Blood transfusion
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $732
- Cash Discount Price: $244
- vs. Medicare Baseline: 1.62x 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 |
|---|---|---|
| Hchsync Centrus Health Direct [503999916] | $366 - $427 | 81% |
| Ku Athletics [503200094] | $412 | 91% |
| UnitedHealthcare | $412 | 91% |
| Workers Comp [503999901] | $412 - $1,037 | 91% |
| Medicare (plans) | $420 | 93% |
| Allwell [503200078] | $424 | 94% |
| Blue Cross Blue Shield | $424 - $516 | 94% |
| Tricare | $435 | 97% |
| Triwest [503201703] | $435 | 97% |
| Humana | $435 | 97% |
| Alt Wppa [5032000964] | $512 | 114% |
| Meritain Health [503200039] | $512 - $732 | 114% |
| Wppa [503200056] | $512 | 114% |
| Centurion [5032000966] | $535 | 119% |
| Ambetter / Centene | $597 | 132% |
| Alt Carelon Behavioral Health [503200905] | $610 | 135% |
| Aetna | $732 | 162% |
| National Assn Letter Carriers [503200019] | $732 | 162% |
| First Health [5032000110] | $732 | 162% |
| Aha-Healthcare Preferred [503200050] | $732 | 162% |
| Alt Meritain Health [503999911] | $732 | 162% |
| Allied National [503999937] | $732 | 162% |
| Cigna | $732 - $976 | 162% |
| Php [503200005] | $732 | 162% |
| Sedgwick Claims Management Services [53201618] | $750 | 166% |
| Alt Bnsf Railway Co [503301503] | $750 | 166% |
| Gallagher Bassett [5032000103] | $750 | 166% |
| Prime Health Services [503999912] | $750 | 166% |
| Correct Care Solutions [50311253] | $854 | 189% |
| Occunet [503999930] | $865 | 192% |
| Fort Hays State Student Athletes [5032000960] | $865 | 192% |
| 6 Degrees Health [503999050] | $1,030 | 229% |
| Usa Managed Care [503999030] | $1,098 | 244% |
| Advanced Medical Pricing Solutions [503301513] | $1,304 | 289% |
Consumer Guidance & Cost Commentary
For the CPT code 36430 (Blood transfusion) at the University of KS Health System Great Bend Campus, the facility's cash price of $244.00 is significantly lower than the median negotiated rate of $732.00 and the gross charge of $1,220.00. While the facility's cash rate is well below the state average, patients with high-deductible plans may find that paying the cash price upfront is more cost-effective than relying on insurance, as the negotiated rates paid by insurers often exceed the cash amount. It is important to note that while the facility is an in-network provider for many plans, the administrative costs associated with insurance billing can inflate the final allowed amount, making the direct cash price a potentially better option for self-pay patients.
The facility's Medicare benchmark rate of $450.73 serves as a reliable baseline for evaluating pricing fairness, as commercial negotiated rates frequently range between 200% and 300% of this amount. In this case, the median negotiated rate of $732.00 represents a markup over the Medicare rate, which is typical for commercial contracts. To minimize costs, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling services, as these upfront payment incentives can reduce the bill by 20% to 50%. Additionally, if a balance bill arises from an out-of-network ancillary service, patients should verify the legality of the charge under the No Surprises Act and dispute any unexpected amounts rather than accepting summary bills without a detailed itemized audit.