Blood transfusion
Facility: St. Catherine Hospital - Garden City
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $852
- Cash Discount Price: $994
- vs. Medicare Baseline: 1.89x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $37 - $43 | 8% |
| Aetna | $37 - $1,938 | 8% |
| UnitedHealthcare | $37 - $941 | 8% |
| Kansas Health | $37 | 8% |
| Blue Cross Blue Shield | $37 - $2,866 | 8% |
| Kaiser | $37 - $825 | 8% |
| Cigna | $37 - $2,484 | 8% |
| Medicare (plans) | $37 - $43 | 8% |
| Innovage | $43 | 10% |
| Devoted Health | $43 | 10% |
| Centura Employee Plan | $373 - $1,498 | 83% |
| United Colorado Doctor'S Plan | $585 - $1,124 | 130% |
| Denver Health | $586 - $707 | 130% |
| Direct To Employer | $671 - $2,484 | 149% |
| Wpaa | $746 | 166% |
| Christian Health Aid | $852 | 189% |
| Multiplan | $959 - $2,547 | 213% |
| Peak Health | $969 - $1,408 | 215% |
| Health Partners Of Kansas | $1,033 | 229% |
Consumer Guidance & Cost Commentary
For the CPT code 36430 (Blood transfusion) at St. Catherine Hospital - Garden City, the facility's cash median price is $994.00, which is significantly higher than the state-wide average for this service. While commercial insurance plans like Humana and Aetna negotiate rates ranging from $37 to $1,938, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $994.00 cash median is lower than the negotiated rates for many in-network payers, effectively bypassing the inflated administrative costs embedded in insurance billing cycles.
The facility's Medicare benchmark rate of $450.73 serves as a critical baseline for evaluating pricing fairness, with the facility's cash price representing a markup of 1.9 times the Medicare amount. Although the facility is a voluntary non-profit church-owned hospital in Garden City, KS, patients should proactively request self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is essential to verify the specific allowed amount for your plan rather than assuming in-network status guarantees the lowest cost, and to always obtain an itemized bill to ensure no unbundled codes or services not rendered are included in the final charge.