CMS Price Transparency Data

Blood transfusion

Facility: Rockcastle County Hospital, Inc.

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $350
  • Cash Discount Price: $516
  • vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Rockcastle County Hospital, Inc. is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $516. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.78x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$516

Average discount available for prompt cash payment at this facility.

Insurance Median
$350

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: $516 (114%)
Insurance Median: $350 (78%)
Cash: $516 (114% of Medicare)
Ins. Median: $350 (78% 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
Caresource Mcaid $15 3%
Coventry Mcaid-All Plans $15 3%
Medicaid / KanCare $15 3%
Molina Mcaid $15 3%
UnitedHealthcare $15 - $350 3%
Passport Hp Hmo - All Plans $19 - $272 4%
Blue Cross Blue Shield $48 - $755 11%
Multiplan-All Plans $60 - $856 13%
Prime Health Services-All Plans $60 - $856 13%
Integrated Hp-All Plans $63 - $896 14%
Corvel - All Plans $64 - $906 14%
Center Care-All Plans $67 - $957 15%
Cigna $69 - $977 15%
Tricare $310 69%
Humana $322 - $414 71%
Caresource Mcr Adv-All Other Plans $414 92%
Molina Marketplace - All Other Plans $414 92%
Molina Mcr Adv $414 92%
Signature Mcr Adv-All Plans $414 92%
Wellcare Mcr Adv-All Other Plans $414 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals