Blood transfusion
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $408
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| Medicare (plans) | $404 - $412 | 90% |
| Humana | $404 | 90% |
| Vc Hope | $404 | 90% |
| Via Christi Research | $404 | 90% |
| Saint Lukes Health Systems | $404 | 90% |
| Va | $404 | 90% |
| Blue Cross Blue Shield | $412 | 91% |
| UnitedHealthcare | $412 - $1,132 | 91% |
| Corizon | $505 | 112% |
| Smarthealth | $566 | 126% |
| Medicaid / KanCare | $687 | 152% |
Consumer Guidance & Cost Commentary
For the CPT code 36430 (Blood transfusion) at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates range from $404 to $687 depending on the payer, with a median negotiated amount of $408.00. This rate is significantly lower than the UnitedHealthcare range of $412 to $1,132, which represents the highest variance in the dataset. While the facility does not list a specific cash-pay or self-pay price in this report, patients with high-deductible plans may find that paying cash directly is more cost-effective if the insurance negotiated rate exceeds the cash price. It is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full upfront.
The Medicare benchmark for this service is $450.73, serving as a reliable baseline for evaluating pricing fairness. The facility's negotiated rates generally align closely with this benchmark, with most payers clustering around the $404 to $412 range, indicating a pricing structure that is fair and transparent compared to the federal standard. For patients seeking to minimize costs, it is important to avoid accepting summary bills that obscure individual line items; instead, request a full itemized CPT-coded statement to identify any unbundled charges or services not rendered. Additionally, if you are billed for out-of-network ancillary services, you may be eligible for protections under the No Surprises Act, which prevents balance billing for emergency care and non-emergency services at in-network facilities.