Blood transfusion
Facility: Kearny County Hospital
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $668
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.48x 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 |
|---|---|---|
| UnitedHealthcare | $668 | 148% |
| Blue Cross Blue Shield | $668 | 148% |
| Humana | $768 | 170% |
| Community Care Health Plan Of | $1,908 | 423% |
Consumer Guidance & Cost Commentary
For the CPT code 36430 (Blood transfusion) at Kearny County Hospital in Lakin, KS, the negotiated rates vary significantly depending on your insurance carrier. While UnitedHealthcare and Blue Cross Blue Shield have a negotiated rate of $668, Humana's rate is $768, and Community Care Health Plan Of charges $1,908. It is important to note that the median amount paid by insurers for this service is $201, which is substantially lower than the negotiated rates listed above. Additionally, the cash median price is not available for this specific code.
When evaluating costs, it is crucial to compare these figures against the Medicare benchmark, which stands at $450.73 for this procedure. The commercial negotiated rates, particularly for Community Care Health Plan Of, exceed the Medicare rate by a factor of 1.5, indicating a significant markup relative to the federal baseline. Since cash-pay options are not listed for this service, patients relying on high-deductible plans should verify if their specific plan allows for self-pay discounts or prompt-pay incentives, which can sometimes result in lower out-of-pocket costs than the standard insurance negotiated rate. Always request an itemized bill to ensure no unbundled charges or services not rendered are included in the final invoice.