CMS Price Transparency Data

Blood transfusion

Facility: Hca-Healthone DBA Swedish Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $962
Cash Discount Price: $1,503
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Hca-Healthone DBA Swedish Medical Center is $962. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,503. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 2.13x the Medicare baseline. Located in 501 E Hampden Ave, Englewood, CO.

Cash / Self-Pay

$1,503

Average discount available for prompt cash payment at this facility.

Insurance Median

$962

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: $1,503 (333%)

Insurance Median: $962 (213%)

Cash: $1,503 (333% of Medicare)

Ins. Median: $962 (213% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Vail Health	$228	51%
Kaiser	$301 - $485	67%
United	$311 - $2,720	69%
Cigna	$356 - $2,082	79%
Bright Health	$451	100%
Aetna	$490 - $4,833	109%
Colorado Program For Children With Special Needs	$661	147%
Pinnacol Workers Comp	$668	148%
Multiplan	$696 - $1,353	154%
Western Plains Community Health	$977	217%
Northcare	$1,052	233%
Physician Health Partners	$1,052	233%
Blue Cross Blue Shield	$1,112 - $4,764	247%
Medical Development International	$1,202	267%
Prime Health	$1,353	300%
Rocky Mountain Health Plan	$2,720	603%

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 $1,503.
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 Hca-Healthone DBA Swedish 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.