CMS Price Transparency Data

Blood transfusion

Facility: Eastern Idaho Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $786
Cash Discount Price: $1,334
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Eastern Idaho Regional Medical Center is $786. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,334. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.74x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.

Cash / Self-Pay

$1,334

Average discount available for prompt cash payment at this facility.

Insurance Median

$786

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: $1,334 (296%)

Insurance Median: $786 (174%)

Cash: $1,334 (296% of Medicare)

Ins. Median: $786 (174% 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
Blue Cross Blue Shield	$32 - $1,268	7%
Molina	$32	7%
Select Health	$404	90%
Select Health Ichn Brightpath	$404 - $451	90%
Select Health Idaho (Eirmc Only)	$426	95%
Aetna	$526 - $650	117%
Doug Andrus Distributing	$534	118%
Pacificsource Health	$560 - $715	124%
University Of Utah	$560	124%
Interwest Health	$621 - $1,201	138%
Mountain Health Co-Op	$667 - $1,001	148%
Cigna	$734	163%
United	$771 - $8,357	171%
First Choice Health Of Washington	$801	178%
Moda	$831	184%
Dmba	$859	191%
Prime Health	$1,001 - $1,134	222%
Geha Ppo Usa	$1,068	237%
Humana	$1,121	249%
Multiplan	$1,121 - $1,201	249%
Regence	$1,131	251%
First Choice Of The Midwest	$1,201	266%
St. John'S Health Network	$1,201	266%
Coventry First Health	$1,214	269%
Shashone-Bannock Tribal Health	$1,334	296%

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 $1,334.
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 Eastern Idaho Regional Medical Center 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.