CMS Price Transparency Data

Blood transfusion

Facility: Bingham Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $762
Cash Discount Price: $600
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Bingham Memorial Hospital is $762. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $600. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.69x the Medicare baseline. Located in 98 Poplar Street, Blackfoot, ID.

Cash / Self-Pay

$600

Average discount available for prompt cash payment at this facility.

Insurance Median

$762

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: $600 (133%)

Insurance Median: $762 (169%)

Cash: $600 (133% of Medicare)

Ins. Median: $762 (169% 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
Ebms-All Plans	$227 - $496	50%
Blue Cross Blue Shield	$283 - $378	63%
Partners Direct-All Plans	$352 - $769	78%
Altius Hosp Empl	$391 - $855	87%
Pacificsource-All Plans	$469 - $1,026	104%
Altius Nonpar Empl	$547 - $1,196	121%
Selecthealth-All Plans	$586 - $1,282	130%
UnitedHealthcare	$586 - $1,282	130%
Aetna	$703 - $1,538	156%
Three Rivers-All Plans	$703 - $1,538	156%
Altius Coventry-All Other Plans	$727 - $1,590	161%
Bright Path-All Plans	$742 - $1,624	165%
Deseret Mutual-All Plans	$742 - $1,624	165%
First Choice Health-All Plans	$742 - $1,624	165%
Regence Blue Shield-All Plans	$1,176	261%

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 $600.
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 Bingham Memorial Hospital 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.