CMS Price Transparency Data

Blood transfusion

Facility: Deaconess Henderson Hospital

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $381
  • Cash Discount Price: $566
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Deaconess Henderson Hospital is $381. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $566. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.85x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$566

Average discount available for prompt cash payment at this facility.

Insurance Median
$381

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)
Cash / Self-Pay: $566 (126%)
Insurance Median: $381 (85%)
Cash: $566 (126% of Medicare)
Ins. Median: $381 (85% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $15 - $1,831 3%
Humana $15 - $1,510 3%
Medicaid / KanCare $15 - $378 3%
UnitedHealthcare $15 - $3,481 3%
Wellcare Ky $15 - $458 3%
Blue Cross Blue Shield $27 - $3,766 6%
Wellcare Il $27 - $381 6%
Medicare (plans) $37 - $381 8%
Mhs Mco $37 - $381 8%
Molina Healthcare Of Ky $37 - $381 8%
Molina Healthcare Of Ky - Exchange $37 - $381 8%
Mytru Advantage $37 - $381 8%
Umwa $37 - $381 8%
Caresource In $38 8%
Caresource In Marketplace $48 - $572 11%
Wellcare Ky Commercial Exchange $48 - $782 11%
Alliance Coal $51 - $572 11%
First Health Network (Coventry) $53 - $1,605 12%
Healthlink $53 - $1,416 12%
Iu Health Plans $53 - $968 12%
Phcs/Multiplan $53 - $1,699 12%
Sagamore $53 - $1,661 12%
Center Care Narrow $59 - $1,076 13%
Center Care Open Access $59 - $1,171 13%
Noncontracted $59 - $610 13%
Encircle/Encore Combined $60 - $1,093 13%
Encircle/Encore Prime $60 - $1,019 13%
Ky Racing Health & Welfare Fund $70 - $548 16%
Self-Pay $70 - $566 16%
Cigna $120 - $1,208 27%
Claimdoc $120 - $1,133 27%
Hopetrust $120 - $915 27%
Hstechnology $120 - $915 27%
Amish And Mennonite Of Western Ky $130 - $572 29%
Coventry National Network $160 - $1,510 35%
Webster County Detention Center $160 - $1,510 35%
Henderson County Detention Center $180 - $1,699 40%
One Care $839 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals