Blood transfusion
Facility: Labette Health
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $416
- Cash Discount Price: $631
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Uhccp | $234 | 52% |
| Medicaid / KanCare | $404 - $406 | 90% |
| Wellcare | $404 | 90% |
| Blue Cross Blue Shield | $404 - $516 | 90% |
| Humana | $404 | 90% |
| UnitedHealthcare | $404 - $784 | 90% |
| Kansas Superior Select | $416 | 92% |
| Ambetter / Centene | $465 | 103% |
| Montgomery County | $740 | 164% |
| Multiplan | $766 | 170% |
| Health Partners Of Kansas, Inc | $811 | 180% |
| Choicecare (First Health Network) | $811 | 180% |
Consumer Guidance & Cost Commentary
For this blood transfusion service at Labette Health in Parsons, KS, the facility's cash price of $631.00 is lower than the gross charge of $901.00 but higher than the state and county average negotiated rates, which range from $404 to $811 depending on the specific insurance plan. While commercial payers like UnitedHealthcare and Blue Cross Blue Shield have negotiated rates as high as $784 and $516 respectively, patients with high-deductible plans might find the cash price more affordable if their insurance allowed amount exceeds $631.00. It is important to note that while the facility is government-owned and lists a rating of 3, the actual cost savings depend entirely on your specific insurance contract and whether you qualify for self-pay or prompt-pay discounts before scheduling.
Patients should be aware that commercial negotiated rates often include administrative overhead and can exceed cash prices due to complex billing cycles, making upfront payment a strategic option for cost control. If you receive a bill that includes charges for services not rendered or unbundled components, you have the right to request a formal itemized audit to identify errors, as over 80% of hospital bills contain discrepancies. Furthermore, under federal protections like the No Surprises Act, you are shielded from balance billing for out-of-network services at in-network facilities, so any unexpected charges should be disputed immediately rather than paid out of fear of credit damage. Always verify your deductible status and request a waiver of insurance submission if you intend to pay cash directly to ensure you receive the lowest possible rate.