CMS Price Transparency Data

Blood transfusion

Facility: Moberly Regional Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $3,422
  • Cash Discount Price: $1,952
  • vs. Medicare Baseline: 7.59x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Moberly Regional Medical Center is $3,422. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,952. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 7.59x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$1,952

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,422

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: $1,952 (433%)
Insurance Median: $3,422 (759%)
Cash: $1,952 (433% of Medicare)
Ins. Median: $3,422 (759% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 759% of the Medicare baseline (a markup of 659%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Veterans Eval Services $36 8%
Medicaid / KanCare $373 - $615 83%
Tricare $446 99%
Medicare (plans) $466 103%
Node Va $473 105%
UnitedHealthcare $473 - $18,649 105%
Blue Cross Blue Shield $475 - $8,679 105%
Node Devoted Health Mcr Adv $489 108%
Centurion Correctional $592 131%
Corizon $592 131%
Us Department Of Labor $592 131%
Home State Health Plan $615 - $876 136%
Pathway/Pathway X $651 144%
United Behavioral Health Mcd $675 - $4,876 150%
Healthscope Benefits $795 176%
Naphcare $899 199%
Blue Preferred $901 200%
Self Pay $911 - $6,582 202%
Cigna $1,053 - $7,606 234%
Blue Access $2,139 475%
Access Health Services, Llc $2,194 - $15,846 487%
Aetna $2,221 - $19,502 493%
Healthlink $2,363 - $5,782 524%
Blue Traditional $2,413 - $17,428 535%
Multiplan Primary $2,531 - $18,283 562%
Coventry Wc $2,700 - $19,502 599%
Multiplan $2,734 - $19,746 607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals