Blood transfusion

For the CPT code 36430 (Blood transfusion) at Mercy Hospital Columbus, the facility's cash price of $259.00 is lower than the gross charge of $398.00 but higher than the Medicare benchmark of $450.73, resulting in a ratio of 0.8 relative to Medicare. While many commercial payers have negotiated rates starting at $289.00, the cash price remains the lowest fixed amount available for patients without insurance. It is important to note that for individuals with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $259.00 upfront may be more cost-effective than relying on insurance, which could result in a negotiated rate of up to $672.00 depending on the specific plan. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final amount owed.

This service is provided by a Voluntary non-profit - Church facility located in Columbus, KS (ZIP 66725), and is categorized as a Critical Access Hospital. The data reflects 56 unique payers, with the lowest negotiated rate among commercial plans being $289.00 and the highest reaching $672.00. Because commercial negotiated rates often include administrative overhead and vary significantly by insurer, patients should verify their specific plan's allowed amount before treatment. If a patient receives care from an out-of-network provider or encounters unexpected ancillary services, they may be subject to balance billing for the difference between the provider's full charge and the