CMS Price Transparency Data

Blood transfusion

Facility: Centerpoint Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $1,400
Cash Discount Price: $4,198
vs. Medicare Baseline: 3.11x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Centerpoint Medical Center is $1,400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,198. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 3.11x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$4,198

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,400

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: $4,198 (931%)

Insurance Median: $1,400 (311%)

Cash: $4,198 (931% of Medicare)

Ins. Median: $1,400 (311% 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 311% of the Medicare baseline (a markup of 211%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United	$257 - $2,543	57%
Healthyblue	$263	58%
Medicaid / KanCare	$265	59%
Amerigroup	$268	59%
Unicare	$268	59%
Home State Health Plan	$270	60%
Blue Cross Blue Shield	$357 - $2,600	79%
Ambetter / Centene	$510 - $1,051	113%
Oscar	$521 - $1,074	116%
Wppa Providrs Care Network	$549 - $1,130	122%
Humana	$579 - $1,941	128%
Multiplan	$600 - $4,182	133%
Aetna	$604 - $4,111	134%
Cigna	$681 - $4,521	151%
Corvel Corporation	$713 - $3,673	158%
Oha Network	$743 - $2,826	165%
Universal Healthcare	$961 - $1,995	213%
Coventry	$1,103 - $2,272	245%
Coventry Kc Mo	$1,125 - $2,317	250%
College Park Family Care Center	$1,180 - $2,430	262%
Global Sports Services	$2,196 - $4,521	487%
Cco, Inc.	$2,333 - $4,804	518%
Focus Healthcare Mgmt, Inc	$2,470 - $5,086	548%
Nhc Advantage	$2,550	566%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,198.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Centerpoint Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 36430.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.