Blood transfusion
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 36430 (CPT)
- CPT Billing Code: 36430
- Insurance Median: $408
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| Aetna | $125 | 28% |
| Vc Hope | $404 | 90% |
| Va | $404 | 90% |
| Humana | $404 | 90% |
| Medicare (plans) | $404 - $412 | 90% |
| UnitedHealthcare | $412 - $1,132 | 91% |
| Blue Cross Blue Shield | $412 | 91% |
| Smarthealth | $566 | 126% |
| Medicaid / KanCare | $687 | 152% |
Consumer Guidance & Cost Commentary
For the CPT code 36430 (Blood transfusion) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $404 to $1,132 depending on the insurance carrier. While the median negotiated rate across payers is $408, this is significantly higher than the facility's Medicare benchmark of $450.73, which serves as the objective baseline for fair pricing. It is important to note that cash-pay options are not listed for this service, meaning patients with high-deductible plans should be cautious, as paying out-of-pocket could result in costs exceeding the insurance negotiated rates if the facility's self-pay or prompt-pay discounts are not applied.
Patients should be aware that commercial insurance rates often include administrative overhead and contract dynamics that can inflate the final bill compared to the true cost of care. If you have insurance, verify your specific plan's allowed amount before scheduling, as some carriers like UnitedHealthcare may have negotiated rates as high as $1,132 for this procedure. To minimize costs, always request a prompt-pay discount or self-pay rate directly from the hospital prior to check-in, as these upfront discounts can bypass the costly insurance billing cycle and reduce the total amount owed. Additionally, if you receive a summary bill, demand a full itemized statement to ensure no errors or unbundled charges are included before making any payment.