CMS Price Transparency Data

Blood transfusion

Facility: Banner Fort Collins Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $622
  • Cash Discount Price: $358
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Banner Fort Collins Medical Center is $622. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $358. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.38x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$358

Average discount available for prompt cash payment at this facility.

Insurance Median
$622

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: $358 (79%)
Insurance Median: $622 (138%)
Cash: $358 (79% of Medicare)
Ins. Median: $622 (138% 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.

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
Banner Health $271 - $407 60%
UnitedHealthcare $356 - $820 79%
Blue Cross Blue Shield $439 - $3,990 97%
Cigna $439 97%
Clear Spring Health $439 97%
Healthspring Life & Health Insurance Company, Inc. $439 97%
Medica $439 - $827 97%
Medicare (plans) $439 97%
Humana $453 101%
Longevity $453 101%
Devoted Health Services $461 102%
Hue Health, Inc $463 - $1,120 103%
Assist Health Group $527 117%
Rocky Mountain Health Plans $559 - $838 124%
Apostrophe, Inc. $563 - $844 125%
Decent Health $563 - $844 125%
First Choice Health Network $596 - $894 132%
Multiplan $622 - $933 138%
First Choice Of The Midwest $629 - $943 140%
Pinnacol Assurance Workers Comp $689 153%
Denver Health Medical Plan $785 174%
Centivo $1,054 234%
Aetna $8,568 1901%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals