CMS Price Transparency Data

Blood transfusion

Facility: Good Samaritan Medical Center LLC

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $888
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.97x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Good Samaritan Medical Center LLC is $888. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.97x the Medicare baseline. Located in 200 Exempla Cir, Lafayette, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$888

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%)

Insurance Median: $888 (197%)

Ins. Median: $888 (197% 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
Kaiser Perm Hmo	$223 - $5,838	49%
Kaiser Self Funded	$278 - $5,838	62%
Kaiser Perm Ppo/Pos	$282 - $524	63%
Allegiance	$302	67%
Cigna	$302 - $3,564	67%
Aarp	$435	97%
UnitedHealthcare	$435 - $1,967	97%
Kaiser Snp	$439	97%
Select Health	$439	97%
Aetna	$449 - $5,077	100%
Blue Cross Blue Shield	$480 - $4,667	106%
Geha	$482 - $5,077	107%
Preferred One	$482 - $5,077	107%
Humana	$507 - $2,515	112%
Cofinity	$870	193%
First Health Network	$870	193%
Private Hlthcare Sys	$905	201%
Multiplan Inc	$1,026	228%
Denv Hlth Med Plan	$1,142	253%

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 $X.
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 Good Samaritan Medical Center LLC 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.