CMS Price Transparency Data

Blood transfusion

Facility: Gunnison Valley Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $724
  • Cash Discount Price: $723
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Gunnison Valley Hospital is $724. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $723. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.61x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.
Cash / Self-Pay
$723

Average discount available for prompt cash payment at this facility.

Insurance Median
$724

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: $723 (160%)
Insurance Median: $724 (161%)
Cash: $723 (160% of Medicare)
Ins. Median: $724 (161% 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
Medicare (plans) $396 - $453 88%
Gunnison County Coroner Op Only $415 - $474 92%
Gunnison County Sheriff Op & Profee Only $415 - $474 92%
Ebms Hdhp $485 - $554 108%
Tetwp Op & Profee Only-All Plans $485 - $554 108%
U Of Co Transplant-All Plans $485 - $554 108%
Ebms Ppo Plan-All Other Plans $566 - $647 126%
Medicaid / KanCare $591 131%
Gunnison County Employees-All Other Plans $646 - $739 143%
Scottish Rites-All Plans $646 - $739 143%
Elap Employers-All Plans $687 - $785 152%
Blue Cross Blue Shield $708 - $810 157%
Apostrophe-All Plans $727 - $832 161%
Multiplan-All Plans $751 - $859 167%
Rocky Mountain Health-All Plans $768 - $878 170%
UnitedHealthcare $768 - $878 170%
Aetna $776 - $887 172%
Cofinity-All Plans $776 - $887 172%
Cigna $792 - $906 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 711 N Taylor St, Gunnison, CO 81230
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals