CMS Price Transparency Data

Blood transfusion

Facility: Frankfort Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $408
  • Cash Discount Price: $1,317
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Frankfort Regional Medical Center is $408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,317. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.91x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.
Cash / Self-Pay
$1,317

Average discount available for prompt cash payment at this facility.

Insurance Median
$408

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: $1,317 (292%)
Insurance Median: $408 (91%)
Cash: $1,317 (292% of Medicare)
Ins. Median: $408 (91% 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
Blue Cross Blue Shield $105 - $364 23%
Molina $105 23%
United $105 - $1,895 23%
Humana $106 - $5,088 24%
Corvel $211 47%
Prime Health $211 47%
Coventry Cares $237 53%
Cigna $387 - $2,388 86%
Baptist Health Network $711 158%
Hospice Of Central Kentucky $829 184%
Occupational Mc Alliance $1,053 234%
Multiplan $1,251 278%
Essence Healthcare $2,400 532%
Signature Advantage $2,550 566%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 299 Kings Daughters Drive, Frankfort, KY 40601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals