Blood transfusion
Facility: Goodland Regional Medical Center
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $844
- Cash Discount Price: $844
- vs. Medicare Baseline: 1.87x 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 | 114% |
| Wppa | $797 - $844 | 177% |
| UnitedHealthcare | $844 | 187% |
Consumer Guidance & Cost Commentary
For the CPT code 36430 (Blood transfusion) at Goodland Regional Medical Center in Goodland, Kansas, the cash median price is $844.00, which matches the median negotiated rate for in-network payers like Wppa and UnitedHealthcare. This facility, a Critical Access Hospital owned by the local government, charges $938.00 as its gross list price. While the data does not provide specific county or state average figures for this procedure, the cash price of $844.00 is notably lower than the facility's gross charge and aligns with the negotiated rates for major insurers. For patients with high-deductible plans, paying the cash price directly can be more cost-effective than relying on insurance, as the negotiated rate of $844.00 may exceed the cash price, and the patient might still face significant out-of-pocket costs before their deductible is met.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should still verify their specific plan details before receiving care. If you are self-paying, you may be eligible for a prompt-pay discount by requesting a self-pay classification and paying in full upfront, which can reduce the cost further than the standard cash median. Additionally, if you receive an itemized bill, you should request a full line-by-line audit to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors. Always confirm with the hospital's billing department regarding any additional self-pay or prompt-pay discounts available before scheduling your visit.