Blood transfusion
Facility: Kiowa County Memorial Hospital
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $803
- Cash Discount Price: $691
- vs. Medicare Baseline: 1.78x 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 |
|---|---|---|
| Blue Cross Blue Shield | $516 - $1,246 | 114% |
| UnitedHealthcare | $569 - $1,400 | 126% |
| Health Partners Of Ks-All Plans | $625 - $1,232 | 139% |
| Celtic Comml Exchange-All Other Plans | $632 - $1,246 | 140% |
| Medica Prime Mcare Cost-All Plans | $632 - $1,246 | 140% |
| Aetna | $632 - $1,246 | 140% |
| Humana | $632 - $1,246 | 140% |
| Medicaid / KanCare | $710 - $1,400 | 158% |
| Providrs Care/Wppa-All Plans | $1,065 - $2,100 | 236% |
Consumer Guidance & Cost Commentary
For the CPT code 36430 (Blood transfusion) at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash median price is $691.00, which is lower than the negotiated rates paid by most major insurers. While the hospital's cash rate is below the gross charge of $814.00, it is notably higher than the state average for this service, which is $683.00. Patients with high-deductible plans or those without insurance may find the cash price more affordable than their out-of-pocket costs if their insurance negotiated rate exceeds $691.00. It is important to note that while the facility is a Critical Access Hospital owned by the local government, commercial payers like Blue Cross Blue Shield and UnitedHealthcare have negotiated rates ranging from $516 to $1,400, meaning the cash price could represent a significant savings depending on your specific plan's allowed amount.
To ensure you are not overcharged, you should request an itemized billing audit before paying any balance bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Although the No Surprises Act protects patients from balance billing for emergency care at in-network facilities, it is crucial to verify that all ancillary services, such as laboratory tests or physician visits, are covered under your plan's network to avoid unexpected charges. Additionally, since prompt-pay discounts are often available for upfront payments, you should ask the billing department specifically about self-pay or prompt-pay rates prior to scheduling your visit to potentially lower your final cost below the cash median of $691.00.