CMS Price Transparency Data

Blood transfusion

Facility: HCA Healthone Spalding Rehabilitation

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,801
Cash Discount Price: $4,074
vs. Medicare Baseline: 4.00x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at HCA Healthone Spalding Rehabilitation is $1,801. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,074. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 4.00x the Medicare baseline. Located in 900 Potomac St, Aurora, CO.

Cash / Self-Pay

$4,074

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,801

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: $4,074 (904%)

Insurance Median: $1,801 (400%)

Cash: $4,074 (904% of Medicare)

Ins. Median: $1,801 (400% 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 400% of the Medicare baseline (a markup of 300%). 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	$619	137%
Pinnacol Workers Comp	$668	148%
Multiplan	$696 - $3,666	154%
United	$843 - $2,720	187%
Blue Cross Blue Shield	$859 - $2,770	191%
Cigna	$1,096 - $2,607	243%
Aetna	$1,222 - $2,065	271%
Kaiser	$1,357 - $2,428	301%
Western Plains Community Health	$2,648	587%
Rocky Mountain Health Plan	$2,720	603%
Triwest Health Alliance	$3,259	723%
Prime Health	$3,666	813%

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 $4,074.
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 Spalding Rehabilitation 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.