CMS Price Transparency Data

Blood transfusion

Facility: Perry County Memorial Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $629
  • Cash Discount Price: $927
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Perry County Memorial Hospital is $629. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $927. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.40x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.
Cash / Self-Pay
$927

Average discount available for prompt cash payment at this facility.

Insurance Median
$629

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: $927 (206%)
Insurance Median: $629 (140%)
Cash: $927 (206% of Medicare)
Ins. Median: $629 (140% 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.

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
Medicaid / KanCare $92 - $2,055 20%
Veterans Administration $100 - $2,055 22%
Bc 130 $104 - $1,642 23%
Group Insurance $104 - $2,055 23%
Medicare (plans) $104 - $534 23%
Workers Compensation $200 - $1,028 44%
Nsa $235 - $1,269 52%
Guarantor Liable $280 - $2,055 62%
Pcmh Insurnace $312 - $2,055 69%
Secondary Insurance $320 - $1,642 71%
UnitedHealthcare $320 - $1,642 71%
Operating Engineers $340 - $1,747 75%
Boilermakers Healthcare $348 - $1,788 77%
Cigna $348 - $1,788 77%
Great West $348 - $2,055 77%
Sagxxxx $348 - $1,788 77%
Champus $400 - $2,055 89%
Ngs American, Inc $400 - $2,055 89%
Patoka Valley $400 - $2,055 89%
Southwire $400 - $2,055 89%
Tricare $400 - $2,055 89%
Wausau Benefits $400 - $2,055 89%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8885 Sr 237, Tell City, IN 47586
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals