CMS Price Transparency Data

Blood transfusion

Facility: National Jewish Health

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $754
Cash Discount Price: $704
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at National Jewish Health is $754. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $704. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.67x the Medicare baseline. Located in 1400 Jackson St, Denver, CO.

Cash / Self-Pay

$704

Average discount available for prompt cash payment at this facility.

Insurance Median

$754

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: $704 (156%)

Insurance Median: $754 (167%)

Cash: $704 (156% of Medicare)

Ins. Median: $754 (167% 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
Aetna	$465 - $704	103%
Blue Cross Blue Shield	$465 - $754	103%
Cms	$465	103%
Select Health	$465 - $977	103%
Cigna	$513 - $804	114%
Humana	$653 - $1,661	145%
Multiplan	$754	167%
Phcs	$754	167%
Rocky_Mountain_Health	$754	167%
Kaiser	$854 - $1,661	189%
UnitedHealthcare	$1,661	369%

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 $704.
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 National Jewish Health 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.