CMS Price Transparency Data

Blood transfusion

Facility: Daviess Community Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $561
Cash Discount Price: $483
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Daviess Community Hospital is $561. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $483. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.24x the Medicare baseline. Located in 1314 E Walnut St, Washington, IN.

Cash / Self-Pay

$483

Average discount available for prompt cash payment at this facility.

Insurance Median

$561

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: $483 (107%)

Insurance Median: $561 (124%)

Cash: $483 (107% of Medicare)

Ins. Median: $561 (124% 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
Patoka Valley-All Plans	$345	77%
St. Vincent Health - All Plans	$448	99%
Blue Cross Blue Shield	$458 - $572	102%
Aetna	$552 - $690	122%
Encore Ppo-All Plans	$569	126%
UnitedHealthcare	$580	129%
Humana	$618	137%
Siho-All Plans	$621	138%
Sagamore Valley-All Plans	$669	148%
Caresource Mcaid-All Plans	$690	153%
Hoosier Healthwise Mcaid-All Plans	$690	153%
Mdwise Marketplace-All Plans	$879	195%

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 $483.
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 Daviess Community 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.