$439 - $6,419	97%
Cigna	$439 - $771	97%
Cms	$439	97%
Devoted Health	$439	97%
Humana	$439	97%
Kaiser	$439 - $527	97%
UnitedHealthcare	$439 - $2,588	97%
Kaiser Kp Select	$475	105%
Simplified Benefits Administration	$501 - $609	111%
Denver Health Medical Plan	$780	173%
Rocky Mountain Health Plan	$843	187%
First Health	$921	204%
Multiplan	$1,108	246%
Phcs	$1,108	246%

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 $702.
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 Uch-Memorial Health System 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.