CMS Price Transparency Data

Blood transfusion

Facility: Columbus Regional Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $716
Cash Discount Price: $1,059
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Columbus Regional Hospital is $716. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,059. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.59x the Medicare baseline. Located in 2400 E 17Th St, Columbus, IN.

Cash / Self-Pay

$1,059

Average discount available for prompt cash payment at this facility.

Insurance Median

$716

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: $1,059 (235%)

Insurance Median: $716 (159%)

Cash: $1,059 (235% of Medicare)

Ins. Median: $716 (159% 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	$383 - $1,346	85%
Managed Health Services	$383	85%
Mdwise	$383	85%
Medicaid / KanCare	$383	85%
Aetna	$458 - $1,308	102%
Ambetter / Centene	$458	102%
Caresource Commercial	$458	102%
Humana	$458 - $1,275	102%
Medicare (plans)	$458	102%
UnitedHealthcare	$458 - $1,308	102%
Siho	$670 - $1,231	149%
Cigna	$704 - $1,293	156%
Medical Mutual Of Ohio	$712 - $1,308	158%
Encore	$721 - $1,324	160%
Phcs Multiplan	$821 - $1,508	182%

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 $1,059.
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 Columbus Regional 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.